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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 155 out of 6,867

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VAERS ID: 1659152 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blister, Dry skin, Erythema, Mobility decreased, Muscle tightness, Myalgia, Paraesthesia, Pruritus, Scab
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Caffeine from drinking coffee
Current Illness: Jet lag
Preexisting Conditions: Regular Cold Sores on my lips, herpes simplex, once every other month. Didn''t knowingly have chicken pox as a child. In year 2000 when applying for admission to university, I had to get an antibodies test for chicken pox and I had antibodies, therefore I was admitted. Never had a shingles or any other blister outbreak anywhere else on my body.
Allergies: None
Diagnostic Lab Data: NOne.
CDC Split Type:

Write-up: Wednesday afternoon, 3:15pm I received the shot in my left arm. Wednesday I felt achy tight muscles in my neck on my traps, down the right side of my back, and into my right calf. I am an athlete and have regular issues with this path of muscles. Thursday morning and most of the day, my left deltoid was so sore I couldn''t lift my left arm. In the evening, I was working on the computer and my left elbow was rubbing on the desk and getting sore, so eventually I looked down to notice on the inside of my left arm above the elbow I had blisters forming. I touched them and they felt tingly and itchy like when I get a cold sore on my lips. It was a dried skin patch with blisters. Friday by midday 6 blisters had formed. 3 in a curved line, 2 small ones inside the curve and one above it. Friday night at 10pm, the 3 were full blisters with brown colored liquid in them. Not clear like my cold sores get. Monday, August 16th, the blisters burst or were scraped off at some point during activity and turned into red scabs. For the next several days, they were healing. Tuesday night, August 24th I noticed them again being extremely itchy. I wanted to scratch them, but when i touched them, they hurt like I was touching an open wound. From August 24th, until today, August 31st, there hasn''t been much change, they are still very itchy. I have put Abreva on them. My mother who was a pediatric ICU nurse for 30 years said they look like shingles. I have not been to a doctor to have them looked at.


VAERS ID: 1659226 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
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 038C21A / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Abortion, Anxiety, Bundle branch block, Electrocardiogram abnormal, Oropharyngeal blistering, Palpitations
SMQs:, Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Termination of pregnancy and risk of abortion (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG shows:Incomplete bundle branch block. Pt reports no cardiac problems prior to vaccination, more testing to be ordered
CDC Split Type:

Write-up: Pt presented to ER with C/o palpitations, abdominal pain, and throat pain since first Moderna vaccine on 8/12/21. Pt states the palpitations/dizziness was so severe she pulled over in the car and summoned help. Pt states she sought medical treatment and was discharged with Anxiety as the diagnosis, and states she has never been diagnosed with Anxiety before and feels "something is wrong."


VAERS ID: 1659342 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-21
Onset:2021-08-12
   Days after vaccination:83
Submitted: 0000-00-00
Entered: 2021-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Amnesia, Balance disorder, Computerised tomogram, Confusional state, Dysarthria, Facial paralysis, Fatigue, Hemiparesis, Magnetic resonance imaging, Scan with contrast, Transient ischaemic attack
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hearing impairment (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Apixaban 5 mg 2x, Ezetimibe 10 mg 1 x, gabapentine (300/300/600 mg), levocetirizine 5 mg 1x, pantoprazole 40 mg 1x, cyanocobalamin 1000 mcg 1x, vitamin d3 50 mcg As needed: epipen , albuterol, oxyCodone 5 mg, diltiazem 30 mcg, naproxen 50
Current Illness: None
Preexisting Conditions: AFIB, reflux, sleep apnea, asthma
Allergies: Parmesan cheese - anaphylaxis clarithromycin - anaphylaxis Loratadine - anaphylaxis
Diagnostic Lab Data: CT, Ct with contrast, MRI 8/12/21
CDC Split Type:

Write-up: Transient Ischemic Attack (TIA). Treated at Hospital. Symptoms: weakness on left side, loss of balance, slurred speech, left facial droop, tiredness and confusion, loss of short term memory (do not remember most of event) Stroke protocol at ER, limited observation at ER and released due to lack of bed availability and symptoms stabilized.


VAERS ID: 1660315 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 1 LA / IM

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

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

Write-up: Patient received Moderna vaccine outside of recommended age. Patient reported no adverse events.


VAERS ID: 1661096 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain upper, Arthralgia, Blood pressure measurement, Chills, Dyspnoea, Fatigue, Feeling hot, Headache, Heart rate, Heart rate increased, Hypertension, Nausea, Pain in extremity, Syncope, Therapeutic response unexpected
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Jaw pain; Low blood pressure (usually has blood pressure of 80/60)
Allergies:
Diagnostic Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:Low; Comments: she usually has blood pressure of 80/60; Test Date: 20210812; Test Name: Blood pressure; Result Unstructured Data: Test Result:high; Comments: 126/80 which is very high; Test Date: 20210812; Test Name: heart beat; Result Unstructured Data: Test Result:increased; Comments: increased
CDC Split Type: USPFIZER INC202100993371

Write-up: going to faint; her blood pressure and it was 126/80 which is very high for her and she usually has blood pressure of 80/60; had nausea; had a warm sensation in her head and face; had a headache; would get really short of breath; have a stomach virus and something in her stomach made her feel like she would throw up but she did not throw up and had nausea; had prior to the Pfizer COVID vaccine was some jaw pain because of grinding and it was better by the time she went to get the vaccine; have chills; leg pain in her lower extremities below her knees and pain in the legs/had the normal arm pain and being tired; leg pain in her lower extremities below her knees and pain in the legs; had the normal arm pain and being tired; stomach like a cramp; fast heartbeat; This is a spontaneous report from a contactable consumer or other non-health care professional (patient, reported for self). A 52-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0178), via an unspecified route of administration (at the age of 52-years), administered in arm left on 12Aug2021 as dose 1, single for COVID-19 immunization. Medical history included jaw pain from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. On 12Aug2021, the patient experienced going to faint, her blood pressure and it was 126/80 which is very high for her and she usually has blood pressure of 80/60, had nausea, had a warm sensation in her head and face, had a headache, would get really short of breath, have a stomach virus and something in her stomach made her feel like she would throw up but she did not throw up and had nausea, had prior to the pfizer covid vaccine was some jaw pain because of grinding and it was better by the time she went to get the vaccine, have chills, leg pain in her lower extremities below her knees and pain in the legs/had the normal arm pain and being tired, leg pain in her lower extremities below her knees and pain in the legs, had the normal arm pain and being tired, stomach like a cramp, fast heartbeat. Patient stated she was calling about the Pfizer covid vaccine and got the 1st dose a couple of weeks ago and did have some side effects with the 1st dose and some of the side effects were not listed as part of the side effects and she wanted to verify those are ok symptoms to have before she gets the 2nd dose of the vaccine. Patient stated her symptoms started 30 minutes after getting the 1st dose of the Pfizer Covid vaccine and then as time progressed she would get them more often and mainly they occurred after 4-5 hours and she had all kinds of symptoms but did not hear about anyone getting like what you have when you have a stomach virus and something in her stomach made her feel like she would throw up but she did not throw up and had nausea; stated she had a warm sensation in her head and face and it started going down and that was the main symptoms she is concerned about; stated she had nausea and knows that is one of the listed side effects and also had a headache; stated she had the headache and it would come and go for the first couple of days for three days and the thing with her stomach that was nausea was just less like the first 24 hours and was more often at that time and after 24 hours was less. Stated she usually has low blood pressure and that day on 12Aug2021 when she got home from getting the vaccine she actually wrote down and documented her blood pressure and it was 126/80 which is very high for her and she usually has blood pressure of 80/60 so at that time it was that and the blood pressure went down as the day progressed; states she did not have a fever but did have chills, leg pain in her lower extremities below her knees and pain in the legs; states she had the normal arm pain and being tired; states her blood pressure surprised her and the shortness of breath and stomach with nausea. Stated her symptoms are not ongoing and went away and took like a week to resolve and went away. Stated for her 1st dose of the Pfizer Covid vaccine her patient card has EW0178 or EWO178 written on her card and states there is no expiry date or NDC written on the card; states the dose was administered to her left arm. This was the first dose of the Pfizer Covid vaccine administered on 12Aug2021. Patient stated her next dose was next week, heard the second dose was more intense, and had blood pressure went up, the heart beat and the sob, was in bed a couple of days, and had symptoms for a week, and patient heard the symptoms are more intense after the second dose, stated she usually had low blood pressure, and it went up. Patient enquired whether to get the second dose if she had fast heartbeat and shortness of breath. Patient was asking if there are any reports of reaction to Pfizer covid vaccine if a person is allergic to levaquin. Patient reports she already asked HCP and vaccination providers and has not gotten anywhere. Patient states she wants to get the vaccine. Patient reports having the ingredients list previously but needs it again. Patient reports experiencing low blood pressure, weak pulse, shortness of breath, fainting and joint pain to the point she could not move after taking Levaquin. Patient was reporting an allergy to a non Pfizer product. She wants to get the Pfizer vaccine but is unsure because of having an allergy to Levaquin. After taking Levaquin she experienced decreased blood pressure, pulse weak, fainted, shortness of breath and joint pain that caused her to not be able to move. The adverse events resulted in emergency room, physician office visit. The patient was not hospitalized. The patient underwent lab tests and procedures which included blood pressure measurement: low, she usually has blood pressure of 80/60 (unspecified date), blood pressure measurement: high on 12Aug2021 126/80 which is very high. The clinical outcome for the events going to faint, had nausea, had a warm sensation in her head and face, had a headache, would get really short of breath, have a stomach virus and something in her stomach made her feel like she would throw up but she did not throw up and had nausea, had prior to the Pfizer COVID vaccine was some jaw pain because of grinding and it was better by the time she went to get the vaccine, have chills, leg pain in her lower extremities below her knees and pain in the legs/had the normal arm pain and being tired, leg pain in her lower extremities below her knees and pain in the legs, had the normal arm pain and being tired, stomach like a cramp, fast heartbeat was reported as recovered on an unspecified date in Aug2021. While for event has low blood pressure and that day on 12Aug2021 when she got home from getting the vaccine she actually wrote down and documented her blood pressure and it was 126/80 which is very high for her and she usually has blood pressure of 80/60 was reported as unknown. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1661138 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Fatigue, Feeling of body temperature change, Gait inability, Headache, Joint swelling, Muscle spasms, Premenstrual syndrome
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CAL; MAGNESIUM CARBONATE;MAGNESIUM CHLORIDE;ZINC; ZOVIRAX [ACICLOVIR SODIUM]
Current Illness: Menopausal
Preexisting Conditions: Medical History/Concurrent Conditions: HSV infection
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101065576

Write-up: feeling fatigued; feel hot/cold occasionally; ankle swollen; calve cramps for 6 days/Can''t go in cold water (ocean)legs cramp; unable to walk on day one after shot; head ache; bruise on left leg above knee; PMS/cletching jaw, back stress, angry, iritable; This is a spontaneous report from a contactable consumer (patient). A 56-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot Number: fc3181), via an unspecified route of administration, administered in left arm on 11Aug2021 19:00 (at the age of 56-year-old) as dose 1, single for COVID-19 immunisation. Medical history included herpes simplex (HSV) and ongoing menapausal. The patient had no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included calcium carbonate (CAL), magnesium carbonate;magnesium chloride;zinc and aciclovir sodium (ZOVIRAX). The patient experienced calve cramps for 6 days, some days both, some days one calf, unable to walk on day one after shot on 12Aug2021 04:00. The patient also experienced head ache, bruise on left leg above knee, PMSing bad (patient stated she was menapausal and now had PMS again! cletching jaw, back stress, angry, iritable and she was not like this past 3 years), can''t go in cold water (ocean)legs cramp, feel hot/cold occasionally on 12Aug2021 04:00. The patient stated before shot never had these and calf cramp worried her, massage therapist said ankle swollen. The patient was feeling fatigued 6 days after shot on 17Aug2021. The facility where the vaccine was administered was Pharmacy or Drug Store. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. No treatment was received as a result of the events. The outcome of the events was not recovered.


