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From the 5/7/2021 release of VAERS data:

Found 188,897 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 15 out of 1,889

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VAERS ID: 1257400 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Cough, Pharyngeal swelling, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Asthma/bronchospasm (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levóthyroxine , hyroxychloroquine , omeprazole, Paxil , Zyrtec
Current Illness:
Preexisting Conditions: Sjögren''s syndrome, rheumatoid arthritis, GERD, IBS, Chronic rhinitis,
Allergies: Iodine , zucchini , pepper and anything spicy , shellfish,
Diagnostic Lab Data:
CDC Split Type:

Write-up: After 10min chest felt tight , started to wheeze , throat started to swell , coughing a lot


VAERS ID: 1257406 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-04-18
Onset:2021-04-25
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: 8 days later woke up with arm soreness, swelling, and itchiness at injection site. Continued to get worse throughout the day. Still hurts


VAERS ID: 1257407 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Eye pruritus, Fatigue, Headache, Pain in extremity, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen 200mg
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: Allergy sinus
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash on face, in ear ,arms,,soreness on left shoulder ,headache,,itch in eyes,,pain on left hand ,,fatigue,,


VAERS ID: 1257462 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Musculoskeletal stiffness, Nausea, Pain, Pain in extremity, Photophobia, Pyrexia, Tinnitus, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Significant ringing in ears that wont go away. Headache, whole body ache, nausea, vomiting, fever, arm pain, stiffness, light sensitivity, headache.


VAERS ID: 1257464 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-04-17
Onset:2021-04-25
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: generic Loratadine
Current Illness: Spring pollen allergy symptoms
Preexisting Conditions:
Allergies: Apples, cherries, pollen, bee stings
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swelling, redness, burning, and moderate pain at injection site that has intensified since injection (9 days so far).


VAERS ID: 1257466 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Flushing, Hyperhidrosis, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Vomiting-Medium, Additional Details: Patient received first dose of moderna vaccine and within about 13 minutes he started vomiting and sweating. I had him wait for an additional 15 minutes seated until he felt well enough to leave. He refused me calling the ambulance. Someone came to pick him up. Called patient 30 mins later to check up and he said he was okay.


VAERS ID: 1257467 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Dizziness, Flushing, Hyperhidrosis, Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (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), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Dizziness / Lightheadness-Mild, Systemic: vasovagal syncope-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient has a history of vasovagal syncope. Patient fainted a couple minutes after immunization and regained consciousness after 10-20 seconds. Patient BP reading was 102/70 and HR 75 at 10:40am about 40 minutes after administration.


VAERS ID: 1257469 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Flushing, Hyperhidrosis, Seizure, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: patient had a seizure that lasted a few seconds-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Mild


VAERS ID: 1257474 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 1 LA / SYR

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

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

Write-up: Systemic: Fainting / Unresponsive-Mild, Additional Details: called 911. fire and EMT/rescue checked patient. patient declined to go to hospital. Brother was nearby and drove her home.


VAERS ID: 1257635 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cold sweat, Dizziness, Hypotension, Pallor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: After sitting about 15 minutes, patient said he felt lightheaded. He was pale and a little clammy. Gave patient water & stayed with him, because "he might faint". Blood pressure was taken. Initially was low, subsequent readings improved. No Epipen was given. He was talking & seemed to be improving. He was nervous, so 911 was called. He was much better by the time the EMTs arrived. The entire event including EMTs was @ 20 minutes. He felt well enough to shop in the store after.


VAERS ID: 1257691 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Fatigue, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin Calcium 20MG Tablets, Lisinopril-HCTZ - 20-25MG Tablets
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Debilitating and severe joint/muscle pain, fever, headache, significant fatigue.


VAERS ID: 1257697 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-21
Onset:2021-04-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, 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: Daily multi-vitamin, collage, biotin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Headache & significant increase in Tinnitus both ears started 3 - 4 days after second Moderna vaccine shot.


VAERS ID: 1257704 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Dizziness, Eye pain, Headache
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Vestibular disorders (broad)

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

Write-up: Dizziness, coughing, mild headache, and pain behind eyes - took Tylenol Daytime Cold Tablets twice during day - 4/25/21


VAERS ID: 1257707 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fall, Feeling hot
SMQs:, Anticholinergic syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (broad)

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

Write-up: Patient felt dizzy and warm while sitting in chair outside vaccination room, then fell to floor. HCPs immediately went to him, and he came to within seconds. Management stayed with patient while medic evaluated for possible hitting head on floor. No injuries known. Patient was able to leave on his own within 30 minutes.


VAERS ID: 1257711 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-23
Onset:2021-04-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

Write-up: Strong tinnitus in both ears - hear hissing sound all day and night


VAERS ID: 1257737 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-23
Onset:2021-04-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adverse reaction, Erythema, Pain in extremity, Pruritus, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: First vaccine, said she had severe vaginal bleeding.
Other Medications: Women''s vitamins.
Current Illness: None.
Preexisting Conditions: None.
Allergies: Vicodin.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: She got her vaccine, no reaction other than a sore arm. Saturday had the common side effects. Sunday it started out with little welts that were red and itchy, today it is one big welt that is red and itchy. Fever to 100, but that has subsided. Has not taken anything for the reaction.


VAERS ID: 1257738 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Decreased appetite, Myalgia, Neck pain
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Shivering as if cold, loss of appetite, muscle aches throughout torso and neck. Treated with rest and water.


VAERS ID: 1257745 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / UN

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Sore arm, fever, chills, fatigue


VAERS ID: 1258075 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Condition aggravated, 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: Tylenol, Aspirin
Current Illness: None
Preexisting Conditions: Tinnitius
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe worsening of tinnitus. It is much louder than it has ever been.


VAERS ID: 1258217 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chills, Fatigue, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: $g100 degree fever, chills, body aches (particularly in the legs and joints), and fatigue


VAERS ID: 1258245 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Fatigue, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin, Linzess, Flonase
Current Illness:
Preexisting Conditions: Type 1 Diabetes Fibromyalgia Exercise Induced Asthma IBS Constipation Dominant
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fatigue, chills, shivering starting 15 hours post vaccination Significant pain around injection site (clothing brushing on injection site causes sharp pain) Redness and swelling around injection site Redness and swelling extending 2 inches in one direction from injection site


VAERS ID: 1258415 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain, Arthralgia, Chills, Diarrhoea, Headache, Nausea, Pain, Pelvic pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topomax, Zoloft, Kyleena IUD, and ibuprofen
Current Illness: None
Preexisting Conditions: Asthma, anxiety
Allergies: Codeine, sulfa drugs, latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nausea/vomiting/diarrhea, abdominal cramping and pain, headache, body aches (specifically pelvis and shoulders), fever of 101.2, chills


VAERS ID: 1258851 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-01
Onset:2021-04-25
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: not provided
Current Illness: not provided
Preexisting Conditions: "history of blood clots"
Allergies: not provided
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Caller''s husband called the call center on the morning of 4/26 to ask about symptoms that his wife (the patient), who was 24 days post vaccination with Johnson & Johnson COVID-19 vaccine, had experienced the evening of 4/25. He reported that she had developed a severe headache and vomited. She c/o leg and chest pain as well and he reports that she has a history of blood clots but no h/o migraine headaches. At the time of the call his wife was feeling fine. I advised that they discuss with PCP. Having none I advised that she discuss with Urgent Care. I called him back about 6 hours later. They had decided that since since she continued asymptomatic they were not going to seek clinical evaluation. They believe that the symptoms were musculo-skeletal after "spending the whole weekend laying a patio".


