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

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



Case Details (Reverse Sorted by Onset Date)

This is page 160 out of 3,524

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VAERS ID: 1361616 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Back pain, Chills, Fatigue, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Similar side effects for vaccine 1, but only lasted a few days then
Other Medications: Sertraline 50mg
Current Illness: Nine
Preexisting Conditions: Degenerative disc disease in neck and back,
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills. Headaches, stomach pain, nausea, fatigue, and back pain. Symptoms have been 15 days now.


VAERS ID: 1361642 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-11
Onset:2021-05-15
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Deep vein thrombosis, Joint swelling, Malaise, Myalgia, Pain in extremity, Pyrexia, Skin warm, Thrombosis, Ultrasound scan abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen.
Current Illness: None.
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: May 29th: vitals taken and an ultrasound of the entire leg. Several blood cots located.
CDC Split Type:

Write-up: Deep Vein Thrombosis (DVT) in right lower leg. Symptoms initially occurred about two days after feeling sick with a high fever. Initially, the pain in the right calf muscle was thought to be a muscle or tendon strain. On May 22nd, during a campout, there was pain along the entire right leg, but at the time I thought it was just related to lower back pain from sleeping on the ground. On May 27 and 28th there was sharp pain at the bottom of my right foot, then on May 29th I noticed sweeling and a hard warm spot just above the inside right ankle. I reported to a local urgent care clinic first then was referred to Medical ER.


VAERS ID: 1361646 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-01
Onset:2021-05-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW 0162 + EW / UNK LA / JET

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Electrocardiogram normal, Hypertension, Musculoskeletal discomfort
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Hypertension (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: REPORTING - IRREGULAR HEART BEAT SEEN AT LOWER RIGHT SIDE OF NECK FELT BLOOD SEE IT PUMPING UP AND DOWN BY MY NECK AFTER I GOT BOTH SHOTS OF PFIZER - APRIL 12TH & MAY 1ST 2021 STARTING FEELING IRREGUALR HEART BEATS AFTER GOT PFIZ
Current Illness: SINCE 1990 ALWAYS BEEN ON HIGH BLOOD PRESSURE MEDS IREBESARTAN/ HTCZ 150=12.5 MG ONCE TABLET DAILY NO OF COVID19 NO OF HEART ATTACKS EVER NO OF IRREGUAR HEART BEATING AT NECK NO PAIN
Preexisting Conditions: LISTED ABOVE
Allergies: MEDS WAS LISTED ABOVE NO OF COVID 19 NO FOR HEART ISSUES HIGH BLOOD PRESSURE PRESCRIBED BY SINCE 1990 BABY 81 MG OVER THE COUNTER NOTE: I GOT BOTH #1 DOSE AND #2 DOSE OF PFIZER EMERGENCY PRESCRIBED MAY 12TH 2021 FOR CRACKED TOOTH BITES ON TONG. AMOXICILLIN 500MG 1X MORNING 1X NIGHT FOR 5 DA YS STRAIGHT
Diagnostic Lab Data: JUST REPORTING IT FIRST TIME NOW TODAY ON 5/30/21 ASL MY CLINIC IS CLOSED FOR MEMORIAL HOLIDAY WILL DO WALK IN AT URGENT CARE THIS COMING TUES JUNE 1ST 2021 HAD EKG NEG REPORT ON MAY 10TH FOR MY YEARLY EXAMIN AFTER I HAD BLOOD TEST BY DR IN GENERAL I DO NOT HAVE ANY PAIN FROM PFIZER OR MAJOR ISSUES IN MY LIFT ON HIGH BLOOD PRESSURE MEDS AND WAS TAKEN ANTI BOTIC MEDS FROM ON MAY 12TH -----AFTER I SEEN MY DR FOR YEARLY UP AND AFTER I GOT MY PFIZER SHOTS.
CDC Split Type:

Write-up: after SEEN my Dr for yearly up blood test and EKG routine checkup MAY 10th that''s when I notice MY NECK BEATING UP AND DOWN small area right side of neck thinking I''m having SIDE EFFECTS from PFIZER VACCINATIONS and my HIGH BLOOD PRESSURE MEDS maybe having side effects comes and goes daily since MAY 12th after I got my 2 DOSES OF PFIZER SHOTS APRIL 12TH AND MAY 1ST 2021. MY IN GENERAL IS GOOD NEVER HAD HEART ISSUES OR IRREGULAR HEART BEATS EVER IN MY LIFE I AM 68 YRS OLD BORN 9/11/52


VAERS ID: 1361876 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-08
Onset:2021-05-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

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

Write-up: PT IS POST-CORNEAL TRANSPLANT IN LEFT EYE AND WAS DOING FINE, CLEAR VISION. ONE WEEK AFTER SHOT, PT REPORTS VISON BLURRED IN THAT EYE ONLY.


VAERS ID: 1361999 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eczema, Migraine with aura
SMQs:, Hypersensitivity (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: Labetalol
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Everyday for the following 8 days after the vaccine I had a severe migraine with visual aura. 2 days after the shot I had 4-5 aura migraines. I also experienced a flare up of eczema on my right pointer finger knuckle on the back of my hand. The flare up lasted the same amount of time.


VAERS ID: 1362010 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

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

Write-up: Horrible cramps similar to abortion pain that started the next morning after my vaccine and still after 3 weeks of getting the vaccine I continue to have these cramps.


VAERS ID: 1362021 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-12
Onset:2021-05-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Blood test, Computerised tomogram, Facial pain, Feeling abnormal, Generalised tonic-clonic seizure, Hypoaesthesia, Impaired work ability, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Generalised convulsive seizures following immunisation (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Keppra, Ibuprofen as needed, Hydrocodone as needed, Topirimate, Famotidine, Promethazine as needed.
Current Illness: Fibromyalgia, Osteoarthritis, GERD, Asthma, Tendinitis, Epilepsy, Chronic Migraines, Graves Disease.
Preexisting Conditions: Fibromyalgia, Osteoarthritis, GERD, Asthma, Tendinitis, Epilepsy, Chronic Migraines, Graves Disease, Chronic Bronchitis, Chronic Strep.
Allergies: None
Diagnostic Lab Data: Was taken to hospital by ambulance, missed 5 days of work, had to go to PCP as well. Full blood panel and CT scan done at hospital.
CDC Split Type:

Write-up: Had 2 grand mal seizures 2 days after getting vaccine. Have had brain fogginess, right side numbness and pain in face, arm and leg, increased anxiety.


VAERS ID: 1362037 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Angina pectoris, Anxiety, Blood test, Depression, Discomfort, Malaise, Muscular weakness, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (narrow), Other ischaemic heart disease (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Blood labs on 5/25/21
CDC Split Type:

Write-up: Extreme malaise, paresthesias in opposite arm of vaccine, intense body pressure sensations, weakness in limbs, heart pain, depression and anxiety


VAERS ID: 1362057 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-29
Onset:2021-05-15
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Herpes zoster, Pain
SMQs:, Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Blood tests 5/25
CDC Split Type:

Write-up: Re-occurance of shingles (had it ~18 years ago) lesions, extreme pain, etc...


VAERS ID: 1362209 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-07
Onset:2021-05-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Blood test normal, Diarrhoea, Headache, Nausea, Tremor, Urine analysis normal, Vertigo
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Clonazpam .75mg Gabapentin 500mg
Current Illness: none
Preexisting Conditions: Restless Leg/Benign Cramp Fasiculation Syndrome
Allergies: Acyclover
Diagnostic Lab Data: Urinalys & blood labs negative. Stool sample pending lab results
CDC Split Type:

Write-up: Serious diarrhea, vertigo, headaches, nausea, shaky, weak Dicyclomine 20 mg 3x daily May 20-28th did not help, still have diarrehea, vertigo, etc metroNidazole 500mg 2x daily - still have loose bowels, vertigo, etc