VAERS ID: 1661163 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 59267-1000-02 / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Blood pressure ambulatory increased, Blood test, Chest X-ray, Dizziness, Fatigue, Headache, Myocardial infarction, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Chronic pain; Contrast media allergy; COVID-19.
Allergies:
Diagnostic Lab Data: Test Name: Blood work; Result Unstructured Data: Test Result: Unknown results; Test Name: X-RAY of chest; Result Unstructured Data: Test Result: Unknown results.
CDC Split Type: USPFIZER INC202101070905

Write-up: Heart attack; Dizzy; Blood pressure up; Weak and tired; Left arm in pain; Weak and tired; Headache; Nausea; This is a spontaneous report from a contactable consumer (patient). A 70-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: 59267-1000-02), via an unspecified route of administration, administered in Arm Right on 12Aug2021 11:00 (at the age of 70-years-old) as dose 1, single for covid-19 immunization. Medical history included chronic pain, Covid-19 and IV contrast from an unknown date and unknown if ongoing. The patient received unspecified concomitant medications. The patient previously took tramadol and experienced allergy. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On12Aug2021 12:00, the patient experienced first day headache second to present dizzy, nausea, blood pressure up, weak and tired. She thought she was having heart attack as she had left arm in pain and went to emergency room. This took place on 6 day of receiving vaccine had been in touch with her doctor since Monday. The adverse event resulted in emergency room/department or urgent care. The patient received treatment in result of adverse events was blood work and X-RAY of chest. The patient underwent lab tests and procedures which included blood test: unknown results, chest x-ray: unknown results on an unspecified date. The outcome of all events was unknown. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1661169 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Dyspnoea, Pericardial effusion, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ESTRADIOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Food allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: CT; Result Unstructured Data: Test Result:5mm of fluid around heart; Test Date: 20210818; Test Name: COVID-19 test; Test Result: Negative ; Comments: nasal swab
CDC Split Type: USPFIZER INC202101074791

Write-up: 5mm of fluid around heart; Shortness of breath; This is a spontaneous report from a contactable consumer (patient). A 29-year-old female patient received BNT162B2 (Pfizer-BioNTech COVID-19 vaccine), via an unspecified route of administration, administered in the left arm on 12Aug2021 at 11:00 (Lot Number: FA7484) as dose 1, single for COVID-19 immunization. Medical history included coconut allergy from an unknown date. The patient did not have COVID-19 prior to vaccination. Concomitant medication included estradiol (manufacturer unknown) taken for an unspecified indication, start and stop date were not reported. On 12Aug2021, the patient had shortness of breath that has lasted a week. CT from the patient''s ER visit on 12Aug2021, showed 5 mm of fluid around the heart and was prescribed Voltaren as treatment. The patient had a COVID-19 nasal swab test on 18Aug2021 with a negative result. The outcome of the event 5mm of fluid around heart was recovering while the outcome of the event shortness of breath was recovered on Aug2021. No follow-up attempts are possible. No further information is expected


VAERS ID: 1661171 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-03-24
Onset:2021-08-12
   Days after vaccination:141
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

Administered by: Work       Purchased by: ?
Symptoms: Drug ineffective, SARS-CoV-2 test, SARS-CoV-2 test 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:
Allergies:
Diagnostic Lab Data: Test Date: 20210811; Test Name: PCR; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210813; Test Name: PCR; Test Result: Positive ; Comments: Nasal Swab; Test Date: 20210812; Test Name: Rapid; Test Result: Positive ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC202101075112

Write-up: I was vaccinated in March - I tested positive for COVID last week.; I was vaccinated in March - I tested positive for COVID last week.; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A 28-years-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number and Expiry date was not reported), via an unspecified route of administration, administered in Arm Left on 24Mar2021(at the age of 28-year-old) as dose number unknown single on 19Aug2021 for covid-19 immunization at Workplace clinic. The patient medical history and concomitant medications were not reported. Patient was not pregnant at the time of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient stated that she was vaccinated in march , tested positive for covid last week (12Aug2021). The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 11Aug2021 Nasal Swab, sars-cov-2 test: positive on 12Aug2021 Nasal Swab, sars-cov-2 test: positive on 13Aug2021 Nasal Swab. The patient did not receive treatment for the resulted events. The clinical outcome of events was recovering. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.


VAERS ID: 1661206 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mass, Pain in extremity, Pruritus, SARS-CoV-2 test, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; COVID-19 (If covid prior vaccination Yes); Fruit allergy; Shellfish allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210813; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Negative; Comments: Negative
CDC Split Type: USPFIZER INC202101080278

Write-up: Hives; Itchiness; Big bumps; Sore arm; This is a spontaneous report from a contactable nurse (patient). A 30-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: FC3180), via an unspecified route of administration, administered in left arm on 11Aug2021 09:30 (at the age of 30-year-old), as dose 1, single for COVID-19 immunisation. Medical history included mild asthma from an unknown date. Patient had known allergies to shellfish and pineapples. Concomitant medications were reported as none. Prior vaccination, patient was diagnosed with COVID and reported as patient had no other vaccine in four week. The patient was not pregnant at the time of vaccination. On 12Aug2021, the patient experienced hives, itchiness, big bumps and sore arm. The patient underwent lab tests and procedures which included on 13Aug2021, SARS-COV-2 test, nasal swab: found negative. No treatment was given in response to the events. The outcome of the events was not recovered.


VAERS ID: 1661223 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-02-03
Onset:2021-08-12
   Days after vaccination:190
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Sulfonamide allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210813; Test Name: COVID-19; Test Result: Positive; Comments: Nasal Swab Covid positive 14Aug2021.
CDC Split Type: USPFIZER INC202101091056

Write-up: This is a spontaneous report from a contactable consumer (patient). A 24-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), first dose on 15Jan2021 11:00 (Lot Number: EL3247) and second dose on 03Feb2021 14:00 (Lot Number: EL3247), both via an unspecified route of administration, administered in Arm Left as single dose at the age of 24-year-old for COVID-19 immunisation. The patient medical history was not reported. The patient had no covid prior vaccination. Concomitant medication(s) included ZOLOFT taken for an unspecified indication, start and stop date were not reported. The patient had no other vaccine in four weeks. Patient having allergies to Sulphur Drugs. The patient experienced covid since 12Aug2021 12.00AM. Patient underwent covid tested post vaccination (nasal swab) on 13Aug2021 and the result on 14Aug2021 was positive. AE resulted in Doctor or other healthcare professional office/clinic visit. The patient did not receive any treatment for AE. Outcome of the events was recovering. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1662257 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-09
Onset:2021-08-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Crepitations, Insomnia, Neck pain, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Arthritis (broad), Infective pneumonia (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:
Preexisting Conditions: Vasculitis
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Since my first vaccine, neck pain and every time look down neck pops. I feel like there is a pulling cord on my cervical area. Also when sleeping, I try to turn around on the bed. It is painful on neck and cervical area.


VAERS ID: 1662462 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-27
Onset:2021-08-12
   Days after vaccination:107
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, COVID-19, Condition aggravated, Cough, Headache, Pain, Pyrexia, Rectal haemorrhage, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amLODIPine (NORVASC) 5 MG tablet butalbital-aspirin-caffeine-codeine (FIORINAL & CODEINE #3) 50-325-40-30 MG capsule calcium carbonate (TUMS) 500 MG chew tablet calcium-vitamin D (OSCAL-500+D) 500-200 MG-UNIT tablet cyclobenzaprine (FLEXERI
Current Illness: None known
Preexisting Conditions: Glaucoma (increased eye pressure) Shoulder pain, left Depression IHD (ischemic heart disease) GERD (gastroesophageal reflux disease) Migraine Nephrolithiasis Chronic pain Abdominal pain, generalized Ureterolithiasis Hydronephrosis Intractable pain CVA tenderness Coccyx pain Ataxia Dizziness Benign paroxysmal positional vertigo of right ear Renal colic Other migraine without status migrainosus, intractable Hypokalemia Chest pain Colitis
Allergies: Dicyclomine (rash, itching), Ciprofloxacin (rash), demerol (hives), depakote (rash), doxepin (rash), morphine (rash), nortriptyline (rash, swelling), zofran (hives)
Diagnostic Lab Data: COVID-19 positive on 8/12/2021.
CDC Split Type:

Write-up: Patient presented to emergency department on 8/23/2021 with abdominal pain and rectal bleeding. She had tested positive for COVID-19 on 8/12/2021 at an outpatient facility following a trip. At that time she had fever, coughing, headache and body aches. She did not report any of these symptoms during admission and was not treated for COVID-19 during admission. She was discharged on 8/27/2021.


VAERS ID: 1662898 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-01-21
Onset:2021-08-12
   Days after vaccination:203
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 010M20A / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cardiac failure congestive, Condition aggravated, Fluid overload, Oedema peripheral, Rales, SARS-CoV-2 test positive
SMQs:, Cardiac failure (narrow), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 16 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin, alogliptin, lipitor, lasix, lantus, toprol XL, zoloft
Current Illness:
Preexisting Conditions: Stage 3 CKD, atrial fibrillation, DM2, dyslipidemia, mild aortic stenosis
Allergies:
Diagnostic Lab Data: COVID PCR "detected" on 08/12/2021
CDC Split Type:

Write-up: Fully vaccinated ALF resident admitted to hospital through ED for COVID evaluation vs CHF exacerbation. COVID swab "detected." Patient afebrile, O2 at 96% on room air. Provider reports patient "appears fluid overloaded with bilateral lower extremity edema and rales." Started on decadron, IV lasix. Discharged after symptoms resolved and without oxygen.


VAERS ID: 1662927 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac flutter, Chest discomfort, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (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: Prenatal vitamin one per day Probiotic one daily
Current Illness: none
Preexisting Conditions: Seasonal allergies
Allergies: None
Diagnostic Lab Data: none
CDC Split Type:

Write-up: 8/12/21 noticed fluttering in chest that was intermittent throughout the day. 8/13/21 felt tightness in chest, fluttering in chest was gone but pressure in chest persisted through the next day and then went away. Felt she couldn''t take deep breath from the pressure in the chest.


VAERS ID: 1662941 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-06
Onset:2021-08-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH IC3180 / 1 LA / IM

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

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

Write-up: I started my menstrual cycle approx. 2 weeks early and it lasted twice as long. First week was light spotting and the second week was my "normal" period.


VAERS ID: 1662953 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Unknown  
Location: Florida  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Post-acute COVID-19 syndrome
SMQs:, 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: none
Current Illness: none
Preexisting Conditions: none
Allergies: tetracycline
Diagnostic Lab Data:
CDC Split Type:

Write-up: I had covid in January 2021 with long-term symptoms that did not resolve until May 2021. These symptoms have begun again since receiving the first shot and have lasted for the past three plus weeks. Studies need to be done on the potential resurgence of long-term covid symptoms after vaccination.


VAERS ID: 1663158 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 LA / SYR

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

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

Write-up: Severe diarrhea 12 hours after (lasted for about 12 hours).


VAERS ID: 1663173 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abscess
SMQs:

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: ABCESS ON RIGHT THIGH
Current Illness:
Preexisting Conditions:
Allergies: NO
Diagnostic Lab Data:
CDC Split Type:

Write-up: DEVELOPED ABCESS ON RIGHT SIDE


VAERS ID: 1663193 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hepatic pain, Hepatomegaly, Lymphadenopathy, Mobility decreased, Pain, Sleep disorder, Wheezing
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Parkinson-like events (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), 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: benadryl
Current Illness:
Preexisting Conditions:
Allergies: sodium chloride, iodine, sea salt, shell fish
Diagnostic Lab Data:
CDC Split Type:

Write-up: wheezing, body aches, swollen lymph nodes, fatigue, hard to sleep, body so painful it was hard to sit still, couldnt lift arm, liver swollen/painful


VAERS ID: 1663402 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-09
Onset:2021-08-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006921A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Laboratory test, Pericarditis, Pulmonary oedema
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? 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: Atorvastatin 20 mg, Glimepiride 4 mg, Singulair 10 mg, Januvia 100 mg, Omeprazole 40 mg, Irbesartan/HCTZ 150-12.5 mg
Current Illness: No illnesses reported
Preexisting Conditions: Diabetes, Asthma, Hypertension
Allergies: Allergy to azithromycin
Diagnostic Lab Data: Unsure which tests were administered and the results from her ER visit on 8/30/21.
CDC Split Type:

Write-up: Patient started experiencing shortness of breath 3 days post second dose of Moderna. It became progressively worse, she went to urgent care, then to the ER. In the ER it was determined she had pulmonary edema and pericarditis. Her ER visit was on 8/30/21, She told me she had been to urgent care, her PCP, and her pulmonologist. Not sure the dates those visits occurred. Upon discharge from the ER, she was given an inhaler, cefdinir, and prednisone. She had them filled at my pharmacy which is when I learned all the above.


VAERS ID: 1665504 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-08-12
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoaesthesia, Nasopharyngitis, Paraesthesia, Rash
SMQs:, Anaphylactic reaction (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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Colds; Tingling; Numbness; Spots all over the body; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (Colds), PARAESTHESIA (Tingling), HYPOAESTHESIA (Numbness) and RASH (Spots all over the body) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced NASOPHARYNGITIS (Colds), PARAESTHESIA (Tingling), HYPOAESTHESIA (Numbness) and RASH (Spots all over the body). At the time of the report, NASOPHARYNGITIS (Colds), PARAESTHESIA (Tingling), HYPOAESTHESIA (Numbness) and RASH (Spots all over the body) 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.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the occurrence of the events, a causal relationship cannot be excluded.


