National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

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



Case Details (Reverse Sorted by Onset Date)

This is page 148 out of 3,524

Result pages: prev   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 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247   next


VAERS ID: 1370601 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-16
Onset:2021-05-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021568274

Write-up: Had severe side pain; This is a spontaneous report from a contactable consumer (patient). A 38-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm right on 16May2021 13:00 (Batch/Lot number was not reported) as single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced severe side pain on 17May2021 00:00 which resulted in hospitalization. Outcome of the event was not recovered. Therapeutic measures were taken as a result of severe side pain. No follow-up attempts are possible; information about batch/ lot number cannot be obtained.


VAERS ID: 1370611 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-16
Onset:2021-05-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210517; Test Name: Heart rate; Result Unstructured Data: Test Result:135-150bpm; Comments: Her resting pulse is 80bpm
CDC Split Type: USPFIZER INC2021569049

Write-up: Accelerated heart rate of 135-150bpm; fatigue/tiredness; This is a spontaneous report from a Pfizer-sponsored program received from a contactable consumer (patient''s mother). A 16-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 16May2021 (Batch/Lot number was not reported) as 2nd dose, single dose for COVID-19 immunization. Patient received the first dose of bnt162b2 on 25Apr2021. The patient''s medical history and concomitant medications were not reported. After receiving the second dose, the following day on 17May2021, patient experienced an accelerated heart rate of 135-150 bpm. Her resting pulse is 80 bpm. Patient also experienced fatigue and tiredness. Outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.


VAERS ID: 1370707 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Agitation
SMQs:, Anticholinergic syndrome (broad), Dementia (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Chronic pain (Verbatim: chronic pain); Foot surgery (verbatim: Foot surgery recently); Wheelchair user (she had to have surgery recently, she wasn''t walking at the time of the test, she was on wheels)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021609338

Write-up: she was so high/she was out of her mind; This is a spontaneous report from a contactable consumer (patient). A 67-years-old female patient received second dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number ER8736, expiration date: unspecified), via an unspecified route of administration, administered in left arm (left upper arm) on 17May2021 11:00 as single dose for covid-19 immunization. Previously the patient had first dose of BNT162B2 (Batch/Lot Number EW0161, expiration date: unspecified) via unspecified route of administration at left arm (Left upper arm) (at age of 67 years) on 26Apr2021 for covid-19 immunization. Medical history included chronic pain, foot operation on an unknown date. There was no family history relevant to adverse event. There was no adverse event prior vaccination. No prior vaccinations (within 4 weeks). No vaccines administered on same date with the Pfizer vaccine considered as suspect. The patient''s concomitant medications were not reported. The patient previously took fentanyl and oxycodone. The patient was also given Dilaudid during the foot surgery. Patient stated she was a patient who has been on fentanyl and oxycodone for a couple years. She stated she recently had been in the hospital for surgery, and she was given Dilaudid and didn''t bother her one bit. She stated medicine doesn''t affect her, she got chronic pain. Patient stated within 3 or 4 hours, she was out of it, she couldn''t get off the couch, she couldn''t watch a movie. She stated if she wouldn''t have come straight home, she wouldn''t have been able to drive, she would have been in an accident. She stated she hated to imagine if she wouldn''t have come home, they would have had to take her to the hospital. She stated it lasted for about 3 to 4 hours, she doesn''t know what to say, she doesn''t get high like that. Medical history was reported as she stated she was under the care of a gastro doctor. She stated she was having some problems, they were running a lot of tests, but that doesn''t have anything to do with this. She states she had to have surgery recently, she wasn''t walking at the time of the test, she was on wheels. She stated she had foot surgery, so she wasn''t walking she was on a three wheeler and again if she wasn''t home and was out when this happened, it would have been bad. She stated now, she''s walking in a boot. She stated she was in a boot and a three-wheeler when it happened. She stated things turned out okay, she was high in her house safely. On 17May2021, 45minutes after getting the vaccination the patient felt so high that she was out of her mind, as if she had been somewhere it would have been horrible. The reporter reported that it was not like the patient slowly came down. The patient felt like she was higher than a kite then she was okay, and she thought what the heck happened to her. The patient did not had a hangover. Patient stated it was like it hit her, boom, then went away. Reporter stated that afternoon patient was okay, the next day she was okay. It was like something hit her, she had a reaction, and then she was okay. The patient mentioned it wasn''t bad later on, wasn''t bad the next day and she''s fine now. There was no relevant test. No emergency and physician office visit. The outcome of the event was reported as recovered on 17May2021. Follow-up attempts are needed. Further information is expected.


VAERS ID: 1371030 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nausea, Pharyngeal swelling, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: hives on arms and chest, swollen throat, nausea vomiting


VAERS ID: 1371260 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-16
Onset:2021-05-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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:
CDC Split Type:

Write-up: pinpoint macular rash on thighs and forearms


VAERS ID: 1371339 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-28
Onset:2021-05-17
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Electric shock sensation, Fatigue, Muscle twitching, Paraesthesia, Tinnitus, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hearing impairment (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: Prevnar
Other Medications: Multi-Vitamin
Current Illness: No illnesses
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data: I am trying to get an appointment with a neurologist this morning.
CDC Split Type:

Write-up: Initially, after the first shot, I felt fatigued. Ten days later, I woke to neck and face tremor with shaking in lip on 5/17/2021. Each night since I have have tingling and electrical sensations in neck, mainly on the left but have noticed it on my right a couple of times as well. I woke to a tremor sound in my left ear another night. Face sensations and lip shaking on two additional occasions and the other nights, a tingly, electrical current type tremor. These last only a short moment but it''s scary. I have never had any health issues. I also have mild twitching at night in legs and arms. Maybe I am more sensitive and attuned now but I think that is also related to these other symptoms.


VAERS ID: 1371383 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-03
Onset:2021-05-17
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Lethargy
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

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

Write-up: Lethargy for 2 months after, gave a dose pack of prednisone. After finishing symptoms came back.


VAERS ID: 1371394 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-28
Onset:2021-05-17
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Injection site mass, Pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Very painful left arm pain. location where shot was given there is a lump under the skin. The pain is still going on when raising my are or supporting weight on it. . My Fianc?e also had the shot in her arm before I did and her arm as well is having site pain. She had the same shot that I did at pharmacy.


VAERS ID: 1371490 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Immediate post-injection reaction, Influenza, Intensive care, Lumbar puncture, Mechanical ventilation, Pain, Pyrexia, SARS-CoV-2 test negative, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin, lamictal, Vascepa, Crestor, Wellbutrin, Farxiga
Current Illness: Type 2 Diabetes
Preexisting Conditions: Type 2 Diabetes
Allergies: Morphine
Diagnostic Lab Data: Full panels run between 5/27 and 6/2 including spinal tap. COVID negative
CDC Split Type:

Write-up: Flu symptoms immediately. 1 week +1 day post injection, severe body aches, fever, 1 week + 2 days seizure requiring hospitalization, ICU and vent for 4 days.


VAERS ID: 1371561 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / N/A RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Crying, Electrocardiogram, Fibrin D dimer, Full blood count, Headache, Influenza like illness, Pain, Pain of skin, Platelet count
SMQs:, Depression (excl suicide and self injury) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yes
Current Illness: None
Preexisting Conditions: Fibromyalgia, Von Willebrand Disorder
Allergies: NSAIDs
Diagnostic Lab Data: CBC w/platelets, D-Dimer, CT scan, and EKG
CDC Split Type: vsafe

Write-up: The first day, I was in a lot of pain all over my body, the normal aches and flu-like symptoms. I was in so much pain that I cried. Because I have fibromyalgia, my doctor advised that I go to the hospital because it hurt to touch my skin. I was sent to the ER a week later because my symptoms had lasted so long, I had a persistent headache, and they wanted to check for thrombosis.


VAERS ID: 1371618 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-01-29
Onset:2021-05-17
   Days after vaccination:108
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9262 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Body temperature increased, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea, Full blood count, Glomerular filtration rate, Influenza A virus test, Influenza B virus test, Metabolic function test, Myalgia, Pulmonary embolism, SARS-CoV-2 test, Ultrasound Doppler abnormal, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil, Remeron, Budesonide, Gabapentin, Valsartan, Buspirone, Nifedipine, Potassium, Imodium, B-12, D3
Current Illness:
Preexisting Conditions: Lymphocytic Colitis; Exocrine Pancreatic Insufficiency (EPI); Hypertension; PTSD (depression & anxiety), Neuropathy (feet).
Allergies: Indigo Carmine, FD&C blue #2
Diagnostic Lab Data: Chest x-rays, laboratory (CBC, metabolic panel, GFSR, Covid, Influenza A&B tests, urinalysis, CT of chest, Bilateral Ultrasound of legs.
CDC Split Type:

Write-up: May 17, 2021: sever shortness of breath, low grade temperature, muscle aches for 2 weeks. Worsening. ER Hospital on May 30, 2021. Diagnosis: DVT (left leg); multiple PE''s bilateral lungs


VAERS ID: 1371659 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-19
Onset:2021-05-17
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Work       Purchased by: ?
Symptoms: Vision blurred, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

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

Write-up: Blurry vision, terrible vision


VAERS ID: 1371738 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Aphthous ulcer, Feeling abnormal, Headache, Lip swelling, Paraesthesia oral, Rhinorrhoea, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Sulfa drugs
Diagnostic Lab Data: Telemedicine visit with primary physician?s office the day after receiving the shot. I was advised by site coordinator that the County Health Department wanted me to consult with physician to determine if they felt I should receive second shot.
CDC Split Type:

Write-up: Within minutes of receiving the shot, I started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush. Felt a bit antsy and foggy for 1 hr. A couple of hours later, I got a small hive on the bottom of my right eye, followed by small hive in my left shoulder. My nose started to run a bit and I called my sister who brought me over some Benadryl. When she arrived, I felt the inside of my bottom lip begin to tingle and mildly swell. Stayed awake for a bit and then took the Benadryl before going to sleep. In the morning, the inside of my bottom lip felt like it had a series of small canker sores which resolved within 24 hours. I had a telemedicine visit with my doctor?s office, and they felt it was a local reaction, perhaps anxiety induced; they ok?d 2nd dose. Discussed with vaccination site coordinator, and they consulted with the County Health Department who will not administer a second dose due to CDC guidance regarding hives, etc.