VAERS ID: 1258916 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-25
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN RX3379739-07293 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Dizziness, Eye pain, Headache, Influenza like illness, Injection site pain
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (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: Lisinopril 10 mg and Atorvistatin 80mg for high blood pressure and high cholesterol
Current Illness: None
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: None
CDC Split Type:

Write-up: On Saturday April 24, 2021, I began experiencing severe headaches, eyeball pain, light-headiness, weakness and lack of energy, pain at the injection site and flu like symptoms.


VAERS ID: 1258955 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-04
Onset:2021-04-25
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: General symptom, Lacrimation increased, Rhinorrhoea
SMQs:, Lacrimal disorders (narrow)

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

Write-up: Watery eyes, runny nose. Allergy like symptoms but typically don''t have allergies. Also don''t feel like I have cold.


VAERS ID: 1259312 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-03-10
Onset:2021-04-25
   Days after vaccination:46
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Cerebral infarction, Magnetic resonance imaging head abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Dovato, fluconazole, prednisone 2.5mg
Current Illness: HIV, CHF, cortical blindness from prior cryptococcal meningitis
Preexisting Conditions: as above
Allergies: penicillin
Diagnostic Lab Data: MRI brain as above
CDC Split Type:

Write-up: Patient had new acute areas of infarction involving the anterior periinsular cortex and left posterior temporal-parietal cortex.


VAERS ID: 1259506 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Dysphagia, Dyspnoea, Fatigue, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (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: Ibuprofen
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortness of breath, difficulty swallowing (current) Fever, joint pain, tiredness (former: ended on 4/25/21)


VAERS ID: 1260748 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-06
Onset:2021-04-25
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: chest pain


VAERS ID: 1260985 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Menstruation delayed
SMQs:, 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: Multivitamin, zinc 50mg daily, vit d3 2000iu daily
Current Illness: NA
Preexisting Conditions: Na
Allergies: Tetracycline
Diagnostic Lab Data:
CDC Split Type:

Write-up: Last menstrual cycle March 20. Typically 30 day cycles never longer. First dose of covid vaccine was April 2. Was 8 days late for April period. Started on April 26 and was due April 19. Haven?t ever been late more than 1-2 days since onset of periods (23 years ago). About 24-36 hours post 2nd dose I keep getting short 15/20 second headache almost brain freeze on either side of temple. Only happens handful of times 2 days post injection so far.


VAERS ID: 1260993 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Decreased appetite, Diarrhoea, Headache, Hyperhidrosis, Myalgia, Pain, Pain of skin, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: Birth control
Current Illness: No
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever up to 102.1. Vomiting and diarrhea. Lack of appetite. Aches and pains, sore muscles and joints. Excessive chills and sweating. Headache. Painful skin.


VAERS ID: 1261025 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-16
Onset:2021-04-25
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

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

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

Write-up: Newly occurring arm pain and redness at the injection site, 6 weeks after the injection.


VAERS ID: 1261041 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-14
Onset:2021-04-25
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: None
Preexisting Conditions: Overweight / obese - BMI 32
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red, itchy rash on left deltoid near injection site 9 days after shot. Slightly swollen & increasing in diameter a day later


VAERS ID: 1261775 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-23
Onset:2021-04-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (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: Penicillin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Redness, hot, hard, itchy area at injection site


VAERS ID: 1262109 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site induration, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The day following vaccine administration, patient developed knot at vaccine and rash, which is still present.


VAERS ID: 1262117 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-14
Onset:2021-04-25
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chills, Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (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: Soreness at vaccine site
Other Medications: Fluoxetine, Metformin, Nasacort, vitamin c, Bee Propolis, Centrum Silver, Xyzal, Lutein, Viactiv, Fiber Choice
Current Illness: None
Preexisting Conditions: Diabetes
Allergies: Chestnuts, decongestants
Diagnostic Lab Data:
CDC Split Type:

Write-up: Diarrhea, joint aches, chills


VAERS ID: 1262206 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Pruritus, Rash, Swelling, Urticaria
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu vaccine, hives, age 40
Other Medications: Citalopram, Benazepril, Buspirone, Montelukast, Simvastatin, Betamethasone Foam. Multi-vitamin. Melatonin.
Current Illness: Seasonal allergies
Preexisting Conditions:
Allergies: Sulfa Penicillin
Diagnostic Lab Data: No medical tests were done.
CDC Split Type:

Write-up: Developed a rash/hives on the right inside and outside elbow area within the first 24 hrs approximately. By Sunday evening, I also had a rash on the back of my right bicep area. The rash is raised bumps which appear to be similar to a blister. On Monday, the rash became more severe on my inner elbow area with severe itching. On Tuesday morning, I also had a small rash/blisters on my left inner forearm. On Tuesday, 4/27 I did go to my family doctor and was diagnosed with hives and being treated with Famotidine and Zyrtec.


VAERS ID: 1262211 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037021A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal discomfort, Decreased appetite, Fatigue, Feeling abnormal, Headache, Influenza like illness
SMQs:, Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Norvasc, Dyazide, Potassium, Flonase, Azelastine, Xanax, Ambien, Aprostadil, Cialis
Current Illness: none
Preexisting Conditions: High blood pressure, high cholestoral, anxiety
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Flu-like. Extreme fatigue, headache, no appetite, intestinal distress, brain fog


VAERS ID: 1262268 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft Adderall Lisinopril
Current Illness: None
Preexisting Conditions: High Blood Pressure
Allergies: None
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Fever, headache, aching


VAERS ID: 1262270 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Pain, Pain of skin, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: Lexapro 10 mg qd, Adderall 10 mg tid
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, chills, muscle aches, teeth chattering, painful to touch all over body, exhaustion. Starting around 11:30 pm. Fever and chills subsided around 3:00 am on 4/26. Muscle were sore and body aches until around 11:00 am 4/26. Tired and drowsy all day 4/26.


