National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

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



Case Details (Reverse Sorted by Onset Date)

This is page 154 out of 6,867

Result pages: prev   55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253   next


VAERS ID: 1632312 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Headache, Magnetic resonance imaging head, Pain, Pyrexia, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Duloxetine, Hydroxychloraquine
Current Illness: None
Preexisting Conditions: Lupus, Fibromyalgia
Allergies: None
Diagnostic Lab Data: MRI and bloodwork August 14, 2021. Showed no signs of blood clots.
CDC Split Type:

Write-up: On the evening of the day (Aug 12, 2021) I received the vaccine, I started running fever and having aches and pains throughout my body, including headaches. The fever lasted though the night of Aug 14 but the other symptoms didn''t go away. The headaches had gotten worse and by Aug 24, I left work and had a severe headache with blurry vision. I went to the E.R. at that point. They did an MRI of my head and bloodwork. I was given IV steroids, pain meds and a prescription for the headaches.


VAERS ID: 1632409 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-03-26
Onset:2021-08-12
   Days after vaccination:139
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspepsia, Electrocardiogram abnormal, Myocardial infarction, Stent placement, Vomiting
SMQs:, Acute pancreatitis (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: indigestion and throwing up, once they put an EKG on him they noticed he was having heart attack and was hospitalized for 3 days, he had a stint put in his right coronary artery and now takes medication,


VAERS ID: 1632450 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-02-02
Onset:2021-08-12
   Days after vaccination:191
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9262 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Adenovirus test, Alanine aminotransferase normal, Aspartate aminotransferase increased, Back pain, Bladder wall calcification, Blood electrolytes normal, Bordetella test negative, COVID-19, Chest X-ray, Chlamydia test negative, Computerised tomogram abdomen, Discomfort, Dyspnoea, Enterovirus test negative, Fatigue, Flank pain, Haematocrit normal, Haemoglobin normal, Headache, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Mycoplasma test negative, Pain, Productive cough, Pyrexia, Renal function test normal, Respiratory tract congestion, SARS-CoV-2 test positive, Scan with contrast, Urine analysis
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: clobetasoL (TEMOVATE) 0.05 % cream furosemide (LASIX) 20 mg tablet lisinopriL (ZESTRIL) 10 mg tablet meclizine (ANTIVERT) 25 mg tablet
Current Illness:
Preexisting Conditions: Nervous Alcohol abuse, in remission Hip pain, left Respiratory Nasal bleeding Chronic obstructive pulmonary disease Circulatory Skipped heart beats Hypertension Premature ventricular contractions Digestive Chronic viral hepatitis C Obesity Musculoskeletal Seborrheic keratosis Skin benign neoplasm Dermatitis Other Elevated LFTs Former smoker
Allergies: NKA
Diagnostic Lab Data: 08/16/21 0229 Respiratory virus detection panel Collected: 08/16/21 0108 | Final result | Specimen: Swab from Nasopharynx Adenovirus Not Detected Mycoplasma pneumoniae Not Detected Chlamydophila pneumoniae Not Detected Parainfluenza Not Detected COVID-19 SARS-CoV-2 Overall Result DetectedCritical Enterovirus/Rhinovirus Not Detected Coronavirus Not Detected Respiratory Syncytial Virus Not Detected Influenza A Not Detected Bordetella pertussis Not Detected Influenza B Not Detected Bordetella parapertussis Not Detected Metapneumovirus Not Detected Imaging Results Procedure Component Value Ref Range Date/Time X-ray chest 1 view - Portable [3297896452] Resulted: 08/16/21 0644 Order Status: Completed Updated: 08/16/21 0644 Narrative: XR CHEST 1 VW PORT IMPRESSION: AP upright portable chest x-ray shows no acute pulmonary process. END OF IMPRESSION: INDICATION: Cough, fever, shortness of breath. TECHNIQUE: Portable AP view of the chest was obtained. COMPARISON: January 7, 2019. FINDINGS: The cardiac silhouette is normal in size and contour. Both lungs are fully expanded. There is no focal infiltrate or consolidation. No visible pleural effusion.
CDC Split Type:

Write-up: ED Discharged 8/15/2021 - 8/16/2021 (5 hours) Hospital ED MD Last attending ? Treatment team COVID-19 virus infection +1 more Clinical impression Fever ? Flank Pain ? Cough Chief complaint ED Provider Notes DO (Resident) ? ? Emergency Medicine Cosigned by: MD at 8/16/2021 2:14 PM Expand AllCollapse All ED RESIDENT NOTE Patient: MRN: Attending: Dr. Chief Complaint Chief Complaint Patient presents with ? Fever ? Flank Pain ? Cough History of Present Illness Patient is a 67 y.o. male with a history of COPD, hepatitis C, hypertension, presenting to the ED with multiple complaints. Patient reports productive cough, congestion, some shortness of breath, body aches, fatigue, headache. He reports right flank pain. He reports that his symptoms have been going on for about a week and a half. He states the pain in his right flank is worse with movement. Patient recently had an outpatient ultrasound of his liver after having elevated LFTs on labs. Patient has had both his Covid vaccines. Denies recent sick contacts. Denies known Covid exposure. Denies dysuria, urinary symptoms, hematuria. Denies abdominal pain, nausea, vomiting, diarrhea. Medical Decision Making Patient is a 67-year-old male presenting the emergency department with multiple complaints, see HPI. Patient''s vital signs are stable upon arrival, nearly febrile. He appears in no acute distress, however does appear uncomfortable secondary to his symptoms. Heart is regular rate and rhythm. Lungs are clear to auscultation bilaterally, no wheezes or rales. Nonpitting peripheral edema. Tenderness to palpation over right lower back. No CVA tenderness or midline lumbar spine tenderness. Differential includes Covid, pneumonia, musculoskeletal back pain, kidney stone, lower suspicion for aortic pathology. Will obtain labs, EKG, chest x-ray, CT abdomen pelvis. Will give Toradol and lidocaine for his symptoms. ED Course as of Aug 16 0801 Mon Aug 16, 2021 0159 Laboratory evaluation shows no leukocytosis, H/H stable, electrolytes within normal limits, normal kidney function, AST 128, ALT 142, which are improved from previous lab work. Urinalysis does not show signs of infection or stone. 0240 COVID-19 SARS-CoV-2 Overall Result(!!): Detected 0320 No acute findings. No focal infiltrates or consolidations. X-ray chest 1 view - Portable 0320 Patient maintained oxygen saturations of 94 to 95% on room air while ambulating. 0344 CT scan of the abdomen and pelvis with contrast shows no specific cause of the patient''s right flank pain. There is minimal calcification in the dependent portion of the bladder. The gallbladder is normal in size and contour. No acute obstruction. There are small lymph nodes in the retroperitoneum and central abdomen. This is nonspecific and correlation should be made with patient''s history. Calcifications are present. Normal bony structures. CT abdomen pelvis without contrast 0455 Patient reports some improvement in his symptoms with given medications. Patient able to ambulate without difficulty and maintaining his oxygen saturations. Patient stable for discharge. He will be discharged home with a pulse oximeter. He was given return precautions regarding his Covid status. He was also given Covid isolation precautions. Prompt follow-up with his PCP. Discussed appropriate outpatient medications. Given strict ED return precautions. He voiced understanding was agreeable to plan. ED Course User Index


VAERS ID: 1632509 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 062S21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood pressure increased, Blood test, Breast pain, Breast swelling, Diarrhoea, Dizziness, Fatigue, Fear, Headache, Lymphadenopathy, Malaise, Muscle spasms, Nausea, Pain, Pain in extremity, Sleep disorder, Sluggishness
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Lipodystrophy (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Benadryl; Motrin; Tylenol; propranolol; aspirin; HCTZ; nephadaphine; Magox; multivitamin
Current Illness:
Preexisting Conditions: Fibromuscular dysplasia; hypertension
Allergies: Acrylic; most adhesives; latex; Augmentin; penicillin
Diagnostic Lab Data: Blood work.
CDC Split Type: vsafe

Write-up: First day I was scared to go to sleep, I took Tylenol and Motrin off and on, because my first dose I didn''t feel well. I fell asleep at 5 am, I was very weak, dizzy, fatigued and that last about 24 hours. My arm pain started radiating and moving towards my entire arm and into my left breast became swollen and my lymph nodes were swollen, then I started having severe diarrhea. Then my blood pressure 165/103 went up and had a horrible headache. I went to hospital afraid I was going to have another stroke. They did blood work and pushed fluids, waited for my BP to come down and discharged. I still feel very sluggish and I''m still get sharp cramping and I feel nauseated. I''m taking medication for GERD.


VAERS ID: 1632847 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-03-16
Onset:2021-08-12
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Atelectasis, Atrioventricular block first degree, Blood creatinine increased, Bundle branch block right, C-reactive protein, COVID-19 pneumonia, Chest X-ray abnormal, Chills, Dizziness, Dyspnoea, Electrocardiogram abnormal, Fatigue, Gait inability, Haemodialysis, Haemoglobin decreased, Lung opacity, Platelet count decreased, Pleural effusion, Productive cough, QRS axis abnormal, SARS-CoV-2 test positive, Sputum discoloured, Wheezing, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Haematopoietic erythropenia (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Retroperitoneal fibrosis (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Chronic kidney disease (narrow), Hypersensitivity (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: medical history of Kappa light chain amyloidosis, renal biopsy-proven (currently on daratumumab + CyBorD), ESRD on HD-MWF, paroxysmal a-fib (previously on dofetilide now on amiodarone & Eliquis), HLD, HTN, CVA 2017, DM2, hx of CVA, OSA (on CPAP)
Allergies: ACE inhibitors, Diovan, Topamax
Diagnostic Lab Data: (08/12/2021 18:33 CDT XR Chest) IMPRESSION: 1. Bibasilar, right greater than left, airspace opacities with few scattered peripheral opacities. Differentials include multifocal infection such as COVID 19 pneumonia. Aspiration or bacterial infection is a possibility. 2. Small to moderate right pleural effusion with adjacent compressive atelectasis. [1] SINUS RHYTHM RIGHT AXIS DEVIATION RIGHT BUNDLE BRANCH BLOCK Compared to ECG 03/28/2021 08:10:54 Right-axis deviation now present First degree AV block no longer present Indeterminate axis no longer present [2]
CDC Split Type:

Write-up: Chief Complaint Generalized weakness, cough, shortness of breath History of Present Illness Patient is a 69 years old male with medical history of Kappa light chain amyloidosis, renal biopsy-proven (currently on daratumumab + CyBorD), ESRD on HD-MWF, paroxysmal a-fib (previously on dofetilide now on amiodarone & Eliquis), HLD, HTN, CVA 2017, DM2, hx of CVA, OSA (on CPAP) presented to ER on 8/12/2021 with a history of worsening generalized weakness for 1 day, productive cough with greenish sputum for 4 days. Patient reports he started to have cough with yellowish-greenish sputum starting from 8/9/2021. He endorses associated mild shortness of breath and wheezing and chills but, denies associated chest pain, palpitation, fever, nausea, vomiting, incision bowel bladder habit. Since this morning, he has been feeling very tired to the point that he could not walk prompting his wife brought him to the ER. He endorses associated dizziness, lightheaded. Patient is fully vaccinated against Covid-19 (2/2021), no known history of exposure. Vitals at presentation is stable, heart rate at 80s, blood pressure at 100s/70s. Saturating at 90s in room air. Labs notable for WBC 9.4, hemoglobin stable at 11.5, platelet 91, CMP notable for creatinine 4.5. Covid rapid antigen positive, CRP 2.99. Chest x-ray notable for bibasilar airspace opacities consistent with Covid-19 pneumonia versus aspiration versus bacterial pneumonia. Moderate right pleural effusion with compressive atelectasis. EKG sinus rhythm, without acute ischemic changes. QTc 487. Patient has been admitted to Hemet oncology service for management of Covid pneumonia as well as for inpatient hemodialysis.