VAERS ID: 1371811 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Alaska  
Vaccinated:2021-05-15
Onset:2021-05-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Injection site reaction, Muscle twitching
SMQs:, Dyskinesia (broad), Dystonia (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: Patient denies all medications, dietary supplements, and herbal remedies.
Current Illness: No illnesses reported around time of vaccination or up to one month prior.
Preexisting Conditions: No chronic or long-standing health conditions.
Allergies: No known allergies.
Diagnostic Lab Data: No medical tests or laboratory results relating to the adverse event.
CDC Split Type:

Write-up: Patient reports twitching in left arm throughout day at vaccine site in tricep each day since first covid Pfizer vaccine. Patient reports twitching is getting better.


VAERS ID: 1371812 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-05-17
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 LA / IM

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

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

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


VAERS ID: 1371848 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Chest pain, Headache, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: Zoloft, Melatonin, Buspar, Hydroxyzine, Zyrtec, Benadryl
Current Illness: None
Preexisting Conditions: None
Allergies: Codeine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Palpitations, CP, severe anxiety, h/a within 10 minutes of vaccine


VAERS ID: 1371973 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-29
Onset:2021-05-17
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / IM

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

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

Write-up: Patient hospitalized within 6 weeks of receiving COVID vaccination.


VAERS ID: 1371986 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-05-13
Onset:2021-05-17
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bedridden, Illness
SMQs:

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

Write-up: Four days after I had the shot, I became severely sick which had me bed ridden for two and a half weeks.


VAERS ID: 1372082 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Amnesia, Feeling abnormal, Pyrexia, Rash, Rash erythematous, Rash papular, Rash pruritic, Skin burning sensation, Skin warm
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever of 102 for over 24 hour (night of 5/17 and all day and night of 5/18); rash on arm that was red, raised, itchy, burning and radiating heat for multiple days (5/19-5/23); brain fog and large gaps in memory (5/18-5/27)


VAERS ID: 1372773 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (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: none
Current Illness: History of Gilbert and was having some fatigue at the time.
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Had petechiae of opposite arm 4 hours following COVID vaccination. Petechiae took over a week to resolve.


VAERS ID: 1373379 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 AR / IM

Administered by: Other       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: omega-3 polyunsaturated fatty acids (Omega-3 1000 mg oral capsule) 2,000 mg = 2 capsule(s), PO, daily, 0 Refill(s)
Current Illness: Healthy
Preexisting Conditions: ADHD, Autism Spectrum Disorder, Underweight
Allergies: Nuts
Diagnostic Lab Data: Medical evaluation with Dr. on 6/3/2021. Will have referral to allergist and possibly further tests in the future.
CDC Split Type:

Write-up: Urticaria of lower (lumbar region) back 5 hours after vaccination. Pruritic. Improved the next day and resolved completely after 2 days.


VAERS ID: 1373728 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure increased, Blood pressure measurement, Chest discomfort, Chest pain, Cough, Decreased appetite, Dysphagia, Electrocardiogram, Electrocardiogram abnormal, Fatigue, Hypersensitivity, Hypoaesthesia, Hypoaesthesia oral, Nervousness, Oropharyngeal discomfort, Oropharyngeal pain, Speech disorder, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210517; Test Name: blood pressure; Result Unstructured Data: Test Result:148/70; Test Date: 20210517; Test Name: blood pressure; Result Unstructured Data: Test Result:148/64; Test Date: 20210517; Test Name: EKG; Result Unstructured Data: Test Result:no remarkable findings; Test Date: 20210517; Test Name: EKG; Result Unstructured Data: Test Result:normal; Comments: it said it was abnormal as compared to a previous EKG she had, and something about the T axis.
CDC Split Type: USPFIZER INC2021577404

Write-up: doesn''t have much of appetite; 148/70 on the blood pressure; allergic response; tongue was a little numb; hard to swallow; Throat was closing up; mouth feeling numb; couldn''t really speak; Coughing; super shaky; feet was also feeling numb; face looked swollen; Chest tightness; chest pain; abnormal EKG; Her throat was a little sore; tired; This is a spontaneous report received from a contactable consumer (patient). A 40-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in the left Arm on 17May2021 12:30 (Batch/Lot Number: EW0167) as single dose (at the age of 40-year-old) for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. Historical vaccine included first dose of bnt162b2 (lot number EW0158) on 15Apr2021 at 12: 50PM (at the age of 40-year-old) in the left arm for covid-19 immunisation and on 15Apr2021 her arm was numb on the side where she received the injection for more than 24 hours, it went numb pretty quickly after the first dose - then it was numb for about 24 hours. It went away completely in two days, but the patient was unsure if that is an adverse reaction. The patient experienced tongue was a little numb on 17May2021 with outcome of recovering , hard to swallow on 17May2021 with outcome of recovering , mouth feeling numb on 17May2021 with outcome of recovering , throat was closing up on 17May2021 with outcome of recovering , couldn''t really speak on 17May2021 with outcome of recovering, coughing on 17May2021 with outcome of recovering, super shaky on 17May2021 with outcome of recovering, feet was also feeling numb on 17May2021 with outcome of recovering, face looked swollen on 17May2021 with outcome of recovering, chest tightness on 17May2021 with outcome of unknown, chest pain on 17May2021 with outcome of unknown, abnormal EKG on 17May2021 with outcome of unknown, her throat was a little sore on 17May2021 with outcome of unknown, tired on 17May2021 with outcome of unknown, doesn''t have much of appetite on 20May2021 with outcome of unknown. Details as described as follows: Reports she went to sit in the waiting area, after 5 minutes she noticed her tongue was a little numb. She took her card out of her purse, and noticed it was a little hard to swallow, this was within about 8 to 10 minutes. She sat for another 5 minutes and then decided to ask about her tongue feeling numb and was taken to the nurses station. She told them about her tongue, and as she was talking her mouth was feeling more numb and it was getting harder to swallow. As the nurse was talking to her it was like she couldn''t really speak. The nurse said this is way past Benadryl and called to another nurse for an Epipen. Caller states she started to cough as her throat felt like it was closing up. They jabbed her with the Epipen within 15 minutes of receiving the vaccine. She got some relief for a couple of minutes and then her body went back into the allergic response. They put her on the oxygen finger machine and then her throat started to close again. They gave another Epipen and then the ambulance arrived. She is unsure how long after she got the second Epipen that the ambulance arrived but it was no more than 5 minutes. They told her they had to call 911 right after giving the first Epipen. When the ambulance team came, she felt like she had novocaine in her mouth, her mouth was super numb and she was super shaky. They said the shaking was normal from an Epipen. Adds her feet were also feeling numb. She didn''t know before that the shaking was from the Epipen. She was able to walk to the ambulance and her husband came and the med team was asking him if her face looked swollen and he said her face looked swollen. States her mouth felt like it was moving funny and she was exaggerating her speech trying to make her mouth move right. Adds she was still unaware that this could be an allergic reaction and was just trying to remain calm. At the site, she noticed her vitals on the machine and she saw 148/70 on the blood pressure. Adds it was about the same in the ambulance, it was 148/64. She was not able to collect any information about the Epipen other than they were yellow with a blue cap and they held it in her leg for three seconds. No lot or expiration date known for the Epipens. In the ambulance she was treated with Intravenous (IV) steroids and dose of Benadryl 50mg. As she was being transported to the hospital, she started to have chest pain. They did an EKG in the ambulance with no remarkable findings. Adds she has a follow up with her Primary Care Provider (PCP) today. When she arrived at the Emergency Room (ER) they monitored her for a couple of hours. She had another EKG at the ER and was told that it was normal so they released her. She has no product information for the steroids or the Benadryl that she received. No lot or expiration date known. When she got home everything was calming down. Her throat was a little sore and she was tired. The next morning her chest was still tight. She called the doctor who told her to just relax and come back to the ER if she has palpitations or difficulty breathing. Mentions she got the results of the EKG in ER now, and it said it was abnormal as compared to a previous EKG she had, and something about the T axis. Adds now she doesn''t have much of appetite and her tongue still feels a little off. Caller interrupts the call to say her doctor just called and she needs to go. Unable to complete the report at this time. The outcome of other events was unknown. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1373790 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-15
Onset:2021-05-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Angiopathy, Autoimmune disorder, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021606137