VAERS ID: 1262281 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-17
Onset:2021-04-25
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Discomfort, General symptom, Joint range of motion decreased
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Deep left shoulder pain, decreased range of motion. Mild symptoms the day of the vaccination that went away fairly quickly. The recurrence of the discomfort and the severity constitute the possible adverse reaction


VAERS ID: 1262395 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-09
Onset:2021-04-25
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dry skin, Hypercarotinaemia
SMQs:, 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: Tumeric... Ibuprofen... Allopurinal... Reishi mushroom. French pinebark, querciten,, vit c
Current Illness: Nothing
Preexisting Conditions: Asthma psoriatic arthritis. diabetes
Allergies: To many foods to list... Excluding shellfish dairy and eggs they are ok
Diagnostic Lab Data: Nothing yet
CDC Split Type:

Write-up: On the 25 of april my palms started turning orange in the cracks and it is.slowly spreading


VAERS ID: 1262510 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-18
Onset:2021-04-25
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Same reaction to the flu shot every year as I am having to the COVID vaccine.
Other Medications: Lexapro 5mg, norethindrone 0.35mg
Current Illness:
Preexisting Conditions: Chronic tension headaches
Allergies: Tree nuts, avocados, beta blockers, blood pressure meds, other unknown sensitivities
Diagnostic Lab Data:
CDC Split Type:

Write-up: A week after I got my vaccine, I am having what I found online to be called ?COVID arm?. Redness, swelling, itching and slight pain at the area of vaccination on my left arm. I had all of these when I got the vaccine, they started to die down and then came back around a week after the vaccine was administered. I had no other adverse reactions or signs of allergic reaction to the vaccine.


VAERS ID: 1262626 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007B21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: More mild version of described symptoms for second dose in series, swelling and pain at injection site and body aches. Patient
Other Medications: Methylphenidate 20mg every 6 hours Trazodone 200mg in the evening Losartan 200mg daily Hydrochlorothiazide 12.5mg daily Paroxetine 40mg daily
Current Illness: Anxiety disorder(s) Behavioral/Emotional disorder(s) Essential Hypertension
Preexisting Conditions: Anxiety disorder(s) Behavioral/Emotional disorder(s) Essential Hypertension
Allergies:
Diagnostic Lab Data: No medical care sought.
CDC Split Type:

Write-up: No noticeable symptoms on the first day. On day two, the patient experienced swelling and pain in the left arm which evolved into flu-like body aches and pains, as well as a fever not exceeding 101 F. This continued until day 3 in which symptoms were still present but much improved.


VAERS ID: 1262840 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 22 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Dizziness, Fatigue, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever, chills, muscle soreness, fatigue, lightheaded


VAERS ID: 1263540 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Dysphonia, Eye irritation, Eye pruritus, Headache, Nausea, Oropharyngeal discomfort, Sinus operation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Corneal disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Eliquis, Synthroid, Spironolactone, Carvedilol, Lisinopril, Torsemide, Rosuvastatin, Baby Aspirin, Tylenol, Tramadol, Nexium
Current Illness:
Preexisting Conditions: Heart issues...pace maker, leaky valves, etc. Hypothyroidism. Past cancer, chemo treatments.
Allergies: Reglan
Diagnostic Lab Data:
CDC Split Type:

Write-up: Within 10 minutes of getting the vaccine I started having hay fever- like symptoms. Sinus drainage, itchy, burning eyes, runny nose, scratchy throat, hoarse voice. This lasted for several hours. It again worsened during the night and next day I had bouts of nausea and some head ache.


VAERS ID: 1264511 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-25
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Lymph node pain, Muscle spasms, Pain in extremity
SMQs:, Dystonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASPRIN; TYLENOL
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210451203

Write-up: SEVERE LEFT LEG CRAMP; PAIN IN LEFT ARM LYMPH NODES; PAIN IN LEFT ARM; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. Concomitant medications included acetylsalicylic acid, and paracetamol. On 25-APR-2021, the subject experienced severe left leg cramp. On 25-APR-2021, the subject experienced pain in left arm lymph nodes. On 25-APR-2021, the subject experienced pain in left arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the severe left leg cramp, pain in left arm and pain in left arm lymph nodes was not reported. This report was non-serious.


VAERS ID: 1264854 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Hyperhidrosis, Pain
SMQs:, Neuroleptic malignant 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: Flu shot
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 5 hours after the shot I experienced cold chills, sweating, and sever body aches


VAERS ID: 1265409 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-11
Onset:2021-04-25
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram normal, Joint dislocation, Magnetic resonance imaging, Mental status changes, Seizure
SMQs:, Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (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? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: To date, normal CAT scan, waiting on MRI results, and is scheduled for EEG.
CDC Split Type:

Write-up: Patient reports seizures on 4/25/2021 requiring 911 call, ambulance, and hospitalization stay. Patient mental status changed to violent and resulted in a dislocated shoulder when hospitalized. Patient has no history of seizures or violent behavior.


VAERS ID: 1265453 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Body temperature increased, Chills, Crying, Dehydration, Dizziness, Feeling cold, Gait disturbance, Headache, Nausea, Nervousness, Pain, Palpitations, Sleep disorder, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Serum sickness 5-6 years ago following a flu and pneumonia shot administered in the same location on the same day. I was I?ll fo
Other Medications: Rosuvastatin 10mg tab x1/day
Current Illness: None
Preexisting Conditions: None
Allergies: Bees, latex
Diagnostic Lab Data: No tests or visits. I called to my doctor but was too confused to convey my needs due to fever, I suspect. Not quite recovered 100%, but better than I was, originally.
CDC Split Type:

Write-up: By 6pm I noticed something wasn?t right. I could t get warm, even when sitting in the sunshine. By 9pm the chills had turned to fever. My temperature at 9pm was 101.2F. I also had a headache and started to feel a bit shaky. By 10pm I had body aches and was in bed with 3 blankets on me and still could not get warm. My temp was 102.7 at 10pm. I tried to sleep. At midnight I awoke to a fever of 104.8 and could only cry. The worst body aches, headache, racing heart and dizziness, nausea and vomiting (after additional aspirin were taken to relieve the fever). I was very weak in an alarmingly rapid period. I stayed in this condition until approximately 6:30am on 4/26. At 7am my temp was 102.5 and I found it hard to make it back and forth to the bathroom, due to dizziness and weakness. By noon, the temp was back up to 103.1 and I could barely cry, as I suspected I was then close to dehydration. I focused on hydration and slept as much as possible. The fever slowly came down to its current 100.4 at 11pm on 4/27. This has been an alarming reaction to a vaccine. I have had serum sickness previously, so maybe that is a factor that should also be considered. I hope this is helpful.