VAERS ID: 1632915 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: She got the vaccinated at 6:30; she sat until 6:40. by 6:45 she had a reaction started breaking into hives and turning red, itching, sweating blood, pressure 142/101. They gave her the reaction medication. At 7:20 checked blood pressure again 135/89. And she left after that.


VAERS ID: 1632918 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-08-12
   Days after vaccination:133
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 2 RA / IM

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

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

Write-up: per the EUA we have to report when the patient is admitted to hospital after vaccination.


VAERS ID: 1633027 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blepharospasm
SMQs:, Dystonia (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)

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

Write-up: Right eye twitching daily and intermittently since getting vaccine


VAERS ID: 1633038 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Headache, Pain, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient stated they had a headache, body ache, and red sore arm. arm was swollen as well. symptoms improved in a couple days


VAERS ID: 1633099 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049E21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral swelling, Swelling face
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

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

Write-up: The patient reported feeling numbness and tingling that radiated from her right arm to the right side (cheek area) of her face. She also experienced swelling from the arm to the face. She stated that the symptoms resolved about a day later.


VAERS ID: 1633802 (history)  
Form: Version 2.0  
Age: 97.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-11
Onset:2021-08-12
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 UN / UN

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

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

Write-up: Patient with positive COVID result despite full vaccination in March 2021


VAERS ID: 1634187 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Fatigue, Feeling abnormal, Palpitations, Post-acute COVID-19 syndrome
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C/D, zinc, turmeric, multivitamin
Current Illness: None
Preexisting Conditions: Post Covid Long haul
Allergies: None
Diagnostic Lab Data: 8/25/21
CDC Split Type:

Write-up: Return of covid long haul Heart palpitations, chest pain, shortness of breath, fatigue, brain fog


VAERS ID: 1634904 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-08-12
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Diarrhoea, Fatigue, Headache, Impaired work ability, Muscular weakness, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210849691

Write-up: DIARRHEA; UNABLE TO WORK; PAIN IN HIPS AND NECKS; WEAK MUSCLES; HURTING IN BOTH SHOULDERS; HEADACHE; FEELING TIRED; This spontaneous report received from a patient concerned a 58 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: 19-SEP-2021) dose was not reported, administered on 11-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-AUG-2021, the patient experienced pain in hips and necks. On 12-AUG-2021, the patient experienced weak muscles. On 12-AUG-2021, the patient experienced hurting in both shoulders. On 12-AUG-2021, the patient experienced headache. On 12-AUG-2021, the patient experienced feeling tired. On 13-AUG-2021, the patient experienced unable to work. On 13-AUG-2021, the patient experienced diarrhea. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from diarrhea, and had not recovered from headache, pain in hips and necks, feeling tired, weak muscles, hurting in both shoulders, and unable to work. This report was non-serious.


VAERS ID: 1636112 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-04
Onset:2021-08-12
   Days after vaccination:100
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Brain natriuretic peptide, Chest X-ray, Cough, Diarrhoea, Dyspnoea, Hypertension, Metabolic function test, Peripheral swelling, SARS-CoV-2 RNA, SARS-CoV-2 test
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL EXTRA STRENGTH) 500 mg tablet aspirin 81 mg tablet atenoloL (TENORMIN) 50 mg tablet atorvastatin (LIPITOR) 40 mg tablet chlorthalidone (HYGROTON) 25 mg tablet citalopram (CeleXA) 20 mg tablet diazePAM (VALIUM) 5
Current Illness:
Preexisting Conditions: Nervous Arthralgia of upper arm Neurogenic claudication Calf pain Lumbar radiculopathy Respiratory OSA on CPAP Circulatory CAD, multiple vessel External hemorrhoids Hypertension Digestive Adenomatous polyp of colon Morbid obesity Body mass index (BMI) 45.0-49.9, adult Musculoskeletal Osteoarthritis, hand Degeneration of lumbar intervertebral disc Localized osteoarthrosis Spondylolisthesis at L5-S1 level Derangement of knee Displacement of lumbar intervertebral disc without myelopathy Primary localized osteoarthritis of pelvic region and thigh Sprain of elbow or forearm Endocrine/Metabolic Hypercholesterolemia Other Anxiety Preop examination Preop testing Status post hip replacement
Allergies: No Known Allergies
Diagnostic Lab Data: ? X-ray chest 2 views ? COVID-19 PCR ? Comprehensive metabolic panel ? B-type natriuretic peptide ? COVID-19 (SARS CoV-2,RNA Molecular Amplification)
CDC Split Type:

Write-up: Shortness of breath Leg swelling Hypertension Diarrhea Cough


VAERS ID: 1636163 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 UN / UN

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

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

Write-up: Systemic: Dizziness / Lightheadness-Mild, Systemic: almost fainted-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Pt came 08/25/2021 to report that he had a reaction to pfizer vaccine 4-5 hrs after receiving it on 08/12/2021. Pt had blurry vision, was light headed and dizzy which lasted for 5 minutes. Pt states that he almost passed out but never lost consciousness. Pt then had a headache that lasted for 30 mins. Pt was better afterwards and was still able to go to the mall.


VAERS ID: 1636396 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN J & J 1820095 / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mobility decreased, Muscle spasms, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Dystonia (broad), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Alka-Seltzer plus cold and flu
Current Illness: Cough and chest congestion
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Muscle cramping, soreness, limited mobility


VAERS ID: 1636602 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-22
Onset:2021-08-12
   Days after vaccination:112
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008B21 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, Nasal congestion, SARS-CoV-2 test, Suspected COVID-19
SMQs:, Taste and smell disorders (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler (Expired) sertraline (ZOLOFT) 100 mg tablet (Expired)
Current Illness:
Preexisting Conditions: Nervous Thoracic and lumbosacral neuritis Sciatica of right side Acute right-sided low back pain with right-sided sciatica Respiratory Mild persistent asthma Musculoskeletal Degeneration of lumbar intervertebral disc Displacement of lumbar intervertebral disc without myelopathy Other BMI 33.0-33.9,adult Anxiety with depression
Allergies: No Known Allergies
Diagnostic Lab Data: COVID-19 PCR
CDC Split Type:

Write-up: 1. Person under investigation for COVID-19 2. Anosmia 3. Ageusia 4. Nasal congestion


VAERS ID: 1636806 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-08-05
Onset:2021-08-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 02113214 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arrhythmia, Blood test, Cardiac monitoring, Condition aggravated, Electrocardiogram abnormal, Fatigue, Impaired work ability, Supraventricular extrasystoles
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Diltiazem 120; Eliquis 5; Vitamin D
Current Illness: no
Preexisting Conditions: heart arrhythmia
Allergies: narcotic sensitivity; gluten; dairy intolerance
Diagnostic Lab Data: EKG- showed PAC''s, no atrial fib or flutter
CDC Split Type: vsafe

Write-up: Between 8-10 days after vaccinated I noticed my heart was out of rhythm more and more until I finally went to the ER. I was assessed and evaluated for approx. 5-6 hours, I wore a heart monitor and blood was drawn. I had an EKG. I was discharged home from the ER, everything looked pretty good. I was discharged with an arrhythmia but was just told to increase my dose of heart medication. I am going to see a cardiologist. I wore a heart monitor all day on 08/21/2021. I am off work right now, making progress but still having some fatigue.


VAERS ID: 1636984 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: pt describes foot pain which started only after vaccination. It is unclear that this is related but patient felt strongly it was possible


VAERS ID: 1637005 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Impaired work ability, Mobility decreased, Pain in extremity, Tenderness
SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Right deltoid area was swollen and tender to palpation . The patient had limited movement at right shoulder due to pain in deltoid area. She is unable to perform her job. 5 days of prednisone was given as an empirical trial.


VAERS ID: 1637058 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood glucose increased, Blood insulin increased, Dyspnoea, Headache, Pyrexia, Rash, Rash erythematous, Rash papular, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Lipodystrophy (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: Insulin, bupropion, duloxetine, valium, tizanadine, coQ10
Current Illness:
Preexisting Conditions: Diabetes, mitochondrial disease
Allergies: sulfa antibiotics
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 3 hours after shot I felt like I couldn''t breathe. I had to use my asthma inhaler a lot from 830pm to the next morning. I got a 101 fever about 8pm that has lasted for 14 days now. It still hasn''t gone away. I''ve been getting severe headaches every day since. My bloodsugar has been really really high and I''ve had to increase my insulin amounts. 3 days after vaccine I started getting random hives all over my body. It was one or 2 raised red itchy bumps at a time in random places, like on my leg, chest, arm, face, back. Those lasted for 5 days.


VAERS ID: 1637074 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-11
Onset:2021-08-12
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 03/11/21 2nd dose 04/01/21 Diagnosed covid positive:08/18/21 Symptom onset:08/12/21 Exposure:home Symptoms:SOB, COUGH,FATIGUE,RUNNYNOSE


VAERS ID: 1637152 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypersensitivity, Hypoaesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: After the second dose my arm went completely numb and next day my hands broke in an allergic reaction and still having a reaction.
Preexisting Conditions: Just Asthma
Allergies: Fish and latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: Numb arm and allergic reaction on hands


VAERS ID: 1637263 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC 3181 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Depressed level of consciousness, Dysarthria, Gait disturbance, Muscle twitching, Somnolence
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Date of event monitored blood pressure, respirations, and heart rate for 4 hours while at home while he got better. No lab tests done. No other medical tests done.
CDC Split Type:

Write-up: Within the first five minute became very sleepy, had slurred speech, was difficult to arouse and developed a mild facial twitch. Had to assist with walking out of the store and to home. Gave fluids at home and laid in bed. Aroused him every few minutes. AFter 60-90 minutes began to become more alert. Took 2-3 hours to become fully alert. Has residual sleepiness for 48 hours. Twitch resolved over 2-4 hours.


VAERS ID: 1637395 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049E21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nervous system disorder
SMQs:

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

Write-up: She has severe neurological issues that are many


VAERS ID: 1640984 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Cyanosis, Gastroenteritis viral, Hypoaesthesia, Influenza, Tremor
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), Sexual dysfunction (broad)

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

Write-up: Patient reported feeling weak and shaking 24 hours after injection. Also reported symptoms of stomach flu/flu, numbness in her hands and blueness in her lips. These lasted approximately 1 week post vaccination.


VAERS ID: 1640988 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-02-07
Onset:2021-08-12
   Days after vaccination:186
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 2 - / -

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

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

Write-up: Patient hospitalized due to COVID-19. Patient is fully vaccinated.