Write-up: underlying autoimmune disease that caused the vascular reaction; rash; underlying autoimmune disease that caused the vascular reaction; This is a spontaneous report from a contactable consumer (Patient Mother). A 15-year-old female patient (Reporter''s step-daughter) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: ER8736), dose 1 via an unspecified route of administration, administered in left upper arm on 15May2021 18:00 as single dose for vaccination. The patient medical history and concomitant medications were not reported. No patient family medical history relevant to AE. No prior Vaccinations within 4 weeks. No history of all previous immunization with the Pfizer vaccine considered as suspect. No additional Vaccines Administered on Same Date of the Pfizer Suspect. Patient broke out with a rash the following Monday evening, 17May2021 causing multiple visits to the Emergency department and Urgent Care Clinics. Reporter and patient are driving to patient''s primary care physician''s office now. Patient did not get admitted to the hospital. Patient has been to urgent care, and the emergency room a few times. The doctor from the emergency room believe that patient had a vascular reaction to the covid vaccine. The doctor asked reporter to call Pfizer to get some guidance. The doctor thinks that patient has an underlying autoimmune disease that caused the vascular reaction. The doctor put patient on a course of steroids because of patients reaction for whatever is going on. Reporter was looking for guidance about the second dose of the covid vaccine, since patient had this reaction. Reporter is not sure if prednisone will take away the effect of the covid vaccine. Reporter is asking what to do and where to go. Patient was told that she may have had a vascular reaction secondary to a possible underlying immune condition not yet identified. Mom stated that the child was prescribed Prednisone to counter the rash. Mom wanted to know if her child should go ahead and get the second dose of the Pfizer Covid vaccine given the side effects. Patient broke out with a rash was reported as worsened. The patient was advised that she should not get the Pfizer-BioNTech COVID-19 Vaccine if she had a severe allergic reaction after a previous dose of this vaccine had a severe allergic reaction to any ingredient of this vaccine. People with a weakened immune system, including people receiving medications that weaken the immune system (immunosuppressants) were not in the clinical trial for the Pfizer-BioNTech COVID-19; that may have a lower response to the Pfizer-BioNTech COVID-19 Vaccine. The outcome of rash was not recovered and outcome of other events was unknown. No follow-up attempts are needed. No further information is expected.; 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 autoimmune disorder,vascular disorder,angiopathy cannot be excluded.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: 1373924 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Loss of consciousness, Neck pain, Neuralgia, Vaccination site pain
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arrhythmia (patient was a child arrhythmia, but it was controlled and prior to vaccine.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021631334

Write-up: I was unresponsive, he could not wake me up; Had pain in my neck on the same site of the shot; Had pain in my neck on the same site of the shot.; Nerve pain; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), first dose via an unspecified route of administration, administered in left deltoid (left arm) on 17May2021 (at the age of 60-year-old, Batch/Lot Number: EW0177) as a single dose for Covid-19 immunization. Medical history included the patient had a child arrhythmia; she believed it was from 1996 but it pretty much controlled and prior to vaccine. The patient''s concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. This report was not related to a study or programme. The patient stated that she had a concern because she took the first COVID vaccine on the 17May2021 and she was due to get the second one on the 07Jun2021 however she had some concern today. The patient stated that she had some changed episode of reactions on 17May2021, she started having pain, after she took the first one, on the same day, she had pain in her neck on the same site of the shot and had some effect of pain, a nerve pain and it had devastated to the back of her neck where she had her thick neck and she had to use warm pack on the back of my neck. It would be about 4''O clock in the morning which would be on the 18May2021 her husband was observing her because he is a nurse and he could not wake her up, he tried everything possible to wake her up and he attempted to perform cardiopulmonary resuscitation (CPR) on her, so she was concerned about putting herself again such an event taken place. The patient went to the emergency room. They took her to the emergency room however she got her name administered in ''first a clinic'' and he was able to stabilize her. The patient went to the emergency room and when she got there it was like a concerning so when she got there, she was not seen by the doctor because she was feeling little better but the context person, and they did concern that some of the episode she had, she saw the effect after COVID vaccine, she was concerned because she was due for the second vaccine and this was the first episode which she had, and she was concerned whether not should, she take the second shot, she went on her and she reported. The patient could not get this anyone, all she got was the worst. They took her to late but whatever she never got a chance to speak with anyone in her life, you know she do consult with her doctor has followed her so she was concerned now that she would have a second shot, she did not know if she could really take it. When concern confirmed the patient stated that she did have adverse reactions to the Covid-19 shot. The outcome of the events was recovering. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1373928 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-26
Onset:2021-05-17
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cerebral palsy; Nystagmus; Vertigo
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021634555

Write-up: Dizziness and lightheadedness; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 50-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot/Batch number: unspecified), via unknown route of administration on 26Apr2021 (at the age of 49-year-old) as 2nd dose, single dose for COVID-19 immunization. The patient received first dose of Pfizer BioNTech Covid-19 Vaccine on 05Apr2021. He did not experience the adverse events in between the 2 doses. Medical history included vertigo, nystagmus and cerebral palsy from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. On 17May2021 patient experienced dizziness and lightheadedness. The case was assessed as non-serious. The clinical outcome for the event was unknown. Information related lot/batch has been requested.


VAERS ID: 1374286 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-21
Onset:2021-05-17
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Brain natriuretic peptide normal, Chest X-ray normal, Chills, Dyspnoea, Dyspnoea exertional, Fibrin D dimer normal, Full blood count normal, Headache, Influenza like illness, Metabolic function test, Pyrexia, SARS-CoV-2 antibody test positive, Spinal X-ray abnormal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: omeprazole, sucralfate
Current Illness: back pain, chronic
Preexisting Conditions: chronic back pain, arthralgias, GERD seen in office on 1/15/2021, and 11/30/2021 for back pain, malaise, flank pain.
Allergies:
Diagnostic Lab Data: 6/2/2021: D dimer normal. BNP normal. COVID antibodies positive- 289.2 CBC, CMP normal. Chest xray normal Lumbar xray: Impression: 1. Mild multilevel lumbar spondylosis with associated minimal to mild multilevel degenerative retrolisthesis. 2. Small calcification in the projection of the left renal silhouette may reflect underlying nephrolithiasis. CT of abdomen to be ordered if pain persist.
CDC Split Type:

Write-up: Pt report normal flu like illness, fever, chills and headache for 3 days after vaccination. About 2 week prior to her second dose scheduled she developed dyspnea on exertion, and low back pain, and shortness of breath, which she attributes to COVID vaccination.


VAERS ID: 1374326 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-01
Onset:2021-05-17
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Balance disorder, Contusion, Fall, Limb injury, Muscle spasms, Peripheral swelling, Seizure, X-ray abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Generalised convulsive seizures following immunisation (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: meloxicam, methotrexate, hydroxychloriquin, folic acid, vitamin d, iron, multi vitamin,b6
Current Illness: none
Preexisting Conditions: PMR , RA, and otsteoarthritis
Allergies: none
Diagnostic Lab Data: called primary Dr on 5/18/21 to report the reaction . he put me on muscle relaxers then saw me the next day and put me on steroids for the swelling. Nothing improved so I was sent to an orthopedic Dr on May 25th. had x rays done and discovered I had broke my arm. Surgery will be on June 8th
CDC Split Type:

Write-up: Severe muscle spasms and seizing. Was caught by surprise with the onset and off balance and ended up falling into a wall and broke my arm. now have to have surgery. Also entire arm swollen and black and blue.


VAERS ID: 1374437 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-10
Onset:2021-05-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Hypertension, Ultrasound scan, Urine analysis
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (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: Pre-natal vitamin with folate, Iron 65mg, D 5000IU, enoxaparin 120mg, Synthroid .25mcg, aspirin 81mg, Pulmicort 620mg , Albuterol 100mg.
Current Illness: None
Preexisting Conditions: Asthma, Hypothyroid
Allergies: NKA
Diagnostic Lab Data: Please contact DR. for more info. Blood panel, urine test, ultrasound.
CDC Split Type: vsafe

Write-up: 156/96 BP & 140/92BP During routine OBGYN visit. Diagnosed with Chronic Hypertension. 4 pregnancies'' and no live birth. 9/23/2021 for current est. DOD.


VAERS ID: 1374459 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-01-28
Onset:2021-05-17
   Days after vaccination:109
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Lumbar puncture, Myelitis transverse
SMQs:, Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Spinal tap
CDC Split Type:

Write-up: Transverse Mylitus


VAERS ID: 1374466 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-05-17
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 2 UN / IM

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

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

Write-up: Patient hospitalized within 6 weeks of receiving COVID vaccination.