VAERS ID: 1265603 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstrual disorder
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

Write-up: I am experiencing heavy mensuration following the vaccine. I just had my period two weeks ago. This is not normal.


VAERS ID: 1265604 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lip swelling
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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: LIP SWELLING


VAERS ID: 1265606 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-04-18
Onset:2021-04-25
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth, Pain
SMQs:, Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa, Adderal, Singulair, vitamins ( 2 one a day women?s) and vitamin b6
Current Illness: No
Preexisting Conditions: No
Allergies: Dust, mold, pollen, cats, birch trees
Diagnostic Lab Data:
CDC Split Type:

Write-up: Round rash around site of the injection in 7 th day after vaccine given. Very itchy, swollen, hard and warm to touch. Felt a little off. Tired and achy.


VAERS ID: 1265627 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Condition aggravated, Disturbance in attention, Dizziness, Dysstasia, Electrocardiogram normal, Fear, Feeding disorder, Feeling abnormal, Gait disturbance, Heart rate increased, Immediate post-injection reaction, Impaired driving ability, Insomnia, Mobility decreased, Nausea, Pain, Palpitations, Pyrexia, Respiratory rate increased, SARS-CoV-2 antibody test negative, Sleep disorder, Weight decreased
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol - 12.5 mg Lisinopril - 2.5 mg Magnesium- 500 mg CoQ10 - 200 mg Fish Oil - 1000 mg D3 - 5000 IU Hairfact Daily Men?s Supplement
Current Illness: Severe reaction to first dose of Moderna vaccine lot number 039A21A on 3/26/21 requiring ER monitoring within 30 minutes due to trouble breathing, chest pain, PVCs, difficulty driving a car home. I did not feel fully recovered for two weeks and an antibody test the next day showed no antibodies to indicate a COVID exposure prior to the vaccine.
Preexisting Conditions: Arrythmogenic Right Ventricular Dysfunction/ Cardiomyopathy (ARVD/C) Asthma from workplace mold exposure
Allergies: EKG lead skin allergy
Diagnostic Lab Data: 3/26- (ER) - EKGs, vitals, SpO2 - normal. 3/27 - urgent care visit, Covid antibody test negative. 4/26 - none. Home monitored EKG, SpO2, body temperature. Elevated heart rate in normal sinus rhythm, no decrease in SpO2, but high fever and increases heart contractility, increased cardiac polarization in RS wave.
CDC Split Type:

Write-up: Immediately felt weak and light headed the same as the first shot, but did not incur breathing difficulties. Gradually became weaker as the day went on. 13 hours later, at 3AM, awoke due to severe pain, chills, and fever that progressively worsened to about 103 degrees and did not drop below 100 for another 17 hours. Resting heart rate elevated over 30 bpm and respiration rate doubled. Pounding heart made it impossible to sleep. Had to double beta blocker dosage to reduce heart contractility to prevent chance of further scarring of ventricular tissue due from any myocarditis caused by the vaccine. Could not leave bed and could barely stand to go to the bathroom. Lost 5 pounds in one day. Couldn?t eat. Felt nauseas. Contemplated going to ER but didn?t feel I?d make it without passing out. Still having difficulty walking any distance without feeling like passing out more than 72 hours after vaccination absent any arrhythmia. Experienced non-sustained arrhythmias after the first vaccine dosage doing normal household activities that required me to stop what I was doing to prevent a defibrillator shock. I have a feeling of brain fog, difficulty concentrating or sleeping. It was a struggle to drive a vehicle to restock of fluids and electrolytes today. I fear this vaccine is making my health worse.


VAERS ID: 1265631 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-23
Onset:2021-04-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Injection site discomfort, Nausea, Somnolence, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vit(s) D, K, B12, B Complex, Calcium, Zinc, Selenium, Omega 3s
Current Illness: None
Preexisting Conditions: Thyroid nodules, auto-immune condition
Allergies: Erythromycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: 4-23-21 Discomfort at injection site, otherwise feeling very good. 4-25-21 At approx. 10 PM experienced rapid onset of acute nausea and mild vertigo. 4-26-21 After a sound night''s sleep by 7 AM, the above (4-25) symptoms diminished. However, by 10 AM nausea symptoms became acute AND vertigo symptoms markedly increased, making the room look like it was spinning. Patient was able to bed rest until 1 pm and felt much better with symptoms markedly diminishing to low level ''dull nausea''. 4-27-21 After sound sleep, all above symptoms tapered off, leaving patient with very low energy level, yet able to perform ADLs--and feeling more homeostasis by 8 PM.


VAERS ID: 1265634 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cough, Fatigue, Influenza like illness, Nausea, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline 150mg per day Hydroxyzine 25mg 3x per day PRN Mirtazapine 5mg at night
Current Illness: None
Preexisting Conditions: High LDL
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Severe congestion 2 days Cough - still present on 3 day after shot Runny nose 2 days Body aches 3 days Fatigue 3 days Nausea 1 day Chills 1 day Fever evening of second day I was feeling great until the night of the shot, then became more fatigued and achy . It felt like the flu.


VAERS ID: 1265935 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-20
Onset:2021-04-25
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, 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: Diltiazem ER 240mg
Current Illness:
Preexisting Conditions: Hypertension, FSGS, tinnitus
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Worsening of preexisting tinnitus


VAERS ID: 1266091 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-06
Onset:2021-04-25
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Dyspnoea, Haematocrit normal, Haemoglobin decreased, Pain in extremity, Platelet count normal, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B12, levonorgestrel-ethinyl estradiol 0.1-20 mg, ketoconazole shampoo, doxycycline, diclofenac 1% gel, esomeprazole 40 mg, fluoxetine 10 mg, valacyclovir 1 g daily, metronidazole 1% gel
Current Illness:
Preexisting Conditions: Vitamin D deficiency, GERD, bariatric surgery, chronic low back pain without sciatica, chronic neck pain, ANA positive, premature ovarian insufficiency, secondary oligomenorrhea, esophagitis, ANA positive
Allergies: Ortho Evra - hives
Diagnostic Lab Data: H/H 11.9/36%, Platelets 260 cells/mm3, CTPE showing LLL small occlusive PE in subsegmental pulmonary artery
CDC Split Type:

Write-up: Patient received COVID J&J vaccine on 4/6, Presented to ED on 4/27/21 with complaint of 3 days of increasing leg pain and SOB