VAERS ID: 1641071 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-26
Onset:2021-08-12
   Days after vaccination:167
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Paranasal sinus hypersecretion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cyclobenzaprine (FLEXERIL) 10 mg tablet metFORMIN (GLUCOPHAGE) 500 mg tablet
Current Illness:
Preexisting Conditions: NONE
Allergies: NKA
Diagnostic Lab Data: Updated Procedure 08/16/21 1234 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/16/21 1001 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical 08/16/21 1234 COVID-19 PCR Collected: 08/16/21 1001 | Final result | Specimen: Swab from Nasopharynx
CDC Split Type:

Write-up: EXPOSURE, COUGH AND SINUS DRAINAGE, RUNNY NOSE


VAERS ID: 1641118 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chronic fatigue syndrome
SMQs:

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

Write-up: Chronic fatigue syndrome


VAERS ID: 1641141 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-02-17
Onset:2021-08-12
   Days after vaccination:176
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xarelto Metoprolol Metformin Irbesartan
Current Illness: None
Preexisting Conditions: Paroxysmal Afib Type 2 diabetes Hypertension
Allergies: Penicillin Sulfa
Diagnostic Lab Data: SARS-COV2, RT-PCR test positive with Walgreens via AEGIS Science Corp. reported 08/17/2021.
CDC Split Type:

Write-up: Woke up with dry cough. Developed into runny nose, flushed feeling and slight fever. After 4 days had COVID test done. Test came back positive. Lost sense of taste and smell after 5 days. Same symptoms for about 10 days. Gradually got better. Had televisit with doctor. Mild symptoms so no treatment necessary. Taste and smell returning though still not completely.


VAERS ID: 1641226 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-02-20
Onset:2021-08-12
   Days after vaccination:173
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies: Erythromycin Napoxcin Aspirin
Diagnostic Lab Data: Tested County by Urgent Care on 08/13/21
CDC Split Type:

Write-up: Contracted COVID on 08/12/21


VAERS ID: 1641499 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 2 LA / IM

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

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

Write-up: Vaccine recieved 8/11, late 8/12 sypmtoms of facial swelling, full body rash, and shortness of breath reported. Parent reports Pt admitted to hospital, experienced fall which is reported to have broken a bone of the hand.


VAERS ID: 1642502 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Hyperhidrosis, Malaise, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: Biktarvy, Synthroid, Gabapentin, clonazepam, Claritin
Current Illness: HIV, UTI treated with Keflex 3 weeks prior
Preexisting Conditions: HIV
Allergies: None- just seasonal hay fever
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: The morning after I got my 2nd shot, I was picked up by a friend at around 10 a.m. to have breakfast. While waiting for her, I started to feel a bit nauseated. When I got into her car, we had driven just about 5 blocks and I asked her to pull over so I could vomit. I hadn?t eaten, so it was just bike. I got back in the car, and began sweating profusely and was still feeling sick. She brought me home, and I had diarrhea and nausea for several hours. I rested all day and didn?t get medical help


VAERS ID: 1644873 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 1 - / OT

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

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

Write-up: accidentally administered the vaccine to a 13-year-old; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (accidentally administered the vaccine to a 13-year-old) in a 13-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003C21A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (accidentally administered the vaccine to a 13-year-old) (seriousness criterion medically significant). On 12-Aug-2021, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (accidentally administered the vaccine to a 13-year-old) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications were not provided by the reporter. Treatment medications were not provided by the reporter. This is a case of inappropriate age (13yrs) at vaccine administration with no adverse events. Additional information is requested. Most recent FOLLOW-UP information incorporated above includes: On 16-Aug-2021: Follow up received and contains no new information; Sender''s Comments: This is a case of inappropriate age (13yrs) at vaccine administration with no adverse events. Additional information is requested. MOD21-129585:cross linked


VAERS ID: 1644874 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea, Nausea
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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: a terrible diarrhea; nauseated/nausea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (a terrible diarrhea) and NAUSEA (nauseated/nausea) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced NAUSEA (nauseated/nausea). On 14-Aug-2021, the patient experienced DIARRHOEA (a terrible diarrhea). The patient was treated with LOPERAMIDE HYDROCHLORIDE (IMODIUM) for Diarrhea, at a dose of 1 dosage form, 2 tablets. On 15-Aug-2021, DIARRHOEA (a terrible diarrhea) had resolved. At the time of the report, NAUSEA (nauseated/nausea) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient mentioned of taking 2 tablets of Imodium that was given by a nurse from her doctor''s office, and it helped to treat her diarrhea. Patient took doctor pepper and another medication for nausea. Patient is on some concomitant medications like: Medication for Epilepsy. Most recent FOLLOW-UP information incorporated above includes: On 16-Aug-2021: additional info received with updated event information


VAERS ID: 1644902 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 - / OT

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

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

Write-up: Product storage error; Expired vaccine administered to patient; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) and PRODUCT STORAGE ERROR (Product storage error) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Product storage error). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) and PRODUCT STORAGE ERROR (Product storage error) 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 medication information was provided. No treatment medication were provided. This case was linked to MOD-2021-285598 (Patient Link).


VAERS ID: 1644910 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 - / OT

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

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

Write-up: Expired vaccine administered to patient; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient). On 12-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) had resolved. 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. ARNP reported that 6 patients received the first dose of expired Moderna COVID-19 vaccine on 12AUG2021. It was reported that the vial did not undergo any previous temperature excursions. No concomitant medications were reported. No treatment information was reported. This case was linked to MOD21-129698, MOD21-129760, MOD21-129763, MOD21-129764, MOD21-129765 (E2B Linked Report). This case was linked to MOD-2021-285598 (Patient Link).; Sender''s Comments: MOD21-129698: MOD21-129760: MOD21-129763: MOD21-129764: MOD21-129765:


VAERS ID: 1644918 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 1 - / OT

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

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

Write-up: tingling in leg; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (tingling in leg) in a 25-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 053c21a) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PARAESTHESIA (tingling in leg). At the time of the report, PARAESTHESIA (tingling in leg) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was not provided. Treatment information was not provided.


VAERS ID: 1644932 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-05
Onset:2021-08-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001C21A / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (narrow)

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

Write-up: Gave patient her second dose early; This spontaneous case was reported by a medical assistant and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Gave patient her second dose early) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001C21A and 001C21A) for COVID-19 vaccination. No medical history was provided by reporter. On 05-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-Aug-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Gave patient her second dose early). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Gave patient her second dose early) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Gave patient her second dose early) to be not applicable. No Concomitant medications were provided. No treatment medications were provided.


VAERS ID: 1644942 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-07-21
Onset:2021-08-12
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 1 LA / OT

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

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

Write-up: a patient who received the 1st dose on 21Jul21, she came today with the shingles; This spontaneous case was reported by a pharmacist and describes the occurrence of HERPES ZOSTER (a patient who received the 1st dose on 21Jul21, she came today with the shingles) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022C21A) for COVID-19 vaccination. No Medical History information was reported. On 21-Jul-2021 at 10:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced HERPES ZOSTER (a patient who received the 1st dose on 21Jul21, she came today with the shingles). The patient was treated with VALACICLOVIR HYDROCHLORIDE (VALACYCLOVIR HCL) at an unspecified dose and frequency. At the time of the report, HERPES ZOSTER (a patient who received the 1st dose on 21Jul21, she came today with the shingles) 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 were reported. Most recent FOLLOW-UP information incorporated above includes: On 18-Aug-2021: Significant Follow up: Patient race and ethnicity are updated, Route of administration, lot no, anatomical location were updated.


VAERS ID: 1644947 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 - / OT

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

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

Write-up: Expired vaccine administered to patient; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) in a 45-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient). On 12-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) had resolved. 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. Concomitant medication product use was not provided by the reporter. Vial may had been move from the freezer to the refrigerator on 02-Aug-2021. Vial did not undergo any previous temperature excursions. Total amount of time the vial was exposed to room temperature range (46? to 77? F). No treatment information was provided. This case was linked to MOD-2021-285140, MOD-2021-285144, MOD-2021-285214, MOD-2021-285623, MOD-2021-285659 (E2B Linked Report).; Sender''s Comments: MOD-2021-285140:6 patients received expired Moderna COVID-19 vaccine MOD-2021-285144:6 patients received expired Moderna COVID-19 vaccine MOD-2021-285214:6 patients received expired Moderna COVID-19 vaccine MOD-2021-285623:6 patients received expired Moderna COVID-19 vaccine MOD-2021-285659:6 patients received expired Moderna COVID-19 vaccine


VAERS ID: 1644951 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Missouri  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / UNK - / OT

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

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

Write-up: Expired vaccine administered to patient; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) in a 45-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient). On 12-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) had resolved. 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. Concomitant medications were not provided. Treatment information was not reported. This case was linked to MOD21-129698, MOD21-129760, MOD21-129760, MOD21-129763, MOD21-129764, MOD-2021-285598 (Patient Link).


VAERS ID: 1644958 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 - / OT

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

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

Write-up: rashes itch; rashes on her stomach and back,rash sting; This spontaneous case was reported by a consumer and describes the occurrence of in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007C21A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy and Drug allergy. On 10-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at a dose of 1 dosage form. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. NO Treatment drug reported. Patient reported she stayed in the observation room for 30 minutes & she did not experience any reaction that time. Patient is allergic to a lot of over the counter drugs, penicillin, sulfur.


VAERS ID: 1644959 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 - / OT

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

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

Write-up: Expired vaccine administered to patient; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient). On 12-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) had resolved. 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 medication was provided No treatment information was provided This case was linked to MOD-2021-285598 (Patient Link).


VAERS ID: 1644981 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C1A / 1 - / OT

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

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

Write-up: 13 year old was given the Moderna COVID-19 vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (13 year old was given the Moderna COVID-19 vaccine) in a 13-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037C1A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (13 year old was given the Moderna COVID-19 vaccine). On 12-Aug-2021, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (13 year old was given the Moderna COVID-19 vaccine) had resolved. 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.


VAERS ID: 1644988 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Louisiana  
Vaccinated:2021-08-05
Onset:2021-08-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / UNK - / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: Tested positive for Covid; Test Result: Positive ; Result Unstructured Data: Positive
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Runny nose; Tested positive for Covid; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Tested positive for Covid) and RHINORRHOEA (Runny nose) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. No Medical History information was reported. On 05-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced COVID-19 (Tested positive for Covid). On an unknown date, the patient experienced RHINORRHOEA (Runny nose). At the time of the report, COVID-19 (Tested positive for Covid) and RHINORRHOEA (Runny nose) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Aug-2021, COVID-19: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Company Comment: Based on the mechanism of action of mRNA-1273 causal association between the event of COVID-19 infection and mRNA-1273 is assessed as not applicable. For the event RHINORRHOEA, causality is assessed as possible, however this event could be due COVID-19.; Sender''s Comments: Based on the mechanism of action of mRNA-1273 causal association between the event of COVID-19 infection and mRNA-1273 is assessed as not applicable.For the event RHINORRHOEA, causality is assessed as possible, however this event could be due COVID-19.


VAERS ID: 1645004 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-08-08
Onset:2021-08-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, COVID-19, Pyrexia, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: 20210812; Test Name: Body temperature; Result Unstructured Data: 99.6 degree F. Test Date: 20210813; Test Name: COVID-19 virus test; Test Result: Positive; Result Unstructured Data: positive for covid19
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Patient had a home antigen test for covid, which was positive; 99.6?F; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Patient had a home antigen test for covid, which was positive) and PYREXIA (99.6?F) in an 18-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 08-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced PYREXIA (99.6?F). On 13-Aug-2021, the patient experienced COVID-19 (Patient had a home antigen test for covid, which was positive). At the time of the report, COVID-19 (Patient had a home antigen test for covid, which was positive) and PYREXIA (99.6?F) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Aug-2021, Body temperature: 99.6 (High) 99.6 degree F.. On 13-Aug-2021, SARS-CoV-2 test: positive (Positive) positive for covid19. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Treatment medications were provided No Concomitant medications were provided Before the vaccine was given, on 7Aug2021, the patient was tested negative for covid19. The caller wanted to know if the vaccine is less effective in this case or the effectiveness remains the same.