VAERS ID: 1374707 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-10
Onset:2021-05-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / -

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

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

Write-up: Severe headaches


VAERS ID: 1375037 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-13
Onset:2021-05-17
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dyspepsia, Exposure during pregnancy, Influenza like illness, Joint swelling, Pain
SMQs:, Gastrointestinal nonspecific dysfunction (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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: Raterol (high blood pressure), Anti-depressant (Cytraline), pre-natal vitamins
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: Next day aches, flu-like symptoms. Heartburn several weeks after shot, doctor believes it may be pregnancy-related heartburn. Swollen ankle (one broken in childhood) around time of heartburn. First dose 6 weeks, second at 10. Third pregnancy, healthy so far, due date November 13th 2021. Was told to take pepsid for heartburn


VAERS ID: 1375064 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Food craving, Hunger
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Hypoglycaemia (broad)

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

Write-up: Ate lunch after two or three hours of receiving 2nd vaccine, but within one or two hours after lunch, suddenly felt hungry and craved food.


VAERS ID: 1375069 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-02-18
Onset:2021-05-17
   Days after vaccination:88
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Aphasia, Cardiovascular examination, Cerebrovascular accident, Computerised tomogram head, Confusional state, Echocardiogram, Hemiplegia, Hypoacusis, Hypoaesthesia, Laboratory test, Magnetic resonance imaging head, Neurological examination, Ultrasound Doppler, Visual impairment
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hearing impairment (narrow), 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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Losartin/Hctz Pravastatin
Current Illness:
Preexisting Conditions: ControlledHBP High Cholesterol..on meds
Allergies: Cipro
Diagnostic Lab Data: Labs, CT Brain MRI Brain ECHO carotid Doppler Neuro Consult Cardiology Consult Stroke protocol
CDC Split Type:

Write-up: Stroke in right parietal lobe and right temporal lobe on May 27, 2021 Left upper extremity numbness and paralysis Visual and hearing disturbances word problems and mental confusion. 4 days in hospital


VAERS ID: 1375132 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 - / -

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

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

Write-up: Patient had syncopal episode within a couple of minutes following vaccination. Patient felt better after resting and drinking some juice, and was released to home.


VAERS ID: 1375142 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 - / -

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

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

Write-up: Patient had syncopal episode within 15 minutes of vaccination. Patient felt better after resting and drinking some juice and was released to home.


VAERS ID: 1375150 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram abdomen, Computerised tomogram thorax, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram, Headache, Hypoaesthesia, Injection site pain, Malaise, Pain, Pyrexia, Tremor
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Vestibular 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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: Urinary Tract Infection prior to vaccination
Preexisting Conditions: Asthma
Allergies: Free Nuts and Peanuts
Diagnostic Lab Data: Bloodwork, CT scan of chest and abdomen, EKG, Ultrasound of heart 05/17-05/20
CDC Split Type:

Write-up: I started feeling sick at 8pm, headache and body aches and the severe pain at injection site. At 10pm I had become dizzy and short of breath and started shaking. Shortly after I started losing feeling in my hands and then could not feel them at all. This is when I was taken to the ER and admitted for three days. I had a fever as well.


VAERS ID: 1375153 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 - / -

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

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

Write-up: Patient had syncopal episode within a couple of minutes of vaccination. Felt better after resting and drinking juice; was released to home.


VAERS ID: 1375159 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 - / -

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

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

Write-up: Patient fainted within 15 minutes of vaccination. Patient felt better after resting and was released to home.


VAERS ID: 1375261 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-05-08
Onset:2021-05-17
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Basilar artery thrombosis, Cardiolipin antibody, Echocardiogram, Echocardiogram normal, Ejection fraction normal, Ischaemic stroke, Magnetic resonance imaging head abnormal, Road traffic accident, SARS-CoV-2 test negative, Transient aphasia, Ultrasound Doppler, Ultrasound Doppler abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Accidents and injuries (narrow), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: thyroid extract (armour thyroid)
Current Illness: None
Preexisting Conditions: Chronic dryness both eyes, Exposure keratoconjunctivitis both eyes, cloudy posterior capsule R eye s/p laser capsulotomy, chronic posterior vitreous detachment OD
Allergies: None
Diagnostic Lab Data: MRI brain on 05/18 showed punctate right frontal ischemic stroke. Covid 19 PCR negative on 05/17. Echocardiogram showed normal EF but possible cardiac shunt or PFO by ultrasound TCD study. Hypercoagulable workup negative except for mild elevation in IgM Cardiolipin. Venous duplex of arms with bilateral cephalic vein and right basilic vein thrombosis (superficial).
CDC Split Type:

Write-up: Received second dose of Covid 19 vaccine from Pfizer on 05/08. Patient had a small stroke on 05/17 that possibly caused concussion and motor cycle accident with transient aphasia.


VAERS ID: 1375668 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-12
Onset:2021-05-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cardiac murmur, Chest X-ray, Chest pain, Echocardiogram, Electrocardiogram, Full blood count, Heart rate increased, Metabolic function test
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: occasional multiple vitamin
Current Illness: none
Preexisting Conditions: none
Allergies: no known allergies
Diagnostic Lab Data: CBC P-COMP Chest X-ray EKG Echocardiogram
CDC Split Type:

Write-up: 5/12 Had the vaccine on Wednesday and chest pain occurred on the following Monday Mother who is a nurse checked oxygen, which was in the 80s and pulse was elevated 5/18 Next day condition didn''t resolve, went to urgent care center where nurse practitioner heard a heart murmur and EKG was abnormal Chest pain, saturation, and increased pulse lasted for four more days Mother who is a nurse suggested decreased stressful events such as exercise and increased rest


VAERS ID: 1375959 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test normal, Dizziness, Dysphagia, Electrocardiogram normal, Fatigue, Hypoaesthesia, Immediate post-injection reaction, Nausea, Paraesthesia, Urine analysis
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 112 mcg
Current Illness: NA
Preexisting Conditions: Hypothyroidism
Allergies: Sulfamethoxazole
Diagnostic Lab Data: ER visit: Blood test, urine test, EKG (05/19/2021) - tests didn?t show any abnormalities
CDC Split Type:

Write-up: Right after the shot, symptoms lasted for over an hour: Nausea, fatigue, dizziness, difficulty swallowing, numbness and tingling in the hand. Two days after the vaccine: loss of sensation in both legs (from the knees down) , constant nausea, fatigue and dizziness. Almost three weeks after the vaccine (today): constant fatigue and dizziness, nausea


VAERS ID: 1376357 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-12
Onset:2021-05-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Agitation, Gene mutation identification test, Hallucination, Laboratory test, Mood altered, Pain in extremity, Paranoia, Personality change
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: First dose caused tiredness
Other Medications: Trintellix, Hydroxyzine, Hydrochlorothiazide, Pantropazole, Xyzal, Pravastatin, Clonidine, Propranolol, Sucralfate, Potassium Citrate, Potassium Plus (supplement). Tri-Sleep from GNC and Probiotics from GNC. Occasionally .25mg of Xanax.
Current Illness: Depression, Anxiety and Insomnia. Hypertension. CKD stage 2, Acid Refux
Preexisting Conditions: Depression, Anxiety and Insomnia. Hypertension
Allergies: Sensitivity to SSRI meds and other mental health meds. Had a Genesight test performed with results.
Diagnostic Lab Data: Genesight test. To determine which mental health meds I?m more compatible with
CDC Split Type:

Write-up: Arm alittle sore for less than a day. During the time dated on this report. Personality changed. Became extremely agitated, paranoid, showed symptoms of a Mood Disorder such as Bipolar 1 or 2. Family noticed a significant change in personality and mood. Also some hallucinations mostly at nights. This all occurred suddenly with no explanation


VAERS ID: 1376468 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-15
Onset:2021-05-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypersensitivity, Liver transplant, Rash
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TAKES LIVER MEDICATION FILLED AT VANDERBILT, UNCLE DID NOT KNOW THE NAME OF THE MEDICATIONS AND WAS GOING IN TO WORK.
Current Illness: NO
Preexisting Conditions: NO
Allergies: NO KNOWN DRUG ALLERGIES
Diagnostic Lab Data: NONE KNOWN
CDC Split Type:

Write-up: Patient broke out in rash on neck and arms, May 17th 2021, two days after 1st covid vaccine. The rash lasted 2 days and went to the walk-in clinic on May 19th, The rash was diagnosed as allergic reaction and treated with oral steroids and an anti-histamine. Patient had a liver transplant 2 years ago and still is a patient at facility. She had a visit at Facility this past Monday, May 31st 2021. They are aware of the rash and the reaction to the first vaccine but told patient she must get the 2nd dose (strongly recommended). I discussed with her and guardian signs and symptoms of allergic and when to seek immediate medical attention. They understood the risks of an allergic reaction with 2nd covid dose and what to do.


VAERS ID: 1376575 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-15
Onset:2021-05-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014C21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Naproxen- 2 tablets
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Nothing yet. I plan to go to see my doctor this week. I do not want to take the 2nd dose for fear the pain will only intensify.
CDC Split Type:

Write-up: My left arm began hurting about 48 hours after the shot. I am still experiencing soreness 3 weeks later. I also began experiencing joint pain - knees, hips, elbows, ankles, fingers, feet - about a week later. My pain is only getting worse.


