National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

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



Case Details (Reverse Sorted by Onset Date)

This is page 139 out of 6,867

Result pages: prev   40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238   next


VAERS ID: 1636620 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-26
Onset:2021-08-14
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Chest pain, Computerised tomogram abdomen abnormal, Pulmonary embolism, Pulmonary infarction, Pulmonary necrosis, Urinary tract infection
SMQs:, Interstitial lung disease (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lo LoEstrin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Abdominal CT and CT angiogram
CDC Split Type:

Write-up: 8/12/2021 left sided chest pain 8/14/2021 UTI with continued left chest pain 8/14/2021 abdominal CT showed left lower lobe necrosis and admitted. 8/15/2021 CT angiogram of chest showed left lower lobe pulmonary emboli with left lower lobe pulmonary infarct. Pt anticoagulated. 8/18/2021 Discharged on Eliquis.


VAERS ID: 1636637 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-06-30
Onset:2021-08-14
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047C21A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Atrioventricular block complete, Cardiac pacemaker insertion, Cardiac stress test abnormal, Condition aggravated, Diarrhoea, Electrocardiogram abnormal, Syncope, Troponin increased
SMQs:, Torsade de pointes/QT prolongation (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Hypokalaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Creator Tylenol pm
Current Illness: Severe diarrhea that lasted 3 weeks prior to event.
Preexisting Conditions: Hyperlipidemia
Allergies: None
Diagnostic Lab Data: 8/14/21: EKG- complete heart block 8/14-15/21: Troponins- 0.071, 0.108, 0.094 8/17/21: Chemical Stress Test- abnormal
CDC Split Type:

Write-up: Severe diarrhea lasting 3 weeks prior to event. On day of event (8/14/21) suddenly collapsed. Found to be in a complete heart block that required a pacemaker. No prior history of any heart condition.


VAERS ID: 1637046 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated:2021-02-09
Onset:2021-08-14
   Days after vaccination:186
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Headache, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/09/21 2nd dose02/09/21 Diagnosed covid positive:08/17/21 Symptom onset:08/14/21 Exposure:Home Symptoms:fever, HA, muscle aches, sorethroat


VAERS ID: 1637057 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New York  
Vaccinated:2021-02-10
Onset:2021-08-14
   Days after vaccination:185
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/20/21 2nd dose02/10/21 Diagnosed covid positive:08/17/21 Symptom onset:08/14/21 Exposure:Home Symptoms:loss of smell/taste,HA, congestion, cough


VAERS ID: 1637080 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: New York  
Vaccinated:2021-01-27
Onset:2021-08-14
   Days after vaccination:199
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Exposure to SARS-CoV-2, Fatigue, Headache, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/10/21 2nd dose 02/27/21 Diagnosed covid positive:08/16/21 Symptom onset:08/14/21 Exposure:community Symptoms:fever, fatigue,loss of smell/taste, runny nose,HA


VAERS ID: 1637192 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-08-06
Onset:2021-08-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

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

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

Write-up: Rash, believed to be Shingles Rash, flared up two weeks after vaccination. This also occurred when I had Covid infection last year; shingles flared up two weeks after onset of illness.


VAERS ID: 1637212 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-14
Onset:2021-08-14
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Exposure to SARS-CoV-2, Fatigue, Oropharyngeal pain
SMQs:, Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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

Write-up: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose03/24/21 2nd dose04/14/21 Diagnosed covid positive:08/20/21 Symptom onset:08/14/21 Exposure:community Symptoms: fatigue,loss of smell/taste, sore throat.


VAERS ID: 1637265 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-08-12
Onset:2021-08-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 - / SYR

Administered by: Senior Living       Purchased by: ?
Symptoms: Abnormal behaviour, Confusional state, Malaise
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypoglycaemia (broad)

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

Write-up: The patient''s daughter reports that the patient moved into nursing home on August 2nd, 2021 and had to quarantine for 10 days. The patient received the Pfizer vaccine on August 12, 2021. The daughter reports that her mom stated she was starting to feel sick a few days after, stating "I think the shot made me sick". Daughter states over the next few days the patient was getting increasingly confused. By August 16th, 2021 the patient was extremely confused. The daughter reports the patient stripped down naked and was not making sense at the nursing home. The patient was transferred to Medical Center and remained confused for several days.


VAERS ID: 1637635 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-10
Onset:2021-08-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood urine present, Computerised tomogram thorax normal, Contusion, Diarrhoea, Erythema, Fibrin D dimer increased, Inflammation, Pain in extremity, Platelet count normal, Rash, Rash papular
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Pseudomembranous colitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DextroAmphetamine 20mg
Current Illness: None
Preexisting Conditions: Occasional acute pancreatitis
Allergies: None
Diagnostic Lab Data: D Dimer - elevated Platelet count - normal Chest CT - clear Other labs and tests were taken, but I did not receive paperwork with results for any of them. All occurred on 8/26
CDC Split Type:

Write-up: 8/14, four days after vaccination, developed unusual bruising with red spots on the opposite arm of injection. 8/18 began passing bright red blood with loose stools consistently. 8/24 began passing dark blood clots with loose stools, no bright blood present. During this time, began noticing small red and purple spots on different parts of the body, three on the right arm, two on right thigh, one small raised patch on left forearm. 8/24 developed a deep cramp like pain in the hand which persisted and a vein became inflamed and red on the night of the 25th. Checked into the ER early morning on 8/26. Chest CT was clear, platelets were normal range, D-Dimer test was elevated. Was given fluids and sent home after a few hours with a referral to a gastroenterologist. Symptoms still present.


VAERS ID: 1638066 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-05
Onset:2021-08-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest pain, Fatigue, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (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: Ventolin inhaler prn
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Latex skin allergy- mild rash
Diagnostic Lab Data:
CDC Split Type:

Write-up: Right shoulder pain - Aug 6-8 2020. Self resolved. tiredness/Sleepiness - Aug 5-8, 2020. Self resolved. Left chest pain - August 14 to present ? when I lay in bed to sleep ?mild to moderate.


VAERS ID: 1638439 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-17
Onset:2021-08-14
   Days after vaccination:240
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 2 LA / IM

Administered by: School       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Empagliflozin-metFORMIN HCL; Lisinopril
Current Illness:
Preexisting Conditions: diabetes mellitus type 2; essential hypertension
Allergies:
Diagnostic Lab Data: 8/9/2021 COVID-19 RT-qPCR test
CDC Split Type:

Write-up: COVID-19 infection identified by lab test on 8/9/2021 after symptom development (headache) on 8/7/2021, progressing to cough on 8/8/2021, and subsequently with added sore throat, congestion, fever, and breathing difficulty on 8/9/2021. Infection resulted in hospitalization 8/14/2021 through 8/19/2021.


VAERS ID: 1640956 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-02
Onset:2021-08-14
   Days after vaccination:134
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Nasal congestion, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler benzonatate (TESSALON) 200 mg capsule cetirizine (ZyrTEC) 10 mg tablet multivitamin 400 mcg tablet SUMAtriptan (IMITREX) 25 mg tablet triamcinolone (NASACORT) 55 mcg nasal inh
Current Illness:
Preexisting Conditions: Nervous Chronic low back pain, unspecified back pain laterality, with sciatica presence unspecified Corneal abnormality Cervical spondylosis with radiculopathy Respiratory Mild asthma Genitourinary Irregular menses Cervical dysplasia, moderate Musculoskeletal Patellofemoral arthritis of left knee Achilles tendonosis Impingement syndrome of right shoulder Hematologic Iron deficiency anemia secondary to inadequate dietary iron intake Other Hx of cold sores H/O abnormal cervical Papanicolaou smear H/O fracture of right hip H/O LEEP Family history of colon cancer in father Panic attack as reaction to stress Anxiety
Allergies: Cat DanderHeadaches, Sneezing, Throat Swelling Dog DanderHeadaches, Sneezing, Throat Swelling Flagyl [Metronidazole]Anaphylaxis Grass PollenHeadaches, Coughing, Sneezing LanolinRash Molds ExtractHeadaches, Coughing, Sneezing OtherRash, Other (document details in comments) Pollen ExtractsHeadaches, Coughing, Sneezing
Diagnostic Lab Data: POCT COVID-19 PCR
CDC Split Type:

Write-up: Cough Nasal Congestion


VAERS ID: 1640999 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-11
Onset:2021-08-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Gastrooesophageal reflux disease, Gingival pain, Headache, Oesophageal pain, Oral pain
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Took vaccine on 8/11 had a reaction 3 days later 8/14, while she was out of town. Upper GI stomach pain, esophagus pain, horrible re-flux after a couple of days moved to throat and now has mouth and gum sores headache consistent over last week and half. Returned on 8/21 from vacation, She scheduled an appt. to see a PCP about the symptoms


VAERS ID: 1641079 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-01
Onset:2021-08-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Anosmia, Arthralgia, Back pain, Chills, Hyperhidrosis, Injection site pain, Malaise, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Strong initial reaction, which was not unexpected. Fever, chills, extreme sweating, painful arm/injection site lasting 4 days. Subsequent feeling ill, loss of smell, lower back pain, hip joint pain, leg pain.


VAERS ID: 1641100 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-26
Onset:2021-08-14
   Days after vaccination:169
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ascorbic acid, vitamin C, (VITAMIN C) 500 mg tablet bisoprolol (ZEBETA) 5 mg tablet cetirizine (ZyrTEC) 10 mg tablet cholecalciferol, vitamin D3, 2,000 unit capsule clindamycin (CLEOCIN HCL) 300 mg capsule fluticasone (FLONASE) 50 mcg/
Current Illness:
Preexisting Conditions: Nervous Lumbar radiculopathy Circulatory Cardiomyopathy, nonischemic (CMS/HCC) Frequent PVCs Digestive Tubular adenoma of colon Diverticulosis Colon polyps Vitamin D deficiency Genitourinary Asymptomatic menopausal state Nephrolithiasis Renal cyst Musculoskeletal Alopecia Basal cell carcinoma (BCC) of skin of face Presence of left artificial knee joint Presence of right artificial hip joint Endocrine/Metabolic Hyperlipemia, mixed Other Seasonal allergies FH: colon cancer Follow-up examination after orthopedic surgery
Allergies: CefazolinRash ClarithromycinRash, Other (document details in comments) NickelOther (document details in comments) TriamcinoloneRash, Other (document details in comments) Triamcinolone AcetonideRash
Diagnostic Lab Data: 08/16/21 2159 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/16/21 0947 | Final result | Specimen: Swab from Nares COVID-19 SARS-CoV-2 Overall Result DetectedCritical 08/16/21 2159 COVID-19 PCR Collected: 08/16/21 0947 | Final result | Specimen: Swab from
CDC Split Type:

Write-up: COVID EXPOSURE, FEVER, FATIGUE, BODY ACHES, HEADACHE, CONGESTION/RUNNY NOSE


VAERS ID: 1641193 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-02-28
Onset:2021-08-14
   Days after vaccination:167
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NA / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NA / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: wellbutrin, vit D, klonopin, B 12, lamictal, levothyroxine, toprol, crestor, zoloft, aldactone, ambien, testosterone
Current Illness:
Preexisting Conditions: CAD, CHF, hypothyroidism, osteoarthritis, HTN
Allergies:
Diagnostic Lab Data: Swabbed positive for covid upon admission 8/14/2021
CDC Split Type:

Write-up: Weakness, patient fell


VAERS ID: 1641323 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-11
Onset:2021-08-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Lactation disorder
SMQs:, Functional lactation 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: Prental
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I am breastfeeding my 6 week old baby and after receiving Pfizer, my milk supply decreased a lot. I?m scared to receive second dose as my dr advised me my milk supply may completely dry up. Due for second dose September 1,2021


VAERS ID: 1641608 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-12
Onset:2021-08-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0165 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

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

Write-up: Guillain Barre Syndrome diagnosed 2 days after Covid vaccine given. Required hospitalization.


VAERS ID: 1641638 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-02-19
Onset:2021-08-14
   Days after vaccination:176
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN62A / 2 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Balance disorder, Dizziness, SARS-CoV-2 test negative, Vertigo
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Anovera Birth Control Ring
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: PCR COVID test 8/20/21 was negative
CDC Split Type:

Write-up: Off balance/dizzy/vertigo since 8/14/21 Treatment: Went to urgent care 8/16/21 , given meclizine but did not improve symptoms (1 dose) Near constant-still in progress, better with stationary activities, worse with movement of body and head


VAERS ID: 1641813 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Loss of consciousness, Seizure, Urinary incontinence
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: Patient passed out and had mild seizure causing patient to urinate himself.