VAERS ID: 1665513 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-01-21
Onset:2021-08-12
   Days after vaccination:203
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013L20A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Fear, Poor quality sleep, Rash, Rash macular, Rash pruritic, Symptom recurrence, Urticaria, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Depression (excl suicide and self injury) (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CLOPIDOGREL BISULFATE; METOPROLOL TARTRATE; LISINOPRIL; EMPAGLIFLOZIN; ATORVASTATIN; FINASTERIDE; INSULIN ASPART; GEMFIBROZIL; INSULIN GLARGINE; POTASSIUM CHLORIDE; METFORMIN HCL; VITAMIN D3; VITAMIN B COMPLEX
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Open heart surgery (Stays mostly in home post surgery)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: I think I may have a delayed reaction; I''m concerned, kind of worried; Scared; Three episodes in the last three weeks with a spontaneous onset; couldn''t sleep well; Hives returned/ Getting tired of itching/ has under two dozen areas; Hives returns/ Called it as rash/ Itching like hell; started on stomach, and during that evening went to chest, back, legs, arms, shoulders, everywhere all over my body; Itchy hives/ started on stomach, and during that evening went to chest, back, legs, arms, shoulders, everywhere all over my body; Red bumps/ red spots ( don''t know what to call them) are red bumps that itch went everywhere; This spontaneous case was reported by a consumer and describes the occurrence of SYMPTOM RECURRENCE (Three episodes in the last three weeks with a spontaneous onset), URTICARIA (Hives returned/ Getting tired of itching/ has under two dozen areas), VACCINATION COMPLICATION (I think I may have a delayed reaction), ANXIETY (I''m concerned, kind of worried) and FEAR (Scared) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031M20A and 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Open heart surgery (Stays mostly in home post surgery). Concomitant products included CLOPIDOGREL BISULFATE, METOPROLOL TARTRATE, LISINOPRIL, EMPAGLIFLOZIN, ATORVASTATIN, FINASTERIDE, INSULIN ASPART, GEMFIBROZIL, INSULIN GLARGINE, POTASSIUM CHLORIDE, METFORMIN HCL, COLECALCIFEROL (VITAMIN D3) and VITAMIN B COMPLEX for an unknown indication. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 17-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Aug-2021, the patient experienced URTICARIA (Hives returned/ Getting tired of itching/ has under two dozen areas). On an unknown date, the patient experienced SYMPTOM RECURRENCE (Three episodes in the last three weeks with a spontaneous onset), VACCINATION COMPLICATION (I think I may have a delayed reaction), ANXIETY (I''m concerned, kind of worried), FEAR (Scared), URTICARIA (Itchy hives/ started on stomach, and during that evening went to chest, back, legs, arms, shoulders, everywhere all over my body), RASH MACULAR (Red bumps/ red spots ( don''t know what to call them) are red bumps that itch went everywhere), POOR QUALITY SLEEP (couldn''t sleep well), RASH PRURITIC (Hives returns/ Called it as rash/ Itching like hell) and RASH (started on stomach, and during that evening went to chest, back, legs, arms, shoulders, everywhere all over my body). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at a dose of 25 mg; HYDROCORTISONE (CORTIZONE 10) for Adverse event, at an unspecified dose and frequency; FAMOTIDINE for Adverse event, at a dose of 20 mg twice a day; FAMOTIDINE on 13-Aug-2021 for Adverse event, at a dose of 20 mg, morning once; HYDROXYZINE PAMOATE for Adverse event, at a dose of 25 mg four times per day; HYDROXYZINE PAMOATE on 13-Aug-2021 for Adverse event, at a dose of 25 mg, once morning; METHYLPREDNISOLONE for Adverse event, at a dose of 4 mg and TRIAMCINOLONE ACETONIDE for Adverse event, at an unspecified dose and frequency. At the time of the report, SYMPTOM RECURRENCE (Three episodes in the last three weeks with a spontaneous onset), URTICARIA (Hives returned/ Getting tired of itching/ has under two dozen areas), VACCINATION COMPLICATION (I think I may have a delayed reaction), ANXIETY (I''m concerned, kind of worried) and FEAR (Scared) had not resolved and URTICARIA (Itchy hives/ started on stomach, and during that evening went to chest, back, legs, arms, shoulders, everywhere all over my body), RASH MACULAR (Red bumps/ red spots ( don''t know what to call them) are red bumps that itch went everywhere), POOR QUALITY SLEEP (couldn''t sleep well), RASH PRURITIC (Hives returns/ Called it as rash/ Itching like hell) and RASH (started on stomach, and during that evening went to chest, back, legs, arms, shoulders, everywhere all over my body) had resolved. Concomitant medications also included vitamins and Centrum multivitamin Most recent FOLLOW-UP information incorporated above includes: On 14-Aug-2021: Follow-up received contains no new information.


VAERS ID: 1665514 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-15
Onset:2021-08-12
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040C21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Adverse reaction, Amnesia, Back pain, Dizziness, Feeling abnormal, Feeling hot, Pain in extremity
SMQs:, Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: INSULIN ASPART
Current Illness: Allergy (reported as allergic to red dye); Allergy to allopathic drugs (Reported as allergic to cough syrup); Allergy to antibiotic (Reported as allergic to most antibiotics except Zithromax); Bronchial asthma (for 20 years); Diabetes (for 20 years); Drug allergy (Allergic to sulfur drug); Egg allergy; Food allergy (Any-sugar free food); Meat allergy (Reported as allergic to Turkey); Meat allergy (Reported as allergic to chicken); Penicillin allergy; Pollen allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: seemed to have much more severe reaction; Memory loss gets worse after having a larger dose of insulin at night; Pain in the arm and back gets worse after having a larger dose of insulin at night; Pain in the arm and back gets worse after having a larger dose of insulin at night; Feeling too hot in the night time; Feeling so bad gets worse after having a larger dose of insulin at night; Dizziness gets worse after having a larger dose of insulin at night; This spontaneous case was reported by a consumer and describes the occurrence of AMNESIA (Memory loss gets worse after having a larger dose of insulin at night), PAIN IN EXTREMITY (Pain in the arm and back gets worse after having a larger dose of insulin at night), BACK PAIN (Pain in the arm and back gets worse after having a larger dose of insulin at night), FEELING HOT (Feeling too hot in the night time) and FEELING ABNORMAL (Feeling so bad gets worse after having a larger dose of insulin at night) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 052E21A and 040C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Allergy to antibiotic (Reported as allergic to most antibiotics except Zithromax), Allergy to allopathic drugs (Reported as allergic to cough syrup), Food allergy (Any-sugar free food), Pollen allergy, Allergy (reported as allergic to red dye), Egg allergy, Meat allergy (Reported as allergic to chicken), Meat allergy (Reported as allergic to Turkey), Drug allergy (Allergic to sulfur drug), Penicillin allergy, Bronchial asthma (for 20 years) and Diabetes (for 20 years). Concomitant products included INSULIN ASPART for Diabetes. 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 AMNESIA (Memory loss gets worse after having a larger dose of insulin at night), PAIN IN EXTREMITY (Pain in the arm and back gets worse after having a larger dose of insulin at night), BACK PAIN (Pain in the arm and back gets worse after having a larger dose of insulin at night), FEELING HOT (Feeling too hot in the night time), FEELING ABNORMAL (Feeling so bad gets worse after having a larger dose of insulin at night) and DIZZINESS (Dizziness gets worse after having a larger dose of insulin at night). On an unknown date, the patient experienced ADVERSE REACTION (seemed to have much more severe reaction). At the time of the report, AMNESIA (Memory loss gets worse after having a larger dose of insulin at night), PAIN IN EXTREMITY (Pain in the arm and back gets worse after having a larger dose of insulin at night), BACK PAIN (Pain in the arm and back gets worse after having a larger dose of insulin at night), FEELING HOT (Feeling too hot in the night time), FEELING ABNORMAL (Feeling so bad gets worse after having a larger dose of insulin at night), DIZZINESS (Dizziness gets worse after having a larger dose of insulin at night) and ADVERSE REACTION (seemed to have much more severe reaction) outcome was unknown. No treatment medications were provided. Patient reported that She needed to stay near the AC when feeling hot. Patient thought of cutting off her required dose at night so patient will feel better and patient want to confirm whether she could stop the insulin or lower the dose. This case was linked to MOD-2021-286443 (Patient Link). Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 15-Aug-2021: Added Concomitant medication insulin was updated to Insulin NovoLog and event adverse reaction were added and narrative was update accordingly.


VAERS ID: 1665539 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:2021-08-05
Onset:2021-08-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, Feeling hot, Peripheral swelling, Pruritus, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: arm was hot; arm was itching; arm was red; arm was swollen; Arm was rashy; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (arm was hot), PRURITUS (arm was itching), ERYTHEMA (arm was red), PERIPHERAL SWELLING (arm was swollen) and RASH (Arm was rashy) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 052E21A) for COVID-19 vaccination. No Medical History information was reported. On 05-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 FEELING HOT (arm was hot), PRURITUS (arm was itching), ERYTHEMA (arm was red), PERIPHERAL SWELLING (arm was swollen) and RASH (Arm was rashy). The patient was treated with HYDROCORTISONE (HYDROCORTICONE) for Adverse event, at a dose of 1 dosage form. On 16-Aug-2021, PERIPHERAL SWELLING (arm was swollen) had resolved. At the time of the report, FEELING HOT (arm was hot), PRURITUS (arm was itching) and RASH (Arm was rashy) outcome was unknown and ERYTHEMA (arm was red) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications were not provided by the reporter. Reporter did not allow further contact


VAERS ID: 1665585 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002S21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: COLACE; ASPIRIN (E.C.); CALCIUM/VITAMIN D [CALCIUM CARBONATE;ERGOCALCIFEROL]; DILANTIN [PHENYTOIN]; CHLORPROMAZINE; METAMUCIL [PLANTAGO OVATA]; MYRBETRIQ; OMEPRAZOLE; SIMVASTATIN; TYLENOL; MILK OF MAGNESIA; MAALOX ALUM MILK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Stomach Ache; Diarrhea; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea), ABDOMINAL PAIN UPPER (Stomach Ache) and NAUSEA (Nausea) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002S21A) for COVID-19 vaccination. Concomitant products included DOCUSATE SODIUM (COLACE), ACETYLSALICYLIC ACID (ASPIRIN (E.C.)), CALCIUM CARBONATE, ERGOCALCIFEROL (CALCIUM/VITAMIN D [CALCIUM CARBONATE;ERGOCALCIFEROL]), PHENYTOIN (DILANTIN [PHENYTOIN]), CHLORPROMAZINE, PLANTAGO OVATA (METAMUCIL [PLANTAGO OVATA]), MIRABEGRON (MYRBETRIQ), OMEPRAZOLE, SIMVASTATIN, PARACETAMOL (TYLENOL), MAGNESIUM HYDROXIDE (MILK OF MAGNESIA) and ALUMINIUM HYDROXIDE, MAGNESIUM HYDROXIDE (MAALOX ALUM MILK) for an unknown indication. On 11-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 NAUSEA (Nausea). On 14-Aug-2021, the patient experienced DIARRHOEA (Diarrhea). On 17-Aug-2021, the patient experienced ABDOMINAL PAIN UPPER (Stomach Ache). The patient was treated with ONDANSETRON (ZOFRAN [ONDANSETRON]) for Nausea, at an unspecified dose and frequency and LOPERAMIDE HYDROCHLORIDE (IMODIUM) for Diarrhea, at an unspecified dose and frequency. On 14-Aug-2021, DIARRHOEA (Diarrhea) had resolved. At the time of the report, ABDOMINAL PAIN UPPER (Stomach Ache) and NAUSEA (Nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.


VAERS ID: 1665670 (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: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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: USPFIZER INC202101042270

Write-up: experiencing tingling throughout my body/ the tingling "feeling comes very randomly" and that its, "like a prickly sensation in my arms, hands, feet, legs, and face."; experiencing tingling throughout my body/ the tingling "feeling comes very randomly" and that its, "like a prickly sensation in my arms, hands, feet, legs, and face."; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 25-year-old female patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: UNKNOWN), via an unspecified route of administration on 11Aug2021 at 16:00 as dose 1, single for COVID-19 immunisation. The medical history and concomitant medications of the patient were not reported. The reporter reported she received the first dose of Covid19 Pfizer vaccine and within about 12 to now 24 hours later (on 12Aug2021) she experienced tingling throughout her bod. She wanted to know if that was a normal side effect or something she should be concerned about. She reported the tingling "feeling comes very randomly" and that its, "like a prickly sensation in my arms, hands, feet, legs, and face". She also stated there were people who said they had experienced this online. She had been feeling like tingling in her body and feet. The outcome of the event was reported as not resolved. The lot number for the vaccine, (BNT162B2), was not provided and will be requested during follow up.