VAERS ID: 1376816 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-14
Onset:2021-05-17
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Omega 3, losartan-HCTZ, aspirin, vitamin D, calcium, amlodipine
Current Illness:
Preexisting Conditions: HTN, CKD, Arthritis, prediabetes, glaucoma
Allergies: lisinopril
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt reported a rash and itching that started Monday after receiving her vaccine on Friday (3 days later). fine erythematous itchy rash on hands, neck, forehead


VAERS ID: 1377655 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

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

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

Write-up: The child accidentally received the first COVID dose , somehow it was not know pan that he was below age 12


VAERS ID: 1377980 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Loss of consciousness, Presyncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan, Buspar
Current Illness: Had tooth pulled same week
Preexisting Conditions: Hypertension, Anxiety
Allergies: Rosuvastatin, Lisinopril
Diagnostic Lab Data:
CDC Split Type:

Write-up: Daily dizziness since administration of second shot: dizzy when moves head, blacking out, feeling like passing out


VAERS ID: 1378233 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-05-06
Onset:2021-05-17
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acoustic stimulation tests, Blood test, Computerised tomogram, Deafness unilateral, Hypoaesthesia, Ocular discomfort, Paraesthesia, Tinnitus
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: Audio test to confirm hearing loss on 5/13. Blood work and CT scan on 6/5 revealed nothing.
CDC Split Type:

Write-up: Tinnitus began in right ear on 4/29/21 followed by sudden hearing loss in the same ear. Visited ENT on 5/11 and 5/13 and was diagnosed with sudden hearing loss and treated with steroids for 12 days. Hearing mostly (85%) recovered however tinnitus began in left ear on 5/17/21. Subsequently, further tingling and numbness in limbs has continued along with increased eye pressure.


VAERS ID: 1378264 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-14
Onset:2021-05-17
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Headache, Magnetic resonance imaging head abnormal, Superior sagittal sinus thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow)

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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: noted above.
CDC Split Type:

Write-up: He received the first dose of pzifer on 5/14/21. 3-4 days later he developed a headache and was found to have superior sagittal sinus thrombosis. He was started on Pradaxa but later returned with worsening headache and repeat MRV head showing more extensive sagittal sinus thrombosis. He is now being treated with lovenox.


VAERS ID: 1378388 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-20
Onset:2021-05-17
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Echocardiogram abnormal, Myocarditis, Pericardial excision, Pericarditis, Thoracotomy
SMQs:, Systemic lupus erythematosus (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: alcohol abuse
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: echo thoracotomy, pericardial window
CDC Split Type:

Write-up: myocarditis, pericarditis


VAERS ID: 1378487 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-15
Onset:2021-05-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / IM

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

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

Write-up: Patient stated that two days after receiving first dose of Pfizer vaccine a pustule rash started on bilateral forearms. Rash was extremely itchy and painful. Pustules erupted and drained spontaneously. Healing rash still lingering on left arm (21 days later). No medications taken. No History of allergy. Referred patient to PCP for referral for allergist before receiving second Pfizer dose.


VAERS ID: 1378491 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-10
Onset:2021-05-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Rash
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient states that a week after the shot she developed a rash on both arms and had difficulty breathing. She did not seek medical attention and the symptoms did resolve but we advised her to contact the doctor and not to get the second dose at this time.


VAERS ID: 1378558 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-30
Onset:2021-05-17
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Injection site reaction, Pruritus, Swelling, Wound
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Accidents and injuries (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Methotrexate, Levothyroxine, Losartan, Pilocarpine, Folic Acid, Vitamin D, and Calcium.
Current Illness: No
Preexisting Conditions: Rheumatoid arthritis
Allergies: No
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine EUA Two raised sores appeared at the injection sites a couple weeks after my second shot. Both have redness surrounding them and are itchy. They have gotten worse even though I avoid scratching them. Both sores are about a half inch in diameter with the redness. I''ve had them about 3 weeks now.


VAERS ID: 1378778 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

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

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

Write-up: tingling hands, went numb, nerve twitches hands and feet,


VAERS ID: 1378788 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-05
Onset:2021-05-17
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Acute myocardial infarction
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Myocardial infarction (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), Embolic and thrombotic events, arterial (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I21.4 - Non-ST elevation (NSTEMI) myocardial infarction N17.9 - Acute kidney failure, unspecified


VAERS ID: 1379019 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-05-17
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Muscle spasms, Thrombosis, Ultrasound scan normal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Thrombophlebitis (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: Warfarin
Current Illness: N/a
Preexisting Conditions: DVT
Allergies: N/a
Diagnostic Lab Data: Ultrasound- no changes but thrombosis still present
CDC Split Type:

Write-up: Severe and excruciating cramping in my left leg that I have thrombosis in. The last time I had this is when a clot developed again and hematologist then put me in warfarin(was in Xeralto previously)


VAERS ID: 1379022 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-02
Onset:2021-05-17
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026A21A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Facial paralysis, Facial paresis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: FACIAL DROOP R29.810 - Facial weakness


VAERS ID: 1379298 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)

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

Write-up: Development of Blisters on tips of fingers. Started within 12 hours of receiving the vaccine. Still present today 6/7/21 . Not limiting his activities


VAERS ID: 1380224 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-13
Onset:2021-05-17
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Dysmenorrhoea
SMQs:

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

Write-up: Complained of more premenstrual cramping than ever before first 3 days of cycle


VAERS ID: 1381035 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Neck pain, Varicose vein
SMQs:, Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLUVOXAMINE; KLONOPIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021564218

Write-up: bulging veins in wrists and hands; Neck pain; This is a spontaneous report from a contactable consumer. This consumer (wife) reported for patient (husband) that a 60-years-old male patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot Number: EW0183; Expiration Date: 31Aug2021), dose 1 via an unspecified route of administration, administered in Arm Left on 17May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. Patient had no medical history. Concomitant medications included fluvoxamine (FLUVOXAMINE) taken for obsessive-compulsive disorder (Has been taking over 20 years); clonazepam (KLONOPIN) taken for obsessive-compulsive disorder, anxiety (Has been taking maybe about 5 years). On 18May2021, the patient experienced bulging veins in wrists and hands; while on 17May2021 neck pain. Patient was treated with Tylenol. Patient taking Pfizer COVID 19 vaccine because he wants his mask off. Consumer reported that patient know about his feet or legs, he was sleeping. She noticed his hands this morning. It was reported that patient had the neck pain last night and woke up with it this morning. Everything has now gone away. He took a Tylenol this morning. It was reported that vaccine scheduled around 10:30 am, was probably around 11:30am. History of all previous immunization with the Pfizer vaccine did not considered as suspect. Additional Vaccines was not administered on Same Date of the Pfizer Suspect. Patient was not visited to emergency room and physician office. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not had any illness at the time of vaccination. Patient did not had any family medical history. Patient did not performed any lab test. The outcome of the event was unknown. Information on Lot/Batch number was available. Additional information has been requested


VAERS ID: 1381076 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Dyspnoea, Erythema, Palpitations
SMQs:, Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRILOSEC [OMEPRAZOLE]; SYNTHROID; ALLEGRA; HYDROXIZINE; PEPCID AC
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy (seasonal allergies); Gastroparesis; Penicillin allergy; Soy allergy; Sulfonamide allergy (Allergies to Sulfa''s)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021581977

Write-up: my heart started racing; my chest and face turned red; coughing; difficulty breathing; This is a spontaneous report from a contactable Nurse (patient). A 42-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EN6205, Expiration date: Unknown), via an unspecified route of administration, in left arm on 17May2021 at 04:00 pm (at the age of 42-years old) as 1 ST DOSE, SINGLE for COVID-19 immunisation. The patient medical history included gastroparesis, seasonal allergy, allergy to soy, pencillin and sulfa allergy. The patient concomitant medications were not reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient received medications within two weeks prior vaccination included prilosec, synthroid, allegra, hydroxizine, Pepcid. The patient was not diagnosed with COVID-19, prior the vaccination. Since the vaccination, patient had not been tested for COVID-19. It was reported that on 17May2021 (30 minutes after receiving the vaccine), her heart started racing, chest and face turned red and also she experienced coughing and difficulty breathing. The case was considered as serious (hospitalization). The patient was taken to the ER and received IV Epinephrine, Solumedrol, Benadryl and Pepcid as treatment for the events. Patient was an inpatient for 2.5 days in the emergency room. The outcome of the events palpitations, redness was unknown and outcome for other events was not resolved.; Sender''s Comments: Based on a positive temporal association, a possible contributory role of the suspect BNT162B2 cannot be excluded for the reported Cough, Erythema, Dyspnoea and palpitations. 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: 1381119 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Bedridden, Breast mass, Chest pain, Lymphadenopathy
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FETZIMA
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arthritis; Latex allergy; Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021584899

Write-up: This is a spontaneous report received from a contactable consumer (patient). A 69-year-old female patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT/Batch number and expiration date unknown) intramuscularly on arm left on 17May2021 at 09:45 AM at age of 69-year-old at single dose for COVID-19 immunisation. Patient was not pregnant at time of vaccination and events onset. Medical history included arthritis, penicillin allergy and latex allergy. Concomitant medications included levomilnacipran hydrochloride (FETZIMA) received within 2 weeks of vaccination. Patient experienced large painful lumps in breasts, pain in ribcage and across back. Patient was bedridden and this was the 6th day (23May2021). Onset date of events was 17May2021 at time of 02:15 PM (reported as 02:15). Events were reported as serious as disability. Outcome of the events was recovered with sequel. Prior to vaccination, the patient wasn''t diagnosed with COVID-19. Since the vaccination, patient hasn''t been tested for COVID-19. Information on the lot/batch number has been requested.