VAERS ID: 1642022 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Laboratory test, Testicular pain, Urinary tract infection
SMQs:, Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celcep, Tacrolimus 10mg, Prednisone 5mg
Current Illness: No
Preexisting Conditions: Liver transplant 2019, Immunosupressed.
Allergies: No
Diagnostic Lab Data: Laboratories
CDC Split Type:

Write-up: Urine infection, pain testicular.


VAERS ID: 1642971 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-08-14
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, COVID-19, Feeling abnormal, Productive cough, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Dementia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (Once weekly); Non-smoker
Preexisting Conditions: Comments: Patient had no known allergies. No drug abuse or illicit drug usage. Patient no past medical history and medications.
Allergies:
Diagnostic Lab Data: Test Date: 20210814; Test Name: COVID-19 virus test; Result Unstructured Data: Positive; Test Date: 20210825; Test Name: Body temperature; Result Unstructured Data: 106.1 F
CDC Split Type: USJNJFOC20210851723

Write-up: WET COUGH; FELT A LITTLE OFF; CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; This spontaneous report received from a patient concerned a 45 year old male. The patient''s weight was 205 pounds, and height was 71 inches. The patient''s concurrent conditions included: alcohol use (once weekly), and non smoker, and other pre-existing medical conditions included: Patient had no known allergies. No drug abuse or illicit drug usage. Patient had no past medical history and medications. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, frequency one total, administered on 08-JUN-2021 for prophylactic vaccination on right arm. The batch number was not reported and has been requested. No concomitant medications were reported. Patient was symptom free from the 11-AUG-2021 until the 14-AUG-2021 and Laboratory data included: COVID-19 virus test (NR: not provided) Positive coded as (confirmed clinical vaccination failure and confirmed covid-19 infection). Then patient experienced fatigue, cough, headache and became symptoms free on 16-AUG-2021. On 25-AUG-2021, he got home from work and he felt a little off and developed a headache a wet cough. Laboratory data included: Body temperature (NR: not provided) 106.1 F. Patient had not mentioned to his health care professional about testing positive for COVID-19. He might be able to access his test results, and would be willing to provide. He did not have access to his vaccination card at the time of reporting. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from confirmed covid-19 infection, and wet cough, and the outcome of confirmed clinical vaccination failure and felt a little off was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000191022.; Sender''s Comments: V0-20210851723-COVID-19 VACCINE AD26.COV2.S-Confirmed Clinical Vaccination Failure . This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1645007 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Unknown  
Location: Tennessee  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Incorrect dose administered, Oropharyngeal pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Topical adhesive allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Sore throat; Inappropriate dose of vaccine administered; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (Sore throat) and INCORRECT DOSE ADMINISTERED (Inappropriate dose of vaccine administered) in a 30-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Topical adhesive allergy. On 14-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 5 milliliter. On 14-Aug-2021, the patient experienced OROPHARYNGEAL PAIN (Sore throat) and INCORRECT DOSE ADMINISTERED (Inappropriate dose of vaccine administered). On 14-Aug-2021, INCORRECT DOSE ADMINISTERED (Inappropriate dose of vaccine administered) had resolved. On 15-Aug-2021, OROPHARYNGEAL PAIN (Sore throat) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medications were not reported. Treatment medications were not reported.


VAERS ID: 1645027 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Muscle spasms, Pain in extremity
SMQs:, Dystonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Pain in the arm muscles; cramping in muscle of hands that generated her great pain; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE SPASMS (Pain in the arm muscles) and PAIN IN EXTREMITY (cramping in muscle of hands that generated her great pain) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 052E21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, the patient experienced MUSCLE SPASMS (Pain in the arm muscles) and PAIN IN EXTREMITY (cramping in muscle of hands that generated her great pain). At the time of the report, MUSCLE SPASMS (Pain in the arm muscles) and PAIN IN EXTREMITY (cramping in muscle of hands that generated her great pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information was provided.


VAERS ID: 1645094 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-08-14
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: body aches; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (body aches) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Aug-2021, the patient experienced MYALGIA (body aches). At the time of the report, MYALGIA (body aches) outcome was unknown. No concomitant medications were reported by the reporter. No Treatment information was provided by the reporter. This case was linked to MOD-2021-286769 (Patient Link). Reporter did not allow further contact


VAERS ID: 1645102 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: accidentally injected expired vial; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (accidentally injected expired vial) in a 30-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 088D21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (accidentally injected expired vial). On 14-Aug-2021, EXPIRED PRODUCT ADMINISTERED (accidentally injected expired vial) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication was not provided. It was reported that the vial still had the same milky looking appearance and no visual changes. The patient did not experience any side effects.


VAERS ID: 1645129 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Gait disturbance, Pain in extremity, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pacemaker syndrome
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Hard time walking; Fever (100.3 degrees fahrenheit); legs are sore (both left and right) / leg pain; leg pain; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (legs are sore (both left and right) / leg pain), GAIT DISTURBANCE (Hard time walking), PAIN IN EXTREMITY (leg pain) and PYREXIA (Fever (100.3 degrees fahrenheit)) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 088D21A) for COVID-19 vaccination. Concurrent medical conditions included Pacemaker syndrome. On 14-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, the patient experienced PAIN IN EXTREMITY (legs are sore (both left and right) / leg pain) and PAIN IN EXTREMITY (leg pain). On 15-Aug-2021, the patient experienced GAIT DISTURBANCE (Hard time walking) and PYREXIA (Fever (100.3 degrees fahrenheit)). On 15-Aug-2021, PAIN IN EXTREMITY (leg pain) had resolved. At the time of the report, PAIN IN EXTREMITY (legs are sore (both left and right) / leg pain), GAIT DISTURBANCE (Hard time walking) and PYREXIA (Fever (100.3 degrees fahrenheit)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information was provided.


VAERS ID: 1645132 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-07
Onset:2021-08-14
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0S4C21A / 2 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Faeces discoloured
SMQs:, Noninfectious diarrhoea (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: ASPIRIN (E.C.)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: stool was dark red; stool was very bright after flushing; This spontaneous case was reported by a consumer and describes the occurrence of FAECES DISCOLOURED (stool was very bright after flushing) and FAECES DISCOLOURED (stool was dark red) in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 0S4C21A and 002F21A) for COVID-19 vaccination. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) for an unknown indication. On 07-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Aug-2021, the patient experienced FAECES DISCOLOURED (stool was very bright after flushing). On 15-Aug-2021, the patient experienced FAECES DISCOLOURED (stool was dark red). At the time of the report, FAECES DISCOLOURED (stool was very bright after flushing) and FAECES DISCOLOURED (stool was dark red) outcome was unknown. The patient reported that he doesn''t take any treatment for event but took just water and orange juice. Most recent FOLLOW-UP information incorporated above includes: On 15-Aug-2021: Follow up received on 15-Aug-2021 contains initial additional information-Updated the batch/Lot num of second dose.


VAERS ID: 1645167 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-17
Onset:2021-08-14
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 091D2-1A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Feeling abnormal, Feeling cold, Gait disturbance, Head injury, Headache, Hyperhidrosis, Pyrexia, Syncope, Vaccination site pain, Vertigo
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (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: No medical history was provided.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: fainted,After she fainted was on the bathroom floor for 2 hours; sweats,then she was sweating profusely; hit her head on the wall,the fact that she fainted and hit her head was awful; severe dizziness; room was spinning and spinning and spinning; it was horrible,the most horrible experience of her life; could not get up of the floor,that night, she couldn''t walk; still feels very weak; was freezing cold; extreme fatigue,not as weak as before but still very tired; fever; chills; headache "like I never had in my life",still has a little headache; left arm where she received the injection was sore, tender,(left arm tender)it still is,can move it but it hurts to move it.; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (fainted, After she fainted was on the bathroom floor for 2 hours) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 049E21A and 091D2-1A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided. On 17-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Aug-2021, the patient experienced VACCINATION SITE PAIN (left arm where she received the injection was sore, tender,(left arm tender)it still is,can move it but it hurts to move it.). On 15-Aug-2021 at 3:00 AM, the patient experienced SYNCOPE (fainted,After she fainted was on the bathroom floor for 2 hours) (seriousness criterion medically significant), HYPERHIDROSIS (sweats,then she was sweating profusely), HEAD INJURY (hit her head on the wall,the fact that she fainted and hit her head was awful), DIZZINESS (severe dizziness), VERTIGO (room was spinning and spinning and spinning), FEELING ABNORMAL (it was horrible,the most horrible experience of her life), GAIT DISTURBANCE (could not get up of the floor,that night, she couldn''t walk), ASTHENIA (still feels very weak), FEELING COLD (was freezing cold), FATIGUE (extreme fatigue,not as weak as before but still very tired), PYREXIA (fever), CHILLS (chills) and HEADACHE (headache "like I never had in my life",still has a little headache). At the time of the report, SYNCOPE (fainted,After she fainted was on the bathroom floor for 2 hours), HYPERHIDROSIS (sweats,then she was sweating profusely), HEAD INJURY (hit her head on the wall,the fact that she fainted and hit her head was awful), DIZZINESS (severe dizziness), VERTIGO (room was spinning and spinning and spinning), FEELING ABNORMAL (it was horrible,the most horrible experience of her life), FEELING COLD (was freezing cold), PYREXIA (fever) and CHILLS (chills) outcome was unknown, GAIT DISTURBANCE (could not get up of the floor,that night, she couldn''t walk) had resolved and ASTHENIA (still feels very weak), VACCINATION SITE PAIN (left arm where she received the injection was sore, tender,(left arm tender)it still is,can move it but it hurts to move it.), FATIGUE (extreme fatigue,not as weak as before but still very tired) and HEADACHE (headache "like I never had in my life",still has a little headache) had not resolved. Concomitant medication included Singular (unspecified). No treatment was reported. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This case was linked to MOD-2021-287649 (Patient Link).; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1645407 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-29
Onset:2021-08-14
   Days after vaccination:138
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, Cough, Headache, Respiratory tract congestion, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metFORMIN (GLUCOPHAGE) 500 mg tablet ondansetron ODT (ZOFRAN-ODT) 4 mg disintegrating tablet
Current Illness:
Preexisting Conditions:
Allergies: No Known Allergies
Diagnostic Lab Data: POCT COVID-19 PCR
CDC Split Type:

Write-up: headache, loss of taste and smell, cough, congestion


VAERS ID: 1647269 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness, Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101050990

Write-up: Half hour from injection, vision started to become unfocused. Vision off and headache. Lightheaded; Half hour from injection, vision started to become unfocused. Vision off and headache. Lightheaded; Half hour from injection, vision started to become unfocused. Vision off and headache. Lightheaded; This is a spontaneous report from a non-contactable consumer or other non hcp (patient). A 58-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection) (Batch/Lot Number: FC3180) via an unspecified route of administration, administered in Arm Left on 14Aug2021 at 10:00 (Age at vaccination: 58-year-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient was not pregnant at the time of vaccination. The patient medical history was not reported. There were no concomitant medications. The patient had no allergy. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hadn''t been tested for COVID-19. The patient didn''t receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not received any other medications within 2 weeks of vaccination. On 14Aug2021 at 10:30, The patient experienced half hour from injection, vision started to become unfocused. vision off and headache,Lightheaded. Hospitalization Prolonged was reported as no. Treatment received was reported as no. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1647284 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-12
Onset:2021-08-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Retinal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cholesterol high (Hypercholestremia (controlled with medication)); Fruit allergy; Hypertension (Hypertension(controlled with medication))
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101052683

Write-up: retinal hemorrhage; This is a spontaneous report from a contactable consumer (patient). A 44-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0186) via an unspecified route of administration, administered in left arm on 12Aug2021 10:30 (at the age of 44 years old) as dose 1, single for COVID-19 immunisation. Medical history included Hypertension(controlled with medication), Hypercholestremia (controlled with medication), and allergies with Mango fruit. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included unspecified medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced retinal hemorrhage on 14Aug2021 08:00. The patient reported that she has not had one before to her knowledge. It has been examined and is resolving. There was no blunt force trauma. She was just sitting in a chair when the event occurred spontaneously. The event resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. No treatment was given in response to the event. The patient has not been tested for COVID-19 since the vaccination. The outcome of the event was recovering. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1647289 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Michigan  
Vaccinated:2021-08-10
Onset:2021-08-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Arthritis, Condition aggravated, Inflammation, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arthritis; HIV disease (I have like HIV from past 20 or somewhat years.); Osteoarthritis; Type 1.5 diabetes mellitus
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101057233