VAERS ID: 1266096 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041B21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Diarrhoea, Fatigue, Hyperhidrosis, Pyrexia, Sleep disorder, Tongue biting
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (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:
Other Medications: Lamotrogine
Current Illness: nipe
Preexisting Conditions: epilepsy - successfully controlled by lamotrogine for 15 years
Allergies: had a bad reaction to leviquine
Diagnostic Lab Data: nope
CDC Split Type:

Write-up: EXTREME chills and fever. Alternated 4 or 5 cycles. Woke up with having thrown off my blankets and had to get ice packs and open windows to cool down enough to sleep, a few hours later woke up SHIVERING like I never have before. I thought I was convulsing until I realized I could control it with my breathing. I was shivering so hard that I bit my tongue several times. I didn''t have much energy so it took several minutes before I could grab blankets and even longer before I could close the window. I was wrapped in several layers of blankets and was still shivering until I fell asleep. I woke up again and my blankets were soaked in my sweat. This cycle got more and more intense until the next day. *I''ve been hospitalized with pneumonia and this felt 100 times worse. The next day, I had the worst diarrheic that I''ve ever had, sudden urge.. barely made it to toilet and INSTANTLY discharged what felt like a gallon of brown liquid (it was probably less but felt pretty nasty).


VAERS ID: 1266107 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Hyperhidrosis, Insomnia, Pain
SMQs:, Neuroleptic malignant 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: Covid Arm (severe itch @ injection site), Moderna Dose #1, 4/9/21
Other Medications: Prilosec, Vitamin D
Current Illness: None
Preexisting Conditions: Hay fever
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Headache/Sweating/Insomnia- 2:30AM 4/25/21 Body Aches/Fatigue- 10AM 4/25/21 All Symptoms Self-Resolved- 4PM 4/26/21


VAERS ID: 1266140 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

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

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

Write-up: 4 days of chills, nausea, not sleeping but constantly tired.


VAERS ID: 1266160 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Incorrect route of product administration
SMQs:, Drug abuse and dependence (broad), Medication errors (narrow)

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

Write-up: Error: Wrong Route (SC, IM, etc.)


VAERS ID: 1266256 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product reconstitution quality issue, Unevaluable event
SMQs:, Medication errors (broad)

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

Write-up: Error: Incorrect Reconstitution


VAERS ID: 1266258 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 003C21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, Feeling hot, Headache, Induration, Limb discomfort
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red circle on upper part of my arm, warm to the touch and hard. It has gotten better each day. Headache as well.


VAERS ID: 1266261 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 003C21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, Feeling hot, Headache, Induration, Limb discomfort
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red circle on upper part of my arm, warm to the touch and hard. It has gotten better each day. Headache as well.


VAERS ID: 1266272 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 AR / IM

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

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

Write-up: Error: Incorrect Reconstitution


VAERS ID: 1266414 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-22
Onset:2021-04-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dry eye, Eye disorder, Facial paralysis
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Aranesp, Paracalcitol, Renvela renal multi vitamin, calcitriol, folic acid, aspirin, pantoprazole, carvedilol, lisinopril, warfarin
Current Illness:
Preexisting Conditions: End stage renal disease, anemic in chronic renal failure, renal osteodystrophy, congestive heart failure, hypertension
Allergies: penicillins, protamine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient presented to the emergency room with right sided facial droop including foreheady, +bells sign, no sensation deficits, no other focal numbness or weakness. Patient also reports dry eye which cannot close. In rhe ER he received 60mg prednisone and, 1000mg valtrex. He received prescription for prednisone (60mg/day for 5 days), valtrex (3 grams/day for 7 days) and hypromellose artifical tear drops). He as instructed to with PCP and neurology.


VAERS ID: 1266728 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Joint swelling, Lymphadenopathy, Nausea, Peripheral swelling, Pyrexia, Rash erythematous, Rash pruritic
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Fatigue (still ongoing), Swollen lymph nodes in neck and underarms (still ongoing), Fever (day 1 evening and into day 2), Nausea (day 1 evening and into day 2), Headache (day 1 and into day 4), Chills (day 1 and into day 4), Red itchy rash causing swelling on top of wrists on both arms (started day 3 and still ongoing)


VAERS ID: 1267069 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-02
Onset:2021-04-25
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Chills, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hearing impairment (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Next day fever and chills Bell?s palsy on 4/25/2021


VAERS ID: 1267864 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-25
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Confusional state, Headache, Impaired driving ability, Loss of consciousness, Rash
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, cyclobenzaprin (not that morning) if at all that day. I usually take Gabapentin but have been out for a while.
Current Illness: None
Preexisting Conditions: Bad back
Allergies: Mostly antibiotics. Augmentin, Levaquin, Amoxacilin. Levaquin being the worst. Been years since I took it but you don''t forget.
Diagnostic Lab Data: None. Stayed home and rest.
CDC Split Type: 1725RQ

Write-up: Rash on arm, then bad headaches, real bad headaches, When driving this last Monday. I would pass out at the wheel. At least 4 times I jumped the median. Got lost in a nearby neighborhood. Once I figured out what was going on I went straight home.


VAERS ID: 1268191 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Malaise, Nodule, Pyrexia, Skin warm
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamins & Botox for migraines
Current Illness:
Preexisting Conditions: Migraines
Allergies: Peanuts, pork, & gluten
Diagnostic Lab Data:
CDC Split Type:

Write-up: That night (Sunday) and all the following day, I had a sick feverish feeling without an actual temperature. Also even three days later, I have a 3 1/2 knot on my arm that is hot to the touch. The feverish feeling did go away by Tuesday.


VAERS ID: 1268686 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-01
Onset:2021-04-25
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Cough, Dyspnoea, Influenza like illness, Limb discomfort, Pollakiuria, Pruritus, Pyrexia, Restlessness, Thrombosis, Tremor, Ultrasound scan abnormal
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Akathisia (broad), Parkinson-like events (broad), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypersensitivity (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Na
Current Illness: None
Preexisting Conditions: Heart Stents installed Mar 2020
Allergies: No
Diagnostic Lab Data: Doppler sonogram on left calf showed blood clotting
CDC Split Type:

Write-up: Flu-like symptoms chills fever up and down shortness of breath itchy skin dry cough shaky hands restless urinating frequently urination blood clotting in calves


VAERS ID: 1269214 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-25
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Diarrhoea, Fatigue, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210453719

Write-up: DIARRHEA; VOMITING; CHILLS; FATIGUE; NAUSEA; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042a21a, and expiry: 21-JUN-2021) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-APR-2021, the subject experienced diarrhea. On 25-APR-2021, the subject experienced vomiting. On 25-APR-2021, the subject experienced chills. On 25-APR-2021, the subject experienced fatigue. On 25-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills, fatigue, nausea, diarrhea and vomiting was not reported. This report was non-serious.