VAERS ID: 1381171 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Bronchitis, Dysgeusia, Dyspnoea, Ear congestion, Haemoptysis, Nasal congestion, Peripheral swelling, Pneumonia, Rash, Rhinorrhoea, Sinusitis, Upper respiratory tract congestion
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Taste and smell disorders (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021590108

Write-up: Pneumonia; congestion in one side of her head or in the upper front side, similar like a sinus infection; She had her ears going plugged, she had a bloody flavor and blood was coming little portion of her coughing; arm swollen; Rash; lot of stuffy nose; really bad runny nose; she can''t breathe to sleep; ears going plugged; she had a bloody flavor and blood was coming little portion of her coughing; bronchitis symptoms; congestion in one side of my head or in the upper front side, similar like a sinus infection; This is a spontaneous report from two contactable consumers (patient and patient''s husband). A 51-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) second dose via an unspecified route of administration, administered in right arm on 17May2021 (Batch/Lot number was not reported) (at age 51 years old) as single dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 on an unspecified date at age 51 years old for COVID-19 immunization. The patient reported she had the second shot for the vaccine (confirmed as Pfizer COVID vaccine) on 17May2021 almost at midnight and she had been really sick since Wednesday. She clarified that it was really bad from Monday (17May2021) but on the Tuesday (18May2021) she has her arm swollen and the rash but she thought it was normal and then from the 17May2021 up to the time of report she has been really, really sick, like bronchitis symptoms something like that and she had a lot of stuffy nose and she had congestion in one side of her head or in the upper front side, similar like a sinus infection. She had her ears going plugged, she had a bloody flavor and blood was coming little portion of her coughing, really bad runny nose and she can''t breathe to sleep, she had to use (incomplete sentence). The patient''s husband stated she got no treatment she did not go to the doctor. They wanted to know if she can take cold medicine because she was up with pneumonia. Outcome of the events was unknown. Information about lot/batch number has been requested.


VAERS ID: 1381382 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-10
Onset:2021-05-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain, Abdominal pain upper, Chest X-ray, Dyspnoea, Fluid retention, Swelling, Swelling face
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cardiac disorder; Overweight
Allergies:
Diagnostic Lab Data: Test Date: 20210530; Test Name: heart x-ray; Result Unstructured Data: Test Result:normal
CDC Split Type: USPFIZER INC2021644140

Write-up: could not catch her breath if she moved; face swelled, too, it was hard to go down everyday; there is too much fluid in her body; she believes it''s swelling; stomach hurt; abdomen hurt; bloating/swell of stomach; This is a spontaneous report from a contactable consumer. A 57-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EW0179, Expiration date: 31Aug2021), via an unspecified route of administration on 10May2021 between 07:00-10:00 (at the age of 57-year-old), as 2nd dose, single dose in left arm for COVID-19 immunisation. The patient''s medical history included heart dis-functioning, body was slowed and a little overweight. Concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: ER8731, Expiration date: 31Jul2021), via an unspecified route of administration on 19Apr2021 between 07:00-10:00 (at the age of 57-year-old), as single dose in left upper arm for COVID-19 immunization and experienced stomach hurt and abdomen hurt. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 17May2021 morning, after the second shot, the patient experienced stomach hurt, abdomen hurt and bloating/swell of stomach. Patient reported that her stomach was bloated and felt she could not catch her breath if she moved, for which the patient went to the emergency room on 30May2021 and got released on 31May2021. Doctor told her that there was too much fluid in her body. After second shot, patient''s face swelled, too, it was hard to go down every day. Her stomach got extended like a balloon. Patient believed it was swelling. When patient was due for her second dose, she really didn''t want to get it, because she felt hurt so bad and the doctor advised her to get the shot to be on the safe side. The patient underwent lab tests and procedures which included chest X-ray: normal on 30May2021. The clinical outcome of the events stomach hurt, abdomen hurt, bloating/swell of stomach was not resolved and clinical outcome of all other events was unknown.


VAERS ID: 1381820 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Computerised tomogram abnormal, Dyspnoea, Electrocardiogram normal, Fatigue, Fibrin D dimer increased, Injection site pain, Palpitations
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: #1 Pfizer shot resulted in extreme fatigue, brain fog, joint pain, arthritis, exacerbated existing inflammation.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: On May 26, I went to get evaluated and had labs done. D-dimer test showed slightly elevated levels of 502 nanograms. CT scan showed a small clot in my right lung. EKG normal. Other labs and test within normal range.
CDC Split Type:

Write-up: Initially, fatigue, joint pain, injection location soreness, then 3 days later I started getting heart palpitations that lasted for 2+ days (Thurs, Fri and part of Sat.), continued fatigue and shortness of breath.


VAERS ID: 1382139 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-12
Onset:2021-05-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Echocardiogram abnormal, Myocarditis, Troponin increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: History of Migraines
Allergies: NKDA
Diagnostic Lab Data: Echocardiogram- Myopericarditis Blood work- Elevated troponin at 2.76
CDC Split Type:

Write-up: Patient developed chest pain 5 says after his second Pfizer vaccination. He was admitted to Hospital and diagnosed with myopericarditis. Has ongoing shortness of breath and chest pain currently. He was put on Colchicine, Ibuprofen, and Pepcid and advised to begin light walking daily.


VAERS ID: 1382212 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-15
Onset:2021-05-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 LA / IM

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

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

Write-up: Full-body rash that last for two weeks. Especially torso, upper arms, butt, behind the knees, eyelids, head, and neck. Itchy little dots that looked like measles.


VAERS ID: 1382518 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Fall, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none listed
Current Illness: none listed
Preexisting Conditions: none listed
Allergies: NKDA
Diagnostic Lab Data: see item 18
CDC Split Type:

Write-up: Patient approached the RN, and stated that he thought he was going to pass out. The patient''s knees buckled and he sank to the floor. (witnessed fall) The patient did not hit his head on the floor. At 105 the Patient was moved to the recovery area where he was laid on the floor and his feet were raised onto a chair. Patient was diaphoretic BP 116/74 pulse 70 oxygen 99% on room air. Around 1210 the patient sat up on the floor and complained of dizziness and nausea. Patient was placed back into a lying position and BP recorded at 140/90. At 1230 the patient was sitting on the floor and nausea and dizziness had subsided. At 1245 the patient was placed in a wheelchair and assisted to the car and the girlfriend drove him back home. BP recorded at 116/70 upon leaving the vaccination clinic.


VAERS ID: 1382543 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-05-13
Onset:2021-05-17
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac disorder, Cerebrovascular accident, Computerised tomogram abnormal, Loss of consciousness, Magnetic resonance imaging abnormal, Muscular weakness
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine Besylate 10mg tab Calcium Citrate with d3 Fish Oil 1000 mg with Omega-3 300mg Multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Iodine Penicillin
Diagnostic Lab Data: CAT and MRI scans done between 3/18 and 3/20.
CDC Split Type:

Write-up: Stroke occurred 4 days after shot administered. Blacked out, right arm limp and of no use. 2 pm 5/17/21. 911 called transported to hospital and then transported/admitted to another hospital. CAT scan and MRI test done. Test show right side of head had stroke, and heart has damage.


VAERS ID: 1382546 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-16
Onset:2021-05-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

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

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

Write-up: Tinnitus Began one day after receiving the first shot and condition remains 3 weeks later


VAERS ID: 1382892 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Gaze palsy, Seizure, Unresponsive to stimuli, Urinary incontinence, Visual impairment
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Ocular motility disorders (narrow), 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: Testosterone
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Approximately 2-3 minutes after receiving the shot patient reports that he had a seizure. Was sitting in the observation area, felt like vision was blacking out. Observers report that patient stiffened in chair and eyes rolled back. No one observed tonic-clonic movements of limbs, but patient did have bladder incontinence. He was unresponsive for several minutes, EMS was called and evaluated patient at the scene. He started to feel better fairly quickly after regaining consciousness and refused transport to hospital.


VAERS ID: 1382952 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Chills, Decreased appetite, Injection site pain, Lethargy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Fever 102.7. Chills, lethargy, stomach upset, lack of appetite. Extreme pain in shoulder at vaccine site lasting 12 days. Lost 5 lbs in two weeks.