VAERS ID: 1666122 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-02-02
Onset:2021-08-12
   Days after vaccination:191
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA N/A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA N/A / 2 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Acoustic stimulation tests abnormal, Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: aspirin 81 mg, 1 daily ibuprofen 400 mg, 2x daily gemfibrozil 600 mg, 2x daily simvastatin 40 mg, 1x daily lisinopril/hctz 10-1.5 mg, 2x daily
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: sulfer
Diagnostic Lab Data: Went to ENT Dismissed my ears ringing. Said I needed hearing aids. Follow up 09-15-21 for hearing aids.
CDC Split Type:

Write-up: August 12, 2021 tinnitus - ringing in ears. Constant ringing in my ears still to this date.


VAERS ID: 1666234 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Joint range of motion decreased
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Patient complains of difficulty with range of motion in his shoulder. He cannot reach backward fully with his arm. Reported upon arrival for 2nd dose. Recommendation to contact doctor if not improved soon in case he needs physical therapy exercises.


VAERS ID: 1666331 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Extremity contracture, Hypoaesthesia, Inappropriate schedule of product administration, Pain, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol HFA, Aspirin 81 mg, Tamoxifen 20 mg
Current Illness:
Preexisting Conditions:
Allergies: Latex, honeydew melons
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient states that she has numbness/pain starting 2-3 days after shot. She states that it is worst at night. It starts in her shoulder and travels to the tip of her fingers. She said that her finger will curl on occasion as well. Her doctor stated that she should wait until symptoms resolve to get the second shot. Patient stated that she did not want to wait for the second shot because she had to push back the date of her mammogram and doesn''t want to push it back any longer. She received the second shot on 9/1/21. I spoke with the patient on 9/2 and she stated that she has a sore arm and that the numbness and pain is happening currently.


VAERS ID: 1666442 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Cervix neoplasm, Chills, Dizziness, Haemoglobin decreased, Heavy menstrual bleeding, Hormone therapy, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Uterine and fallopian tube tumours of unspecified malignancy (narrow), Non-haematological tumours of unspecified malignancy (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: hx tubal ligation/gyn issues
Allergies: latex
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: Client had no issues during 15 minute observation period. States that shortly after observation period, she began with dizziness and nausea. Chills/aches that night. Vaccination was during menstruation and began experiencing heavy bleeding. By Sunday 8/15/2021, had heavier bleeding with clots and was seen at ER ( then admitted. Reported "blood level" (hgb?) 1.9 per client. Client states vaccination caused the clots and that also a tumor was identified on her cervix. Placed on hormone therapy and will require surgery later this month. Her provider advised her to still receive her second vaccination. Health Department/this writer did administer the second dose on 9/2/2021 with a 30 minute observation period with no incidence.


VAERS ID: 1669260 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspepsia, Nausea, Reflux gastritis
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PVIUS2021001199

Write-up: Nausea, extreme heartburn and reflux increased frequency; Nausea, extreme heartburn and reflux increased frequency; Nausea, extreme heartburn and reflux increased frequency; This spontaneous case was reported by a consumer and describes the occurrence of DYSPEPSIA (Nausea, extreme heartburn and reflux increased frequency), REFLUX GASTRITIS (Nausea, extreme heartburn and reflux increased frequency) and NAUSEA (Nausea, extreme heartburn and reflux increased frequency) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 12-Aug-2021, the patient experienced DYSPEPSIA (Nausea, extreme heartburn and reflux increased frequency), REFLUX GASTRITIS (Nausea, extreme heartburn and reflux increased frequency) and NAUSEA (Nausea, extreme heartburn and reflux increased frequency). On 23-Aug-2021, DYSPEPSIA (Nausea, extreme heartburn and reflux increased frequency), REFLUX GASTRITIS (Nausea, extreme heartburn and reflux increased frequency) and NAUSEA (Nausea, extreme heartburn and reflux increased frequency) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. Treatment medication was not provided.,


VAERS ID: 1669649 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Arkansas  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Device connection issue, Underdose
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: USMODERNATX, INC.MOD20212

Write-up: Some of the dose was lost and not administered; Malfunction of syringe and needle; This spontaneous case was reported by a consumer and describes the occurrence of UNDERDOSE (Some of the dose was lost and not administered) and DEVICE CONNECTION ISSUE (Malfunction of syringe and needle) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) 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 UNDERDOSE (Some of the dose was lost and not administered) and DEVICE CONNECTION ISSUE (Malfunction of syringe and needle). At the time of the report, UNDERDOSE (Some of the dose was lost and not administered) and DEVICE CONNECTION ISSUE (Malfunction of syringe and needle) 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 provided No treatment medications were provided.


VAERS ID: 1669865 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Seizure from DTP-3 vaccine at 7 months old.
Other Medications: Wixela hub inhaler (for asthma). Took Ibuprofen the day after vaccination (8/12).
Current Illness: None.
Preexisting Conditions: Asthma and allergies.
Allergies: Allergic to shellfish, but did not infest any.
Diagnostic Lab Data: I did not go do a doctor or it since it subsided within a couple of days.
CDC Split Type:

Write-up: I had intense dizziness that started about 24 hours after getting both Pfizer vaccines. This persisted for a day or two after the vaccine. It went away after around day 2.


VAERS ID: 1669868 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006D21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Confusional state, Dizziness, Injection site bruising, Tachycardia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypoglycaemia (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Bruising at Injection Site-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Tachycardia-Mild


VAERS ID: 1669872 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-08-08
Onset:2021-08-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021A59E / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Myocardial infarction, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Shakiness-Mild, Additional Details: Pt came into pharamcy and told me a few weeks later about how his second vaccaine was due and reported AE to me. Pt expereinced chest tightness and pain. he went to ER and they told him he had been diagnosted with "mini heart attack". Pt was told to F/U with PCP. I talked to pateint and told him not to get naother dose until PCP or caridologist appoitnment is made. Shared a few providers in the area and recomended going closer to get the best care. Pt seems to have recoved event


VAERS ID: 1670298 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dizziness, Dyspnoea, Heart rate irregular
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad)

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

Write-up: Irregular heart beat, chest pain, dizziness, shortness of breath.


VAERS ID: 1670628 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-02-26
Onset:2021-08-12
   Days after vaccination:167
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012A21A / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Chills, Pyrexia, SARS-CoV-2 test negative, White blood cell count normal
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Covid-19 test Blood test for white blood cells Chest x-ray for pneumonia Tests were done 08/13/2021 - all results were negative
CDC Split Type:

Write-up: Patient had chills and at one time registered a temperature greater than 101 degrees. Fevers began improving through the day on Friday, 08/13/2021 and were gone by Monday, 08/16/2021.


VAERS ID: 1670641 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

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

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

Write-up: no adverse reactions reported


VAERS ID: 1670721 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049E21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis, Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none- ever.
Current Illness: None.
Preexisting Conditions: None.
Allergies: slight sensitivity to soy products.
Diagnostic Lab Data: I saw the doctor mid morning on 8/17/2021 and was diagnosed with a mild Bells Palsy. Doctor prescribed an anti-viral.
CDC Split Type:

Write-up: Numbness and tingling in the left lower and upper cheek area by 8/12/2021. By mid-day on 8/16/2021 the left side of the mouth/lips were drooping and there was no elasticity in the muscles on the left side of the face. For example: I could pinch the skin on the left cheek and the skin would stay pinched- it would not go back into place unless I smoothed it down. Likewise I could also push the left lip over and it would ruffle- and stay in that position until I manually moved it back.


VAERS ID: 1670769 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site reaction, Muscle spasms
SMQs:, Dystonia (broad)

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

Write-up: I have had spasms in my upper left arm, where i got the vaccine, ever since the first shot. It looks like a heartbeat and is very uncomfortable to have. It has not been every day, but very apparent the past 72 hours.


VAERS ID: 1670801 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: Patient presented to an offsite clinic on 08/12/2021. On this day Pfizer was given to the patient. This patient is out of age range for this specific vaccine. Then on 09/02/2021 The patient present to site to get the second dose of the Pfizer vaccine and the dose was given on 09/02/2021, the patient was also out of age range for the second dose as well. On 09/03/2021 the out of age range was noticed and this nurse called the patient and spoke to the parent/guardian. The parent/guardian was inform of the dose being given even though the patient was too young for the vaccine. The parent also stated that the patient has no underlying health condintions.


VAERS ID: 1670877 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-03-03
Onset:2021-08-12
   Days after vaccination:162
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Head discomfort, Headache, Impaired work ability, Otorrhoea, SARS-CoV-2 test negative
SMQs:, Dementia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine; Losartan; Simvastatin; Verapamil; Naproxen; Gabapentin; Oxybutynin. Aspirin; Calcium ;Centrum Silver; flax seed oil; gingko Biloba; Potassium Gluconate; Vitamin B; Vitamin D3; Ocuvite Plus; occasionally Tylenol.
Current Illness: No
Preexisting Conditions: All controlled by meds
Allergies: Penicillin
Diagnostic Lab Data: COVID - 18th
CDC Split Type: vsafe

Write-up: On about the 12th, headaches and extremely tired. I rested over the weekend. The following Monday and Tuesday - I felt like crap. I had to leave work at noon. On the 18th, because I knew I had been exposed to COVID, I took a test. Negative result. Ears were draining and I was still having headaches and my whole head was stuffed up. Monday, 23rd, I called my Dr. - he prescribed an antibiotic and a steroid ointment for my ears and I am doing well now. It cleared up.


VAERS ID: 1670924 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-08-05
Onset:2021-08-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078C21A / 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall xr, Cetirizine, montelukast
Current Illness:
Preexisting Conditions: Asthma, scoliosis, supraventricular tachycardia
Allergies: Cephalosporins, clindamycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hives over entire body a week after receiving the first shot. Visited emergency room when I noticed the hives, they gave me prednisone and said to take benadryl. Hives went away for 12 hours and returned took benadryl every 4 hours for 12 hours and they didn''t go away. Went to the clinic and was given a Medrol pack and they went away after that. Overall was an approximate 3 day time frame.


VAERS ID: 1671143 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-07-31
Onset:2021-08-12
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006021A / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Increased upper airway secretion, Insomnia, Restlessness
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalopathy/delirium (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: Bad reaction to Small Pox vaccine
Other Medications: None
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Two weeks after vaccine, I started experiencing severe insomnia which has lasted a little more than two weeks now. I feel tightness in my chest. I''m beginning to clear up some congestion in my throat which I felt might have been in my lungs earlier. The insomnia sometimes feels like maybe I''m not breathing deep enough. Sometimes, I fall asleep for a few minutes and wake up extremely restless.


VAERS ID: 1671144 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-05
Onset:2021-08-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Chest pain, Cough, Decreased appetite, Feeling abnormal, Fibrin D dimer increased, Headache, Insomnia, Muscle spasms, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-vitamins only
Current Illness: Immediate post booster reaction lasting about four days. I have already reported this one.
Preexisting Conditions: None
Allergies: Iodinated contrast media; sulfa drugs
Diagnostic Lab Data: See above d-dimer results.
CDC Split Type:

Write-up: Fever (up to 101.9 ) and persisting for 8 days, right para-lumbar muscle spasm so severe that sleep was impossible followed in 48 hours by intercostal muscle spams , sternal pain, persistent and frequent (paroxysmal every 5 minutes for the first 48 hours) non-productive cough, headache, generalized joint pain (not at all normal for me), generalized myalgia, weakness, anorexia, nausea. Partial anorexia, nausea, cough and weakness lasted at least three days after fever resolved for a total of 11 days "not being right". I have been following my D-dimer weekly since being off all anti-coagulation for a year that was prescribed in May 2020 following pulmonary embolism. As you will see below my D-dimer was normal on the day of booster vaccination (taken 3 hours prior to booster on 8/5/2021). You can then see how it rose dramatically and persistently and is only starting to come back down as of 9/1/2021 D-dimer <0.50 ug(FEU)/mL 8/5/21 8/12/21 8/18/21 8/26/21 9/1/21 0.45 3.56 H 3.45 H 5.68 H 3.10 H I was really concerned that I might have another embolic event secondary to the vaccine and/or myocarditis/pericarditis.