VAERS ID: 1645006 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Eye swelling, Irritability, Nasal congestion, Pharyngeal swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (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:
Current Illness: Multiple sclerosis; Systemic lupus erythematosus
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Also congested from an allergy; It''s annoying; Right eye swell up/in the beginning looked like a bug bite; Throat swell up; This spontaneous case was reported by a consumer and describes the occurrence of IRRITABILITY (It''s annoying), NASAL CONGESTION (Also congested from an allergy), EYE SWELLING (Right eye swell up/in the beginning looked like a bug bite) and PHARYNGEAL SWELLING (Throat swell up) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. Concurrent medical conditions included Multiple sclerosis and Systemic lupus erythematosus. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced IRRITABILITY (It''s annoying). 12-Aug-2021, the patient experienced EYE SWELLING (Right eye swell up/in the beginning looked like a bug bite) and PHARYNGEAL SWELLING (Throat swell up). On an unknown date, the patient experienced NASAL CONGESTION (Also congested from an allergy). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency and MONTELUKAST SODIUM (SINGULAIR) for Adverse event, at an unspecified dose and frequency. At the time of the report, IRRITABILITY (It''s annoying) and NASAL CONGESTION (Also congested from an allergy) outcome was unknown, EYE SWELLING (Right eye swell up/in the beginning looked like a bug bite) was resolving and PHARYNGEAL SWELLING (Throat swell up) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication included Gesimppa, once a month injection, a new drug to treat multiple sclerosis and lupus.


VAERS ID: 1645011 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-07-15
Onset:2021-08-12
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004D21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Chills, Erythema, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: BYSTOLIC; ALBUTEROL [SALBUTAMOL SULFATE]
Current Illness: Hypertension (high blood pressure)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: Body Temperature; Result Unstructured Data: fever of 101 Fahrenheit
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: red spot in the middle of her forehead/red spot the size of a quarter; chills; fever of 101 Fahrenheit; This spontaneous case was reported by a pharmacist and describes the occurrence of ERYTHEMA (red spot in the middle of her forehead/red spot the size of a quarter), CHILLS (chills) and PYREXIA (fever of 101 Fahrenheit) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 939902 and 004D21A) for COVID-19 vaccination. Concurrent medical conditions included Hypertension (high blood pressure). Concomitant products included NEBIVOLOL HYDROCHLORIDE (BYSTOLIC) and SALBUTAMOL SULFATE (ALBUTEROL [SALBUTAMOL SULFATE]) for an unknown indication. On 15-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-Aug-2021, the patient experienced ERYTHEMA (red spot in the middle of her forehead/red spot the size of a quarter), CHILLS (chills) and PYREXIA (fever of 101 Fahrenheit). At the time of the report, ERYTHEMA (red spot in the middle of her forehead/red spot the size of a quarter), CHILLS (chills) and PYREXIA (fever of 101 Fahrenheit) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Aug-2021, Body temperature: 101 (High) fever of 101 Fahrenheit. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment information was provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 16-Aug-2021: No new information


VAERS ID: 1645013 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA MLS-319813_R / 1 LA / OT

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

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

Write-up: side of face were swollen; itching on the neck; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 15-Aug-2021 and was forwarded to Moderna on 15-Aug-2021. This spontaneous case was reported by a consumer and describes the occurrence of SWELLING FACE (side of face were swollen) and PRURITUS (itching on the neck) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. MLS-319813_r) for COVID-19 vaccination. Concurrent medical conditions included Hypertension. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced SWELLING FACE (side of face were swollen) and PRURITUS (itching on the neck). At the time of the report, SWELLING FACE (side of face were swollen) and PRURITUS (itching on the neck) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was provided. No treatment medication was provided.


VAERS ID: 1645067 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939902 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Fatigue, Headache, Joint warmth, Malaise, Melanocytic naevus, Myalgia, Vaccination site swelling, Vaccination site warmth
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (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:
Current Illness: Allergy to antibiotic (microbid); Allergy to antibiotic (levoquine); Allergy to antibiotic (clindamycin); Drug allergy (narcus); Drug allergy (lyrica); Drug allergy (ketamine); Drug allergy (haldol); Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: unwell; Swelling of mole on left elbow/Increased size of a mole on left elbow/now swelling, size has grown as a quarter/ mole described as size as a little pebble; Feels very weak; Hot to touch left elbow; Fatigue; Headache; Musclepain; Swelling at injection site; Hot to touch injection site; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (unwell), MELANOCYTIC NAEVUS (Swelling of mole on left elbow/Increased size of a mole on left elbow/now swelling, size has grown as a quarter/ mole described as size as a little pebble), ASTHENIA (Feels very weak), VACCINATION SITE WARMTH (Hot to touch injection site) and JOINT WARMTH (Hot to touch left elbow) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 939902) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Penicillin allergy, Allergy to antibiotic (levoquine), Drug allergy (narcus), Allergy to antibiotic (microbid), Allergy to antibiotic (clindamycin), Drug allergy (lyrica), Drug allergy (haldol) and Drug allergy (ketamine). On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced VACCINATION SITE WARMTH (Hot to touch injection site) and VACCINATION SITE SWELLING (Swelling at injection site). On 14-Aug-2021, the patient experienced MELANOCYTIC NAEVUS (Swelling of mole on left elbow/Increased size of a mole on left elbow/now swelling, size has grown as a quarter/ mole described as size as a little pebble), ASTHENIA (Feels very weak), JOINT WARMTH (Hot to touch left elbow), FATIGUE (Fatigue), HEADACHE (Headache) and MYALGIA (Musclepain). On an unknown date, the patient experienced MALAISE (unwell). On 13-Aug-2021, VACCINATION SITE WARMTH (Hot to touch injection site) and VACCINATION SITE SWELLING (Swelling at injection site) had resolved. At the time of the report, MALAISE (unwell), MELANOCYTIC NAEVUS (Swelling of mole on left elbow/Increased size of a mole on left elbow/now swelling, size has grown as a quarter/ mole described as size as a little pebble), ASTHENIA (Feels very weak), JOINT WARMTH (Hot to touch left elbow), FATIGUE (Fatigue), HEADACHE (Headache) and MYALGIA (Musclepain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 15-Aug-2021: Significant follow-up received contains: added events-fatigue, headache, muscle pain, asthenia,malaise


VAERS ID: 1645087 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 051B21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Muscle spasms, Myalgia, Product temperature excursion issue
SMQs:, Rhabdomyolysis/myopathy (broad), Dystonia (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Medication errors (broad)

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

Write-up: Foot cramping on and off; Shoulder pain/ Uncomfortable Shoulder; Myalgia on the same side as the vaccine was administered; She states that the person whom vaccinated her did not let the vaccine stay at room temperature for 15 minutes prior to vaccination; This spontaneous case was reported by a pharmacist and describes the occurrence of MUSCLE SPASMS (Foot cramping on and off), ARTHRALGIA (Shoulder pain/ Uncomfortable Shoulder), MYALGIA (Myalgia on the same side as the vaccine was administered) and PRODUCT TEMPERATURE EXCURSION ISSUE (She states that the person whom vaccinated her did not let the vaccine stay at room temperature for 15 minutes prior to vaccination) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 051B21A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced MUSCLE SPASMS (Foot cramping on and off), ARTHRALGIA (Shoulder pain/ Uncomfortable Shoulder), MYALGIA (Myalgia on the same side as the vaccine was administered) and PRODUCT TEMPERATURE EXCURSION ISSUE (She states that the person whom vaccinated her did not let the vaccine stay at room temperature for 15 minutes prior to vaccination). On 12-Aug-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (She states that the person whom vaccinated her did not let the vaccine stay at room temperature for 15 minutes prior to vaccination) had resolved. At the time of the report, MUSCLE SPASMS (Foot cramping on and off), ARTHRALGIA (Shoulder pain/ Uncomfortable Shoulder) and MYALGIA (Myalgia on the same side as the vaccine was administered) 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 were reported. No treatment medications were reported.


VAERS ID: 1645175 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-08-02
Onset:2021-08-12
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 091D21A / 1 - / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: 20210812; Test Name: COVID virus test; Test Result: Positive ; Result Unstructured Data: Positive
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Positive for COVID-19 Disease, Minimal COVID-19 Disease symptoms; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Positive for COVID-19 Disease, Minimal COVID-19 Disease symptoms) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 091D21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced COVID-19 (Positive for COVID-19 Disease, Minimal COVID-19 Disease symptoms). At the time of the report, COVID-19 (Positive for COVID-19 Disease, Minimal COVID-19 Disease symptoms) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Aug-2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant products were reported . The patient was treated with OTC drugs at home and did not see a physician. The patient''s spouse reported that the pharmacist refused to schedule the second shot and told them that they have to wait 90 days before getting the second dose. Company Comment: Based on the current available information, the mRNA-1273 does not contain a virus capable of causing infection and with the occurrence of COVID-19 infection after vaccination, the causality of this event is assessed as not applicable. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 16-Aug-2021: Significant Follow up received : patient initials added; Sender''s Comments: Based on the current available information, the mRNA-1273 does not contain a virus capable of causing infection and with the occurrence of COVID-19 infection after vaccination, the causality of this event is assessed as not applicable.


VAERS ID: 1645188 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-08-02
Onset:2021-08-12
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: 20210812; Test Name: SARS-COV-2; Test Result: Positive ; Result Unstructured Data: Result-Positive
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: received a positive Covid 19 test; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (received a positive Covid 19 test) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 02-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced COVID-19 (received a positive Covid 19 test). At the time of the report, COVID-19 (received a positive Covid 19 test) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Aug-2021, SARS-CoV-2 test: positive (Positive) Result-Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant drugs were provided. No treatment drugs were provided. Patient was asking if still second dose of the vaccine can get after the quarantine/isolation ends, or do have to wait 90 days.


VAERS ID: 1647087 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Feeling abnormal, Heart rate, Heart rate increased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (She has COVID on Apr2021.treated with monoclonal antibodies)
Allergies:
Diagnostic Lab Data: Test Name: temperature; Result Unstructured Data: Test Result:99.1F Fahrenheit; Test Name: pulse rate; Result Unstructured Data: Test Result:97; Comments: 97 that she feels is a little high.
CDC Split Type: USPFIZER INC202101041192

Write-up: little fever with a temperature of 99.1F; not feeling good; pulse rate of 97 that she feels is a little high; This is a spontaneous report from a contactable consumer. A 63-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Batch/ Lot number was not reported), via an unspecified route of administration on 11Aug2021, as a dose 2, single for COVID-19 immunisation. The patient medical history included COVID-19 (on an unspecified date in Apr2021 to unknown if ongoing). She had COVID on Apr20201 treated with monoclonal antibodies. Historical vaccination included that the patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unspecified date as a dose 1, single for COVID-19 immunization. The patient concomitant medications were not reported. On 12Aug2021 (Today, on the day of this report), the patient experienced little fever with a temperature of 99.1 F, not feeling good and pulse rate of 97 that she feels is a little high. She felt like she had COVID again. All the events were non-serious. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected. Information on lot number/batch number has been requested.