Write-up: Arthritic joint pain, stating "it''s inflamed my arthritis in my joints like 3 fold/joint pain; It''s inflamed my arthritis in my joints like 3 fold." "My left hand was worse; Already have arthritis it''s inflamed it by 3 times the pain level; Can''t even pick up anything from my left hand/he couldn''t hold anything over a few ounces; Arthritis/Joint pain; This is a spontaneous report from a contactable consumer or other non-health care professional (patient) reported for himself. A 62-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: FA7484), via an intramuscular route of administration in Left on 10Aug2021 as dose 1, single for COVID-19 immunisation. Medical history included Type 1.5 diabetes, HIV infection (I have like HIV from past 20 or somewhat years), osteoarthritis, arthritis from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. The patient did not received any other vaccines prior to the COVID vaccine. Patient stated he received his first dose. 4 days later on 14Aug2021 he developed arthritic joint pain, stating "it''s inflamed my arthritis in my joints like 3 fold. On unknown date 2021 my left hand was worse. It''s joint pain, I already have arthritis it''s inflamed it by 3 times the pain level, the first shot later, the joint pain in my Arthritis refill. I mean I can''t even pick up anything from my left hand/ he couldn''t hold anything over a few ounces until today. He states it was dissipating. Everything I had read so far, said a second shot may increase the side effects. I am leery now about getting a second shot unless somebody could tell me that usually these side effects dissipate over time. Consumer stated, I just called, I had 3 called you guys, and all just got ran away. Okay I am not even sure anymore I said, I called this number five times it bounced around and they told to call the medical and option 3, I went to them talk to somebody that bounced back to somebody who was a Pharmacist assistant, who then took some information to make a report and then told me to call back if I have other question and hit option 3, so I did option 3 but I get nowhere so, I come back to option 1 because I just wanted some information about the side effects, I had the shot, I got side effects and I just want to know if there was any historical data so far in your system this said how long things should last. Consumer stated, I wanted to know that they said that, whatever the thing was out, whatever the thing ''gene''. All I tried to find out if you have the historical data cover after a year of collecting information, was something that generally disappear. Yeah, I mean do they generally in you historical data disappear because it said the second shot, which I had not received yet was worked. Consumer stated, I had no idea, it was there in the car. I do not had it with me right this minute, it was in the car. Patient received treatment for events as gabapentin and aspirin. The outcome of the events arthralgia, arthritis, inflammation was reported as recovering and while other events was unknown.


VAERS ID: 1647366 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-08-14
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pyrexia, Seizure, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety; Depression (Depression anxiety)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101068303

Write-up: seizures; Fever; vomiting; This is a spontaneous report from a non-contactable healthcare professional. A adult female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 2 via an unspecified route of administration, administered in arm right on an unspecified date (Batch/Lot number was not reported) as dose 2, single, dose 1 via an unspecified route of administration, administered in arm right on an unspecified date (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient was not pregnant. Medical history included depression, anxiety. No other vaccine in four weeks. No other medications in two weeks. The patient''s concomitant medications were not reported. The patient experienced seizures, fever, vomiting on 14Aug2021 03:00 with outcome of recovering. The patient was hospitalized for these events for 3 days. Therapeutic measures were taken as a result of events included Put on a breathing machine and given anti seizure medicine. Events resulted in Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event). No Covid prior vaccination. No Known allergies. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender''s Comments: Based on the information provided, known drug safety profile and plausible temporal association, the causality between BNT162B2 and the events Seizures, Pyrexia and Vomiting cannot be completely excluded. The impact of this report on the benefit-risk profile of the Pfizer product and on the conduct of the study 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: 1647383 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-03
Onset:2021-08-14
   Days after vaccination:103
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: SARS-CoV-2 test, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Date: 20210818; Test Name: PCR -Nasal Swab; Result Unstructured Data: Test Result:unknown results
CDC Split Type: USPFIZER INC202101070873

Write-up: Blood clot in left calf; This is a spontaneous report from a contactable consumer (patient). A 36-year-old male patient received bnt162b2, dose 2 via an unspecified route of administration, administered in left arm on 03May2021 10:00 (Lot Number: EW0173) as dose 2, single at the age of 36-year-old for covid-19 immunization. No known allergies. No other medical history. No concomitant medications. No other medications in two weeks. No other medications the patient received within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other vaccine in four weeks. Historic vaccine was bnt162b2 received via an unspecified route of administration, administered in left arm on 12Apr2021 11:00 (Lot Number: ER8731) as dose 1, single at the age of 36-year-old for covid-19 immunization. The patient experienced blood clot in left calf on 14Aug2021 08:00 and diagnosed on 16Aug2021. The aeriousness of event was hospitalized for 2 days (no hospitalization prolonged) and life threatening illness (immediate risk of death from the event). The patient underwent lab tests and procedures which included PCR -Nasal Swab: unknown results on 18Aug2021. Therapeutic measures were taken as a result of blood clot in left calf which included blood thinner. This event resulted in emergency room visit and physician office visit. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The outcome of event was recovering. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1651313 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017E71A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prozac, zanex, dexalente,pravastatin,symbacort,fosamax
Current Illness: None
Preexisting Conditions: Copd
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Redness, swelling, tenderness, itching, and fever at injection site and up to 4 in diameter around site.


VAERS ID: 1651456 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Auscultation, Chest pain, Electrocardiogram ST segment elevation, Headache, Myocarditis, Pain, Pain in extremity, Painful respiration, Pericarditis, Pleurisy, Right ventricular hypertrophy, Troponin
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (broad), Pulmonary hypertension (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No medications or supplements taken at the time of vaccination.
Current Illness: None
Preexisting Conditions: None
Allergies: No known drug allergies, no known food allergies, no know allergies of any kind.
Diagnostic Lab Data: Lab testing, Troponin 8/16. Echocardiogram 8/16, EKG 8/16. EKG 8/26.
CDC Split Type:

Write-up: 19 yr old healthy male, on no medications, cleared several years in a row for sports activity. Within 14 hours of receiving the first dose, patient reported having a severe head ache and body aches. Within 16-18 hours he reports having chest pain that increased with deep breath, then severe chest pain by the morning of 8/15 that decreased with use of Ibuprofen. Crescendo left chest pain, left arm pain, and mid sternal pain. ED and hospital visit on 8/16 at 9 am due to severe chest pain. Troponin of 905, ST elevation on EKG with right ventricular hypertrophy. Diagnosis of myocarditis. Cardiology visit on 8/26 who noted myocarditis, probable pericarditis, and pleuritis with auscultation of right rub.


VAERS ID: 1651506 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-08-07
Onset:2021-08-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness:
Preexisting Conditions: Morbid Obesity, Acanthosis nigricans (insulin resistance), Elevated blood pressure without a diagnosis of hypertension, Vitamin D Deficiency, Hyperlipidemia
Allergies: no
Diagnostic Lab Data: ER visit, diagnosis made on clinical symptoms and appearance.
CDC Split Type:

Write-up: Bell''s palsy diagnosis, with symptoms beginning 1 week after the Covid19 Pfizer vaccine.


VAERS ID: 1653896 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin
Current Illness: N/A
Preexisting Conditions: neuropathic chronic pain
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chest pain beginning the day after injection; persistent for about 48 hours and now recurring every few days for a few hours at a time.


VAERS ID: 1653952 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-06
Onset:2021-08-14
   Days after vaccination:161
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, Bilevel positive airway pressure, Blood culture negative, COVID-19 pneumonia, Chest X-ray abnormal, Hypoxia, Infection, Intensive care, Nucleic acid test, Sepsis
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (narrow), Sepsis (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, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol 108 (90 Base) MCG/ACT Inhalation Aerosol Solution inhale TWO puffs BY MOUTH EVERY 6 HOURS AS NEEDED FOR wheezing Qty: 18 g, Refills: 5 Comments: This prescription was filled on 6/19/2021. Any refills authorized will be placed on
Current Illness:
Preexisting Conditions: Alcohol consumption heavy 1/9/2015 ? Arthritis ? Asthma ? Cerebral artery occlusion with cerebral infarction (CMS-HCC: 100) ? Chronic kidney disease ? COPD (chronic obstructive pulmonary disease) (CMS-HCC: 111) 4/26/2016 ? Depression ? Hyperlipidemia 7/12/2018 ? Hypertension ? Psychosexual dysfunction with inhibited sexual excitement 6/29/2011 ? Sciatica ? Sleep apnea
Allergies: Lisinopril
Diagnostic Lab Data: SARS-COV-2, NAA, Detected 08/14/21.
CDC Split Type:

Write-up: Patient required hospitalization due to breakthrough infection. He received the J&J vaccine on 03/06/21. Hospitalized from 08/14/21 - 08/26/21. Below is copied from discharge summary: Patient is a 67 y.o. male with a past medical history of HTN, HLD, COPD,COVID vaccination (J&J) admitted to the MICU for acute hypoxic respiratory failure 2/2 COVID Pneumonia. CXR in the ED showed multifocal opacities consistent with pneumonia. Treated initially with Vancomycin and Cefepime as empiric coverage for sepsis, however blood cultures were negative x2, and coverage was narrowed to azithromycin and ceftriaxone for possible CAP . Patient''s MICU stay was complicated by desaturations in the 70s on full face BiPAP. He was eventually weaned to HFNC. Patient was downgraded to Internal Medicine. Continued on solumedrol for AHRF in setting of COVID. Patient able to be weaned to NC and stable.


VAERS ID: 1653958 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Chest pain, Ear discomfort, Ear swelling, Electrocardiogram, Injected limb mobility decreased, Injection site discomfort, Limb discomfort, Pain in extremity, Swelling, Vaccination site pain, Vertigo, X-ray
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG and X-rays on 08/26/2021
CDC Split Type:

Write-up: The first 24 hours after receiving the 2nd dose I couldn?t move my left arm at all.Eventually it got better but I would get pressure pain on the left arm and at the exact spot where the vaccine was given.Days later I started feeling upper back pain,followed by chest pain,vertigo,clogged ears,swelling around the neck and behind ears.


VAERS ID: 1653997 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
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
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: none
CDC Split Type:

Write-up: 2nd dose was give at day 14 (7 days early)


VAERS ID: 1655095 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Infection, Malaise, SARS-CoV-2 test, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), COVID-19 (broad)

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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: VITAMIN D [COLECALCIFEROL]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Latex allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210815; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC202101085167

Write-up: I had 2 seizures that we know of at home and then 2 more in the ER; had an infection; wasn''t feeling well; This is a spontaneous report from a contactable consumer (patient). A 37-year-old female patient received bnt162b2, dose 1 via an unspecified route of administration, administered in right arm on 13Aug2021 16:00 (Lot Number: FC3180) as dose 1, single at the age of 37-year-old for covid-19 immunisation. Medical history included known allergies: latex from an unknown date and unknown if ongoing. The patient was not pregnant. No other vaccine in four weeks. Concomitant medication included colecalciferol (VITAMIN D) taken for an unspecified indication, start and stop date were not reported. She had the dose 1 vaccine Friday (on 13Aug2021) and wasn''t feeling well Saturday (on 14Aug2021) and then Sunday (on 15Aug2021) didn''t feel too well, all she remembered was walking up and going in the living room. Then next thing she knew her mom and paramedics were over top of her. She had 2 seizures that they know of at home and then 2 more in the ER. When she went to hospital they said she had an infection and had to get 2 IVs of antibiotics and now she was on seizure meds with no history of seizures. Never had seizures before and no infection prior to the dose 1. Seizures resulted in emergency room/department visit. The seriousness of seizures was hospitalized for 4 days, life threatening illness (immediate risk of death from the event), disability or permanent damage. Treatment received for seizures and infection which included antibiotic and seizure medicine. No COVID prior vaccination. The patient underwent lab tests and procedures which included Nasal Swab: negative on 15Aug2021. The outcome of seizures was recovering. The outcome of other events was unknown. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1655722 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-04
Onset:2021-08-14
   Days after vaccination:132
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chills, Dyspnoea, Headache, Hypoxia, Muscle spasms, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dystonia (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol, amlodipine, budesonide-formoterol, carvedilol, chol cholecalciferol, losartan-hydrochlorothiazide, melatonin, methylprednisolone
Current Illness:
Preexisting Conditions: hypertension, reactive airway disease, H. pylori
Allergies: no known
Diagnostic Lab Data: COVID test + on 8/10/21
CDC Split Type:

Write-up: Breakthrough COVID. 8/14/2021: patient presented to ED w/SOB and low o2 sats. States 6 days ago experienced muscle cramping, fevers, chills, & headaches. States 4 days ago tested COVID + on 8/10. Previously vaccinated with J&J COVID-19 vaccine in April 2021. Tmax 101 at home, became more SOB and symptomatic, called PCP who instructed him to go to for monoclonal ab treatment consideration.hypoxia 88% on room air, 88% on arrival, 95% with 4L nasal canula. Diagnosed with COVID-19 viral pnemonia, acute hypoxic respiratory failure 8/17/2021: patient discharged


VAERS ID: 1655723 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-11
Onset:2021-08-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: Aug. 27. 2021 went to PCP ears were checked and no ear infection to report.
CDC Split Type:

Write-up: Constant loud ringing in me head. Cannot attribute to one ear in specific. Went to Doctor no ear issues reported or seen.