VAERS ID: 1671902 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Bone pain, Insomnia, Migraine, Nausea, Pyrexia, Toothache
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Osteonecrosis (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: Pristiq, lorazepam, Adderrall, gabapentin
Current Illness: None
Preexisting Conditions: None
Allergies: Penecillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever hit 103, I had intermittent nausea, a migraine so bad it made my teeth hurt??.but by far my worst side effect was that every bone in my body felt like it was about to break or broken. My skeletal system hurt so bad, no matter if I was laying in bed?.I got no sleep, if I stood up, my hips and knees felt like they?d been in a car accident. I could not find a bearable position to be in for almost 20 hours. I wanted to die.


VAERS ID: 1672448 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0281721A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Body temperature, Condition aggravated, Diarrhoea, Headache, Pyrexia, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Fibromyalgia (Autoimmune diseases flared up indicated fibromyalgia); Intestinal functional disorder NOS (Autoimmune diseases flared up indicated intestinal problems(Diarrhea))
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: Fever; Result Unstructured Data: Fever of 102.5
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Stomach problems; Intestinal problems flared up /Diarrhea; Two Autoimmune diseases flared up; Fibromyalgia flared up; Heard swooshing sounds in her head during fever; Headache; Fever of 102.5; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (Stomach problems), DIARRHEA (Intestinal problems flared up /Diarrhea), CONDITION AGGRAVATED (Two Autoimmune diseases flared up), CONDITION AGGRAVATED (Fibromyalgia flared up) and TINNITUS (Heard swooshing sounds in her head during fever) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0281721A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Fibromyalgia (Autoimmune diseases flared up indicated fibromyalgia) and Intestinal functional disorder NOS (Autoimmune diseases flared up indicated intestinal problems(Diarrhea)). On 12-Aug-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced ABDOMINAL DISCOMFORT (Stomach problems), DIARRHEA (Intestinal problems flared up /Diarrhea), CONDITION AGGRAVATED (Two Autoimmune diseases flared up), CONDITION AGGRAVATED (Fibromyalgia flared up), TINNITUS (Heard swooshing sounds in her head during fever), HEADACHE (Headache) and PYREXIA (Fever of 102.5). At the time of the report, ABDOMINAL DISCOMFORT (Stomach problems), DIARRHEA (Intestinal problems flared up /Diarrhea), CONDITION AGGRAVATED (Two Autoimmune diseases flared up), CONDITION AGGRAVATED (Fibromyalgia flared up), TINNITUS (Heard swooshing sounds in her head during fever), HEADACHE (Headache) and PYREXIA (Fever of 102.5) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Aug-2021, Body temperature: 102.5 (High) Fever of 102.5. Concomitant product use was not provided by the reporter. Treatment information was not provided.


VAERS ID: 1672534 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-07
Onset:2021-08-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052D21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Gait disturbance, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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

Write-up: leg pain/that her left leg kept giving out on her; back pain; difficulty walking; This spontaneous case was reported by a pharmacist and describes the occurrence of PAIN IN EXTREMITY (leg pain/that her left leg kept giving out on her), BACK PAIN (back pain) and GAIT DISTURBANCE (difficulty walking) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 052D21A) for COVID-19 vaccination. Concomitant products included LOSARTAN, HYDROCHLOROTHIAZIDE and Nexium for an unknown indication. On 07-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 PAIN IN EXTREMITY (leg pain/that her left leg kept giving out on her), BACK PAIN (back pain) and GAIT DISTURBANCE (difficulty walking). At the time of the report, PAIN IN EXTREMITY (leg pain/that her left leg kept giving out on her), BACK PAIN (back pain) and GAIT DISTURBANCE (difficulty walking) was resolving. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment product information was not provided.


VAERS ID: 1672818 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Vaccination site erythema
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: Red Right Arm Injection Site (3" wide and 2.4" Long)/ Redness is getting worst and spreading to the back of the arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Red Right Arm Injection Site (3" wide and 2.4" Long)/ Redness is getting worst and spreading to the back of the arm) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009C21A) for COVID-19 vaccination. Previously administered products included for an unreported indication: Tetanus (Patient had similar reaction to tetanus shot a few years ago and she was told its an allergic reaction). Past adverse reactions to the above products included Allergic reaction with Tetanus. 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 VACCINATION SITE ERYTHEMA (Red Right Arm Injection Site (3" wide and 2.4" Long)/ Redness is getting worst and spreading to the back of the arm). At the time of the report, VACCINATION SITE ERYTHEMA (Red Right Arm Injection Site (3" wide and 2.4" Long)/ Redness is getting worst and spreading to the back of the arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications were not provided Treatment information was not provided. Since vaccination the Right Arm became Red (3" wide and 2.4" Long), and getting worst. It looks like spreading to the back of the arm. The patient had a similar reaction to Tetanus shot a few years ago and she was told that it was an allergic reaction.


VAERS ID: 1672865 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-07-22
Onset:2021-08-12
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 2 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: IBUPROFEN; TROMETHAMINE; LOSARTAN POTASSIUM; OXYBUTYNIN [OXYBUTYNIN HYDROCHLORIDE]; PRILOSEC [OMEPRAZOLE]; ATORVASTATIN CALCIUM
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Vomiting; Got the second dose 21 days after the first one; This spontaneous case was reported by an other health care professional and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Got the second dose 21 days after the first one) and VOMITING (Vomiting) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027C21A and 001C21A) for COVID-19 vaccination. Concomitant products included IBUPROFEN, TROMETHAMINE, LOSARTAN POTASSIUM, OXYBUTYNIN HYDROCHLORIDE (OXYBUTYNIN [OXYBUTYNIN HYDROCHLORIDE]), OMEPRAZOLE (PRILOSEC [OMEPRAZOLE]) and ATORVASTATIN CALCIUM for an unknown indication. On 22-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 INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Got the second dose 21 days after the first one). On an unknown date, the patient experienced VOMITING (Vomiting). On 12-Aug-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Got the second dose 21 days after the first one) had resolved. At the time of the report, VOMITING (Vomiting) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medications also included ointment plebanate propionate. Treatment information was not provided. HCP called to find out if the second dose administered to patient after 21 days of getting the first dose is a valid dose or if needed to repeat it.


VAERS ID: 1673213 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, COVID-19, Chills, Illness, Malaise, Nasal congestion, Pain, 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: LEVAQUIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cough; Laryngitis
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: fever; Result Unstructured Data: Test Result:between 99-100.3; Test Date: 20210813; Test Name: fever; Result Unstructured Data: Test Result:101.7; Test Date: 20210802; Test Name: COVID Test; Test Result: Negative ; Test Date: 20210806; Test Name: COVID Test; Test Result: Negative ; Test Date: 20210814; Test Name: COVID Test; Test Result: Positive
CDC Split Type: USPFIZER INC202101057305

Write-up: On friday and saturday she got sick and tested positive; she got sick, with fever, chills and body ache; she got sick, with fever, chills and body ache; she got sick, with fever, chills and body ache; body ache/achy all over; congestion; was not feeling great; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 54-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: FA7485, Expiration date: Unknown), via an unspecified route of administration, administered in left arm on 12Aug2021 10:00 (at the age of 54-years-old) as dose 1, 0.3 ml single for covid-19 immunisation in pharmacy. No additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations were administered within 4 weeks of the Pfizer suspect. Medical history included throat was irritated from laryngitis, cough. Concomitant medication(s) included levofloxacin (LEVAQUIN) taken for laryngitis from 04Aug2021 to 08Aug2021. On 12Aug2021 at 23:00, the patient got sick, with fever, chills and body ache/achy all over, congestion, was not feeling great. On 13Aug2021 and on 14Aug2021 she got sick and tested positive. Patient was asking if she had covid all that time and was just asymptomatic. Asking if it was counter indicated for her to get her second dose of the vaccine. She said that prior to getting that she tested negative for Covid 3 times the week before. She said that she became sick that night, 12Aug2021, with fever, chills, was achy all over, and had congestion. She said that she thought it was just side effects of the vaccine. She said that the same thing happened on 12Aug2021, but the fever got worse on 12Aug2021night and was 101.7. On 12Aug2021she still was not feeling great and went and got Covid tested again and this time it came back positive. She concerned because 02Aug2021 and 06Aug2021 both of her Covid tests came back negative, and she thought she was safe to get the vaccine. She asked could it be that she had Covid all of that time and was asymptomatic, but got the vaccine and became symptomatic? was it contraindicated about her getting the second dose? Patient said that she has had a constant cough and that was why she got tested in the first place for Covid, but that she kept testing negative. Patient said that she had the cough since the end of Jul2021 and had laryngitis for a few days. The cough did not get better, and she tested negative for Covid and that was when she went to the doctor and got an antibiotic and within 2 days felt a lot better. Patient said that she had the laryngitis and the cough prior to getting the Pfizer Covid-19 vaccine. Patient said that the fever comes and goes and was mostly at night. Her fever was the worst on 12Aug2021 night and now it was just low-grade fever between 99-100.3. She said that she no longer has the achiness or the chills. The congestion she said has slightly improved and feels that she can finally blow her nose. The events not resulted in emergency room or physician office. The patient underwent lab tests and procedures which included fever: between 99-100.3 on 12Aug2021, fever: 101.7 on 13Aug2021, COVID test: negative on 02Aug2021, COVID test: negative on 06Aug2021, COVID test: positive on 14Aug2021. Therapeutic measures were taken as a result of the events with Tylenol Extra strength 500mg 2 tablets at a time by mouth. Tylenol first dose was prior to vaccination, 2 tablets for arm soreness on 12Aug2021 as directed. She took Tylenol after the vaccination for her fever. The outcome of the event fever was not recovered, recovering for congestion. The outcome of the events chills and body ache/achy all over was recovered on 15Aug2021. The outcome of the events she got sick unknown, was not feeling great, 13Aug2021 and on 14Aug2021 she got sick and tested positive.


VAERS ID: 1673229 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-04
Onset:2021-08-12
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH F7484 / 1 - / -

Administered by: Pharmacy       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: 20210811; Test Name: PCE; Test Result: Positive; Comments: Nasal Swab.
CDC Split Type: USPFIZER INC202101068822

Write-up: Contracted COVID on 12Aug2021; Contracted COVID on 12Aug2021; This is a spontaneous report from a contactable consumer (patient). A 47-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: F7484) via an unspecified route of administration on 04Aug2021 (at the age of 47-years-old) as a single dose for covid-19 immunization. The patient medical history was not reported. The patient did not receive any other vaccines within 4 weeks prior to the covid vaccine. The patient received unknown concomitant medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with covid-19. The patient contracted covid on 12aug2021 (coded to covid-19 and drug ineffective). The patient underwent lab tests and procedures which included sars-cov-2 test (PCE nasal swab): positive on 11Aug2021. The patient did not receive any treatment. The outcome of both the events was resolving. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1673264 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:2021-02-23
Onset:2021-08-12
   Days after vaccination:170
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9266 / 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: 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; Result Unstructured Data: Test Result:Positive
CDC Split Type: USPFIZER INC202101081376

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. A 67-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL9266) dose 2 via an unspecified route of administration on 23Feb2021 and the patient also received dose 1 BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN5318 and Expiry date: 31May2021) via an unspecified route of administration on 28Jan2021 Single for covid-19 immunization administered in health district. Medical history included ongoing diabetes. The patient''s concomitant medications were not reported. On 12Aug2021, the patient tested positive for covid virus, after being fully vaccinated and had vaccination failure. The patient underwent lab tests and procedures which included BMI (body mass index): 33.9, NAAT COVID test: positive on 12Aug2021. The Caller is an Assistant Director of Health and works at a local health department and called because she had some concerns, and the health department is tracking breakthrough cases in her area. She states 15% of breakthrough cases are from one Pfizer Covid 19 Lot number: EN5318. Caller reclarifies later in report that 15% of the breakthrough cases in her county had the same lot number, EN5318, which was concerning. And reclarified later in report, she has 37 patients with partial identifiers, and she cannot provide some identifying details and that she would need to check with her legal department first and she can provide, age, gender, BMI, medical conditions, if reported, and date they tested positive for Covid, and the type of Covid test utilized. Caller states that Covid positive is defined as having both vaccines and testing positive for Covid longer than two weeks after both doses. The outcome of event was unknown. Conclusion of Previously Completed Investigation (FCI/SI/OffCI): The complaint for lack of effect of the PFIZER-BIONTECH COVID-19 VACCINE INJECTABLE lot EN5318 was investigated. The investigation included reviewing manufacturing and packaging batch records, deviation investigations, and an analysis of complaint history for the reported lot. The final scope was determined to be the reported finished goods lot EN5318, fill lot EN5317, and the formulated drug product lot EN5316. A complaint sample was not returned. No related quality issues were identified during the investigation. There is no impact on product quality. No root cause were identified as the complaint was not confirmed. All release testing performed prior to the release of the reported batch was within specifications. When more than one investigation is found in the family, the Conclusion field could result in repeating rows for the CR in the table. If the Conclusion is blank in the table above, then the investigation record is likely an Offline Contractor Investigation and the conclusion must be obtained directly from the child investigation record(s) of the linked Complaint Record. Follow-up attempts are completed. No further information is expected.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-202101076372 similar report from same reporter