VAERS ID: 1647165 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 72359-016-4 / 1 RA / -

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Investigation, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: Covid-19; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210812; Test Name: examine; Result Unstructured Data: Test Result:everything was fine
CDC Split Type: USPFIZER INC202101043279

Write-up: My arm feel a little sore on the right but I am alright for today; This is a spontaneous report from a contactable consumer (Patient). A 53-year-old female patient received BNT162B2 (COMIRNATY, Solution for injection, Batch/Lot Number: 72359-016-4), dose 1 via an unspecified route of administration, administered in Arm Right on 12Aug2021 at 10:00 (at the age of 53 year) as dose 1, single for COVID-19 immunisation at facility. The patient medical history and concomitant medications were not reported. Patient had no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. On 12Aug2021 at 10:00 AM, patient arm felt a little sore on the right but patient was alright for today. On 12Aug2021 at 12:00 PM, patient talked to the doctor then wait and did vitals and then went and got examine a deep in my soul patient had did that everything was fine and then patient took a shot when your while then patient have to do some more blood work and that would be. The patient underwent lab tests and procedures on 12Aug2021 which included covid-19: negative (Nasal Swab). It was reported that no therapeutic measures were taken for the events experienced. The outcome of event was recovered on an unknown date in Aug2021. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.


VAERS ID: 1647173 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heart injury, Inappropriate schedule of product administration
SMQs:, Cardiomyopathy (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: Medical History/Concurrent Conditions: COVID-19 (Prior to vaccination, was the patient diagnosed with COVID-19)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101046562

Write-up: Heart does not feel right, Heart feels ''strained''; Inappropriate schedule of vaccine administered; This is a spontaneous report from a contactable consumer (patient). A 51-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: FA7485), via an unspecified route of administration in left arm on 12Aug2021 13:15 (at the age of 51-years-old) as dose 2, single for COVID-19 immunization. Medical history included COVID-19 (Prior to vaccination, the patient was diagnosed with COVID-19). Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EL8729), via an unspecified route of administration in left arm on 09Apr2021 16:00 (at the age of 51-years-old) as dose 1, single for COVID-19 immunization. The patient was not having any known allergies. Prior to vaccination, the patient did not receive any vaccines within four weeks nor any other medications within two weeks prior. The patient experienced heart does not feel right, heart feels ''strained'' on 13Aug2021 01:00. Since the vaccination, patient has not been tested for COVID-19. No treatment was received for the event. Outcome of event was not resolved. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1647195 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-29
Onset:2021-08-12
   Days after vaccination:136
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, Polymerase chain reaction positive
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: PCR positive; Result Unstructured Data: Test Result: covid.
CDC Split Type: USPFIZER INC202101048149

Write-up: This is a spontaneous report from a contactable consumer. A 58-years-old female patient second dose of received bnt162b2 (Pfizer covid vaccine, formulation: solution for injection, Batch/Lot Number: EP6955), via an unspecified route of administration, administered in Arm Left on 29Mar2021 (at the age of 57-years-old) as DOSE 2, SINGLE and first dose bnt162b2 (Pfizer covid vaccine, formulation: solution for injection, Batch/Lot Number: EL3247), via an unspecified route of administration, administered in Arm Left on 08Mar2021 (at the age of 57-years-old) as DOSE 1, SINGLE for COVID-19 immunisation. The patient medical history and concomitant medications not reported. On 12Aug2021, the patient was diagnosed with COVID. The patient had symptoms prior to being diagnosed with COVID. The patient underwent lab tests and procedures which included (PCR test) polymerase chain reaction positive: covid on 12Aug2021. The outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1647213 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: South Carolina  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy; SLE
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101048424

Write-up: itching; hives; This is a spontaneous report from a contactable consumer (patient) received via Medical Information Team. A female patient of an unspecified age received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 12Aug2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. Medical history included systemic lupus erythematosus (SLE) and the patient reported that he was allergic to penicillin, both from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. On 12Aug2021 (about 8 hours later after the injection), the patient experienced itching and hives. Therapeutic measures were taken as a result of the events and included treatment with BENADRYL. The patient outcome of the events was unknown. The lot number for the vaccine, BNT162b2, was not provided and will be requested during follow up.


VAERS ID: 1647252 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cerebral haemorrhage, Computerised tomogram, Dizziness, Electrocardiogram, Eye swelling, Fall, Influenza like illness
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Haemorrhagic central nervous system vascular conditions (narrow), Accidents and injuries (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Heart disorder (Verbatim: bad heart she has had this since she was 44 years old, it was check in the emergency room)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: CT scan; Result Unstructured Data: Test Result:No brain bleed; Comments: The test showed no brain bleed.; Test Name: EKG; Result Unstructured Data: Test Result:No brain bleed; Comments: The test showed no brain bleed.
CDC Split Type: USPFIZER INC202101050581

Write-up: Dizzy; Fall; left eye is swollen shut and the right is swollen half shut; she might have a little flu-like symptoms; brain bleed; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 66-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EW0191) via an unspecified route of administration, administered in Arm Left on 11Aug2021 (at the age of 66-years-old) at about 11:30-12 noon as a dose 1, single for covid-19 immunisation. Medical history included ongoing bad heart she had this since she was 44 years old, it was check in the emergency room. There were no concomitant medications. The patient did not take any other vaccines within four weeks prior to vaccination. It was reported that the patient got her first dose. she might have a little flu like symptoms on an unspecified date in 2021 and so she thought she could handle that. Yesterday (12Aug2021) she felt like a tornado hit her, was dizzy. When she got up, she hit the wall twice, hit her head, bounce off the wall 2 more time, then hit her head again and ended up on the floor, had fall on 12Aug2021. She ended up going to the emergency room but to be honest, she cannot remember much of yesterday (12Aug2021). she did not pass out but felt like she was flying through the kitchen. When at the emergency room, she was treated and released. They did a CT scan and EKG. The test showed no brain bleed. She reports she was on a blood thinner which caused them to be worried. If this had happened 4 weeks when her blood was 3.9 it might had been a brain bleed on an unspecified date in 2021. Everything hurts her left eye was swollen shut and the right was swollen half shut on 12Aug2021, this was from the fall and bouncing off the walls when trying to walk. She explains this was not like getting dizzy where she can grab a wall or something to hold on to, it was different. She was still a little funny on her feet and was given something for dizziness but was told this could happen again, so she was being careful. She was told there this was because of the COVID vaccine she got. In the emergency room the doctor told her there were a lot of people with a lot different reaction to the COVID vaccine. The patient underwent lab tests and procedures which included CT (Computerised tomogram) scan the test results showed no brain bleed, and underwent EKG the test resulted showed no brain bleed both on an unspecified date. The patient received treatment for the event brain bleed. The patient was not recovered from the event dizzy. The outcome of the events brain bleed, fall, left eye is swollen shut and the right is swollen half shut, she might have a little flu like symptoms was unknown at the time of report. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1647259 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 59267-1000-01 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Chills, Ear pain, Fatigue, Hallucination, Headache, Hyperhidrosis, Nausea, Night sweats, Nightmare, Pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROZAC
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: known allergies, No other medical history, None.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101050692

Write-up: when I lay down to close my eyes, I''ve had hallucinations; Chest pain; headache; ear ache; nausea; tiredness/ extremely tired; sweating; chills; major night sweats; terrible nightmares; body feels like someone has beat me with a bat; This is a spontaneous report from a contactable (patient) via Regulatory Authority. A 41-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in Arm Left on 11Aug2021 17:00 (lot number: 59267-1000-01; expiry date: unknown) as dose 1, single, for COVID-19 immunization. The patient had no relevant medical history. The patient had no known allergies. Concomitant medications included fluoxetine hydrochloride (PROZAC) taken for an unspecified indication, start and stop date were not reported. The patient is not pregnant at the time of vaccination. The patient was not diagnosed with COVID prior vaccination. The patient did not receive other vaccines within four weeks prior to COVID vaccination. The vaccine was administered in a pharmacy/drug store. On 12Aug2021, at 3:00 AM, the patient experienced chest pain, headache, ear ache, nausea, tiredness, sweating, chills, major night sweats, terrible nightmares, body feels like someone has beat her with a bat, extremely tired and when she lays down to close her eyes, she had hallucinations. The patient did not receive treatment for the events. The patient has not been tested for COVID-19 since vaccination. Outcome of the events was not recovered. .; Sender''s Comments: Based on the information in the case report and a plausible temporal relationship, a possible causal relationship between the events hallucination and suspect drug BNT162B2 cannot be excluded The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1647260 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Haematemesis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101050700

Write-up: Throwing up blood; This is a spontaneous report from a contactable consumer. A 40-year-old male patient received first dose of bnt162b2 (BNT162B2), via an unspecified route of administration, administered in Arm Right on 12Aug2021 (Lot Number: FD8448) as single dose (at age of 40-year-old) for covid-19 immunisation. Medical history and concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. On 12Aug2021 patient experienced throwing up blood. Reporter stated that patient got first dose of Pfizer Vaccine on 12Aug2021 after 12:10 at (Withheld) and he was throwing up blood at the time of the report. Reporter stated that patient was not treated for the event. Second dose vaccination date was reported as 02Sep2021. Outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1647300 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-08-12
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PANTOPRAZOLE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: GERD.
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: SARS COVID-19 test; Test Result: Positive.
CDC Split Type: USPFIZER INC202101057655

Write-up: Tested positive for COVID on 12Aug2021 after receiving last vax dose; Tested positive for COVID on 12Aug2021 after receiving last vax dose; This is a spontaneous report from a contactable consumer (patient) via a Pfizer sales representative. A 24-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on an unspecified date (Lot number was not reported) as dose 1, single and on 21Apr2021 (Lot Number: ER2613) (at the age of 23-years-old) as dose 2, single for covid-19 immunisation. Medical history included gastrooesophageal reflux disease (GERD). Concomitant medication included pantoprazole taken daily for gastrooesophageal reflux disease. The patient tested positive for COVID on 12Aug2021 after receiving last vaccine dose. The patient experienced loss of taste and smell, headache, stuffy nose, sore throat and fatigue. The outcome of the events was unknown.


VAERS ID: 1647320 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:2021-08-12
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: 20210812; Test Name: Covid-19 test; Test Result: Positive
CDC Split Type: USPFIZER INC202101058282

Write-up: Patient was fully vaccinated and got break through COVID; Patient was fully vaccinated and got break through COVID; This is a spontaneous report from a contactable consumer (patient). An adult male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: not reported), via an unspecified route of administration on an unspecified date as dose 2, single and bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. Medical history and concomitant medications were not reported. Patient was fully vaccinated and got break through COVID (medically significant) on 12Aug2021. The patient underwent lab tests and procedures which included COVID-19 test: positive on 12Aug2021. It was unknown if patient received any treatment for the event. Outcome of the event COVID-19 was resolving. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.