VAERS ID: 1655788 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-01-28
Onset:2021-08-14
   Days after vaccination:198
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient was admitted to hospital /ICU for Covid pneumonia


VAERS ID: 1655880 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2020-03-01
Onset:2021-08-14
   Days after vaccination:531
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / SYR

Administered by: Public       Purchased by: ?
Symptoms: Eczema
SMQs:, Hypersensitivity (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Approximately 6 months after my body broke out in what appeared to be a serious case of eczema . Never had this before. It was untreatable by topical and needed oral steroids to slow it down. My wife who was vaccinated two weeks after I, just experienced the same eczema problem, two weeks after my first reaction. She is pregnant, and also has never had eczema before. Both were very serious cases and my wife needed to be hospitalized due to it.


VAERS ID: 1655928 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-15
Onset:2021-08-14
   Days after vaccination:121
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, Blood culture, Blood gases normal, Blood lactate dehydrogenase increased, Blood lactic acid normal, Blood potassium normal, Brain natriuretic peptide normal, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills, Computerised tomogram thorax abnormal, Cough, Diarrhoea, Dyspnoea, Dyspnoea exertional, Electrocardiogram abnormal, Fatigue, Histology, Hyponatraemia, Immunodeficiency, Intensive care, Legionella test, Lung consolidation, Lung infiltration, Lung opacity, Malaise, Metabolic function test abnormal, Nasal congestion, Normocytic anaemia, Obesity, Pneumonia, Pneumonia bacterial, Positron emission tomogram abnormal, Pyrexia, Rales, Respiratory rate increased, SARS-CoV-2 test positive, Serum ferritin increased, Sinus congestion, Streptococcus test, Troponin normal, Vaccine breakthrough infection, Ventricular extrasystoles, White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: vitamin E, Vitamin D-2, Vitamin A, zinc gluconate, azithromycin, cefdinir, predisone
Current Illness:
Preexisting Conditions: HTN and small lymphocytic
Allergies: Bee''s, Wasps
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient vaccinated for COVID (4/15 and 3/12), admitted 8/14, tested positive for COVID 8/14/2021. discharged 8/28 to home Pt was diagnosed with COVID-19 on 07/22. This is just to report that the pt got the vaccine. Date of COVID-19 test 07/22 Date of admission: 08/14 Admitted for cough and SOA due to COVID and bacterial PNA- started on abx and dexamethasone History Of Present Illness Patient is a 51 y.o. male with a PMH of HTN and small lymphocytic lymphoma. He was diagnosed with Covid on July 22. (Previously vaccinated with moderna 3/13, 4/15) His symptoms started two days prior on July 20 with with nasal and sinus congestion. He states he finished quarantine on 8/1 and seemed to be symptom free, then on 8/8 he started to feel fatigued and developed fever/chills, SOA with talking or exertion and a dry cough. He had a telehealth appointment with his oncologist on 8/10 due to not feeling well enough to make his appointment in person and was advised to be monitor his symptoms and present for further care if he did not improve. Since the fevers did not improve he presented to the local ED on 8/11. There they did a CXR and diagnosed him with pneumonia. They started him on cefdinir and azithromycin PO. He also contact his ID physician who advised him to have a CT chest done for further evaluation. He states the CT was completed on 8/12 and the provider who completed the exam started him on oral steroids due to findings of bilateral pneumonia. He had two days of steroids and did not have any doses this morning. He did take his abx this morning. Currently he continues to endorses the above symptoms and reports that he has had fevers on a daily basis since the 8th, up to 102.9. He states the fever breaks with tylenol but then comes back. His cough is non-productive. He denies rashes, HA, URI symptoms, wheezing, pleuritic pain or chest pain, abdominal pain, N/V or constipation. He does report some diarrhea with the abx. He states he has not had his chemo medications since he started feeling so sick. Patient is a 51 y.o. male with a PMH of HTN and small lymphocytic lymphoma. He was diagnosed with Covid on July 22 after onset of congestion July 20 and symptoms largely resolved by 8/1 when he completed his quarantine. Then on 8/8 he developed fatigue, fever, chills, SOA and a dry cough. He went to his local ED on 8/11 and was diagnosed with pneumonia and sent out with azithromycin and cefdinir. He had a Chest CT done the following day 8/12 at the recommendation of his ID physician. The CT showed bilateral pneumonia so he was also given steroids. He presents today due to continued fevers up to 102.9 and lack of symptomatic improvement. On presentation, his RR is elevated at 27 and oxygen saturation is stable at 96%. He is otherwise afebrile and hemodynamically stable. Initial labwork notable for normal WBC, mild normocytic anemia, elevated inflammatory markers (ferritin 1961, LDH 351, CRP 87.6), CMP with mild hyponatremia, hypokalemia (K 3.5), lactate, BNP and troponin WNL. VBG without acidosis or alkalosis. Chest x-ray was obtained showing bilateral infiltrates with possible right upper lobe consolidation. EKG shows sinus rhythm with PVC, no visualized ST elevation/depression. Blood cultures were obtained and empiric abx started with cefepime and vancomycin. Covid-19 infection with concern for co-existing bacterial pneumonia -Covid + 7/22, sx of congestion resolved by 8/1, new onset of cough, fever, chills, SOA, starting 8/8, dx with CAP at outside ED 8/11, started on azithromycin and cefdinir, reportedly had CT done 8/12 showing bilateral pneumonia and started on steroids -afebrile, RR elevated, oxygen stable on RA. Exam with rales most prominent in the left upper lobe consistent with infiltrate noted on 8/5 PET. Inflammatory markers elevated as above. -X-ray 8/14 personally visualized. Report notes ?Bilateral patchy airspace disease, with right upper lobe consolidation. Atypical infectious etiology should be considered. Follow-up to radiographic resolution is recommended.? -follows with ID outpatient, Dr. who advised admission for infectious work-up and treatment -Covid and respp pending, not meeting criteria for remdesivir Plan: -obtain ambulatory saturation and procalcitonin -ID aware of patient, will consult formally in am, appreciate continued recs -obtain records and CT report in am -follow blood cultures -fungal serology, Abs and beta glucan ordered -urine legionella, strep and histo pending -continue empiric abx with vancomycin and cefepime -continue azithromycin, final dose of z-pack tomorrow morning -continue dex 6m daily PO -initiate supplemental oxygen as needed to maintain saturation $g92% -symptoamtic management with benzonatate pearls for dry cough Small lymphocytic lymphoma -follow with oncology, on chemotherapy with obinutuzumab, per chart review last seen 8/10 -PET/CT 8/5 showed slight decrease lesions suggestive of response to treatment. Interval development of multiple hypermetabolic left lower lobe pulmonary opacities also noted and likely representing inflammatory or infectious process in the acute setting. -chemo infusion planned for 8/11 cancelled due to acute illness, will consider resuming once illness resolves Plan: -oncology aware of admission, will consult formally in am -continue to hold chemotherapy in setting of acute infection Hypokalemia -potassium 3.5 -replace 40meq PO -continue to monitor and replace as needed Morbid obesity - BMI 41.05, complicates all aspects of care Review of Systems Constitutional: Positive for chills and fever. Negative for unexpected weight change. HENT: Negative for congestion, rhinorrhea, sinus pressure, sinus pain, sore throat and trouble swallowing. Eyes: Negative for visual disturbance. Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Negative for chest pain and leg swelling. Gastrointestinal: Positive for diarrhea (following abx). Negative for abdominal pain, blood in stool, constipation, nausea and vomiting. Genitourinary: Negative for difficulty urinating and dysuria. Musculoskeletal: Negative for joint swelling. Skin: Negative for rash and wound. Neurological: Negative for dizziness, weakness, light-headedness, numbness and headaches. Hematological: Does not bruise/bleed easily. Psychiatric/Behavioral: Negative for confusion. Hospitalization Admit Date/Time: 8/14/2021 1:24 PM Discharge Date: 8/28/2021 Referring provider name and address: No referring provider defined for this encounter. Chief Concern, Brief History of Present Illness, and Hospital Course Patient is a 51 y.o. male who was admitted on 8/14 with a breakthrough COVID-19 infection despite Moderna vaccination. He required high flow nasal cannula and ICU care. He completed a course of dexamethasone (including escalation to ARDS dosing) and remdesivir. He also received treatment for hospital-acquired pneumonia. He has now improved, and has been weaned to room air. Acute hypoxic respiratory failure, due to severe COVID-19 pneumonia in an immunocompromised host S/p Moderna vaccination in 3-4/2021 S/p dexamethasone and remdesivir here Completed ARDS dosing of dexamethasone on 8/28 Now on room air Hospital acquired pneumonia Infectious workup was negative S/p vancomycin and cefepime


VAERS ID: 1655934 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-02-05
Onset:2021-08-14
   Days after vaccination:190
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Atypical pneumonia, COVID-19, Computerised tomogram thorax abnormal, Cough, Dyspnoea, Lung opacity, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SARS-CoV-2 (COVID-19) by NAA, Micro detected on 8/28/21 CT chest shows:Diffuse bilateral groundglass opacity concerning for infectious/inflammatory process including atypical pneumonia such as Covid 19.
CDC Split Type:

Write-up: Patient developed symptoms of covid around 8/14 including shortness of breath and cough, then presented to Emergency Center on 8/28 where he tested positive for COVID-19 despite being previously vaccinated. He is currently on high-flow oxygen 15L ( as of 8/30/21)


VAERS ID: 1656159 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-10
Onset:2021-08-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blister, Blister rupture, C-reactive protein, Complement factor C3, Complement factor C4, Enterovirus test negative, Fatigue, HIV test negative, Lip blister, Lip haemorrhage, Lip swelling, Mycoplasma test, Paraesthesia oral, Peripheral swelling, Pruritus, Red blood cell sedimentation rate increased, Treponema test negative
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), 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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: ESR 80 mm/hr on August 22 (18 mm/hr 3 years ago) CRP 1.9 on August 22 Enterovirus PCR on August 23 - negative Syphilis total August 23- negative HIV August 23- negative Complement C3, C4 August 23 - within normal range Mycoplasma pneumonia antibodies IgM on August 23?negative
CDC Split Type:

Write-up: Post vaccination patient felt fatigued, on day 4 post vaccination developed swelling of both lips with tingling and swelling hands especially on palm side, fingers very pruritic. Patient took Benadryl, it helped somewhat with swelling of hands and lips so that it was not getting worse, but also was not resolving. Patient continued having tingling and hands pruritus. On day 8 post vaccination patient developed blisters on both lips and hands which cracked open and patient was hospitalized for bleeding lips and blisters on both hands from August 22?August 24. Patient responded to treatment with corticosteroids.


VAERS ID: 1656394 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-07-01
Onset:2021-08-14
   Days after vaccination:44
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Hot flush
SMQs:

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

Write-up: Hot Flashes started two weeks after 2nd dose and continuing for the next couple of weeks.