VAERS ID: 1673305 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-07-30
Onset:2021-08-12
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA 7484 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Appendicitis, Arthralgia, Computerised tomogram, SARS-CoV-2 antibody test
SMQs:, Arthritis (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: AUROVELA 24 FE; FLUOXETINE; DOXYCYCLINE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210819; Test Name: CT scan; Result Unstructured Data: Test Result:Appendix irritation; Comments: 19Aug went to ER where CT revealed appendix irritation and enlargement emergency appendectomy performed.; Test Date: 20210819; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC202101083537

Write-up: appendix irritation; pain on right side under hip; This is a spontaneous report from Contactable other HCP (patient) reported for herself. A 37-year-old female non-pregnant patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: FA 7484), dose 1 via an unspecified route of administration, administered in Arm Left on 30Jul2021 at 12:30 (at the age of 37-year-old) as a DOSE 1, SINGLE for covid-19 immunisation. The patient medical history was not reported. Concomitant medications received within 2 weeks of vaccination included ethinylestradiol, ferrous fumarate, norethisterone acetate (AUROVELA 24 FE), fluoxetine hydrochloride (FLUOXETINE) fluoxetine 40mg, doxycycline (DOXYCYCLINE) doxycycline 100mg all were taken for an unspecified indication, start and stop date were not reported. The patient previously took sulfonamides and experienced hypersensitivity. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient other medical history was none. Patient did not have covid prior vaccination and was tested for covid post vaccination. Structured information (Patient episode name) reported as none. The patient experienced appendix irritation on 19Aug2021 and pain on right side under hip on 12Aug2021. The patient was hospitalized for appendix irritation for 1 days. It was reported that, thursday 12Aug patient had pain on right side under hip which faded after 24 hours, on 16Aug pain resumed had urinalysis from MD and on 19Aug went to ER where CT revealed appendix irritation and enlargement emergency appendectomy performed. Event treatment included appendectomy. The patient underwent lab tests and procedures which included computerised tomogram that included appendix irritation on 19Aug2021, it was reported that on 19Aug went to ER where CT revealed appendix irritation and enlargement emergency appendectomy performed. Patient also had sars-cov-2 antibody test that was negative on 19Aug2021. The case was assessed as serious. Event resulted in the Doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Outcome of the events were recovering. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Based on the information in the case report and a plausible temporal relationship, a possible causal relationship between the event appendicitis 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: 1673332 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blue toe syndrome, Cardiovascular disorder, Pain in extremity, Peripheral coldness
SMQs:, Cardiomyopathy (broad), Tendinopathies and ligament 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101089439

Write-up: Right toes turned solid purple/blue 2 hours after shot.; No clot but blood flow restricted.; Feet always feel cold and ache; Feet always feel cold and ache/Toes hurt to walk on.; This is a spontaneous report from a contactable consumer. A 39-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 12Aug2021 17:00 (Batch/Lot Number: FA7485) (at the age of 39-years-old ) as single dose for covid-19 immunisation. The patient had received the first dose of vaccine on 22Jul2021 12:00 AM in Left arm (Lot number EN0180). Medical history was none. The patient was not pregnant. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant drugs included vitamins. Two hours after shot on 12Aug2021 at 19:00 the patient experienced right toes turned solid purple/blue. Went to ER. No clot but blood flow restricted. Symptoms continued to come back 10 days after. Feet always felt cold and ache. Toes hurt to walk on. It was reported that the events resulted in Emergency room/department or urgent care, disability or permanent damage. . Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was not recovered.


VAERS ID: 1673427 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-02-16
Onset:2021-08-12
   Days after vaccination:177
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / OT

Administered by: Work       Purchased by: ?
Symptoms: COVID-19, Polymerase chain reaction, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to antibiotic
Allergies:
Diagnostic Lab Data: Test Date: 20210814; Test Name: PCR; Test Result: Positive ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC202101116262

Write-up: On 12Aug2021, symptoms started in the evening. On 14Aug2021: PCR (nasal swab) COVID test was taken. On 17Aug2021: notification of positive test; On 12Aug2021, symptoms started in the evening. On 14Aug2021: PCR (nasal swab) COVID test was taken. On 17Aug2021: notification of positive test; This is a spontaneous report from a contactable consumer (patient). A 55 year old female patient received bnt162b2 (PFIZER BIONTECH COVID-19 VACCINE, solution for injection), dose 2 intramuscular, administered in Arm Left on 16Feb2021 08:00 (at the age of 54 years old) (Lot number was not reported) as dose 2, single; the first dose intramuscular, administered in Arm Left on 26Jan2021 08:00 (Lot number was not reported) as dose 1, single for COVID-19 immunisation. Medical history included known allergies to amoxicillin. There were no concomitant medications. Prior to vaccination, patient was not diagnosed with COVID-19. Patient was not pregnant at the time of vaccination. No other vaccines received within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications received within 2 weeks of vaccination. On 12Aug2021, symptoms started in the evening. On 14Aug2021: PCR (nasal swab) COVID test was taken. On 17Aug2021: notification of positive test. The event resulted in a Doctor or other healthcare professional office/clinic visit. No treatment was given for the events. Since the vaccination, the patient has been tested for COVID-19. The outcome of the event was recovering. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.


VAERS ID: 1673438 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-03-24
Onset:2021-08-12
   Days after vaccination:141
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP8732 / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210806; Test Name: COVID test; Result Unstructured Data: Test Result:Unknown resultes; Comments: nasal swab
CDC Split Type: USPFIZER INC202101118187

Write-up: blood clog on left leg; This is a spontaneous report from a contactable consumer (patient). A 66-year-old male patient received the first dose of BNT162B2 (PFIZER COVID-19 VACCINE, lot number: Ep8732, also reported as Em9809), at the age of 66 years old, in right arm on 24Mar2021 at 09:30 at single dose for COVID-19 immunisation. The patient''s medical history was not reported. Known allergies was N/A. Prior to vaccination, it was unknown whether the patient was diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Other medications were received in two weeks was N/A. On 12Aug2021 at 20:15, the patient had a blood clog on left leg. Clog removed on 16Aug2021. Event resulted in emergency room/department or urgent care, hospitalization, life threatening illness (immediate risk of death from the event). The patient was hospitalized for one day. Since the vaccination, the patient had been tested for COVID-19. The patient underwent lab tests and procedures which included COVID test (nasal swab): unknown results on 06Aug2021. Therapeutic measures were taken as a result of event and included treatment with surgery. The outcome of event was unknown.


VAERS ID: 1674515 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Hypotension, Vertigo
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (narrow), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: 12 hours after the dose the patient exhibit signs of dizziness and described the room was spinning. I monitored patient her blood pressure was slightly low with a normal pulse, SpO2, and RR. I re-evaluated her every 15 minutes for an hour. Her stats returned to normal. I am a licensed EMT and as of the Government Amendment EMT''s are classified as healthcare professionals.


VAERS ID: 1674635 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-08-05
Onset:2021-08-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / 1 RA / IM

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

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

Write-up: Patient received the first COVID-19 vaccine on August 5, 2021. Approximately a week after injection, patient developed an itchy rash (AKA COVID arm). Patient took oral antihistamines and eventually the rash subsided. Patient presented to the pharmacy on September 2, 2021 for the second COVID-19 vaccine dose. No additional symptoms or side effects were reported.


VAERS ID: 1674882 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-28
Onset:2021-08-12
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO158 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO183 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Myalgia, Pain, Pain in extremity, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

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

Write-up: I''ve reported several. The hands shakes have lessoned but the pain in my hands has increased. And can radiate up my right arm to my elbow. When that happens I feel slight pain in my left shoulder down the muscle I received the shot. Also my right thumb pad lost the feeling and seems numb. It feels like I have a blister covering the pad. This sensation is in the right hand index finger to a lesser degree. It''s like pins and needles. Makes picking up small objects tough. Also the bone in the right thumb when picking up something up or trying to open a door is extremely painful. I try to use my left hand for everything. I''m hoping this will clear soon.


VAERS ID: 1675104 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Joint stiffness, Pain in jaw, Trismus
SMQs:, Dystonia (narrow), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: age 63, flu vaccine (with mercury), 2001, numbness in left arm for two days.
Other Medications: losartan 50 mg
Current Illness:
Preexisting Conditions: CAD
Allergies: statins, lisinopril, allopurinol, febuxostat, colchicine
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2 days after injection my right jaw muscles were very stiff and sore, very difficult to open jaw fully. Onset of symptom was sudden. It is now 25 days since injection and the issue remains, but significantly reduced. I''ve never had any symptom like that before.


VAERS ID: 1675688 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Diarrhoea, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None, patient in uninsured.
CDC Split Type:

Write-up: Very Sore Arm 08/11/21 Nausea on 08/12/21 Nausea, Diarrhea and Loss of Appetite 08/13 - 08/18


VAERS ID: 1677216 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A-1 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Discomfort, Feeling abnormal, Heart rate increased, Hypoaesthesia, Myalgia, Pain, Paraesthesia, Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: ADDERALL; CLARITIN ALLERGIC; TYLENOL; Migraine medications; INHALER
Current Illness:
Preexisting Conditions: Comments: No medical history was provided by the reporter.
Allergies:
Diagnostic Lab Data: Test Name: fast heart beats; Result Unstructured Data: Increased
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: feeling numb; tingling sensation in her left arm and all the way to the fingers, which ended up in her left leg, and to the toes of that leg.; felt pain for the whole week which would not go away; she feels fogginess; tenderness; discomfort; sore arm, - left arm was sore and started hurting a lot.; This spontaneous case was reported by a consumer and describes the occurrence of TENDERNESS (tenderness), DISCOMFORT (discomfort), HYPOAESTHESIA (feeling numb), PARAESTHESIA (tingling sensation in her left arm and all the way to the fingers, which ended up in her left leg, and to the toes of that leg.) and PAIN (felt pain for the whole week which would not go away) in a 24-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 021B21A-1) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included AMFETAMINE ASPARTATE, AMFETAMINE SULFATE, DEXAMFETAMINE SACCHARATE, DEXAMFETAMINE SULFATE (ADDERALL), OXYMETAZOLINE HYDROCHLORIDE (CLARITIN ALLERGIC), PARACETAMOL (TYLENOL), Migraine medications and INHALER for an unknown indication. 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 DISCOMFORT (discomfort) and MYALGIA (sore arm, - left arm was sore and started hurting a lot.). On 16-Aug-2021, the patient experienced TENDERNESS (tenderness). On an unknown date, the patient experienced HYPOAESTHESIA (feeling numb), PARAESTHESIA (tingling sensation in her left arm and all the way to the fingers, which ended up in her left leg, and to the toes of that leg.), PAIN (felt pain for the whole week which would not go away) and FEELING ABNORMAL (she feels fogginess). The patient was treated with PREDNISONE at a dose of 10 milligram. At the time of the report, TENDERNESS (tenderness), DISCOMFORT (discomfort), HYPOAESTHESIA (feeling numb), PARAESTHESIA (tingling sensation in her left arm and all the way to the fingers, which ended up in her left leg, and to the toes of that leg.), PAIN (felt pain for the whole week which would not go away), FEELING ABNORMAL (she feels fogginess) and MYALGIA (sore arm, - left arm was sore and started hurting a lot.) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Heart rate increased: increased (High) Increased. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medication was not reported.


VAERS ID: 1677408 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Mass
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: WELLBUTRIN XL; DEXILANT; PRAVACHOL; ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101041341

Write-up: Large lump formed in left armpit; Lump is approximately the size of a peach and is very sore.; This is a spontaneous report from a contactable consumer, the patient. A 49-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FC3180) via an unspecified route of administration in the arm left on 10Aug2021 at 11:45 (at the age of 49-years-old) as a single dose for COVID-19 immunisation. The patien had no medical history. The patient previously received drostanolone propionate (MASTISOL) and povidone iodine (BETADINE) on unknown dates and experienced drug allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included bupropion hydrochloride (WELLBUTRIN XL), dexlansoprazole (DEXILANT), pravastatin sodium (PRAVACHOL) and cetirizine hydrochloride (ZYRTEC); all on unknown dates for unknown indications and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 12Aug2021 at 06:15, less than 48 hours of receiving the vaccine, the patient experienced a large lump formed in her left armpit. The lump was approximately the size of a peach and was very sore. The events resulted in doctor or other healthcare professional office/clinic visit. Since the vaccination, the patient had not been tested for COVID-19. No therapeutic measures were taken as a result of the reported events. The clinical outcome of the events large lump formed in left armpit and lump was very sore was not resolved at the time of this report.