VAERS ID: 1269286 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-25
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Clots; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of THROMBOSIS (Clots) in a 38-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Apr-2021, the patient experienced THROMBOSIS (Clots) (seriousness criteria hospitalization and medically significant). The patient was hospitalized on 25-Apr-2021 due to THROMBOSIS. At the time of the report, THROMBOSIS (Clots) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications reported. No treatment information provided.; Sender''s Comments: Limited information regarding the event has been provided at this time and a causal relationship cannot be excluded


VAERS ID: 1269630 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-03-25
Onset:2021-04-25
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Headache, Influenza like illness, Myalgia, Pyrexia, SARS-CoV-2 test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: divalproex sodium Wellbutrin
Current Illness:
Preexisting Conditions: Type II diabetes
Allergies: None
Diagnostic Lab Data: COVID test 04/26/2021. Nasal swab. Results negative.
CDC Split Type:

Write-up: Four weeks after 2nd vaccine. Definite flu-like symptoms. Fever, headache, muscle aches, severe fatigue. Duration 48 hrs.


VAERS ID: 1269653 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-01
Onset:2021-04-25
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Carbohydrate antigen 125 increased, Menstruation delayed
SMQs:, Tumour markers (narrow), Uterine and fallopian tube malignant tumours (broad), Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ca125 4/27/2021
CDC Split Type:

Write-up: Late period, marked increase of CA125


VAERS ID: 1269676 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-21
Onset:2021-04-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: School       Purchased by: ?
Symptoms: Condition aggravated
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: Birth control (Tri Lo)
Current Illness: N/A
Preexisting Conditions: I have pityriasis rosea. I was diagnosed about two years ago. Before i got the vaccine the mother patch was on my arm. When i got the first shot of the vaccine, the pityriasis flared up a few days after and left a lot of bumps on the arm it was injected into
Allergies: N/A
Diagnostic Lab Data: I was diagnosed with pityriasis rosea in 2019
CDC Split Type:

Write-up: pityriasis rosea flared up EXTREMELY fast. In places i''ve never had it before for example on my neck or all over my arm where the vaccine was injected. It happened a few days after i got the vaccine


VAERS ID: 1269993 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Maine  
Vaccinated:0000-00-00
Onset:2021-04-25
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue
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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210452621

Write-up: FATIGUE/TIREDNESS; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 25-APR-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 25-APR-2021, the subject experienced fatigue/tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fatigue/tiredness on 26-APR-2021. This report was non-serious.


VAERS ID: 1270118 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-12
Onset:2021-04-25
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster, Skin burning sensation
SMQs:, Peripheral neuropathy (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ocrevus
Current Illness: MS
Preexisting Conditions: MS
Allergies: NKA
Diagnostic Lab Data: clinic visit April 27
CDC Split Type:

Write-up: Burning sensation on stomach Felt like sunburn but without redness or rash two weeks later bumps formed Clinic diagnosed as shingles Was prescribed Valacyclovir Medication dose will end May 2 I am due for my second dose May 3. Am wondering if the shingles will interfere with the second dose or should I reschedule


VAERS ID: 1270190 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood urine, Burning sensation, Culture, Diarrhoea, Headache, Lymphadenopathy, Myalgia, Nausea, Pyrexia, Renal pain, SARS-CoV-2 test negative, Vaccination complication
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 125mcg
Current Illness: No
Preexisting Conditions: No
Allergies: bactrim and immetrex
Diagnostic Lab Data: Covid tested negative 4/27/21. Kidneys showed blood in urine, but no meds. waiting for culture to come back
CDC Split Type:

Write-up: Fever, joint aches, muscles aches, nausea, diarrhea, headache, lymph notes now swollen, kidney are on fire, all symptoms were coming and going, now fever will not go away, headache will not go away. My doctors office wouldn''t even see me, they sent me to urgent care. Everyone says the same, it will go away and its not. NO ONE IS HELPING ME. I FEEL SILO''D. I work a full time job, if I had covid, I''m covered, but because its adverse affects from the shot, I''m not.


VAERS ID: 1270800 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-03-11
Onset:2021-04-25
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast tenderness, Menstruation irregular
SMQs:, 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:
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Breast tenderness, then 3 days later started period. (I''m post menopausal)


VAERS ID: 1270989 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-25
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ALLOPURINOL, AMLODIPINE, ASPIRIN, HYDROCHLOROTHIAZIDE, METFORMIN, METOPROLOL, TAMSULOSIN
Current Illness: UNKNOWN
Preexisting Conditions: BPH, TYPE 2 DIABETES, DIABETIC PERIPHERAL NEUROPATHY, GOUT, HYPERTENSION, HYPOKALEMIA, OBESITY
Allergies: NONE
Diagnostic Lab Data: SARS-CoV-2 PKELM PCR TEST POSITIVE 4/27/21
CDC Split Type:

Write-up: COVID VACCINE BREAKTHROUGH CASE


VAERS ID: 1271479 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-07
Onset:2021-04-25
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Full blood count, Headache
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcium, aspirin 81 mg, calcium, estrace cream, multivitamin, omega 3, vitamin c
Current Illness: none
Preexisting Conditions: none
Allergies: Penicillin
Diagnostic Lab Data: CBC and differential, Complete physical exam .
CDC Split Type:

Write-up: Non intractable headache, unspecified headache type


VAERS ID: 1272046 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 - / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Hyperhidrosis, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Nora B birth control
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Extreme chills to excessive sweats back and forth. Vomiting every couple of hours. Started at 11:00pm after day of shot (Sunday) stopped 10am 2 days later (Tuesday). No outside treatment. Water, gaterade, crackers and over the counter pain reliever.


VAERS ID: 1272711 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-06
Onset:2021-04-25
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time shortened, Atrial fibrillation, Blood fibrinogen normal, Blood potassium increased, Contusion, Diarrhoea, Fibrin D dimer normal, Headache, Hyperkalaemia, International normalised ratio increased, Pain in extremity, Peripheral swelling, Platelet count decreased, Thrombophlebitis superficial, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Liver-related coagulation and bleeding disturbances (narrow), Angioedema (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Supraventricular tachyarrhythmias (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: colace, omeprazole, diclofenac ophthalmic, carvedilol, atorvastatin, clopidogrel, vitamin d3, amlodipine, prednisone, insulin, tacrolimus, aspirin
Current Illness: none reported
Preexisting Conditions: congestive heart failure, coronary artery disease, carotid artery stenosis, diabetes, diabetic neuropathy, peripheral artery disease, chronic renal failure status post renal transplant, hypertension, multiple prior digit amputations
Allergies: nkda
Diagnostic Lab Data: platelet count 115, INR 1.2, PTT 30.4, fibrinogen 310, d-dimer 184 D-DU. Ultrasound of left upper extremity shows superficial thrombus in left basilic vein. patient also had mild hyperkalemia with potassium of 5.4, was treated and later developed new atrial fibrillation with rapid ventricular response. patient admitted to the hospital.
CDC Split Type:

Write-up: initially had mild headache and diarrhea but this resolved after a few days. Then around 4/25, developed atraumatic bruising and swelling and pain to the left biceps region (opposite side from vaccine). denied current headache/visual symptoms/abdominal pain or other bleeding/bruising.