VAERS ID: 1656416 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 2 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril 40mg, Albuterol 90 mcg/inh, Escitalopram 10 mg, Xiidra 5%, advair 100/50, pantoprazole 20 mg 2 x a week, pepcid ac, calcium with magnesium, zinc and vit d and a multi vitamin
Current Illness: no
Preexisting Conditions: anxiety, asthma, high blood pressure
Allergies: pencillin
Diagnostic Lab Data: na
CDC Split Type:

Write-up: multiple hives around injection site, flushing, panic attack


VAERS ID: 1656598 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Induration, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine Hydroxyzine Clopidogrel Alprazolam Metoprolol LEVETIRACETAM
Current Illness: None
Preexisting Conditions: Asthma Hypertension Aneurism Hypothyroidism
Allergies: None
Diagnostic Lab Data: Visited emergency room on 08/18/2021
CDC Split Type:

Write-up: Patient had vaccine on 08/13/2021. Upon arriving home patient felt feverish and dizzy. Patient went to sleep. When patient awoke on 08/14/2021 patient felt a big bump and arm was swollen. Patient used ice pack to try and relieve swelling. On 08/15/2021 patient contacted PCP but was not seen. on 08/18 patient visited emergency room. Patient was prescribed Cephalexin and Bactrim DS.


VAERS ID: 1656805 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: New York  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Body temperature increased, Feeling hot, Headache, Hyperacusis, Hyperhidrosis, Limb mass, Neck pain, Pain, Peripheral swelling, Photophobia, Ultrasound scan, Vomiting
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Noninfectious meningitis (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Emergency room - ultrasound (neck down past elbow) Blood work a week after vaccine.
CDC Split Type:

Write-up: Vomiting until nothing was left in body 6 times. Sweating, body aches, sore neck, extreme headache. Felt really hot (103 temp.). Sensitive to sound and light. Had to be in dark and quiet. Swollen left arm with a lump 36 hours after vaccine.


VAERS ID: 1657819 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Euphoric mood
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: 15 minutes after shot, felt high for about an hour; This spontaneous case was reported by a consumer and describes the occurrence of EUPHORIC MOOD (15 minutes after shot, felt high for about an hour) in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, the patient experienced EUPHORIC MOOD (15 minutes after shot, felt high for about an hour). At the time of the report, EUPHORIC MOOD (15 minutes after shot, felt high for about an hour) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication or treatment information was provided. Reporter did not allow further contact


VAERS ID: 1657850 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Dizziness, Extra dose administered, Headache, Off label use, Pain, Syncope, Vaccination site pain
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Medication errors (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNTHROID; HYDROCHLOROTHIAZIDE; VITAMIN B12 [CYANOCOBALAMIN]; VITAMIN D3
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high; Diabetes; Drug allergy; Thyroid disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101057254

Write-up: Fainted, Dizziness, pain at injection site, headache, chills, body aches,; Fainted, Dizziness, pain at injection site, headache, chills, body aches,; Fainted, Dizziness, pain at injection site, headache, chills, body aches,; Fainted, Dizziness, pain at injection site, headache, chills, body aches,; Fainted, Dizziness, pain at injection site, headache, chills, body aches,; Fainted, Dizziness, pain at injection site, headache, chills, body aches,; DOSE NUMBER 3; DOSE NUMBER 3; This is a spontaneous report from a contactable consumer(patient). A 70-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown) via an unspecified route of administration, in the left arm on 14Aug2021 at 11:15 (at the age of 70-years-old) as dose 3, single for covid-19 immunisation. Facility type vaccine was pharmacy or drug store. Medical history included diabetes, thyroid disease, high blood pressure all from an unknown date and unknown if ongoing. Known allergies reported for narcotics, opioids. Concomitant medications included levothyroxine sodium (SYNTHROID), hydrochlorothiazide, cyanocobalamin (VITAMIN B12), vitamin d3 (VITAMIN D3) all taken for an unspecified indication, start and stop date were not reported. Historical vaccines included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown) via an unspecified route of administration, on an unspecified date, as dose 1, single and dose 2, single both for covid-19 immunisation. Prior to vaccination patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. The patient did not receive any vaccines within four weeks prior to the vaccination. On 15Aug2021 at 19:30 the patient experienced fainted, dizziness, pain at injection site, headache, chills, body aches, and dose number 3 (extra dose administered and off label use). The patient did not receive any treatment for the event. Outcome of the events was recovering. Information on lot/ batch number has been requested.


VAERS ID: 1657858 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 2 RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Antiphospholipid syndrome (had since birth but diagnosed in her 20''s, this is a clotting syndrome); Asthma (she has had since childhood); Lupus syndrome (had since birth but diagnosed in her 20''s)
Preexisting Conditions: Medical History/Concurrent Conditions: Drug allergy; Kidney disorder; Neck surgery; Spinal cord injury
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101058057

Write-up: She started getting hives and scalp itches/ It started on her inner arms, this was the first place, then moved to her upper stomach; She started getting hives and scalp itches/ her head and scalp are itching; She started not feeling good after 12 hours; This is a spontaneous report from a contactable nurse (patient). A 48-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), second dose via an unspecified route of administration, administered in Arm Right on 13Aug2021 13:30 (at age of 48 years old) (Lot Number: EW0164; Expiration Date: Aug2021) as single dose for covid-19 immunisation. Medical history included ongoing asthma (she had since childhood), ongoing lupus (had since birth but diagnosed in her 20''s), ongoing Anti-phospholipid syndrome (had since birth but diagnosed in her 20''s, this is a clotting syndrome), she had allergic reactions to medications before, she had neck surgery and couldn''t look at her back but her son helped her look and spinal cord injury. The patient was a nurse, she was hurt at work and did not work at this point. She explained that she had a spinal cord injury from work and was not current working, this was prior to the vaccine. She had to get clearance to get the vaccine because she had a kidney issue. There were no concomitant medications. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) on 23Jul2021 1:00 PM (at age of 48 years old) (Lot number: EW0164) administered in Right Arm as single dose for covid-19 immunisation. The patient never had a reaction to a vaccine. Prior Vaccinations (within 4 weeks) was none. AE(s) following prior vaccinations was none. The patient stated that she got the 2nd dose on Friday, got hives yesterday (on 15Aug2021) and they have gotten worse and went to urgent care and advised to take Benadryl. It was explained that they told her they would give her Depo Medrol dose pack or prednisone but were concerned that it would affect the efficacy of the vaccine. She was told at urgent care to just try and continue to take Benadryl and that if she was not better by today or tomorrow to go see her primary care doctor. It started on her inner arms, this was the first place, then moved to her upper stomach. Also it started on her lower back and has moved up to her arm pits, up to her neck and back, and chest, even her head and scalp are itching. According to caller, she had her 2nd dose of the vaccine last 13Aug2021 at around 1:30PM EST, she started not feeling good after 12-hours and on mid morning of Sunday (14Aug2021) and she started getting hives and scalp itches (on 15Aug2021). She stated that she had allergic reactions to medications before and was usually given depo-medrol injection and prednisone, but her urgent care doctor felt that if they give her those steroids (depo-medrol and prednisone), it will reduce the efficacy of the vaccine and she will not get the full benefits, and now she''s scared because her urgent care doctor stated that if she''s not better after taking the Benadryl, obviously it would impair her breathing and needs to go to the ER. She was scheduled to see her Primary Care tomorrow. She has started nothing new, no new soaps or medications. She remarks she would think her air way closing would be the priority. She knows to go to the emergency room if the hives get worse. The patient was freaking out, she was scared of the virus and debated on getting the vaccine but was immunocompromised. She had to get clearance to get the vaccine because she had a kidney issue. The event hives was serious with serious criteria of Medically Significant. The outcome for hives, Itching was not recovered. Hives was reported as worsened. For not feeling good was unknown.; Sender''s Comments: Based on the information currently available, a possible contributory role of the suspect vaccine BNT162B2 or comirnarty in triggering the onset of hives(urticaria) cannot be excluded.But also consider relevant allergic history of asthma and other events.The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1658694 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-13
Onset:2021-08-14
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Dyspnoea, Presyncope, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Hypoglycaemia (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, aspirin, clopidogrel, dulaglutide, ergocalciferol, ezetimibe, famotidine, isosorbide mononitrate, magnesium oxide, metoprolol (lopressor), mycophenolic acid, prednisone, rosuvastatin, tacrolimus
Current Illness:
Preexisting Conditions: hyperlipidemia, hypertension, S/P kidney transplant, LRRT (sister) 9/28/2007; Hx of BK viremia, Hx of antibody mediated rejection, secondary hyperparathyroidism, s/p subtotal parathyroidectomy, diabetes mellitus
Allergies: nka
Diagnostic Lab Data: Tested positive for covid prior to admission at outside clinic approx on 8/9/21.
CDC Split Type:

Write-up: 8/14/21: admitted. initially presented to ED with a chief complaint of near syncope, shortness of breath, generalized weakness. tested positive for COVID 19 last Monday. Note, he was vaccinated against COVID-19 with Johnson and Johnson on 3/13/21. Diagnosed with acute hypoxic respiratory failure, covid-19 pneumonia 8/26/21: discharged


VAERS ID: 1658722 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Nausea, Pain, Peripheral swelling
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sen Balta 60mg,
Current Illness: N/A
Preexisting Conditions: Depression, Gurd, Asthma
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Pt. states that after receiving the 1st dose of J&J 08/13/2021, started experiencing symptoms 08/14/2021 of arm swelling, throbbing pain lasting 24hr, nausea, and dizziness. No noted Primary visit, symptoms lasting 3 days.


VAERS ID: 1658826 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Immune system disorder, Impaired work ability, Inflammation, Loss of personal independence in daily activities, Mobility decreased
SMQs:, Dementia (broad), Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fish oil, Melatonin
Current Illness: none
Preexisting Conditions: Suspected MCAS (mast cell activation syndrome)
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: I received 2nd dose of Moderna COVID-19 vaccination on 8/13/21. A few hours after I felt fatigued. The fatigue did not go away in "1 to 3 days" as widely reported. 17 days aftert the second dose I am still experiencing chronic fatigue and brain fog that has kept be homebound . I have not been able to work or have had to decline participating in job interviews. Before the injection I was very fit and active: lifting weights, jogging and cycling. Now I feel fatigued after light walking or basic household chores. The vaccine caused a powerful immune system "flare" and debilitating neuroinflammation. I have been following the advice fo online doctors and taking antihistimates, Vitamin C, Quercetin and NAC to help.


VAERS ID: 1658986 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC318C / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Fatigue, Hepatic enzyme abnormal, Nausea, Pain
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Contrast Dye
Diagnostic Lab Data: Blood Work 08/21/2021
CDC Split Type:

Write-up: Pt. states that after receiving the 1st dose of Pfizer 08/14/2021, started experiencing symptoms 08/14/2021 of pain in the left side of body, fatigued, and nausea. Urgent Care visit 08/21/2021 continuing pain, Blood Work showing Liver Enzymes High. Still continuing to experience symptoms.


VAERS ID: 1658990 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-14
Onset:2021-08-14
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Malaise, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol, ascorbic acid, cholecalciferol, cyanocobalamin, diltiazem, dutasteride, metoprolol (Toprol-XL), midodrine, multivitamin, omega-3 polyunsaturated fatty acid, pantoprazole, rosuvastatin, ubiquinone, vitamin E, warfarin
Current Illness:
Preexisting Conditions: advanced COPD, RUL adenocarcinoma s/p SBRT, LLL squamous cell carcinoma s/p radiation and chemo
Allergies: nka
Diagnostic Lab Data:
CDC Split Type:

Write-up: 8/14/21: patient presents to the ER with shortness of breath, cough, fever, weakness and malaise for several days. He was seen in Urgent Care and tested positive for COVID-19. He is now breathing better on supplemental FiO2 and denies any acute distress. Of note, he received a Pfizer COVID vaccine earlier this year. Tested positive for Covid on 8/15/21. Diagnosed with covid related pneumonia. Note: previously received Pfizer Covid-19 vaccine: First dose: 03/17/21 Lot Number EN6208; Second dose: 04/14/21 Lot Number EP7533 8/19/21: Discharged.


VAERS ID: 1659207 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-08-14
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Cycle threshold 8/14/21 = 20.2
CDC Split Type:

Write-up: Hospitalization with COVID-19 Reported per vaccine EUA


VAERS ID: 1659220 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-12
Onset:2021-08-14
   Days after vaccination:155
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hypertension
Allergies:
Diagnostic Lab Data: Cycle threshold 8/14/21 = 25.2
CDC Split Type:

Write-up: Hospitalization with COVID-19 Reported per vaccine EUA


VAERS ID: 1659324 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-22
Onset:2021-08-14
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcium, Iron, Potassium, Calcitriol, hydrochlorithiazide
Current Illness: Nope
Preexisting Conditions: Hypocalcemia, high blood pressure and low potassium
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sleepy after the first dose, low grade fever, headache. Second vaccine my joints felt numbness and my hands kept falling asleep as well as my feet. My hands shake occasionally. Up till now I still have the same symptoms.