VAERS ID: 1647322 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-08-12
   Days after vaccination:133
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210813; Test Name: Covid-19; Test Result: Positive
CDC Split Type: USPFIZER INC202101058286

Write-up: Positive for Covid-19; Positive for Covid-19; This is a spontaneous report from a contactable consumer. A 42-year-old male patient that he received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number, Expiry Date: Unknown), via an unspecified route of administration on an unspecified date in Apr2021 (at the age of 42 years), as dose number unknown, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient did not receive any other vaccine in four weeks and did not have Covid prior vaccination. The patient was found to be positive for covid-19 on 12Aug2021. Event resulted in doctor or other healthcare professional office/clinic visit. No treatment was received. The patient underwent lab tests and procedures which included covid-19: positive on 13Aug2021. The outcome of event was recovered on an unspecified date in 2021. The lot number for the vaccine, (BNT162B2), was not provided and will be requested during follow up.


VAERS ID: 1647361 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-03-01
Onset:2021-08-12
   Days after vaccination:164
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenopia, COVID-19, Cough, Drug ineffective, Headache, Inappropriate schedule of product administration, Myalgia, Rhinorrhoea, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Corneal disorders (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Diabetes
Allergies:
Diagnostic Lab Data: Test Date: 20210813; Test Name: covid-19 test; Test Result: Positive
CDC Split Type: USPFIZER INC202101067142

Write-up: covid_test_result=Positive; 1st dose, 01Mar2021; 2nd dose, 19Mar2021; covid_test_result=Positive; Cough; runny nose; heavy eyes; muscle aches; headache; This is a spontaneous report from a contactable consumer or other non hcp. A 54-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) dose 2 intramuscular on 19Mar2021 (Batch/Lot Number: EN6207) as DOSE 2, SINGLE and dose 1 intramuscular on 01Mar2021 (Age at vaccination: 54 years), (Batch/Lot Number: EN6198) as DOSE 1, SINGLE for covid-19 immunization. Medical history included diabetes mellitus from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. the patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. Patient was not diagnosed with COVID-19, prior vaccination. Patient has not been tested for COVID-19, post vaccination. On an unspecified date the patient experienced covid test result=positive, on 13Aug2021 covid test result=positive (medically significant), on 12Aug2021 Cough, runny nose, muscle aches, headache, heavy eyes. 1st dose, 01mar2021; 2nd dose, 19mar2021. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 13Aug2021. Patient did not received treatment for the events. Outcome of the events drug ineffective and inappropriate schedule of product administration was unknown. While other events was recovering. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1647376 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-07
Onset:2021-08-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101069835

Write-up: fainted on Thursday 12Aug 5 days after receiving his second COVid shot; This is a spontaneous report from a contactable consumer (mother of the patient). A 15-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Lot number was not provided), via an unspecified route of administration on 07Aug2021 as dose 2, single for covid-19 immunization. There was no medical history (no prior medical issues). There were no concomitant medications (was on no other medicines). It was stated that, on 12Aug2021, 05 days after receiving second covid shot, the patient fainted. Event took place after use of product. The outcome of the event was unknown, at the time of report. Information on the Lot/batch number has been requested.


VAERS ID: 1647377 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-08-01
Onset:2021-08-12
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Diabetes (Caller states his parents are diabetics.); Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Patient History: No
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: COVID-19; Test Result: Positive
CDC Split Type: USPFIZER INC202101069909

Write-up: tested positive for Covid 19 on 12Aug2021/he got tested positive for covid after getting the first dose/felt sick; This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program COVAX Support. A 40-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot Number: EW0169), via an unspecified route of administration, administered in Arm Left on 01Aug2021 17:30 (at the age of 40-years-old) as dose 1, single for Covid-19 immunization. No Patient history reported and Family history included diabetics- Reporter states his parents are diabetics. There were no concomitant medications. Prior to the vaccination, the patient was not diagnosed with Covid-19. On 12Aug2021, the patient tested positive for Covid 19 on 12Aug2021/he got tested positive for covid after getting the first dose. Reporter states he tested positive for covid last week on Thursday 12Aug2021 and states he had the first dose of the Pfizer Covid vaccine administered to his left arm on 01Aug2021 and his patient card has lot number EW0169 and states there is not an expiry date or NDC written on the card. Reporter states he had no treatment but just stayed home. The patient underwent lab tests and procedures which included Covid-19 test: positive on 12Aug2021. The outcome of the event was unknown. Follow-Up (20Aug2021): Follow-up attempts are completed. No further information is expected.


VAERS ID: 1647405 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:2021-02-06
Onset:2021-08-12
   Days after vaccination:187
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Kidney cancer
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: BMI; Result Unstructured Data: Test Result:29.8; Test Date: 20210812; Test Name: NAAT Covid test; Test Result: Positive
CDC Split Type: USPFIZER INC202101076374

Write-up: Tested positive for Covid virus, after being fully vaccinated.; Tested positive for Covid virus, after being fully vaccinated.; This is a spontaneous report from a contactable consumer. This consumer reported similar events for 37 patients. This report is for 36th patient of 37 patients. This consumer reported for a 72-year-old male patient that: A 72-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN5318, Expiration date was not reported), dose 2 via an unspecified route of administration on 06Feb2021 as dose 2, single for covid-19 immunisation. Medical history included renal cancer from an unknown date and ongoing. The patient''s concomitant medications were not reported. The patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EJ1686, On 16Jan2021 for covid-19 immunization. The patient experienced tested positive for covid virus, after being fully vaccinated on 12Aug2021. Agent reports that Caller states 15% of breakthrough cases are from one Pfizer Covid 19 Lot number: EN5318.which was concerning. Covid positive is defined as having both vaccines and testing positive for Covid longer than two weeks after both doses. Description of complaint: Caller reporting on the Pfizer Covid 19 vaccine. Caller reports 37 breakthrough cases, for fully vaccinated patients testing positive for Covid. Some identifying details provided. Product strength and count size dispensed: not applicable. Additional lot numbers: not applicable. Is a sample of the product available to be returned, if requested (Y/N): No, Packaging sealed and intact: unknown. The patient underwent lab tests and procedures which included body mass index was 29.8, NAAT Covid test was positive on 12Aug2021. The outcome of event was unknown. Follow-up attempts are completed. No further information is expected.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-202101075254 Same reporter/drug/AE, different patients


VAERS ID: 1647417 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0165 / 1 LA / -

Administered by: Work       Purchased by: ?
Symptoms: Asthenia, CSF protein increased, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Paraesthesia, Protein total, SARS-CoV-2 test
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow), COVID-19 (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: TOPAMAX; MAGNESIUM; MELATONIN; VIT E [TOCOPHEROL]; VIT D [ERGOCALCIFEROL]; VIT C; VIT B COMPLEX
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Adhesive tape allergy; COVID-19 (If covid prior vaccination: Yes)
Allergies:
Diagnostic Lab Data: Test Date: 20210814; Test Name: lumbar puncture; Result Unstructured Data: Test Result:Unknown result; Test Date: 20210814; Test Name: MRI of spine and brain; Result Unstructured Data: Test Result:Unknown result; Test Date: 20210814; Test Name: MRI of spine and brain; Result Unstructured Data: Test Result:Unknown result; Test Date: 20210814; Test Name: Protein level; Result Unstructured Data: Test Result:High; Test Date: 20210814; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC202101085277

Write-up: diagnosis of GBS after lumbar puncture showed high protein levels; diagnosis of GBS after lumbar puncture showed high protein levels; weakness; Started with numbness and tingling in hands within 4 hours of injection/Progressed to full arms then legs; Started with numbness and tingling in hands within 4 hours of injection/Progressed to full arms then legs; This is a spontaneous report from a contactable other health care professional (patient). A 46-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: EW0165), via an unspecified route of administration, in the left arm on 12Aug2021 at 12:15 (at the age of 46-years-old) as single dose for COVID-19 immunisation. Medical history included covid-19. Known allergies included clindamcycin, flu shot, adhesive tape. Concomitant medications included topiramate (TOPAMAX), magnesium, melatonin, tocopherol (VIT E), ergocalciferol (VIT D), ascorbic acid (VIT C) and vit B (VITAMIN B COMPLEX) all taken for an unspecified indication, start and stop date were not reported. Prior to vaccination patient was diagnosed with COVID-19. Since the vaccination the patient had been tested for COVID-19. The patient did not receive any vaccines within four weeks prior to the vaccination. On 12Aug2021 at 16:00, the patient experienced, started with numbness and tingling in hands within 4 hours of injection. Progressed to full arms then legs. Hospitalized 2 days after injection, in ICU, with diagnosis of GBS (Guillain-Barre syndrome) after lumbar puncture showed high protein levels on 14Aug2021. Spent 5 days in hospital. Received IVIG, MRI of spine and brain. Still with weakness and not fully recovered. Adverse events resulted in doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, hospitalization, Life threatening illness (immediate risk of death from the event), disability or permanent damage. Number of days hospitalization was 5. Patient had received treatment for event was IVIG. On 14Aug2021, the patient underwent lab tests and procedures which included lumbar puncture: unknown result, magnetic resonance imaging head: unknown result, magnetic resonance imaging spinal: unknown result, protein total: high and nasal swab sars-cov-2 test: negative. Outcome of the event weakness was unknown and all other events recovered with sequel on Aug2021.; Sender''s Comments: Based on the available information in the case, the causal association between the events Guillain-Barre syndrome, CSF protein increased , hypoesthesia, paresthesia, and the suspect drug BNT162B2 cannot be excluded. The case will be reassessed once new information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1651281 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003F21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain lower, Chest discomfort, Chest pain, Cough, Decreased appetite, Diarrhoea, Fatigue, Feeling abnormal, Headache, Nausea, Neck pain, Pain in extremity, Spinal pain, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (broad), Noninfectious diarrhoea (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unithroid, prenatal vitamins, vitamin D, zinc, magnesium
Current Illness: N/A
Preexisting Conditions: Hashimoto''s Disease, Polycystic Ovary Syndrome
Allergies: N/A
Diagnostic Lab Data: None - I currently do not have health insurance. I will be seeking more tests on 9/1 when my new insurance begins.
CDC Split Type:

Write-up: Headache - began after 12 hrs and lasted for 9 days. Nausea - began after 12 hrs and lasted for 5 days. Vomiting - began after 12 hrs and lasted for 2 days. Loss of appetite - began after 12 hrs and lasted for 5 days. Diarrhea - began after 2 days and lasted for 2 days. Intermittent sharp pain in left side of neck - began after 12 hrs and lasted for 2 days. Intermittent sharp pain in lower spine - began after 12 hrs and lasted for 2 days. Intermittent sharp pain in lower abdomen - began after 12 hrs and lasted for 3 days. Fatigue - began after 1 day and still ongoing (16+ days). Brain fog - began after 1 day and still ongoing (16+days). Limb pain (both arms and both legs) - began after 3 days and lasted for 5 days. Dry cough - began after 3 days and is still ongoing (13 + days). Chest pain - began after 5 days and lasted for 5 days. Pain in right arm when coughing - began after 5 days and lasted for 3 days. Chest heaviness - began after 3 days and is still ongoing (13+ days) prescribed 5 days of prednisone that helped resolve the limb pain, but I am still having issues with a dry cough and chest heaviness. I am unable to lay down without a suffocating feeling


VAERS ID: 1651284 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-28
Onset:2021-08-12
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Antinuclear antibody negative, Blood culture negative, Blood glucose normal, Cardiomegaly, Chest X-ray abnormal, Chest pain, Chills, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram abnormal, HIV test, Haematocrit decreased, Haemoglobin decreased, Hepatitis B antibody, Hepatitis B antigen positive, Hepatitis C antibody negative, Night sweats, Pericardial effusion, Platelet count increased, Pyrexia, Red blood cell sedimentation rate increased, White blood cell count normal
SMQs:, Cardiac failure (broad), Liver infections (narrow), Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 25mcg, Losartan 50mg, Senna, lactulose
Current Illness:
Preexisting Conditions: Hypothyroidism, Hypertension
Allergies: No Known allergies
Diagnostic Lab Data: WBC 8.9, H/H 11.7/34.8, Plt 486, ESR 43, CRP19, Hep Bs Ag/Ab/Hep Bc Ab/ HCV negative, HIV Non-reactive, ANA negative, C3 192, C4 27, BCx negative up to date, blood sugar normal, CXR-enlarged cardiac silhouette. CT chest-new moderate pericardial effusion. 2 Echocardiogram showed improving pericardial effusion. pending pANCA, cANCA
CDC Split Type:

Write-up: After 2 weeks of vaccination, pt developed shortness and chest pain. Patient was in ED and Echo showed moderate new pericardial effusion. aspiration was not done due to risk of injury to organs. started NSAID and colchicine and discharged home. After 10 days, pt developed fevers, night sweats and chills for 3 days. Pt was started on prednisone and conditions improved. Autoimmune work ups were in process. Patient is still in Hospital till today.