VAERS ID: 1362270 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-13
Onset:2021-05-15
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abnormal behaviour, Blood pressure increased, Cardiac monitoring, Electrocardiogram, Electroencephalogram normal, Facial asymmetry, Focal dyscognitive seizures, Laboratory test, Oxygen saturation decreased, Scan brain, Tongue discolouration, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypertension (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad), Hypoglycaemia (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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine: 10 mg, once per day Lisinopril: 40mg, once per day
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: On Saturday, May 15, while sitting with his wife, "froze" for a short period of time, approximately 1-2 minutes. His wife did not know what was wrong and urged him to go to the hospital. His son brought him to the hospital, he presented with elevated blood pressure, a slightly asymmetric smile, and black tongue. He was admitted to the hospital and multiple tests (brain scans, electrocardiogram, etc.) were run to try to diagnose what had occurred. On the afternoon of Sunday, May 16, in the midst of being discharged from the hospital, pt had another "episode" which was later categorized by physicians as being a partial complex seizure, where he "froze" and became unresponsive for approximately 1 minute. During the event, he was wearing a heart monitor, which showed no unusual heart activity, but his blood oxygen level dropped during the event. On Sunday, May 16, pt had a second partial complex seizure (third seizure over the 2-day period). This seizure was timed at being approximately one minute in duration. Following the seizures on 5/16, patient was given Ativan and also a 1500mg loading dose of Keppra. On Monday, May 17, patient had a EEG administered, which indicated that there was no unusual activity occurring in the brain during the test. He was advised to continuing taking Keppra at 750mg/day. Pt does not have a family history of epilepsy, never played contact sports, and has not suffered brain injuries such as a concussion.


VAERS ID: 1362316 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

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

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

Write-up: Severe muscle and joint pain started around 9pm and continued until 7pm following day (22 hours total)


VAERS ID: 1362338 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-26
Onset:2021-05-15
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Inderal Vitamin C
Current Illness: No
Preexisting Conditions: Migraine Mitral valve prolapse
Allergies: No
Diagnostic Lab Data: Drug sore minute clinic: No earwax, Fluid in ears/ May 28th
CDC Split Type:

Write-up: Started to have constant tinnitus/ringing in ears 10-15days after the first dose. Did not stop from then.


VAERS ID: 1362362 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032B21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Crestor 40 mg
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: ankle swelling the day after - no treatment. Resolved a few days later


VAERS ID: 1362650 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-30
Onset:2021-05-15
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH E873 6 / 2 LA / SYR

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

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

Write-up: Tinnitus in left ear Thought was allergy related so prescribed Methylpred 4mg Pack + Flonase + Claratin but no relief


VAERS ID: 1362666 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-13
Onset:2021-05-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood albumin decreased, Blood creatinine increased, Complement factor C3 decreased, Complement factor C4 decreased, HIV test negative, Hepatitis B antibody, Hepatitis B test negative, Hepatitis C test negative, Lupus nephritis, Nephrotic syndrome, Protein urine present
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Systemic lupus erythematosus (narrow), Retroperitoneal fibrosis (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Serum creat 2.3 mg/dL, serum alb 1.4 g/dL, C3 33, C4-3, serum ffree K/L 2.27. Negative hepatitis B, hepatitis C and HIV. 24-hour urine protein 9.87 gm
CDC Split Type:

Write-up: Nephrotic Syndrome. Renal biopsy diagnosis: severe lupus nephritis class IV+V, activity index 18/24


VAERS ID: 1362818 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: There was sweling at the site of injection and it hurt whenever the area was touched. The swelling and pain stopped after 2-3 days.