VAERS ID: 1660128 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Mobility decreased, Pain in extremity, Paraesthesia, Peripheral swelling, Pruritus, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient stated that her arm was swollen and had a large, orange shaped swollen lump the size of a baseball. The swollen lump had shrunk to the size of a plum but was still bruised. She also reported fevers since vaccination and pain and itchiness and tingling running up and down her entire arm since vaccination. She reported her arm being very painful and being unable to move it after vaccination.


VAERS ID: 1660967 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-08-14
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Angina pectoris, Blood test, Muscle spasms
SMQs:, Dystonia (broad), Other ischaemic heart disease (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic to cats; Allergy (Patient had lot of allergies but not provided with name.)
Preexisting Conditions: Comments: The patient was athletic.
Allergies:
Diagnostic Lab Data: Test Date: 202101; Test Name: Blood test; Result Unstructured Data: Everything was perfect
CDC Split Type: USJNJFOC20210857104

Write-up: SMALL NEEDLE IN THE HEART AND IT WAS PAINFUL, HEART PAIN WAS STILL HAPPENING THOUGH IT GOES ON AND OFF; CRAMP IN HER LEFT CALF (OUTER SIDE OF THE LEG); This spontaneous report received from a patient concerned a 54 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: cat allergy, and lot of unspecified allergies, and other pre-existing medical conditions included: The patient was athletic. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and expiry: 21-SEP-2021) dose was not reported, 1 total, administered on 14-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On JAN-2021, (7 month ago) Laboratory data included: Blood test (NR: not provided) Everything was perfect. On 14-AUG-2021, within 15 minutes after received vaccine, the patient experienced small needle in the heart and it was painful, heart pain was still happening though it goes on and off. The patient never experienced anything like that before. It lasted 1 minute and went away. On the same day, 20 minutes after getting the vaccine, the patient experienced cramp in her left calf (outer side of the leg). Then it went away in a few minutes. Then she got these two symptoms 4 or 5 hours later that night. It was reported that the heart pain was still happening though it goes on and off. The patient did not contact any Doctors. She was waiting to contact a cardiologist The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from cramp in her left calf (outer side of the leg), and had not recovered from small needle in the heart and it was painful, heart pain was still happening though it goes on and off. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210857265.; Sender''s Comments: V0: 20210857104-COVID-19 VACCINE AD26.COV2.S- small needle in the heart and it was painful, heart pain was still happening though it goes on and off. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1661059 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-01-14
Onset:2021-08-14
   Days after vaccination:212
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011L20A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Balance disorder, Blood pressure measurement, Dyspnoea, Ear infection, Extra dose administered, Feeling cold, Headache, Heart rate, Heart rate increased, Hypoaesthesia, Neuralgia, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Neuropathy peripheral; Vitamin B complex deficiency
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210817; Test Name: Blood Pressure; Result Unstructured Data: 117/69 mmHg; Test Date: 20210814; Test Name: Heart Rate; Result Unstructured Data: 136 BPM; Test Date: 20210817; Test Name: Heart Rate; Result Unstructured Data: 87 BPM
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: increased Heart Rate to 136 BPM; feeling Cold alternating with Fever; Off balance; Shortness of breath; Neuropathic Pain in the right arm; Feels like ear infection; received a 3rd Dose; Fever 103.9 Fahrenheit; Headache after the third vaccine dose; arm pain; Numbness in the Left side of face and cheekbone; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm pain), HYPOAESTHESIA (Numbness in the Left side of face and cheekbone), HEART RATE INCREASED (increased Heart Rate to 136 BPM), FEELING COLD (feeling Cold alternating with Fever) and BALANCE DISORDER (Off balance) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002F21A, 030M20A and 011L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Neuropathy peripheral and Vitamin B complex deficiency. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Aug-2021, the patient experienced PAIN IN EXTREMITY (arm pain), HYPOAESTHESIA (Numbness in the Left side of face and cheekbone), FEELING COLD (feeling Cold alternating with Fever), BALANCE DISORDER (Off balance), NEURALGIA (Neuropathic Pain in the right arm), PYREXIA (Fever 103.9 Fahrenheit) and HEADACHE (Headache after the third vaccine dose). 14-Aug-2021, the patient experienced DYSPNOEA (Shortness of breath), EAR INFECTION (Feels like ear infection) and EXTRA DOSE ADMINISTERED (received a 3rd Dose). On 17-Aug-2021, the patient experienced HEART RATE INCREASED (increased Heart Rate to 136 BPM). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (arm pain), HYPOAESTHESIA (Numbness in the Left side of face and cheekbone), HEART RATE INCREASED (increased Heart Rate to 136 BPM), FEELING COLD (feeling Cold alternating with Fever), BALANCE DISORDER (Off balance), DYSPNOEA (Shortness of breath), NEURALGIA (Neuropathic Pain in the right arm), EAR INFECTION (Feels like ear infection), PYREXIA (Fever 103.9 Fahrenheit) and HEADACHE (Headache after the third vaccine dose) outcome was unknown and EXTRA DOSE ADMINISTERED (received a 3rd Dose) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 14-Aug-2021, Heart rate: 136 bpm (abnormal) 136 BPM. On 17-Aug-2021, Blood pressure measurement: 117/69 mmhg (abnormal) 117/69 mmHg. On 17-Aug-2021, Heart rate: 87 bpm (abnormal) 87 BPM. No concomitant medications was reported. Patient had a positive test for Epstein Barr Virus. Patient tried a Natural supplement: (A-Eb-H6) for two days before started Valtrex. This supplement was stopped. This case was linked to MOD-2021-289712, MOD-2021-289692, MOD-2021-290616 (Patient Link).


VAERS ID: 1661145 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-18
Onset:2021-08-14
   Days after vaccination:88
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210814; Test Name: Covid-19 nasal swab test; Test Result: Positive
CDC Split Type: USPFIZER INC202101068353

Write-up: COVID-19 confirmed by positive COVID-19 test; COVID-19 confirmed by positive COVID-19 test; This is a spontaneous report from a non-contactable nurse. A 33-years-old non-pregnant female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0177 and Expiration date was not reported), via an unspecified route of administration on 18May2021 (at the age of 33-years-old) as dose 2, single for COVID-19 immunisation. The patient also received first dose of BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0171 and Expiration date: 31Aug2021), via an unspecified route of administration on 27Apr2021 (at the age of 33-years-old) as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. It was unknown if patient had other vaccine in four weeks. It was unknown if patient was diagnosed with COVID-19, prior to vaccination. On 14Aug2021, patient had been tested for the COVID-19, post vaccination by nasal swab and result was positive. On 16Aug2021, patient had symptoms included fever, chills, HA, loss of smell and taste, sinus pressure and pain and weak. Symptoms fever, chills, HA, loss of smell and taste, sinus pressure and pain and weak were recovering and treatment was unknown for the events. Patient had doctor or other healthcare professional office/clinic visit for both the events. On 19Aug2021, investigation results were reported and the complaint for lack of effect of the Pfizer-BioNTech Covid-19 Vaccine Injectable lot EW0171 and EW0177 were investigated. The investigation included reviewing manufacturing and packaging batch records, deviation investigations, analytical release test results, and an analysis of complaint history for the reported lot. The final scope was determined to be the reported finished goods lot EW0171, fill lot EP8702, and formulated drug product lot EP8604 and lot EW0177, fill lot EP8728, and bulk formulation lot EP8609. A complaint sample was not returned. No related quality issues were identified during the investigation that had potential to impact product quality. All release testing performed prior to the release of the reported batch was within specifications. No root cause or CAPA were identified. The controls in place were determined to be sufficient in order to prevent complaints of this nature. The outcome of both the events was recovering. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Based on the information in the case report and a plausible temporal relationship, a possible causal relationship between the events vaccination failure, COVID-19 and suspect drug BNT162B2 cannot be excluded.


VAERS ID: 1661225 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-24
Onset:2021-08-14
   Days after vaccination:143
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, Frustration tolerance decreased, SARS-CoV-2 antibody test
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210814; Test Name: COVID-19 Test; Test Result: Positive.
CDC Split Type: USPFIZER INC202101091081

Write-up: This is a spontaneous report from a contactable consumer or other non hcp. A 38-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6205), via an unspecified route of administration, administered in left arm on 24Mar2021 (at the age of 38-years-old) as DOSE 1, SINGLE for covid-19 immunisation. Other Vaccine as second dose (Batch/Lot Number: EWO 15800 Formulation: Unknown) via unspecified route of administration on 24Mar2021. The patient medical history and concomitant medications were not reported. On 14Aug2021, the patient reported that she did Covid test and was positive and experienced very bad symptoms and had fever, cough, body pain, and lost smell and taste. Patients feel very frustrated. Patient though being vaccinated she would not experience this nightmare. The patient underwent lab tests and procedures which included COVID-19 test, positive on 14Aug2021. Patient had Covid tested post vaccination and Covid prior vaccination was reported as yes. The patient took Tylenol as treatment for the event. The outcome of the events was not recovered. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1661265 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-07
Onset:2021-08-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101109882

Write-up: first signs and symptoms for COVID; body aches; sick; This is a spontaneous report from a contactable consumer (parent). This consumer reported that an 18-year-old female patient (consumer''s daughter) received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 07Aug2021 (age 18-year-old at the time of vaccination) as DOSE 1, SINGLE for covid-19 immunisation. The medical history included asthma from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The reporter (parent) called for her 18-year-old daughter with asthma who received her first dose of the Pfizer COVID Vaccine on 07Aug2021 and showed her first signs and symptoms for COVID on 14Aug2021. She mentioned that she had body aches and other symptoms that made her sick on 14Aug2021 but did not require hospitalization. She mentioned that she seems to be okay and was herself with no symptoms as of now. She mentioned that they have also completed isolation. Her daughter was due for her second dose on 28Aug2021. She was asking when the best time for someone was who had COVID to get the vaccine''s second dose because their doctor and the daughter''s physician told them different things. The Physician told them to wait 60 days in which she mentioned differed from what she knew was the 42-day maximum interval. She also mentioned that some guidelines told them to wait 90 days given that people who received an infection are more protected. She wanted to know the guidance from Pfizer. Caller disconnected before survey was offered. The outcome of the events was reported as unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 1662429 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-08
Onset:2021-08-14
   Days after vaccination:98
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW1050 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, COVID-19, Chest pain, Condition aggravated, SARS-CoV-2 test positive
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 16 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Insulin Glargine (LANTUS SOLOSTAR) 100 UNIT/ML PEN injection insulin lispro (HUMALOG/ADMELOG) 100 UNIT/ML VIAL injection levothyroxine (SYNTHROID) 50 MCG tablet mesalamine EC (LIALDA) 1.2 GM EC tablet predniSONE (DELTASONE) 5 MG tablet tams
Current Illness: None known
Preexisting Conditions: Generalized OA S/P knee replacement Bradycardia Hyperlipidemia Chronic back pain History of loop recorder Type 2 diabetes mellitus with neurologic complication (HCC) Intractable chronic post-traumatic headache Type 2 diabetes mellitus with diabetic neuropathy, without long-term current use of insulin (HCC) Benign prostatic hyperplasia without lower urinary tract symptoms Anxiety and depression Acquired hypothyroidism Vertigo Choledocholithiasis History of total knee replacement Acute upper GI bleed Diabetic polyneuropathy associated with type 2 diabetes mellitus (HCC) Positive depression screening Dizziness Hepatic steatosis Chest pain, unspecified type Chronic midline low back pain with bilateral sciatica Pure hypercholesterolemia Type 2 diabetes mellitus with other neurologic complication, with long-term current use of insulin (HCC) Lactic acidosis B12 deficiency
Allergies: No known drug allergies
Diagnostic Lab Data: COVID-19 positive on 8/14/2021.
CDC Split Type:

Write-up: Patient presented to emergency department on 8/14/2021 with chest pain and diffuse back pain. He was found to be COVID-19 positive and admitted for further management. He was treated with dexamethasone, remdesivir and supplemental oxygen. Patient was discharged on 8/30/2021 with home oxygen.