VAERS ID: 1677450 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Mississippi  
Vaccinated:2021-08-02
Onset:2021-08-12
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test
SMQs:, 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; Result Unstructured Data: Test Result:positive; Comments: tested positive
CDC Split Type: USPFIZER INC202101078149

Write-up: Tested positive; This is a spontaneous report from a contactable consumer (wife) received via Pfizer sponsored program. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EW0170), via an unspecified route of administration on 02Aug2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The reporter stated that, she and her husband (patient) got their first dose of the Pfizer COVID-19 vaccine on 02Aug2021, then they both tested positive on Aug 12th. Reporter further stated that her husband had no symptoms. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 12Aug2021 tested positive. The clinical outcome for the events was unknown.


VAERS ID: 1678289 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939676 / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Headache, Somnolence, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: Having trouble breathing/feel like my breathing is labored; feeling like I was in an Earthquake; I felt tired; Had a headache; Felt very sleepy; felt like I had a hangover and felt like I was in an earthquake; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE (Felt very sleepy), FEELING ABNORMAL (felt like I had a hangover and felt like I was in an earthquake), DYSPNOEA (Having trouble breathing/feel like my breathing is labored), TREMOR (feeling like I was in an Earthquake) and FATIGUE (I felt tired) in a 20-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 939676) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 11-Aug-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced SOMNOLENCE (Felt very sleepy), FATIGUE (I felt tired) and HEADACHE (Had a headache). 12-Aug-2021, the patient experienced FEELING ABNORMAL (felt like I had a hangover and felt like I was in an earthquake). On 25-Aug-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced DYSPNOEA (Having trouble breathing/feel like my breathing is labored). 25-Aug-2021, the patient experienced TREMOR (feeling like I was in an Earthquake). On 14-Aug-2021, SOMNOLENCE (Felt very sleepy), FEELING ABNORMAL (felt like I had a hangover and felt like I was in an earthquake), FATIGUE (I felt tired) and HEADACHE (Had a headache) had resolved. At the time of the report, DYSPNOEA (Having trouble breathing/feel like my breathing is labored) and TREMOR (feeling like I was in an Earthquake) had not resolved. Concomitant medications was not provided by the reporter. Treatment information was not provided. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This case was linked to MOD-2021-300209 (Patient Link).; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1678765 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Hand dermatitis, Myalgia, Thermal burn
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluticasone 50mcg Nasal Spray, Metoprolol 50mg ER Rosuvastatin 10 mg Omeprazole 40 mg Zolpidem 12.5mg ER
Current Illness: Seasonal Allergies, Palpitations, Hypercholesterolemia, Insomnia, GERD
Preexisting Conditions: Seasonal Allergies, Palpitations, Hypercholesterolemia, Insomnia, GERD
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Scalded Dermatitis on bilateral digits of hands, Full body muscle soreness and weakness, symptoms persistent for approximately a week since vaccination.


VAERS ID: 1678964 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Injection site erythema, Injection site pruritus, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: Mom called 08/13 to report of the reaction. Pt went to Urgent Care and was given Benadryl. On 08/14, she reported pt had diarrhea. ADvised mom to take otc Loperamide. As for the 2nd dose, advised her to talked with a provider so pt will be monitored. As of 08/22, pt was prescribed with Epipen to be ready for her 2nd dose.


VAERS ID: 1679008 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-03-28
Onset:2021-08-12
   Days after vaccination:137
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8A734 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fibromyalgia, 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: Asthmatic reaction to tightening of the chest, difficulty breathing when I was a child. I used to be allergic to eggs so flu sho
Other Medications: Contact me for specifics because it is too much.
Current Illness: May have had a sinus infection but I don''t remember if it was after the 1st or 2nd dose.
Preexisting Conditions: Fibromyalgia; Osteoarthritis; Migraines; TMJ dysfunction; Sinusitis; Degenerative disk disease; GERD; IBS; Knee replacement; No gallbladder; No Uterus; No cervix; I have the ovaries; Severe asthma; Eczema; Depression; Anxiety; OCD.
Allergies: Airborne allergies; Pharmaceutical allergies
Diagnostic Lab Data: No tests
CDC Split Type: vsafe

Write-up: 1. The left arm is more sensitive to everything including vaccines, IV''s and even blood pressure machines. I''m feeling much more pain. 2. The fibromyalgia has fundamentally changed, the portion of pain that left several seconds to many minutes the pain comes from deeper inside and is much sharper. 3. I''m more sensitive to the side effects of medications to the point that the ones I''ve taken for many years I can no longer take. For example muscle relaxant.


VAERS ID: 1679042 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
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: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: CLient was given this dose (second dose) only 2 days after the first dose as given.


VAERS ID: 1681534 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059E21 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: same night woke up with 1/2 of her face numb; tingling sensation; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (same night woke up with 1/2 of her face numb) and PARAESTHESIA (tingling sensation) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 059E21) 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 HYPOAESTHESIA (same night woke up with 1/2 of her face numb) and PARAESTHESIA (tingling sensation). At the time of the report, HYPOAESTHESIA (same night woke up with 1/2 of her face numb) and PARAESTHESIA (tingling sensation) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. After receiving the vaccine, the same night she woke up with 1/2 of her face numb and had tingling sensation. Patient did not take any medicine to subsided the face numb and tingling sensations. No concomitant medications were provided by reporter. No treatment medications were provided by reporter.


VAERS ID: 1681545 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain upper, Feeding disorder, Headache, Illness, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Headache; Nauseated; can hardly eat anything/can only eat a little bit at a time; feel bloated; she got sick gain/got really sick in her stomach; her stomach hurt/had stomach ache/her stomach was hurting really bad; Nauseous; This spontaneous case was reported by a consumer and describes the occurrence of FEEDING DISORDER (can hardly eat anything/can only eat a little bit at a time), ABDOMINAL DISTENSION (feel bloated), ILLNESS (she got sick gain/got really sick in her stomach), ABDOMINAL PAIN UPPER (her stomach hurt/had stomach ache/her stomach was hurting really bad) and NAUSEA (Nauseous) in a 20-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Food poisoning (Chick-fil-a). 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 FEEDING DISORDER (can hardly eat anything/can only eat a little bit at a time), ABDOMINAL DISTENSION (feel bloated), ILLNESS (she got sick gain/got really sick in her stomach), ABDOMINAL PAIN UPPER (her stomach hurt/had stomach ache/her stomach was hurting really bad) and NAUSEA (Nauseous). On an unknown date, the patient experienced HEADACHE (Headache) and NAUSEA (Nauseated). The patient was treated with PARACETAMOL (TYLENOL) for Headache, at an unspecified dose and frequency. At the time of the report, FEEDING DISORDER (can hardly eat anything/can only eat a little bit at a time), ABDOMINAL DISTENSION (feel bloated), ILLNESS (she got sick gain/got really sick in her stomach), ABDOMINAL PAIN UPPER (her stomach hurt/had stomach ache/her stomach was hurting really bad), NAUSEA (Nauseous), HEADACHE (Headache) and NAUSEA (Nauseated) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The patient had Chick-fil-A. Daughter has not seen a doctor or received any treatment for it. Daughter has headache on and off and takes Tylenol for her headache, but her headache is not related to the vaccine.


VAERS ID: 1682096 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW1070 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure measurement, Discomfort, Hypertension, Nervousness
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood cholesterol abnormal (Cholesterol); Blood pressure abnormal (B/P); Shellfish allergy (Known allergies: Shell fish)
Allergies:
Diagnostic Lab Data: Test Date: 20210812; Test Name: Blood pressure; Result Unstructured Data: Test Result:shot up; Comments: At: 09:45
CDC Split Type: USPFIZER INC202101143303

Write-up: Heaviness came over body; Blood pressure shot up; Very nervous and over; This is a spontaneous report from a contactable consumer, the patient. A 57-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW1070) via an unspecified route of administration on 12Aug2021 at 09:30 (at the age of 57-year-old) as a single dose for COVID-19 immunisation. Medical history included blood pressure abnormal (B/P), blood cholesterol abnormal and shellfish allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications were not reported. On 12Aug2021 at 09:45, the patient had heaviness which came over body and blood pressure shot up. This made her very nervous and over. The events resulted in doctor or other healthcare professional office/clinic visit. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were taken as a result of the events which included additional time watch after blood pressure taken by registered nurse. The clinical outcome of the event heaviness came over body, blood pressure shot up and very nervous and over were resolved on an unknown date in 2021. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1682443 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-07-15
Onset:2021-08-12
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, C-reactive protein, Eye swelling, Genital swelling, Lip swelling, Peripheral swelling, Pruritus, Swollen tongue
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Swollen tongue very large, followed two days later with swollen lip, followed in next days with lip in different area, swollen toes, penis, eye, heal, and increase itchiness.


VAERS ID: 1682901 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-12
Onset:2021-08-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Lip swelling, Pruritus, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: lipitor, fiorecet, vit D3, cymbalta, neurontin, insulin lantus, metformin, claritin.
Current Illness: Diabeties,, htn,
Preexisting Conditions: see above
Allergies: iodine contrast, pcn, sulfa, sulfadiazine,, shellfish,
Diagnostic Lab Data: none
CDC Split Type:

Write-up: li[p swelling, throat tightness, general body itching. started 3 hours after Vaccine was given treated with benadrly


VAERS ID: 1683222 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045C21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood cholesterol increased, Blood test normal, Dizziness, Dizziness postural, Dry mouth, Ear pain, Feeling abnormal, Feeling hot, Impaired work ability, Labyrinthitis, Malaise, Nausea, Otitis externa, Polydipsia, Thirst
SMQs:, Acute pancreatitis (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Lipodystrophy (broad), Dehydration (broad), Hypokalaemia (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: Lexapro 30 mg od
Current Illness: no
Preexisting Conditions: no
Allergies: Sulfa
Diagnostic Lab Data: blood work done after the ear infection- everything was normal except my cholesterol was a little bit high
CDC Split Type: vsafe

Write-up: The day after the vaccine, 08/12/2021 at 04:30 PM, I was out of town, I was totally fine the whole morning, I had an overwhelming feeling dizziness and nausea. I was hot, and thirsty. I was drinking lot of water. I couldn''t get rid of the thirst. I had an extremely dry mouth. I was only feeling well if I was laying down, I couldn''t be sitting or standing. A few days after I had extreme pain on my right ear. I was taking ibuprofen and it wasn''t helping. I went to the clinic , on 08/16/2021 for my ear. and I ended up having a double infection in my inner and outer ear. With my ear infection I was prescribed Amoxicillin antibiotic, she prescribed 7 days worth , at the 7 day mark it still didn''t feel completely right. I called my doctor yesterday to see if it was ok to get the 2nd dose, She said its probably something in my inner ear that''s causing the nausea and to go ahead and get the 2nd dose tomorrow, 09/09/2021. This Tues. 08/31/2021 around 1:00 pm I had another spell of dizziness and nausea and had to leave early from work because I felt like I was going to pass out. I still have the dry mouth and excessive thirst. The last time I felt bad was last Thursday ,09/02/2021, At work at school, the motion of the kids walking in different directions made me nausea. Same for Friday, picking up something up from the floor makes me feel dizzy. I still have dizziness a little but I am extremely thirsty, more than usual. I have a telehealth appointment with my doctor on Monday.


VAERS ID: 1684897 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-22
Onset:2021-08-12
   Days after vaccination:82
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 08/12/2021 Antigen+ COVID-19 test, 08/13/2021 PCR+ COVID-19
CDC Split Type:

Write-up: Breakthrough COVID -19 case


VAERS ID: 1685241 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-25
Onset:2021-08-12
   Days after vaccination:168
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Cough, Decreased appetite, Diarrhoea, Dyspnoea, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: COPD, CKD, CHF, afib, and HTN
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reported initial symptoms of N/V/D that started a week prior to admission. Then, she developed loss of appetite, cough, weakness, and shortness of breath. She was admitted and started on oxygen, steroids and remdesivir. She was discharged with home oxygen at night.