VAERS ID: 1383111 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-05-16
Onset:2021-05-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Loss of consciousness, Pyrexia, Vertigo
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: Clariten
Current Illness: Seasonal allergies
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 26 hours post injection, my son experienced a fever of 99.9, chills and fatigue. He then walked upstairs in our home and passed out-he was out for around 30 seconds. Afterward, his temp was still 99.9 and he began to experience vertigo. The vertigo lasted until Friday May 21.


VAERS ID: 1383130 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cellulitis, Pain in extremity, Peripheral swelling, Sensation of foreign body, X-ray normal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: X-Ray 6/7/21
CDC Split Type:

Write-up: Patient came in for her second dose of the Covid-19 immunization. She stated that the arm had hurt since her last shot, was swollen and she thought had a foreign body left inside the arm. She believed the needle had broken off in the arm. I reviewed her paperwork from the previous shot and no notes were made regarding the integrity of the vaccine administration. I examined her arm by touching and feeling the area of the vaccine but could not feel anything inside the arm. She was referred to the ER for evaluation, In the ER they performed an Xray but did not find anything inside the arm. She was diagnosed with cellulitis and was prescribed antibiotics.


VAERS ID: 1383628 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-10
Onset:2021-05-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0212B21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood magnesium, Cardiac telemetry, Cardiomegaly, Chest X-ray, Computerised tomogram thorax, Dizziness exertional, Dyspnoea, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Fibrin D dimer, Full blood count, Lipids, Metabolic function test, Ventricular extrasystoles
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Ventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin birth control
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 5/22/21: 12 lead EKG, Chest CT, d-dimer, CBC, BMP, magnesium, telemetry, chest x-ray, lipid panel 6/8/21: holter monitor, echocardiogram
CDC Split Type:

Write-up: Healthy 27 year old female with no medical history developed premature ventricular contractions approximately 7 days after second Moderna COVID vaccine. Developed shortness of breath and dizziness upon exertion (walking). Went to emergency room on 5/22/21 and diagnosed with PVCs and cardiomegaly.


VAERS ID: 1384702 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-15
Onset:2021-05-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Headache, Illness, Pain, Pyrexia, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210520; Test Name: COVID-19; Test Result: Positive
CDC Split Type: USPFIZER INC2021641232

Write-up: His covid tested was positive; Fever; Chills; Headache; Body aches; A cough; Feeling really sick; This is a spontaneous report from a contactable pharmacist (parent) via medical information team. A 20-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in right arm on 15May2021 (age at vaccination 20-year-old) as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On 17May2021, patient had fever, chills, headache, body aches and a cough. patient had fever and chills for I believe she said about 5 days. So she took him to the doctor and he ended up being positive for COVID. He was also "feeling really sick on 17May2021 but hesitated to get tested" for Covid-19, for fear of "being hospitalized. The son had the side effects for 6 days and "got tested for Covid on Thursday, 20May2021, his covid tested was positive." patient has completed his isolation period at home and has "been fine for 4 days." "Because he was Covid -19 positive, how long should he wait for his 2nd dose?" The outcome of events was unknown. Information about lot/batch number has been requested


VAERS ID: 1385129 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-03-01
Onset:2021-05-17
   Days after vaccination:77
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Biopsy lung normal, Blood test, Chest pain, Computerised tomogram, Echocardiogram, Electrocardiogram, Hypercoagulation, Pulmonary embolism, Pulmonary thrombosis, Scan with contrast, Thrombosis, Ultrasound Doppler, X-ray
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG - 4/17 CT scan/with contrast- 4/17 Ex Ray - 4/17, 4/18, 4/19 Echo cardio gram 4/17 Ultra sound of right arm, right and left leg - 4/17 Multiple blood tests - 4/17 Lung biopsy 4/18 (benign)
CDC Split Type:

Write-up: Pulmonary embolism in Right lung. Subsequent finding was multiple blood clots throughout both lungs. Gave blood 3 weeks after second Moderna injection, blood clotting would not allow a full donation (right arm). Upon checking in to the ER for chest pain on April 17, blood clotting would not allow IV hook up in right arm.


VAERS ID: 1385133 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-10
Onset:2021-05-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 1 - / IM

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

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

Write-up: Symptoms of hives and rash developed 1 week after receiving Moderna vaccine.


VAERS ID: 1385152 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (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: 38years, flu shot, within 45 minutes heavy brain fog, could not remain awake, pretty much passed out for 24 hours not getting up
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Erythromycin and potentially to hazelnuts (unconfirmed)
Diagnostic Lab Data: Did not seek medical treatment
CDC Split Type:

Write-up: Numbness began in left hand fingertips which spread to face, mouth, tongue. Always on left side and never fully numb. I also got extremely tired and could not stay awake at moments or speak clearly (inside my head I knew I wasn?t speaking clearly but I couldn?t fix it) . Day following vaccine I began to have bad pain on top of my ankles at the bend with my top of foot. This got pretty bad that someone needed to massage it regularly to alleviate some of the pain. This went on regularly until a couple of days prior to my second shot. Brain fogging has improved over time. Some dizziness still remains. I had a very bad headache for about three weeks. Interestingly my reaction to shot two on 6/7/2021 has been nothing like the first shot. I?ve had some bad pain in the left wrist and more at site of injection pain but much better than first round.


VAERS ID: 1385222 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-25
Onset:2021-05-17
   Days after vaccination:53
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA NOT AVAILABLE / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Arteriosclerosis, Asthenia, Atypical pneumonia, Back pain, Bronchial hyperreactivity, Cardiomegaly, Chest X-ray abnormal, Chest discomfort, Computerised tomogram thorax abnormal, Dyspnoea, Hypotension, Infusion, Intensive care, Interstitial lung disease, Lung opacity, Lymphadenopathy mediastinal, Pneumonia, Pneumonia viral, Pruritus, Pulmonary oedema, Renal atrophy, Renal cyst, Rheumatoid arthritis, SARS-CoV-2 test positive
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Arthritis (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow), 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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: infliximab, carvedilol, cinacalcet, clonidine, doxazosin,losartan, epoietin, nifedipine, pantoprazole, prednisone, sevelamer, hydralazine
Current Illness: presents to the ED-shortness of breath, generalized weakness
Preexisting Conditions: ESRD on hemodialysis, rheumatoid arthritis, hypertension, hyperlipidemia, anemia of chronic renal failure-transfusionhyperparathyroidism, smoker
Allergies: tofacitinib (SOB), olmesartan & penicillins (itching)
Diagnostic Lab Data: COVID-19 Positive on 5/17/21 5/17/2021 chest x-ray - Worsening diffuse interstitial and airspace disease, likely pulmonary edema and/or pneumonia. 5/17 CT chest 1. Diffuse scattered bilateral ground-glass airspace disease with interstitial thickening/crazy paving. Minimal peripheral consolidations lung bases. Postsurgical sutures lateral mid to lower lung. Compatible with atypical/viral pneumonia versus systemic/interstitial pneumonia. Suggest follow-up. 2. Atherosclerotic disease. Cardiomegaly. 3. Hyperdense mediastinal lymphadenopathy. Suggest follow-up. 4. Simple left renal cyst, no follow-up imaging recommended. Partially included atrophied left kidney, correlate with renal function.
CDC Split Type:

Write-up: Patient is a 49 y/o female with ESRD on dialysis T/Th/Sat who presents to the ED with shortness of breath, generalized weakness, left upper back pain and itching x 1 week since having an infusion of immunosuppressant drug for RA. Patient reports new onset chest discomfort today. 5/17 -- admitted to the medical ICU 5/18 -- remdesivir 200mg IV x1 given then discontinued because she is a dialysis patient. dexamethasone 10mg IV daily x 7 doses While in the ICU she was hypotensive and required pressors Maximum oxygen requirement -- 15L High flow, never required mechanical ventilation 5/19 moved to COVID floor (nonICU) 5/24/21 - discharged to home


VAERS ID: 1385397 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039BZIA / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Bedridden, Dyspnoea, Palpitations, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

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

Write-up: Sickness bedridden for 3-4 days. Symptoms I never had during my actual bout with real covid. heart palpitations, chest wheeze making breathing more labored. I had the real covid in March 2020 where I never had respiratory symptoms, tested positive for antibodies May 2020


VAERS ID: 1385969 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-14
Onset:2021-05-17
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Blood osmolarity decreased, Hyponatraemia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (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), Hyponatraemia/SIADH (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia


VAERS ID: 1385982 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-10
Onset:2021-05-17
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (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), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: Acute kidney failure, unspecified


VAERS ID: 1386057 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-03
Onset:2021-05-17
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Computerised tomogram normal, Hypoaesthesia, Magnetic resonance imaging normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin 300mg vitamin D 1000 Temovate 0.05% ointment vivelle dot .01 MG patch Lamictal 150MG Prilosec 20mg zoloft 100 mg testssterone 50mg/5gm 1% gel Valtres 500 mg
Current Illness: none
Preexisting Conditions: Bipolar Depression
Allergies: Vicodin-itching
Diagnostic Lab Data: MRI with and without contrast 6/3/21 CT Scan with and without contrast 6/3/21 Many Many Many blood tests. 6/3/2021 6/4/2021 Neurology consult 6/3/2021
CDC Split Type:

Write-up: I am having facial numbness in my lower chin/Jaw area that comes and goes. It started again on the afternoon of June 2, 2021 and continued into the next day, however the numbness was increasing to different areas on my face. My Dr urged me to go to the ER. They ran several tests and could not come up with a logical solution for the numbness. The symptoms begin on May 17, 2021


VAERS ID: 1386094 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-01
Onset:2021-05-17
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204AZIA / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood oestrogen, Nipple pain, Ovarian cyst, Pelvic pain
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: Coreg, coq10, vitamin D3, C, elderberry, zinc
Current Illness: No
Preexisting Conditions: Hbp
Allergies: No
Diagnostic Lab Data: 5/24/21 - Right ovary cyst =. 1.8cm. Estrogen level = 298
CDC Split Type:

Write-up: I am 4 years menopausal. After a week and a half my nipples became sore and I had pain in lower pelvic area.