VAERS ID: 1662843 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-29
Onset:2021-08-14
   Days after vaccination:107
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood culture negative, Blood lactate dehydrogenase, C-reactive protein, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram abnormal, Cough, Decreased appetite, Dyspnoea, Fibrin D dimer, Full blood count, Hypoxia, Lung infiltration, Lung opacity, Metabolic function test, Myalgia, Oxygen saturation decreased, Pancreatic mass, Pneumonia viral, SARS-CoV-2 test, Serum ferritin, Somnolence, Thyroid mass
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Interstitial lung disease (narrow), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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, 19 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: No past medical history
Allergies: NKDA
Diagnostic Lab Data: 8/14/21: XR Chest 1 View Result Date: 8/14/2021 Narrative: Exam/Procedure: XR CHEST 1 VIEW ordered by ordering provider, CLINICAL INDICATION: hypoxia TECHNIQUE: Frontal view of the chest. COMPARISON: None. FINDINGS: Diffuse bilateral airspace disease. The cardiac silhouette, mediastinum and pulmonary vascularity are unremarkable. No evidence of pneumothorax or pleural effusion. The osseous structures are unremarkable
CDC Split Type:

Write-up: Patient received COVID vaccine 4/29/21, tested positive for COVID 8/14/21 8/14/21: patient is a 62 y.o. male with no significant past medical history presents with mild shortness of breath, myalgias, cough, somnolence and poor appetite. He was found to be significantly hypoxic while in the waiting room in the emergency department when his pulse ox was found to be 74%. He was put on supplemental oxygen of 6 liters/minute by nasal cannula and his pulse ox improved to about 92%. Currently he is on 60% FiO2 with high-flow nasal cannula an oxygen flow of 30 liters/minute. Patient is a 62 y.o. obese male with no significant past medical history presenting with shortness of breath, cough, myalgias for 6 days and severe hypoxemia. Principal problem: Hypoxia Viral pneumonia with severe hypoxemia: 62-year-old male presenting with 6 day history of shortness of breath, myalgias, cough and severe hypoxemia likely due to viral pneumonia caused by COVID 19 infection. COVID-19 pneumonia chest x-ray shows diffuse bilateral infiltrates most likely due to COVID-19 pneumonia Intravenous dexamethasone 6 mg daily started in the emergency department COVID-19 PCR test is pending The patient is a candidate for intravenous remdesivir because of severe new onset hypoxemia Check CBC, CMP, CRP, LDH, ferritin, D-dimer with morning labs Discharge Summary 9/1/21: Hospitalization Admit Date/Time: 8/14/2021 10:57 AM Admitting Attending: Discharge Date: 8/28/21 Discharge Attending Physician: medical doctor PCP name and Address: Referring provider name and address: No referring provider defined for this encounter. Chief Concern, Brief History of Present Illness, and Hospital Course Patient is a 62 y.o. male with a history of diabetes that presented with a 6 day history of myalgias, cough and poor po intake with new reports of shortness of breath. Patient Received the Johnson and Johnson vaccine in April of 2021. Upon arrival to ED was found to have an SpO2 of 74% on room air, and was placed on 6 liters nasal cannula. His O2 requirements continued to increase requiring high flow nasal cannula. As a result he was started on Dexamethasone and remdesivir. He continued to have increasing O2 requirements and was transferred to the ICU for closer monitoring. He did not require intubation. Ultimately he completed a five day course of remdesivir as well as a ten day course of dexamethasone. He was able to tolerate wean of his supplemental O2 and tolerated 2 liters NC on the day of his discharge. His room air SPO2 was 88% with improvement to 93% on 2 liters NC. He will be provided with home O2 at the time of his discharge. His hospitalization was complicated by a PE (CT scan 8/28/21) for which anticoagulation was started. He was started on Apixaban 10mg po BID with plan to continue for ten days (last dose will be the evening dose on 9/4/21) prior to beginning Apixaban 5 mg BID for at least 3 months. Additionally his hospitalization was complicated by Enterobacter Cloacae. (blood cultures on 8/27/21). He was started on Cefepime with plan to continue for seven days total. His repeat blood cultures have remained negative. Given his he is medically appropriate for discharge otherwise we will transition to oral antibiotic therapy today and continue Bactrim for two more days to complete the total antibiotic course. The patient''s blood sugars were poorly controlled on admission (HgbA1C was 14). Insulin adjustments were made. His blood pressure was also poorly controlled on admission but with medication adjustments improved. The patient declined insulin plus Metformin ER recommendations at discharge. Given this he will be discharged on Metformin ER plus trulicity (PA was obtained by pharmacy). Diabetes educators were consulted for assistance with diabetic teaching. It is strongly recommended that the patient follow up with primary care for ongoing management. Lastly, the patient was noted to have incidental findings of thyroid and pancreatic masses on CT imaging. Given his COVID positive status and other acute medical conditions MRI was not obtained as an outpatient. It is strongly recommended that he follow up with his PCP for ongoing workup in addition to all age appropriate cancer screenings. The patient was evaluated by PT/OT and deemed appropriate for home with assistance. He was evaluated by internal medicine on am rounds and deemed appropriate for discharge home. He will be provided a referral for a PCP at discharge (order placed in system). The patient is aware of his upcoming discharge and is agreeable with the discharge plan of care.


VAERS ID: 1663125 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-02-12
Onset:2021-08-14
   Days after vaccination:183
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: aspirin, atorvastatin, vitamin B12, Eliquis, premarin vaginal cream, ferrous sulfate, furosemide, Lisinopril, loratadine prn, metformin, metoprolol, pregabalin, tamsulosin
Current Illness: none
Preexisting Conditions: DM2, vitamin B12 deficiency, HTN, CAD, chronic atrial fibrillation, non-STEMI, PVD, congestive heart failure, COPD, restless legs, recurrent UTIs, urge incontinence, iron deficiency anemia
Allergies: penicillins (rash), Bactrim/sulfa (hives), nitrofurantoin, Cipro, Voltaren
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt had a breakthrough infection of COVID-19 which was diagnosed on 8/14/2021.


VAERS ID: 1663129 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Hyperhidrosis, Injection site pruritus, Injection site reaction, Lymph node pain, Lymphadenopathy, Pain, Pruritus, Pyrexia, Rash, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zantac Allegra Vitamin D Vitamin B Complex Collagen Flaxseed Oil
Current Illness: None.
Preexisting Conditions: Ceba Psoriasis on scalp Eczema Very sensitive skin
Allergies: Sulfa - rash all over body Prednisone and other systemic steroids - psychosis Tunafish - fever and vomiting Shea butter - rash all over body Beeswax Argan Oil
Diagnostic Lab Data: None performed.
CDC Split Type:

Write-up: After receiving my second Covid shot on Saturday, August 14th, I had a low grade fever of 99.5 and 99.7 for approximately 36 hours. Other symptoms included aches, chills, fatigue. On Monday, August 16th, I woke up with an enlarged lymph node near my left breast which was sore. That lasted throughout the day and night. During my sleep Monday night, I woke up in a sweat (I figured my fever had finally broken). On the morning of Tuesday, August 17th, I woke up and felt much better. My lymph node inflammation had subsided and the soreness was gone. During the afternoon of the same day, I noticed itching at my injection site as well as around the edges of both of my ears and my ears felt a little bumpy. By the evening, I had developed a red, itchy, bumpy rash on my left shoulder that wrapped around the top of my back to my right shoulder. I applied some topical steroid cream (Triamcinolone Acetonide) that I had from a previous rash. The following day, the rash worsened and spread down my upper arms. I continued to treat the same way and started to take Benadryl (1 every 4 hours). By the weekend, the rash had spread down my entire back and was very itchy. It was also down to my forearms as well. I purchased some Extra Strength Benadryl cream which I used throughout the day when not using the steroid cream. I took cool showers as the heat seemed to worsen the rash quite a bit. On Monday, August 23rd, the rash had not gotten any better so I went to urgent care. Dr was the clinician who saw me and he stated that this was a reaction from the vaccine. Due to my sensitivity to systemic steroids and that a steroid would affect the efficacy of the vaccine, he prescribed me more of the Triamcinolone Acetonide cream and suggested replacing my daily Allegra for Zyrtec as that is better with reactions and to continue the Benadryl as needed. I followed this regimen daily and am slowly getting better. As of today''s date (September 1), I am still itchy on parts of my back, my stomach, arms, and legs. The rash has spread to my buttocks, thighs and calves as well as to the sides of my lower arm area and the tops of my hands. My scalp is also still itchy. I continue to use the Zyrtec and steroid cream daily and Benadryl at night along with the Benadryl cream (as needed). Note that I had no reaction to my first COVID shot but a sore injection site and mild fever that lasted less than 24 hours.


VAERS ID: 1663799 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-08-10
Onset:2021-08-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Dizziness, Hypoaesthesia, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: venlafaxine ER capsule, prazosin capsule, amphetamine/dextroamphetamine ER capsule, cetirizine tablet, divalproex ER tablet
Current Illness:
Preexisting Conditions:
Allergies: buspirone, erythromycin, lactose, levetiracetam, oxycodone, sulfa antibiotics, tetracycline
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports waking up with "pins and needles" sensation in left leg and foot four days after receiving the vaccine. Sensation progressed to aching and numbness that has not resolved. She also reports dizziness and balance issue. On 8/24/21, patient''s prescriber sent prescriptions for nortriptyline, tramadol and baclofen for symptoms. As of 9/2/21 the patient reports these medications are not relieving symptoms.


VAERS ID: 1665527 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-06-16
Onset:2021-08-14
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039C21A / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Hot flush, Inappropriate schedule of product administration, Limb discomfort
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: CLONIDINE; ATIVAN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: 1st dose June 16 2021/ 2nd dose 13August 2021; Hot flushes; felt like his arm was gonna fall out; Headache; This spontaneous case was reported by a patient and describes the occurrence of HOT FLUSH (Hot flushes), LIMB DISCOMFORT (felt like his arm was gonna fall out), INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (1st dose June 16 2021/ 2nd dose 13August 2021) and HEADACHE (Headache) in a 25-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039C21A and 039C21A) for COVID-19 vaccination. Concomitant products included CLONIDINE and LORAZEPAM (ATIVAN) for an unknown indication. On 16-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Aug-2021, the patient experienced HOT FLUSH (Hot flushes), LIMB DISCOMFORT (felt like his arm was gonna fall out) and HEADACHE (Headache). On an unknown date, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (1st dose June 16 2021/ 2nd dose 13August 2021). At the time of the report, HOT FLUSH (Hot flushes), LIMB DISCOMFORT (felt like his arm was gonna fall out) and HEADACHE (Headache) outcome was unknown and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (1st dose June 16 2021/ 2nd dose 13August 2021) had resolved. No treatment information was provided.


VAERS ID: 1665536 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Headache, Insomnia, Lymphadenopathy, Myalgia, Vaccination site discomfort
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), 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: TRAMADOL; LYRICA
Current Illness: Immune system disorder; Reactive arthritis
Preexisting Conditions: Medical History/Concurrent Conditions: Cancer (Cancer survivor)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Can''t sleep at night; A lot of discomfort; All his joints hurt; Headaches; Lymph nodes are really swollen in his armpits and his groin area; Body pains like with the first dose; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (Can''t sleep at night), VACCINATION SITE DISCOMFORT (A lot of discomfort), ARTHRALGIA (All his joints hurt), HEADACHE (Headaches) and LYMPHADENOPATHY (Lymph nodes are really swollen in his armpits and his groin area) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Cancer (Cancer survivor) in 2017. Concurrent medical conditions included Reactive arthritis and Immune system disorder. Concomitant products included TRAMADOL and PREGABALIN (LYRICA) for an unknown indication. On 14-Aug-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, the patient experienced INSOMNIA (Can''t sleep at night), VACCINATION SITE DISCOMFORT (A lot of discomfort), ARTHRALGIA (All his joints hurt), HEADACHE (Headaches), LYMPHADENOPATHY (Lymph nodes are really swollen in his armpits and his groin area) and MYALGIA (Body pains like with the first dose). At the time of the report, INSOMNIA (Can''t sleep at night), VACCINATION SITE DISCOMFORT (A lot of discomfort), ARTHRALGIA (All his joints hurt), HEADACHE (Headaches), LYMPHADENOPATHY (Lymph nodes are really swollen in his armpits and his groin area) and MYALGIA (Body pains like with the first dose) outcome was unknown. Patient couldn''t remember all the concomitant medications. No treatment information was provided by the reporter. This case was linked to MOD-2021-287392 (Patient Link).