VAERS ID: 1362828 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature increased, Mastitis, Maternal exposure during breast feeding
SMQs:, Neuroleptic malignant syndrome (broad), Functional lactation disorders (narrow), Neonatal exposures via breast milk (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I am a breastfeeding mother of a 3 month old. One day after my second Pfizer vaccine I began to have symptoms of mastitis in my left breast. By Sunday I had full blown mastitis, running a fever of 102.5. I received antibiotics from my primary care and the infection began to resolve after a few days.


VAERS ID: 1363935 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-05-15
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210556827

Write-up: LEFT ARM MUSCLE PAIN; This spontaneous report received from a patient concerned a 59 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 13-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-MAY-2021, the subject experienced left arm muscle pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from left arm muscle pain. This report was non-serious.


VAERS ID: 1363947 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Oregon  
Vaccinated:0000-00-00
Onset:2021-05-15
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Body temperature, Confusional state, Dizziness, Dysstasia, Headache, Lymphadenopathy, Pain, Pyrexia, Thinking abnormal
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: IBUPROFEN
Current Illness: Obsessive-compulsive disorder (OCD diagnosis- medicated)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210515; Test Name: Body temperature; Result Unstructured Data: 101 Unit Not reported
CDC Split Type: USJNJFOC20210557801

Write-up: CONFUSED; BRAIN WASN''T WORKING RIGHT; REALLY DIZZY; LEGS COULD BARELY HOLD UP; NO ENERGY; HEADACHE; FEVER; SWOLLEN GLANDS; ACHY; PAIN IN BACK OF RIGHT KNEE/PAIN IN LEFT KNEE; This spontaneous report received from a patient concerned a 45 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included obsessive-compulsive disorder. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1821286, expiry: 23-JUL-2021) dose was not reported, administered on 15-MAY-2021 for prophylactic vaccination. Concomitant medications included ibuprofen for fever. On 15-MAY-2021, the subject experienced swollen glands. On 15-MAY-2021, the subject experienced achy. On 15-MAY-2021, the subject experienced pain in back of right knee/pain in left knee. On 15-MAY-2021, the subject experienced headache. On 15-MAY-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 101 Unit Not reported. On 16-MAY-2021, the subject experienced no energy. On 23-MAY-2021, the subject experienced legs could barely hold up. On 24-MAY-2021, the subject experienced really dizzy. On 25-MAY-2021, the subject experienced confused. On 25-MAY-2021, the subject experienced brain wasn''t working right. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from swollen glands, achy, and fever on 16-MAY-2021, and confused, and brain wasn''t working right on 27-MAY-2021, and had not recovered from headache, no energy, pain in back of right knee/pain in left knee, legs could barely hold up, and really dizzy. This report was non-serious.


VAERS ID: 1364031 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Headache, Pain in extremity, Rhinorrhoea, Throat irritation
SMQs:, Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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:
Current Illness:
Preexisting Conditions: Asthma
Allergies: Strawberries, Shellfish
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe upper arm pain that stretched to back Headache Runny Nose Itchy Throat


VAERS ID: 1364293 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-12
Onset:2021-05-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO168 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus, Skin swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 INC2021557522

Write-up: Severe hives and itching; Large areas of hive-like swelling and itching on arms, legs, hips; Large areas of hive-like swelling and itching on arms, legs, hips; This is a spontaneous report from a contactable consumer (patient reported for himself). A 51-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EWO168, expiry date not reported), via an unspecified route of administration, administered in left arm on 12May2021 12:00 (at the age of 51 years old) as second dose, single dose for covid-19 immunization. The patient''s medical history and concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient received the first dose of BNT162B2 for covid-19 immunization (at the age of 51 years old) on 21Apr2021 12:00 PM (lot EWO171) administered in the left arm. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The most recent COVID-19 vaccine was administered in a pharmacy or drug store. Patient experienced severe hives and itching began on Saturday, 15May2021 (three days after the second dose) at 08:00 AM, which were described as large areas of hive-like swelling and itching on arms, legs, hips. They have gotten worse; Benadryl provides only short-term relief. Since the vaccination, the patient has been tested for COVID-19. As per reporter, the events were not serious by the reporter (did not result in death, not life-threatening, did not cause/prolonged hospitalization, not disabling/incapacitating and not a congenital anomaly/birth defect). The events were reported as not recovered. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1364313 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-24
Onset:2021-05-15
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Date: 20210515; Test Name: positive for covid; Test Result: Positive ; Comments: Diagnosed with Covid
CDC Split Type: USPFIZER INC2021598731