VAERS ID: 1685253 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-02
Onset:2021-08-12
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, Chest pain, Cough, Hypoxia, Nasal congestion, Oxygen saturation decreased, Pleuritic pain, Respiratory distress, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Citalopram, cyanocobalamin, Telegy Elipta, diltiazem, metoprol, rivaroxaban, Tylenol, Protonix, Colace
Current Illness:
Preexisting Conditions: hyperlipidemia, lung cancer, emphysema, hypoxemic respiratory failure
Allergies: no known
Diagnostic Lab Data: COVID19 PCR test positive on 8/18/2021
CDC Split Type:

Write-up: 8/18/21: Admitted to hospital with breakthrough COVID-19. Presented to ED secondary to onset respiratory distress, nasal congestion, right-sided substernal pain, and nonproductive cough, which began on 08/12/2021. Patient''s oxygen saturation was found to be 88% at home, prompting her to seek emergency department treatment. Hx right thoracotomy 7/12/2021. Diagnosed with Acute COVID-19 pneumonia, hypoxia and pleuritic chest pain. Note: patient recently vaccinated with J&J COVID-19 vaccine on 7/2/21. 8/20/21: Discharged home on home O2.


VAERS ID: 1685259 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chills, Fatigue, Headache, Pain, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Started w/ chills, fever (104.2 F), generalized body aches, headache, extreme fatigue, weakness , fainting. All symptoms subsided after 3 days.


VAERS ID: 1685295 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-09
Onset:2021-08-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH CW0178 / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Ear pain, Headache, Neck mass
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: Pantoprazole 40 mg PO QD
Current Illness: None
Preexisting Conditions: GERD
Allergies: NKDA
Diagnostic Lab Data: No testing done at this office at that time.
CDC Split Type:

Write-up: 5 cm left neck mass became very noticeable fairly rapidly on Thursday three days after vaccination. left ear pain, left jugulodigastric neck mass, and headache.


VAERS ID: 1685435 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-01
Onset:2021-08-12
   Days after vaccination:192
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028L20A / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chills, Inappropriate schedule of product administration, Pulmonary congestion, Pyrexia, SARS-CoV-2 test positive, Sepsis, Vaccine breakthrough infection
SMQs:, Cardiac failure (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Allopurinol, diltiazem, gabapentin, hydrocodone, rosuvastatin, montelukast, depo-testosterone, tamsulosin, probiotic capsul, KCL, Lantus, torsemide, spironolactone, ASA
Current Illness:
Preexisting Conditions: HTN, CAD, DM 2, atrial fibrillation, hypogonadism, BPH, CKD, obesity, pulmonary hypertnesion, OSA, chronic pain syndro
Allergies: Bactrim, Penicillin
Diagnostic Lab Data: 8/13/2021 SARS CoV 2 PCR COVID19 detected
CDC Split Type:

Write-up: 8/13/2021 hospital with COVID breakthrough. Patient states he has been having chest congestion x 1 week. He has been treated with Azithromycin prescribed by his PCP. While at home he started to having fevers 103.0 and chills when he reported to the emergency room. Diagnosed with: sepsis from COVID-19, fever from COVID Note: previously vaccinated with Moderna COVID-19 vaccine on: First Dose: 01/08/21 Lot Number 011J20A; Second Dose: 02/01/21 Lot Number D28L20A. Discharged 8/16/2021


VAERS ID: 1685629 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-01
Onset:2021-08-12
   Days after vaccination:133
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6206 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Hypoxia, SARS-CoV-2 test positive, Sepsis
SMQs:, Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad), Sepsis (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Insulin, calcitril, clonidine, dorzolamide-timolol opthalmic solution, furosemide, hydralazine, latanoprost ophthalmic, metoprolol, pravastatin
Current Illness: ESRD on peritoneal dialysis
Preexisting Conditions: Diabetes, HTN, diabetic neuropathy, gout, CKD stage 4, hyperlipidemia
Allergies: NKDA
Diagnostic Lab Data: COVID PCR 8/19/2021
CDC Split Type:

Write-up: 8/20/21: Admitted to hospital c/o generalized weakness over the last week. found to be COVID positive on 8/19/21. Diagnosed with: sepsis, hypoxia, acute COVID-19. Note: patient vaccinated with Pfizer COVID-19 vaccine on 3/11/21 and 4/1/21. 8/24/21: Discharged


VAERS ID: 1685795 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
SMQs:, Parkinson-like events (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Pain in right arm and shoulder for 4+ weeks. Difficult to lift things, even my purse. I never experienced this before as far as I can remember.


VAERS ID: 1546724 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: -setraline 75mg -birth control (standard) -lyrica 200mg -adderall XR 20mg
Current Illness: N/A
Preexisting Conditions: -chronic pain (diagnosis in progress) -depression -anxiety -obsessive compulsive disorder -ADHD
Allergies: -penicillins -cephalosporins
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Experienced chest pain and rib cage pain in various intensity on left side of body exclusively, from 10:00pm into early hours of the following day (approx. 1:30am). Chest pain had started after taking usual dose of prescription medication Lyrica, which has not caused issues in the past or after the first dose of the vaccine. As the pain was not life threatening, I avoided movement for a few hours and put heat on the effected areas. So far pain has mostly stopped by there is still some pressure on the rib cage. I believe this happened due to one or more of my medications causing increased heart rate along with my body''s immune response to the vaccine.


VAERS ID: 1549751 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-08-11
Onset:2021-08-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Diarrhoea, Dizziness, Fatigue, Head injury, Loss of consciousness, Nausea, Skin laceration, Thirst
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (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: Lamotrogine
Current Illness:
Preexisting Conditions: Epilepsy
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: I woke up about 11 hours after receiving my immunization. I was extremely hot thirsty and nauseous. I poured a glass of water and the next thing I knew I was waking up on the floor, broken glass everywhere with my family standing over me. I was severely dizzy for the next 30 minutes or so. Then I got an upset stomach followed by diarrhea. In the end I came out of the episode with a lot of cuts and a goose egg on my forehead. I probably should have went to the hospital but I was exhausted. It''s now 24 hours later and I still feel nauseous but not dizzy anymore.


VAERS ID: 1573319 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-08-10
Onset:2021-08-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Coagulation test, Erythema, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Euthyrox
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Coagulation analysis in the emergency room. Data correspond to those of the state of pregnancy.
CDC Split Type:

Write-up: Urticaria all over body, redness swelling and burning all over body. No medications are given when pregnant


VAERS ID: 1578002 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-02-08
Onset:2021-08-12
   Days after vaccination:185
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3065 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angina pectoris, Asthenia, Back pain, Cardiac discomfort, Chest discomfort, Chest pain, Cough, Discomfort, Dyspnoea, Headache, Heart rate irregular, Oropharyngeal pain, Pain, Palpitations, Tonsillitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Other ischaemic heart disease (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: None
Current Illness: None
Preexisting Conditions: Asthma, Insulin resistance from PCOS
Allergies: Sulphites
Diagnostic Lab Data: None
CDC Split Type:

Write-up: On the 3rd day I started experiencing a sore throat like mild tonsillitis. The sides of my throat has remained sore up to now, the 17th. Day 3-6 I had a tight chest and difficulty breathing and headache. Day 8 I started feeling intense pain on my heart. It is pressure and pain that radiates through to my upper back on the left mainly. My heartbeat is irregular and gets very painful at times when beating very hard. This happens even while I am resting. The headache also became more intense when the chest pain started. I don''t have any sensitivity to light. I have a dry cough but a lot of heaviness like phlegm in my lungs. I can still function very normally but sometimes the pain is debilitating and I need to take a half an hour break.


VAERS ID: 1542836 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-07-28
Onset:2021-08-11
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Menstruation irregular, Rash, Vaginal haemorrhage
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Fertility 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? No
Hospitalized? No
Previous Vaccinations: Allergy to Gardasil at age 27. Covered in pink itchy hives after 3rd shot.
Other Medications: Omeprazole 20mg
Current Illness: N/A
Preexisting Conditions: GERD
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Moderna Arm Rash on left arm and menstrual irregularities (I have been spotting for three days straight a week before expected period is due. I am not sexually active and am not on birth control of any kind. This has never happened to me before.)


VAERS ID: 1544660 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-07
Onset:2021-08-11
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Menometrorrhagia, Vulvovaginal rash
SMQs:, Severe cutaneous adverse reactions (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow)

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

Write-up: Irregular menstrual bleeding and vaginal rash


VAERS ID: 1544851 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Chest pain, Neck pain, Pain, Palpitations, Swelling, Tenderness, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Chest pain and heart palpitations, age 19, 7/19/2021, Covid-19, Pfizer
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: A couple hours after the second dose I felt chest pain and heart palpitations, which were slightly mitigated over time after taking ibuprofen. (I also had chest pain and palpitations after the first dose, which lasted over a week before lessening--I did not take ibuprofen after the first dose.) Early today I noticed pain and tenderness on the left side of my neck around a swollen lump--I''m guessing it is a swollen lymph node. My left armpit also feels tender, especially when I move it.


VAERS ID: 1544883 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Confusional state, Dizziness, Drooling, Facial paralysis, Hypoaesthesia, Lacrimation increased, Lip disorder, Migraine, Neurological symptom, Speech disorder
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Vestibular disorders (broad), Lacrimal disorders (narrow), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Tetanus, MMR, flu-like symptoms for 3-4 days requiring bestest.
Other Medications: Centrum women''s multivitamin chewable; Tylenol
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin; Sulfa; Pain medication stronger than Tylenol
Diagnostic Lab Data: None sought.
CDC Split Type:

Write-up: Stroke-like symptoms experienced, numbness on side of body vaccine was administrated (right side) within 30 minutes of vaccine. Drooping of eye and mouth. Dizziness. Migraine-like headache. Could only speak out of left side of mouth. Uncontrollable lip licking. Some tearing and drooling. Confusion and difficulty speaking.


VAERS ID: 1544891 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / UNK - / IM

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

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

Write-up: Patient has a spot at the injection site that appears to be a subdermal bruise. She reports that the area started itching on 08/07/2021 and became warm and inflamed. She also reported tenderness in the area. She reports that the itching has subsided. I counseled her that I would report the incident but that she would need to keep an eye on it and if the area worsened or did not improve that she would need to get a physician to look at the area. She did not report any fever or fatigue.


VAERS ID: 1544906 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Rash, Yellow skin
SMQs:, Cholestasis and jaundice of hepatic origin (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen as needed for thyroidectomy pain (surgery was on July 20, 2021 for that)
Current Illness: N/a
Preexisting Conditions: Asthma High blood pressure Anemia Hashimoto''s disease
Allergies: N/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Yellow spots in palm of left hand....injection arm


VAERS ID: 1544955 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-26
Onset:2021-08-11
   Days after vaccination:166
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Malaise, 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tested PCR positive for COVID 8/11/21 after being fully vaccinated. Symptom onset 8/7/21.


VAERS ID: 1544959 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Cold sweat, Feeling abnormal, Feeling cold, Hyperhidrosis, Nausea, Oropharyngeal discomfort, Pallor, Tachycardia, Vision blurred
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (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: 50 mg of Benadryl given PO per standing orders of medical director of the Health Department
Current Illness: NA
Preexisting Conditions: NA
Allergies: NKDA, only seasonal allergies
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Within 3 mins of receiving the Pfizer vaccine 0.3 ml IM RA, the patient became diaphoretic, experienced blurred vision, became cold, clammy, pale, nauseated, and stated "my throat feels like I cant talk, it feels weird and thingly". The patient denied difficulty breathing during the observation period. Pulse rate became tachy at 110 BPM. Extended the observation period to 40 mins. At the end of 40 mins, the patient stated " I feel much better, my vision is not blurry now and my throat is feeling better".


VAERS ID: 1544968 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Lip swelling, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient experienced swelling of lips and tongue was having trouble breathing. Pharmacy called 911 and administered one 0.3 mg EpiPen to right thigh. 911 arrived and took over-patient did not go to ER via EMS but was going to go to hospital on her own (mom was with her)


VAERS ID: 1544975 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Oropharyngeal discomfort, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions:
Allergies: Peanut allergy - anaphylaxis
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient began to feel similar feeling in throat as if she had just eaten peanut butter (patient has known peanut allergy). Patient given water and observed for additional 10 minutues where patient reported that her throat felt better, however her skin began to break out in a hive like rash. Patient transferred to emergency department for further workup as per facility protocol.


VAERS ID: 1544978 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-01-18
Onset:2021-08-11
   Days after vaccination:205
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032L20A / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, Malaise, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN C ASPIRIN VITAMIN B VITAMIN D FAMOTIDINE FLONASE FOLIC ACID FUROSEMIDE METFORMIN TESTOSTERONE TRAMADOL
Current Illness:
Preexisting Conditions: DIABETES GERD
Allergies: PENICILLINS, INSECT VENOM
Diagnostic Lab Data: POSITIVE COVID TEST
CDC Split Type:

Write-up: WEAKNESS, MALISE, FEVER


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