VAERS ID: 1665543 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-02-15
Onset:2021-08-14
   Days after vaccination:180
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031M20A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Psoriasis
SMQs:, Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergy to arthropod bite (fire ant bites.); Drug allergy (allergic to all OTC cough medications); Psoriasis (Psoriasis for as long as he can remember - certainly back as far as 1970s or 80 s, perhaps more. Usually treated with tropical steroids, to little effect.)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: psoriasis/plaques were on my elbows/legs; This spontaneous case was reported by a consumer and describes the occurrence of PSORIASIS (psoriasis/plaques were on my elbows/legs) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026A21A and 031M20A) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (allergic to all OTC cough medications), Allergy to arthropod bite (fire ant bites.) and Psoriasis (Psoriasis for as long as he can remember - certainly back as far as 1970s or 80 s, perhaps more. Usually treated with tropical steroids, to little effect.). On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Aug-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PSORIASIS (psoriasis/plaques were on my elbows/legs). At the time of the report, PSORIASIS (psoriasis/plaques were on my elbows/legs) was resolving. concomitant medication include tropical steroids for psoriasis No treatment medication information was provided.


VAERS ID: 1665684 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-06
Onset:2021-08-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Fluid retention, Inappropriate schedule of product administration, Limb discomfort, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Medication errors (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: QUETIAPINE; BASAGLAR; DIVALPROEX SODIUM; METFORMIN HCL; LISINOPRIL; ALOGLIPTIN; ATORVASTATIN; ASPIRIN [ACETYLSALICYLIC ACID]
Current Illness: Diabetes mellitus; Heart disorder; Schizophrenia; Sleep disorder
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101065731

Write-up: trouble with her legs and feet; First Dose: 12May2021/Second dose: 06Aug2021; fluid in legs; swelling in legs; This is a spontaneous report from a contactable consumer (patient). A 59-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: EW0167, expiration date was not reported), via an unspecified route of administration, administered in left arm on 06Aug2021 (at the age of 59-years-old) as dose 2, single for covid-19 immunization at hospital. The patient medical history included ongoing for voices, is schizophrenic, ongoing sleep, ongoing sugar, ongoing thinks for her heart. Concomitant medication included quetiapine taken for voices, is schizophrenic ongoing (Generic for Seroquel), insulin glargine (BASAGLAR (she thinks 44mg injection)), divalproex sodium (500 mg) taken for sleep ongoing, metformin hcl (1000 mg, 1x/day) taken for sugar ongoing (Has been taking for a long time), lisinopril (2.5 mg) taken for thinks for her heart ongoing, alogliptin (25 mg) taken for sugar ongoing, atorvastatin (40 mg) taken for cholesterol ongoing, aspirin [acetylsalicylic acid] (81 mg (every night), blood thinner) ongoing. The patient historical vaccine included first dose of BNT162B2 (formulation: solution for injection, lot number: EW0217, expiration date was not reported), via an unspecified route of administration, administered in left arm on 12May2021 (at the age of 59-years-old) as dose 1, single for COVID-19 immunization and experienced Since having the vaccine though, the patient is reporting that she sleeps all through the day, wakes up and then goes back to sleep. No additional vaccines administered on same date of the Pfizer suspect. Patient did not receive any prior Vaccinations within 4 weeks. It was reported that, patient states she is calling regarding the Pfizer Covid-19 vaccine. Ever since taking it, she has been having trouble with her legs and feet. She has fluid in her legs, swelling in the legs. States that she only took it because they said she had other things wrong with her and it would be worse if she didn''t take it. Her doctor told her to take it. She said to take it and now she is having problems. Fluid in legs: It started maybe around when she got the second shot around 14Aug2021, something like that. It was this month. It feels like it is trying to get a little better but there is still fluid there. They said she needed to get it would get worse if she were to catch it and would likely die. Takes 300mg all together and takes 7mg Seroquel, Quetiapine. States that Quetiapine is the name for Seroquel. States that she takes 50 all together. She takes 300mg in the morning and 300mg at night +50. States that she takes a 50mg pill of Seroquel, which is Quetiapine. Was unable to clarify specific dose, as it was stated differently each time. Is going to take an ultrasound to see why the legs are swelling up. She has not had this yet. She does not know how to pronounce it. They told her to wear stockings for compression. She took Metoprolol succinate, 50mg and Bumex, Bumetanide 2mg. They said she had water and said it was something else vascular. He didn''t give her any medication for vascular disorder. She never had that problem. As soon as she took that medicine on 12Aug2021. It was 13Aug2021 or 14Aug2021. When attempting to clarify meaning of these dates, caller stating, it just swelled up all of a sudden. Clarified that the swelling occurred before taking the Bumetanide. She took the medication after it swelled up. That was the medication the doctor gave her. Adverse event resulted in emergency room visit because her leg was swelling so bad. She was not admitted to the hospital. Adverse event resulted in physician office visit, they sent her to a doctor. Therapeutic measures were taken as a result of fluid in legs, trouble with her legs and feet, swelling in legs. The outcome of the event fluid in legs was recovering and outcome was unknown for other events. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1665702 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-08-14
   Days after vaccination:74
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210703; Test Name: pregnancy test; Test Result: Positive
CDC Split Type: USPFIZER INC202101070476

Write-up: Miscarriage; This is a spontaneous report received from a contactable consumer (patient). A 37-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number, NDC number, Expiry Date: Unknown) via an unspecified route of administration on an unspecified date in Jun2021 (Age at vaccination: 37- years-old) as dose 2, single (patient partner got both doses) for COVID-19 immunization. No medical history was not reported. Concomitant medication included minerals nos, vitamins nos (PRENATAL VITAMINS [MINERALS NOS; VITAMINS NOS]) taken for an unspecified indication, start and stop date were not reported. Historical vaccine which the patient partner took was BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. It was reported that the stated that she was not sure if it was a reportable event, but her partner got both doses of the vaccination and she got pregnant after he was fully vaccinated (03Jul2021) and she miscarried (14Aug2021), she did not get the Pfizer COVID-19 vaccine but her partner got both doses, she did not have her partners vaccine card to provide the NDC/LOT/EXP or dates of vaccination from it. She says she believes her partner got both doses of the vaccine and was fully vaccinated in Jun (unspecified date). She was experiencing the miscarriage/miscarrying now (14Aug2021), which started Saturday, and she just left the doctor''s today (unspecified date) and she confirmed that it was dead. The patient underwent lab tests and procedure which included pregnancy test: positive on 03Jul2021. The event miscarriage was considered as serious (Medically Significant). The outcome of events was unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.


VAERS ID: 1665707 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-05
Onset:2021-08-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Egg allergy (Known allergies: egg, penicillin, singulair); Penicillin allergy (Known allergies: egg, penicillin, singulair)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101073695

Write-up: 8 days after the vaccination (on 14Aug2021), I started having extreme hives all over my body; They flare up every 2 hours and are extremely itchy and painful.; They flare up every 2 hours and are extremely itchy and painful.; This is a spontaneous report from a contactable consumer (patient). A 37 years old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Lot Number: FC3180) via an unspecified route administered in Right Arm on 05Aug2021 at 10:00 (37-year-old at vaccination) as dose 1, single for Covid-19 immunization. The patient was non-pregnant at time of vaccination. The patient''s medical history included known allergies to egg, penicillin, singulair. There were no concomitant medications. The patient''s past medications included, singulair. Facility type vaccine was reported as Pharmacy or Drug Store. The patient had not received any other vaccine within four weeks prior to Covid -19 vaccination. The patient was neither diagnosed with Covid prior vaccination nor tested post vaccination. On 14Aug2021 at 18:00 (9 days after the vaccination) she started having extreme hives all over her body. This was 18Aug2021 and the hives had not disappeared. They flare up every 2 hours and are extremely itchy and painful. She had reported this to her doctor. These adverse events resulted to doctor or other healthcare professional office/clinic visit. The patient received Zyrtec as treatment medication for resulted events. The outcome of the events was not recovered. Information about lot/batch number has been requested.


VAERS ID: 1665722 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665724 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665729 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665733 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665741 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

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

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

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665744 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper storage (temperature).


VAERS ID: 1665745 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665748 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665751 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665753 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665978 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665998 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1665999 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Pharmacy       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1666277 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Diarrhoea, Fatigue, Palpitations, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetes, high cholesterol.
Allergies: Penicillin.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Constant heart palpitations, fatigue, diarrhea, chest pain, Admitted to the hospital on 08/29, tachycardia.


VAERS ID: 1666586 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-12
Onset:2021-08-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / -

Administered by: Pharmacy       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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Intense itchy legs, hives.


VAERS ID: 1666816 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-08-13
Onset:2021-08-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026P21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Feeling abnormal
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad)

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

Write-up: Dizziness and brain fog. Severe fatigue for 14 days


VAERS ID: 1666870 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-01-23
Onset:2021-08-14
   Days after vaccination:203
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3246 / 2 UN / SYR

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

Write-up: Hospitalization due to shortness of breath, difficulty breathing.


VAERS ID: 1666872 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-07-31
Onset:2021-08-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059E21A / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aortic aneurysm, Aortic occlusion, Barrett's oesophagus, Biopsy colon abnormal, Biopsy stomach abnormal, Chest discomfort, Chest pain, Colonoscopy, Echocardiogram abnormal, Endoscopy upper gastrointestinal tract abnormal, Gastrointestinal disorder, Hepatic enzyme increased, Hyperhidrosis, Large intestinal polypectomy, Large intestine polyp, Magnetic resonance imaging abnormal, Myocardial infarction, Osteoporosis, Precancerous cells present, Scoliosis, Spinal operation, Tibia fracture, Ultrasound scan abnormal, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal premalignant disorders (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Cardiomyopathy (broad), Osteoporosis/osteopenia (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations: Moderna COVID 07/02/2021 - 1st dose - headaches and sore arm and did have some heart palpitations but nothing that I had to go
Other Medications: Linaclotide (Linnzess) 145 mg ; Protonix 20 mg; Aspirin 81 mg: Levothyroxine 100 mg; Gabapentin - 600 mg 3 times a day; Metformin - 500 mg 3 times a day; Trazadone 150 mg; Hydroxyzine HCI - 25 mg two tablets; Nitroglycerin 0.4 mg; Atorvasta
Current Illness: no
Preexisting Conditions: diabetes - type 2; RA; Heart - Arteriosclerosis; Thyroid disease; Generalized Abdominal Pain; High blood pressure disorder; Coronary Heart disease; Stroke; Clonic polyps; Family history of colon Cancer
Allergies: Cortisone; Green bell peppers
Diagnostic Lab Data: echo-cardiogram; ultrasound; CT scan - Honor Health - for the Heart Attack; pain Mgmt Clinic - MRI - for the scoliosis pain - Last Thursday (and I had another one done three weeks to that one)
CDC Split Type: vsafe

Write-up: Severe chest pains and pressure; it 17 miles to the next exit before we could head to hospital - I was throwing up and sweating profusely. I don''t remember a lot after that was happening and I woke up in the hospital. They said I had a heart attack. I had stents before and they did an echo-cardiogram and an ultrasound - they said the aorta (the aorta in the stomach) was 60% blocked and 5.5% aneurism - they said it was a 50/50 surgery as far as the risk. They found that my liver enzymes were up. But later on when a full panel was done they were okay. They also saw something in my stomach and did an emergency scope and found that I had Barrett''s esophagus and put me on medicines for that - Pepcid and can''t remember the other one. Because of the liver they did a colon thing at the same time and removed four 6 mm polyps and they did biopsies on those and on my stomach. Both were determined pre-cancerous. There was more meds ordered. I didn''t require another heart stent. They don''t like to do it unless it is 70% blocked and 6.5-7 on the aneurism because of my age. Last Thursday - I have scoliosis and it had just gotten too bad - so they are burning the nerves in the L3,4,5 and the S1 - it''s part of Osteoporosis. Had back surgery on about a week and a half ago. It got really bad (the pain afterwards) so she put me on Oxycodone Acetophenazine - last Thursday. A clinic Pain Management Clinic - That was outpatient. I have a fractured tibia - knee has mechanically failed. That is scheduled in September 27 - they will attempt to do a total revision from a previous revision from a previous injury. If they can''t do a replacement they will have to put a pin in to work off a hinge.


Result pages: prev   40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=139&PERPAGE=100&ESORT=ONSET-DATE&REVERSESORT=ON&VAX=COVID19&DIED=No


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166