Write-up: I was for positive for Covid exactly on May 15/had to cancel my appointment for my second shot because I had Covid; I was for positive for Covid exactly on May 15/had to cancel my appointment for my second shot because I had Covid; This is a spontaneous report from a contactable consumer (patient)via team. A 51-year-old female patient received first dose of PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0158), via an unspecified route of administration on 24Apr2021 as single dose for covid-19 immunisation. The patient medical history was none. The patient''s concomitant medications were not reported. The patient stated I was for positive for covid exactly on 15May/had to cancel my appointment for my second shot because I had covid on 15May2021. The patient stated, she received the first dose of the Pfizer COVID-19 vaccine on 24Apr2021 and tested positive for COVID on 15May2021 the same day she was due to get the second dose of the Pfizer COVID-19 vaccine. She cancelled her appointment. She states she is getting conflicting information as to when to get the second dose of the vaccine. She would like to know when she can receive the second dose and if the series needs to be repeated. The events were treated with Tylenol and Robitussin. The outcome of the events was unknown.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2021598751 similar report from same reporter


VAERS ID: 1364760 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Productive cough, Pyrexia, Rhinorrhoea, Sneezing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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 that we are aware of
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 101.3 highest fever started the next day, and lasted for 3 days. Tiredness lasted for 3 -4 days after vaccine. Sneezing, runny nose, productive cough lasted for about 10 days. All cold related symptoms started the day after the first shot. He did not lose smell or taste.


VAERS ID: 1364794 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-23
Onset:2021-05-15
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006B21A / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Acoustic stimulation tests, Ear tube insertion, Sudden hearing loss
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Hearing test conducted May 17. May 19 tube inserted into the right ear. Steroid injections on May 19, 21, 24,26. One 45 minute visit to a Hydrogen Barium oxygen pod.
CDC Split Type:

Write-up: May 15 %100 Sudden hearing loss in my right ear that has not returned.


VAERS ID: 1364825 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Eye movement disorder, Hyperhidrosis, Immediate post-injection reaction, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (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: Claritin and multivitamin
Current Illness: no
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: bp taken and 56/48.
CDC Split Type:

Write-up: fainted right away, pale, sweaty, eyes closed and then rolling back in the head. This never happened before.


VAERS ID: 1364829 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-26
Onset:2021-05-15
   Days after vaccination:140
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Exposure during pregnancy, Nasal congestion, SARS-CoV-2 test positive
SMQs:, Taste and smell disorders (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cetirizine (ZyrTEC) 10 mg tablet HYDROXYprogesterone cap,ppres, (MAKENA) 250 mg/mL oil mometasone (NASONEX) 50 mcg/actuation nasal spray prenat.vits,cal,min-iron-folic tablet
Current Illness:
Preexisting Conditions: Endometriosis Seasonal allergies Neoplasm of soft tissues Supervision of other normal pregnancy
Allergies: NKA
Diagnostic Lab Data: 05/16/21 1814 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 05/16/21 1241 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical
CDC Split Type:

Write-up: Dx loss of taste ? loss of smell ? Nasal Congestion GRAVIDE PARA: G 3 P 1 1 0 2 EDD: 08/19/2021


VAERS ID: 1365077 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-05-15
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH LW0150 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypertension, Rash, Urine analysis, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypertension (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: pnuemonia 34
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: penicillin, Demerol, iodine
Diagnostic Lab Data: urine, lab-elevated white blood cells
CDC Split Type:

Write-up: broke out in rash from head to toe, sores everywhere, high bp


VAERS ID: 1365124 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Parent and Patient put down on the consent form that the patient''s birthday was date, making them 12 years old. The immunization records show the patient''s birthday is date, making them 11 years old. The new FDA age limit for the Pfizer vaccine is 12 years old. The patient does not meet the age limit per the FDA.