VAERS ID: 1651425 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dry throat, Dysphagia, Injection site erythema, Injection site warmth, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (broad), Dehydration (broad)

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

Write-up: Immediate dry throat. Thereafter, tightening of throat and difficulty swallowing until given benadryl 4 hours later. Covid arm, red hot at injection site for 1.5 weeks.


VAERS ID: 1653715 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-07-15
Onset:2021-08-12
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO198 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Amenorrhoea
SMQs:, 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: Cymbalta
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: No menstruation since vaccine. (Patient should have had 2 menstrual periods and has not.)


VAERS ID: 1653718 (history)  
Form: Version 2.0  
Age: 4.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Burning sensation, Confusional state, Discomfort, Dizziness, Electrocardiogram, Fatigue, Feeling abnormal, Gait inability, Headache, Heart rate increased, Hyperhidrosis, Immediate post-injection reaction, Lethargy, Nausea, Palpitations, Pelvic pain, Syncope, Tinnitus, Vaginal discharge, Vaginal haemorrhage, Vision blurred, Vomiting, Vulvovaginal pain
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

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

Write-up: Immediately after vaccine: Burning sensation on breast, pelvic pain, Headache, sudden drain, foggy brain, feeling lethargic. Pelvic cramps and burning of breast with full sensation as if breastfeeding, nausea, , 06/22 Nausea, vomiting, and other symptoms listed above 06/23 Sudden excessive sweats began, soaking clothes, feeling more confused 06/24 Heavy vaginal bleeding, not period, followed with lots of white tissue. Pain felt like just having a baby. 06/27 Heavy feeling on chest, palpitations, nausea, dyziness, unable to walk on my own. Had to be carried to the car due to extreme fatigue, along with other symptoms listed above. Went to UC. 06/28 Sweats and palpitations worsen, heart reate elevated 154, I Was doing nothing but lying in bed I fainted and was raked to ER, had blurry vision, blacking out, gushing sounds


VAERS ID: 1653925 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test normal, Fatigue, Pyrexia, Urine analysis normal
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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Blood tests and urine tests taken to check for infection. No infection.
CDC Split Type:

Write-up: Started running a fever as high as 102F the next day after first shot, with extreme fatigue. Had this same fever every day for 2 weeks. Fever would drop slightly with Tylenol or ibuprofen, but every day would rise again to 102F. Went to urgent care on August 20. Doctor prescribed stronger ibuprofen and said to continue to push fluids. After 2 weeks the fever has gone away, but still feeling fatigued.


VAERS ID: 1653967 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-08
Onset:2021-08-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 LA / IM

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

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

Write-up: Patient had radiating hives on neck, arms, hand and legs. Was treated with Benadryl and prednisone


VAERS ID: 1653999 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-08-12
   Days after vaccination:127
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chest X-ray abnormal, Fibrin D dimer increased, Interstitial lung disease, Lung infiltration, Mental status changes, Respiratory failure, SARS-CoV-2 test positive, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Hypokalaemia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 18 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Albuterol; Vit D; levothyroxine, Lisinopril, metoprolol, nitro prn, Prilosec, Advair, insulin, potassium
Current Illness: None
Preexisting Conditions: COPD (non o2/non steroid dep), Hypothyroidism, HTN, Depression, hyperlipidemia
Allergies: pcn, Keflex, niacin, lipitor
Diagnostic Lab Data: Cxr 8/24/21 There is patchy interstitial infiltrate involving both lungs diffusely with sparing only of the apices. This is similar appearance to previous. The heart appears normal. IMPRESSION: Diffuse bilateral pulmonary infiltrates similar to prior study of August 16, 2021. Results (MRN 6574907) as of 8/29/2021 15:26. 8/12/2021 20:17 SARS-CoV2 BY REAL TIME-PCR: Detected (A) SOURCE: Nasopharyngeal. Results (MRN 6574907) as of 8/29/2021 15:26. 8/14/2021 08:57 SARS-CoV2 BY REAL TIME-PCR: Detected (A) SOURCE: Nasopharyngeal. Results (MRN 6574907) as of 8/29/2021 15:26. Results (RN 6574907) as of 8/29/2021 15:26. 8/12/2021 20:17 SARS-CoV2 BY REAL TIME-PCR: Detected (A SOURCE: Nasopharyngeal. 8/14/2021 08:57. SARS-CoV2 BY REAL TIME-PCR: Detected .SOURCE: Nasopharyngeal. 8/27/2021 10:08. SARS-CoV2 BY REAL TIME-PCR: Detected (A). SOURCE: Nasal d dimer 926.
CDC Split Type:

Write-up: Pt was admitted on 8/12/21 unresponsive with altered mental status and a possible seizure. She tested positive for covid- 19. chest x ray showed b/l infiltrates. she was started on remdesivir, oxygen and dexamethasone on day #3. Her condition worsened requiring heated high flow for respiratory failure requiring 45L of high flow oxygen at 45% fio2. pt had a protracted hospital course and became deconditioned requiring rehab on discharge. She continues to require 3L oxygen on discharge


VAERS ID: 1655039 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-01
Onset:2021-08-12
   Days after vaccination:164
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: 20210812; Test Name: Covid; Test Result: Positive
CDC Split Type: USPFIZER INC202101058398

Write-up: She went in to get tested and it came back positive.; She went in to get tested and it came back positive.; This is a spontaneous report from a contactable consumer or other non hcp. An adult nonpregnant female patient received second dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number unspecified, expiration date unspecified), via an unspecified route of administration on Mar2021 as dose 2, single for COVID-19 immunization. Previously the patient received first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number unspecified, expiration date unspecified), via an unspecified route of administration on an unknown date as dose 1, single for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. The patient was not diagnosed with COVID-19 prior to the vaccination. The patient''s medical history and concomitant medications were not reported. The reporter reported that the patient went out for a small bachelorette party with 4 other friends the first week of August. All wore masks and very healthy. All had been vaccinated and they were mostly outdoors the whole weekend. The patient came home on 09Aug2021. Again, on 10Aug2021, the patient went back and since 12Aug2021, the was feeling sick with covid-Symptoms. The patient then went for SarS-cov-2 infection test and the results came positive. The patient was not treated for the events. The outcome of the events was reported as recovering for covid-19 and unknown for vaccination failure. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.


VAERS ID: 1655081 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:2021-01-28
Onset:2021-08-12
   Days after vaccination:196
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Diabetes
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: BMI; Result Unstructured Data: Test Result:33.9; Test Date: 20210812; Test Name: NAAT Covid test; Test Result: Positive
CDC Split Type: USPFIZER INC202101076372

Write-up: patient had tested positive for Covid virus, after being fully vaccinated; patient had tested positive for Covid virus, after being fully vaccinated; This is a spontaneous report from a contactable consumer via medical information team. This consumer reported similar events for 37 patients. This is 34 of 37 reports. This consumer reported for an 67-years-old male patient who received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EN5318, Expiry date was not reported), via an unspecified route of administration on 28Jan2021 as dose 1, single and second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EL9266, Expiry date was not reported), via an unspecified route of administration on 23Feb2021 as dose 2, single for COVID-19 immunization. Medical history included ongoing diabetes mellitus. The patient concomitant medications were not reported. It was reported that patient had tested positive for Covid virus, after being fully vaccinated on 12Aug2021. The patient underwent lab tests and procedures which included body mass index was 33.9 on an unknown date and NAAT Covid test (sars-cov-2 test) was positive on 12Aug2021. The outcome of the events was unknown.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-202101075254 Same reporter/drug/AE, different patients;US-PFIZER INC-202101081376 similar report from same reporter


VAERS ID: 1655662 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Aphonia, Basophil count, Dysphonia, Ear pruritus, Eosinophil count, Haematocrit decreased, Haemoglobin increased, Laryngoscopy abnormal, Lymphocyte count, Monocyte count, Neutrophil count increased, Platelet count normal, SARS-CoV-2 antibody test, Tryptase, Vaccine positive rechallenge, Vocal cord paresis, White blood cell count increased
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pfizer BioTech vaccine on 2/17/21. Had cough, diffuse pruritus, lump in throat sensation and loss of voice approximately 40 minu
Other Medications: carvedilol, clonidine, esomeprazole, ferrous sulfate, nifedipine ER, Procrit, Repaglinide, sevelamer, tacrolimus, prednisone, Velphoro,
Current Illness:
Preexisting Conditions: chronic kidney disease s/p renal transplant, currently on dialysis. Hypertension, GERD,.
Allergies: Mushrooms, shellfish, eggplant, pumpkin. Betadine, Biaxin, Sulfa drugs
Diagnostic Lab Data: 5/16 elevated IL 10 (3.1 pg/mL), IL2 receptor CD25 soluble 930.6 pg/mL normal IL1 beta, IL12, IL13, IL2, IL4, IL5, IL6, IL8, INF gamma, IL 17 tryptase 10.6 ug/L 8/19 laryngoscopy shows bilateral vocal cord paresis with incomplete adduction. Mild periarytenoid edema and moderate post-cricoid edema noted. 08/20 WBC 12.68, Hgb 10.8, Hct 31.7, Plt 227. absolute neutrophil 10.27 K/uL, absolute lymphocyte 1.67 K/ uL, absolute monocyte 0.62 K/ uL, absolute eosinophil 0.00 K/uL, absolute basolphil 80.9 K/uL normal tryptase (12.7 ug/L), C1q immune complex (1.3 ug Eq/mL), C3d Immune Complexes (9.9 ug Eq/ml) elevated IL 10 (6.3 pg/mL), IL2 receptor CD25 soluble (1056.0 pg/mL) normal IL1 beta, IL12, IL13, IL2, IL4, IL5, IL6, IL8, INF gamma, IL 17 COVID-19 Spike domain Ab $g250 U/mL
CDC Split Type:

Write-up: pruritus of ears and hoarseness/loss of voice 30 minutes after vaccine administration. Given 25mg of Benadryl and 40mg of prednisone. Continues to have loss of voice despite treatment with antihistamine and oral prednisone.