VAERS ID: 1386222 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-05-17
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: FLU vaccine
Other Medications: Zyrtec only Vitamin D3, Vitamin C, Probiotic , Digestive aid, Nerve for Diabetic, Q-10, Melatonin
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: Gluten and ALL prescription antibiotics like Penicillin, Sulfa, Steroids
Diagnostic Lab Data: None
CDC Split Type:

Write-up: None stated.


VAERS ID: 1386859 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-08
Onset:2021-05-17
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Fibrin D dimer, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: BPH, GERD, cervical spondylosis
Allergies: none
Diagnostic Lab Data: D-dimer, CT angiogram
CDC Split Type:

Write-up: pulmonary embolism, sub-segmental, bilateral


VAERS ID: 1387916 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-07
Onset:2021-05-17
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA A21B21A / 1 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cellulitis, Erythema, Erythema nodosum, Headache, Impaired work ability, Muscular weakness, Myalgia, Peripheral swelling, Pyrexia, Tenderness, Ultrasound Doppler normal
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVO-T MELOXICAM VITAMIN D TRAZODONE
Current Illness: HOSHIMOTOS THYRODITIS ARTHRITIS
Preexisting Conditions: HOSHIMOTOS THYROIDITIS ARTHRITIS
Allergies: TOPICAL ANITBIOTIC OINTMENTS
Diagnostic Lab Data: DOPPLER - NEGATIVE
CDC Split Type:

Write-up: AFTER THE FIRST INJECTION THERE WAS NO REACTION. AFTER THE SECOND INJECTION STARTING 8 HOURS AFTER THE INJECTION SHE HAD SEVERE MUSLCE WEEKNESS AND COULD NOT MOVE. SHE HAD A FEVER GREATER THAN 101 AND PIERCING PAIN IN THE HEAD AND MUSLCE ACHES THAT LASTED ABOUT 48 HOURS. SHE HAD TO CALL OFF OF WORK. ABOUT 12 DAYS AFTER THE 2ND INJECTION SHE DEVELOPED REDNESS, TENDERNESS, SWELLING IN THE LOWER LEGS. WENT TO MED EXPRESS AND A DOPPLER WAS DONE FOR BLOOD CLOT. IT WAS NEGATIVE. THEY SYMPTOMS PROGRESSED AND SHE WENT TO HER PCP. DIAGNOSED WITH CELLULITIS AND WAS PUT ON KEFLEX. UPON EXAM YESTERDAY IN OUR OFFICE IT WAS CONFIRMED THAT SHE HAS ERYTHEMA NODOSUM.


VAERS ID: 1387956 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-10
Onset:2021-05-17
   Days after vaccination:68
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Limb discomfort
SMQs:

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

Write-up: Report bilateral leg heaviness mainly to the calf region and mostly of the right leg that is constant started 2.5 weeks ago. There is no bruising, or feeling of warmth of the lower extremity. He denies chest pain, leg pain, SOB, HA or blurred vision. Reports movement makes it better and inactivity makes it worst. Treatment: None , Outcome: Does not interfere with ADLs


VAERS ID: 1388336 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-12
Onset:2021-05-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Physical examination abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Progetrigine Birth Control, Vitamins
Current Illness:
Preexisting Conditions:
Allergies: Lobester
Diagnostic Lab Data: I have received a appointment and they checked my cervix and made sure I did not have fibroids. I know have to receive a biopsy next week.
CDC Split Type:

Write-up: My cycle will not go off. It has been 26 days and it is a continuous flow. I received my first shot May 12, 2021 and that was the same day my cycle started.


VAERS ID: 1388464 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-07
Onset:2021-05-17
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Bronchitis, Chest pain, Dyspnoea, Headache
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: J40 - Bronchitis, not specified as acute or chronic HEADACHE SHORTNESS OF BREATH CHEST PAIN


VAERS ID: 1388583 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-21
Onset:2021-05-17
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Pulmonary hypertension (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? No
Previous Vaccinations:
Other Medications: Marlissa - OCP
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CTA Chest 6/8/21
CDC Split Type:

Write-up: Saddle pulmonary embolism


VAERS ID: 1388608 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-17
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Arteriogram coronary normal, Cardiac imaging procedure abnormal, Chest pain, Echocardiogram, Electrocardiogram ST segment elevation, Myocarditis, Pericardial effusion, Pericardial mass, Pericarditis, Troponin increased
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 05/17/2021: EKG with diffuse ST elevations, troponinemia up to level of 31, coronary CTA with patent coronaries, TTE with anterior pericardial effusion. 06/03/2021: cardiac MRI with delayed focal nodular enhancement in the apical, inferior, and lateral walls, compatible with fibrosis/scarring in pattern of myocarditis.
CDC Split Type:

Write-up: Approximately 3 days after receiving the 2nd dose of the Moderna COVID-19 vaccine, this patient developed chest pain. He presented to the hospital where subsequent testing revealed pericarditis and myocarditis. Workup included EKG, labs, CTA of coronaries. His symptoms improved by time of discharge. He followed up as an outpatient and underwent cardiac MRI which confirmed diagnosis of myocarditis.


VAERS ID: 1388819 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-02-25
Onset:2021-05-17
   Days after vaccination:81
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9267 / 1 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH BN6204 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, COVID-19, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: The two toes on my right foot have the sensation of burning and itching. There is no rash, but the sensation comes and goes. Essentially Covid Toes.


VAERS ID: 1389044 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-08
Onset:2021-05-17
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Dysstasia, Fall, Gait disturbance, Guillain-Barre syndrome, Magnetic resonance imaging abnormal, Muscular weakness, Paraesthesia, Weight bearing difficulty
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Demyelination (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 13 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient has had intermittent weakness since covid vaccine in April. Admitted on May 11 for weakness, stroke was ruled out. Noted to have bilateral upper and lower extremity paresthesia thought secondary to diabetes. Readmitted on May 17, began to have frequent falls with bilateral lower extremity weakness, when he stood up his legs could not hold him. MRI ruled out ischemic infarction. Diagnosed with Guillain-Barre disease and ambulatory weakness. Followed up with neurologist.


VAERS ID: 1389148 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-01
Onset:2021-05-17
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PFIZEREW0170 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Muscle twitching, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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: Hydrochloride and omalsartin
Current Illness: None
Preexisting Conditions: High blood pressure treated
Allergies: Allergic to cats
Diagnostic Lab Data: None
CDC Split Type:

Write-up: A week after receiving second dose of pfizer vaccine I started to feel muscle twitching and arm weakness in mainly my right arm, some weakness in my left arm and occasionally twitching in left arm and both legs. The right arm is mainly where I feel the muscle twitching. Not able to see the twitching but I can feel it. Worse when resting and lying down or sitting doing nothing. Weakness in arm is all day.


VAERS ID: 1389172 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-10
Onset:2021-05-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Muscle spasms, Muscle twitching, Muscular weakness, Physical examination
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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: Bentyl, HCTZ, Benicar
Current Illness: none
Preexisting Conditions: hypertension, irritable bowel syndrome, history of endometrial cancer, history of covid 19
Allergies: no known allergies
Diagnostic Lab Data: clinical exam only
CDC Split Type:

Write-up: Right arm weakness and muscle spasms/twitches for now greater than 3 weeks


VAERS ID: 1389320 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-02
Onset:2021-05-17
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Borrelia test, Facial paralysis, Magnetic resonance imaging
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine (150 mgs)
Current Illness: n/a
Preexisting Conditions: hyperthyroidism (hashimotos disease)
Allergies: penicillin, sulfur based medications
Diagnostic Lab Data: MRI (6/15) blood test (5/2) lymes disease test (5/2)
CDC Split Type:

Write-up: Bells Palsy, facial paralysis on right side of face, 2 weeks after second shot


VAERS ID: 1389549 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-05-13
Onset:2021-05-17
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Oligomenorrhoea
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vyvanse 50mg Tylenol Ibuprofen
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Unusual and severe menstrual cycle. Very heavy and lasted over a week. Bled through super tampons within an hour for first four days. I am usually very regular and predictable. I never had a menstrual cycle this bad in my entire life.


Result pages: prev   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 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=148&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