VAERS ID: 1273263 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-12
Onset:2021-04-25
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Movement disorder, Pain in extremity, Peripheral swelling, Ultrasound scan, X-ray
SMQs:, Cardiac failure (broad), Angioedema (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Effexor, Rosuvastatin, Femhrt Low Dose
Current Illness: None
Preexisting Conditions: None except High Cholestol
Allergies: None
Diagnostic Lab Data: See 18 above
CDC Split Type:

Write-up: Woke up April 25, 2021 at 9:00 am with left shoulder pain. Throughout the day the pain became intense and unbearable. It had also swelled considerably. I could not lift my arm at that point. At approximately 10:00 pm I went to the hospital. I was given an Ultrasound on left arm and shoulder to check for blood clots which was negative. I was also given an Xray on left shoulder to check for bone abnormalities which was negative. I was diagnosed with "COVID shoulder", released and given pain medication. Was told to follow up with family practitioner. Went to Dr. on Tuesday, April 27, 2021 who confirmed the diagnosis. Blood was taken which showed elevated white blood cells.


VAERS ID: 1275515 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-13
Onset:2021-04-25
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood potassium decreased, Blood test, Chest X-ray, Echocardiogram, Electrocardiogram, Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad), Hypokalaemia (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: shellfish erythromycin
Diagnostic Lab Data: EKG 04/25/2021 Blood levels 04/25/2021 Chest xray 04/25/2021 EKG 04/28/2021 ECHOCARDIOGRAM and holter monitor scheduled for 05/17/2021
CDC Split Type:

Write-up: heart palpitations. Rapid pulse rate. Went to the ER and had an EKG/ Chest xray and blood draw. Low potassium and was referred to the cardiologist. The cardiologist did an EKG and noticed that I had an issue in my QRS complex on V1. I have an echocardiogram on March 17th and a Holter monitor for 48 hours. I am still having the palpations and was advised to eat foods high in potassium.


VAERS ID: 1275755 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-09
Onset:2021-04-25
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bupropion Vitamins D3, Bcomplex Collagen CoQ10 Alphalipoic acid
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Muscle aches Chills Severe fatigue


VAERS ID: 1276776 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-03-27
Onset:2021-04-25
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007B21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Dyspnoea at rest, Dyspnoea exertional, Heart rate, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Respiratory failure (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: 20210426; Test Name: Pulse; Result Unstructured Data: consistently in the 90-100''s range starting 26-Apr-2021
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Feels uneasy and weak; Pulse is consistently in the 90-100''s range; She is out of breath at times with exertion; She is out of breath at times at rest; This spontaneous case was reported by a patient family member or friend and describes the occurrence of DYSPNOEA AT REST (She is out of breath at times at rest) in a 33-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006C21A and 007B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 27-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 25-Apr-2021, the patient experienced DYSPNOEA AT REST (She is out of breath at times at rest) (seriousness criterion medically significant) and DYSPNOEA EXERTIONAL (She is out of breath at times with exertion). On 26-Apr-2021, the patient experienced ASTHENIA (Feels uneasy and weak) and HEART RATE INCREASED (Pulse is consistently in the 90-100''s range). At the time of the report, DYSPNOEA AT REST (She is out of breath at times at rest), ASTHENIA (Feels uneasy and weak), HEART RATE INCREASED (Pulse is consistently in the 90-100''s range) and DYSPNOEA EXERTIONAL (She is out of breath at times with exertion) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Apr-2021, Heart rate: 90-100''s /min (High) 90-100''s. Concomitant product use was not reported. Treatment information was not provided. The patient received both scheduled doses of mRNA-1273 prior to the event(s); therefore, action taken with the drug in response to the event(s) is not applicable.; Sender''s Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.


VAERS ID: 1277925 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

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

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

Write-up: Light spotting that lasted for about 3 days. It was contained with a thin panty liner. Brown in color. Naturally cleared up on its own.


VAERS ID: 1282280 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-25
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, COVID-19, Dyspnoea, Hypoxia, Lung opacity, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Interstitial lung disease (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Insulin Metformin Mobic
Current Illness: None Acute
Preexisting Conditions: Type 2 Diabetes mellites
Allergies: Hydrocodone Vicodin
Diagnostic Lab Data: CT-A thorax in light of his hypoxia and recent J&J vaccine, and that ruled out a pulmonary embolus but showed patchy bilateral GGO consistent with COVID.
CDC Split Type:

Write-up: hx RA on Humira, HTN, IDDM, obesity, OSA untreated, essential tremor, TIA''s, recent J&J covid vaccine on 4/8. He began developing symptoms of covid on about 4/14, testing positive on 4/16. Presented due to COVID 19 symptoms including dyspnea.


VAERS ID: 1282301 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-06
Onset:2021-04-25
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Catheterisation cardiac, Chest pain, Computerised tomogram, Diarrhoea, Magnetic resonance imaging heart, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), 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? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Truvada
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: Avocado
Diagnostic Lab Data: mri, catscan, cardiac catherterization - april 29th
CDC Split Type:

Write-up: Mycrocarditis, truponin levels were at 20, Diahreah , chest pain, back pain -1 werk


VAERS ID: 1282884 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-10
Onset:2021-04-25
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Computerised tomogram thorax, Deep vein thrombosis, Pulmonary embolism, Thrombectomy, Ultrasound scan, Uterine leiomyoma
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Alvesco and albuterol inhaler as needed
Current Illness: None
Preexisting Conditions: asthma, found to have large fibrous uterus compressing on IVC
Allergies: eggs, penicillins and tetracyclines
Diagnostic Lab Data: Ultrasounds of bilateral lower extremities and CT chest done on 4/28 and 4/30
CDC Split Type:

Write-up: Large DVT and pulmonary embolism requiring anticoagulation and hospitalization. Also found to have a large fibroid uterus compressing IVC which likely contributed to IVC. Patient ended up needing mechanical thrombectomy to help relieve clot burden.