VAERS ID: 1655712 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-08-09
Onset:2021-08-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: pt said they had swollen lymphnodes for 3 weeks. referred them to DR


VAERS ID: 1655724 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939902 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Musculoskeletal stiffness, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (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: B12 complex vitamin
Current Illness: none
Preexisting Conditions: allergies
Allergies: minocin
Diagnostic Lab Data: none didn''t leave home
CDC Split Type:

Write-up: 8-12-2021 around 12 noon fever spiked to over 102, started alternating aleve and tylenol every four hours for six days, then arms aching from elbows to hands and legs from knees down to toes, joints on all constant stiffness. Spikes of headaches on and off the whole time. Last signs weened off 8-26-2021


VAERS ID: 1655882 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest discomfort, Chills, Computerised tomogram, Dizziness, Hypoaesthesia, Muscle spasms, Nausea, Pain in extremity, Panic attack, Paraesthesia, Wheezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Cat-Scan 08/29/2021 Blood Work 08/29/2021
CDC Split Type:

Write-up: Pt. states that after receiving the 1st of Phizer 08/12/2021, started experiencing symptoms 15mins of face numbness, panic attacks (night), muscle spasms, pins and needle feeling throughout body, chills through extremities, sharp pain moving through arm, chest pressure, wheezing, dizziness, and nausea. Tested Covid-Negative twice. Currently breastfeeding 2yr old child, Urgent-Care visit 08/29/2021 prescribed Valium. Cat-Scan, Blood Work


VAERS ID: 1656080 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Aphasia, Blood test, Chills, Cough, Endoscopy abnormal, Vocal cord paresis
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific inflammation (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pfizer En6200
Other Medications: 5mg. Zertex. Esomeprazole 40mg. Famotidine20mg
Current Illness: Renal failure
Preexisting Conditions: Hypertension. Diabetes #2. Renal failure
Allergies: Biaxin. Sulpher. Shellfish. Pumpkin. Eggplant. Kiwi. Lactose intolerant
Diagnostic Lab Data: ENT SCOPE. 8/20/21 Bilateral vocal cord Paresis Blood test. 8/23/21
CDC Split Type:

Write-up: Unable to speak ten minutes after vacation with cough and chills. Given benadryl and 40mg prednisone monitored for two hrs with no changes.


VAERS ID: 1656238 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-03
Onset:2021-08-12
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary mass, Formication, Injection site pruritus, Injection site rash, Pain, Pain in extremity, Respiratory tract oedema, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamins, Move free joint health by Schiff, Lutein & Zeaxanthin by trunature, and salmon oil.
Current Illness: None
Preexisting Conditions: None
Allergies: I''m severely allergic to bee stings. I got stung by a bee on my left palm on June 24, 2021. I displayed vomiting (3 times), diarrhea, severe abdominal pain, cold sweat, rash from chest to my feet, itching. My left hand and arm also swelled up, which lasted about 5 days.
Diagnostic Lab Data:
CDC Split Type:

Write-up: 8/11 - rash and itchiness on the left arm where the shot was given, dull pain in my left underarm and a lump under the left armpit 8/17 - swelling of the area under my right jaw near the throat. It was blocking part of my airway on the right side. The left side felt normal. It started around 6am and lasted about 20 minutes. 8/18 - 20 - Same area under my right jaw near the throat swelled up and went after 15- 20 minutes 8/24 - same swelling occurred again and went away after 20 minutes 8/28 & 8/30 - sensation of a bug crawling on my left leg


VAERS ID: 1656484 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 2 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Interchange of vaccine products
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: PFIZER-BIONTECH COVID-19 VACCINE EUA. ADMINISTRATION ERROR- MIXED DOSE SERIES. Patient reported no prior doses but had received Moderna for 1st dose on 4/15/21 at another clinic. Notified this would complete vaccine series. Patient may have been unable to leave nursing facility to get Moderna and would likely have chosen Pfizer due to exceptional circumstance of Moderna not being available to complete the series with the same brand.


VAERS ID: 1656509 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2021-02-10
Onset:2021-08-12
   Days after vaccination:183
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9262 / 2 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3246 / 1 LA / SYR

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

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

Write-up: breakthrough covid infection


VAERS ID: 1656519 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-14
Onset:2021-08-12
   Days after vaccination:151
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Respiratory failure, Vaccine breakthrough infection
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Breakthrough Covid Infection, respiratory failure


VAERS ID: 1656557 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Wrong product administered
SMQs:, Medication errors (narrow)

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

Write-up: patient wanted to get second Shingrix but she got Moderna ( counseled and offered Moderna card too)


VAERS ID: 1656794 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-02-22
Onset:2021-08-12
   Days after vaccination:171
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9266 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol; Ibuprofen; Simvastatin; Wellbutrin; Amlodipine; Losartan; Multi Vitamin; Vitamin D; Calcium supplement
Current Illness: No
Preexisting Conditions: Take medicine for high blood pressure; high cholesterol and for anxiety
Allergies: Lisinopril; grass/pollens - seasonal allergies
Diagnostic Lab Data: COVID test 8/24/2021
CDC Split Type: vsafe

Write-up: Slight sore throat and that is all I ever had. It lasted 10 days. I didn''t take anything for it. I had a health visit with nurse at doctor''s office. I took a COVID test August 24th and it came back negative.


VAERS ID: 1657012 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Exposure during pregnancy, Headache, Pain, Tic
SMQs:, Dyskinesia (broad), Dystonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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, iron vitamins.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None
Diagnostic Lab Data: I have not yet been to a doctor for it, as we are in the process of moving to another state.
CDC Split Type:

Write-up: I am 22 weeks pregnant. I have had no pregnancy issues. But, I got Pfizer vaccine (first dose) on august 10th at 8 AM. ON august 12th. My headache and body aches from the vaccine had went away, but my body now has ?tics? almost like someone with Tourette?s. I have 2 kids to care for. Ages 2 and 8 months. Plus my body, being pregnant. Can?t handle it. It happens when I?m driving, sitting, laying down, in the shower, cleaning. Etc. my baby is healthy as of now. But, I?m having tic attacks. And the only thing that could?ve caused them is the vaccine.


VAERS ID: 1657764 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 - / OT

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

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

Write-up: Product storage error; Expired vaccine administered to patient; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) and PRODUCT STORAGE ERROR (Product storage error) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Product storage error). On 12-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered to patient) had resolved. At the time of the report, PRODUCT STORAGE ERROR (Product storage error) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication information was provided. No treatment medication were provided. This case was linked to MOD-2021-285598 (Patient Link).


VAERS ID: 1657775 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2020-12-20
Onset:2021-08-12
   Days after vaccination:235
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

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

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

Write-up: A breakthrough infection; Started experiencing mild symptoms similar to allergies; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (Started experiencing mild symptoms similar to allergies) and INFECTION in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 20-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In January 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-Aug-2021, the patient experienced HYPERSENSITIVITY (Started experiencing mild symptoms similar to allergies). On an unknown date, the patient experienced INFECTION. At the time of the report, HYPERSENSITIVITY (Started experiencing mild symptoms similar to allergies) and INFECTION outcome was unknown. Test was reported to be scheduled on Friday. No Concomitant use were reported. No Treatment was reported.


VAERS ID: 1657788 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Wyoming  
Vaccinated:2021-07-11
Onset:2021-08-12
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 2 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Influenza like illness, Nasal congestion, Nasopharyngitis
SMQs:

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

Write-up: It sounds like he has a cold; pressure headache; congestion stuffy nose; flu-like symptoms; This spontaneous case was reported by a consumer and describes the occurrence of NASAL CONGESTION (congestion stuffy nose), INFLUENZA LIKE ILLNESS (flu-like symptoms), NASOPHARYNGITIS (It sounds like he has a cold) and HEADACHE (pressure headache) in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 043B21A and 006C21A) for COVID-19 vaccination. No Medical History information was reported. On 11-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced NASAL CONGESTION (congestion stuffy nose), INFLUENZA LIKE ILLNESS (flu-like symptoms) and HEADACHE (pressure headache). On an unknown date, the patient experienced NASOPHARYNGITIS (It sounds like he has a cold). At the time of the report, NASAL CONGESTION (congestion stuffy nose) and NASOPHARYNGITIS (It sounds like he has a cold) outcome was unknown, INFLUENZA LIKE ILLNESS (flu-like symptoms) had not resolved and HEADACHE (pressure headache) had resolved. No Concomitant Medication was provided. No treatment was provided.


VAERS ID: 1658792 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Dizziness, Flushing, Heart rate increased, Hyperhidrosis, Hypertension, Loss of consciousness, Nausea, Paraesthesia oral
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: During monitoring period post Pfizer COVID-19 vaccine, pt experienced hypertension, flushing, dizziness, lightheadedness, faint feeling, chills, nausea, rapid heart rate. VS: 155/98, P 101, R 25, O2 98%. Upon assessment, patient oriented x 4, states she was "blacking out" sweating profusely. Stated some tingling of bottom lip. Patient initially refused emergency medication after about 10 minutes agreed to IM Benadryl 25mg x 1. Patient remained in extended Observation for an hour and a half. Ice applied, water, blanket. Notified family members via phone that she had a reaction but began to feel better after an hour and 30 minutes. Patient discharged to home. VS: 125/71, P 59, R 19, O2 100%


VAERS ID: 1658798 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Flushing, Heart rate decreased, Hypertension, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Hypersensitivity (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: During monitoring period post Pfizer COVID-19 vaccine, pt experienced *Hypertension, Slower Heart Rate, Nausea, Facial Flushing and Chills. o Patient declined medications. Water, blanket, distraction techniques and comfort measures initiated. Patient discharged to home with family. Left the clinic in stable condition.


VAERS ID: 1658803 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-02-12
Onset:2021-08-12
   Days after vaccination:181
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 16 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: history of COPD
Allergies:
Diagnostic Lab Data: Cycle threshold 8/9/21 = 12.6
CDC Split Type:

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


VAERS ID: 1658984 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Alopecia, Arthralgia, Chest discomfort, Fatigue, Feeling abnormal, Joint swelling, Lethargy, Lip swelling, Motor dysfunction, Pharyngeal swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: 4 hours after vaccine, lips and throat be gain to swell. I became lethargic, almost unable to stay awake but managed to ensure I took Solumedrol and Benadryl before falling asleep. When I woke up, the joints on my right side were swollen. The next day, a large amount of hair fell out of my scalp. I had chest pressure and felt exhausted for 2 weeks . The beginning of week 2 (and continuing today) my joints began to hurt and my hand grasp is weaker on both hands. I have lost about half of my hair and remain tired and foggy. Labs pending.


VAERS ID: 1659080 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Herpes zoster, Hypertension, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypertension (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xarelto 20mg, Atorvastatin 80mg, Hair skin and nails, Tart Cherry extract, Tumeric, Peppermint extract,
Current Illness: Mgus
Preexisting Conditions: Mgus, history of clotting, Bilateral Embolism,
Allergies: N/A
Diagnostic Lab Data: 08-30-2021 Assessment: High Blood Pressure, Shingles. Doctor explained he had diagnosed 4 other patients with exact symptoms following the covid19 vaccination.
CDC Split Type:

Write-up: Excruciating pain in shoulder blade and surrounding shoulder area front and back side of body. Eventually resulting in an outbreak of a rash. Diagnosed at urgent care 08-30-2021 as an outbreak of Shingles.


Result pages: prev   55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=154&PERPAGE=100&ESORT=ONSET-DATE&REVERSESORT=ON&VAX=COVID19&DIED=No


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