VAERS ID: 1284470 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-10
Onset:2021-04-25
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Activated partial thromboplastin time prolonged, Blood fibrinogen normal, Cerebral venous sinus thrombosis, Fibrin D dimer increased, Full blood count, Haemoglobin decreased, Headache, Heparin-induced thrombocytopenia test, International normalised ratio increased, Magnetic resonance imaging head abnormal, Platelet count normal, Superior sagittal sinus thrombosis, Transverse sinus thrombosis
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: OCP
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin, Penicillin
Diagnostic Lab Data: CBC on 5/1/2021: hgb 11.7 g/dL, plt 287,000 D-dimer on 5/1/2021: 24,228 ng/mL Fibrinogen on 5/1/2021: 395 mg/dL INR on 5/1/2021: 1.2 PTT on 5/1/2021: 32 HIT antibodies on 5/1/2021: negative
CDC Split Type:

Write-up: Headache onset 2 weeks after vaccination. Brain MRI on 4/30/2021 showed subacute dural venous sinus thrombosis affecting the superior sagittal, left transverse and sigmoid sinuses.


VAERS ID: 1284672 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-25
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Eye swelling, Headache, Herpes zoster
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210459553

Write-up: SHINGLES; LEFT EYE SWOLLEN; SORENESS ON THE HEAD; This spontaneous report received from a patient concerned a 64 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, and expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-APR-2021, the subject experienced shingles. On 25-APR-2021, the subject experienced left eye swollen. On 25-APR-2021, the subject experienced soreness on the head. On 28-APR-2021, treatment medications included: valaciclovir. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from shingles, and the outcome of soreness on the head and left eye swollen was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1284863 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-24
Onset:2021-04-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaphylactic reaction
SMQs:, Anaphylactic reaction (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CARBIDOPA LEVODOPA; LEXAPRO; OMEPRAZOLE; DUTASTERIDE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Liver carcinoma; Melanoma; Parkinson''s disease; Peanut allergy; Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021476772

Write-up: anaphylactic allergic reaction; This is a spontaneous report from a contactable consumer (patient). A 57-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 24Apr2021 13:30 (Batch/Lot Number: ER8736) as SINGLE DOSE for covid-19 immunisation, 57 years old. Medical history included Parkinson''s disease, Melanoma Cancer, Small Cell cancer in liver, allergies: Penicillen, and allergies: Peanuts from an unspecified date. Concomitant medications included carbidopa, levodopa (CARBIDOPA LEVODOPA); escitalopram oxalate (LEXAPRO); omeprazole; dutasteride (DUTASTERIDE), taken for an unspecified indication, start and stop date were not reported. The patient previously took hydrocodone and experienced allergies. Patient did not have COVID prior vaccination and was not tested for COVID post vaccination. No other vaccines in four weeks. On 25Apr2021 13:45 (also reported as after about one minute after injection) patient went into an anaphylactic allergic reaction with symptoms of throat constricted, could not breathe, and Dizziness. The patient was given EPIPEN injection by pharmacy employee and was taken to local ER by ambulance. Patient was given care by ER staff via steroid IV and other medications. Patient had another anaphylactic reaction with same throat closure and EPIPEN was used and taken to local ER on 28Apr2021. Two identical allergic reactions with 4 days was noted. Patient have refilled his two EPIPENs as instructed by his PCP. Event required visit to doctor or other healthcare professional office. Outcome of the event was not recovered. Seriousness criteria was provided as life-threatening.


VAERS ID: 1284942 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-04-25
Onset:2021-04-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Loss of consciousness, Nausea, Wrist fracture
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Osteoporosis/osteopenia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Passed out; broke his wrist; Extremely dizzy; Nauseated; This spontaneous case was reported by a patient family member or friend and describes the occurrence of LOSS OF CONSCIOUSNESS (Passed out) in a 20-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 25-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Passed out) (seriousness criterion medically significant), WRIST FRACTURE (broke his wrist), DIZZINESS (Extremely dizzy) and NAUSEA (Nauseated). At the time of the report, LOSS OF CONSCIOUSNESS (Passed out), WRIST FRACTURE (broke his wrist), DIZZINESS (Extremely dizzy) and NAUSEA (Nauseated) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events ( loss of consciousness, dizziness and nausea), a causal relationship cannot be excluded. Based on reporter''s causality the event of Wrist fracture is assessed as unlikely related to mRNA-1273..; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events ( loss of consciousness, dizziness and nausea), a causal relationship cannot be excluded. Based on reporter''s causality the event of Wrist fracture is assessed as unlikely related to mRNA-1273..


VAERS ID: 1288638 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-25
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210501863

Write-up: SEVERE DIZZINESS; WEIRD SENSATION IN HANDS; FATIGUE; HEADACHE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 25-APR-2021, the subject experienced severe dizziness. On 25-APR-2021, the subject experienced weird sensation in hands. On 25-APR-2021, the subject experienced fatigue. On 25-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine was not applicable. The patient recovered from headache on 27-APR-2021, and the outcome of severe dizziness, fatigue and weird sensation in hands was not reported. This report was non-serious.


VAERS ID: 1294831 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-15
Onset:2021-04-25
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Photopsia, Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Retinal 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Transient ischaemic attack; Flickering lights; This spontaneous case was reported by a non-health professional (subsequently medically confirmed) and describes the occurrence of TRANSIENT ISCHAEMIC ATTACK (Transient ischaemic attack) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Apr-2021, the patient experienced TRANSIENT ISCHAEMIC ATTACK (Transient ischaemic attack) (seriousness criterion medically significant) and PHOTOPSIA (Flickering lights). At the time of the report, TRANSIENT ISCHAEMIC ATTACK (Transient ischaemic attack) and PHOTOPSIA (Flickering lights) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications and treatment medications are not provided. The patient was taken to the emergency room, where the patient was evaluated and released without an overnight stay. Company Comment: Very limited information regarding this event/s has been provided at this time. Further information has been requested.; Sender''s Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.


VAERS ID: 1251684 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-24
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Fatigue, Headache, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tetsosterone, Pantoprorazole 20 mg
Current Illness: none
Preexisting Conditions: Prostate cancer
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Muscle pain in both arms/shoulders, headache for 3 days, fatigue, stomach aches for 3 days (since 4/21/21)


VAERS ID: 1255952 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-30
Onset:2021-04-24
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax abnormal, Myocardial strain, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Letrozole, Medrol, Levothyroxine, Atenolol, Omeprazole, Simvastatin, Trandolapril, Gabapentin
Current Illness: N/A
Preexisting Conditions: HTN, Hypothyroidism, Breast Ca s/p mastectomy
Allergies: NKDA
Diagnostic Lab Data: CT PE Study 4/24 - Saddle PE with right heart strain
CDC Split Type:

Write-up: Approximately 3.5 weeks after JANSSEN covid vaccine, patient developed an acute pulmonary embolism.


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