VAERS ID: 1365267 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-05-05
Onset:2021-05-15
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 2 LA / IM

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

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

Write-up: The patient is post menopause and ten days after receiving the second dose of the Moderna COVID-19 vaccine, she started a menstrual cycle with heavy flow. Up to the current date the bleeding has not stopped.


VAERS ID: 1365353 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-01
Onset:2021-05-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Swollen painful lymph node in armpit.


VAERS ID: 1365440 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site reaction
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: Mild intermittent asthma
Allergies: Seafood allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mom reports he had around injection site. Happened the evening of the day he was immunized.


VAERS ID: 1365455 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-12
Onset:2021-05-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0129 / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Dyspepsia, Sleep disorder
SMQs:, Gastrointestinal nonspecific dysfunction (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: NKDA
Diagnostic Lab Data: None yet
CDC Split Type:

Write-up: Began having heartburn 3 days after second vaccine. Intermittent, about 3 episodes per week that occurs in the middle of the night, wakes up from sleep


VAERS ID: 1365457 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Bronchospasm, Dyspnoea, Headache, Myalgia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: NSASIDS
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortness of Breath, Bronchospasm, Rash, Muscle Aches, Head Ache, weakness


VAERS ID: 1365526 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-12
Onset:2021-05-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Angina unstable, Back pain, Blood cholesterol increased, Chest pain, Fatigue, Hypertension, Pain, Pain in extremity, Pyrexia, Tachycardia, Troponin increased
SMQs:, Acute pancreatitis (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Lipodystrophy (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: 31 years old
Other Medications: None
Current Illness: None
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Troponin was 7000. High cholesterol, high blood pressure. Pre Infarct.
CDC Split Type:

Write-up: I was vaccinated on Wednesday, that day I felt fine, on Thursday I felt fatigue, fever, pain in my feet, in arm; on Friday I had severe back pain that radiated to my stomach, on Saturday morning 4:40 I was awakened by a tachycardia and afterward I had severe chest pain, I could not tolerate the pain. I went to the emergency room and they found my Troponin at 7000. They took good care of me in the hospital. They did tests on me and later on Sunday I had it again at dawn but not so strong, I am a healthy person and have not done anything out of the ordinary, the only thing different was the vaccine that I took in those days. Now I have to take medications (amlodipine, aspirin, omega, atorvastatin) I don''t know for how long.


VAERS ID: 1366553 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysphonia, Hyperhidrosis, Oropharyngeal discomfort, Pallor, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aurobindo (birth control)
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa drugs, and mustard
Diagnostic Lab Data: None yet. My doctor is setting her up to see an allergist and was made aware of this situation.
CDC Split Type:

Write-up: We left the store and got a bite to eat at the drive through. After driving about 7 minutes she grabbed her throat and started acting like she was not able to swallow. I asked her was she ok? She stated no in a raspy voice. She shook her head and said she felt like molasses was in her throat. She seemed pale and began to sweat. I am a former EMT-Parmamedic. I remembered there was a store about 2 miles away. I called and got the Pharmacist on the phone. I ran into the after driving 92 miles an hour and she converted children''s Benadryl for me and stayed on the phone. I gave her 1/2 a bottle. began to be more responsive. I had a medical bag with me with airways and other medical devices I use for work but no Epi Pen. After giving her all the Benadryl she said she felt better but she stayed hoarse for the remainder of the day and was sleepy. I kept an eye on her an Called her physician on Monday morning as this was a Saturday and they called in Epi pens in case this happens again. The first shot she felt like she swallowed a potato chip wrong and started acting the same way then through up but never got this bad. We just thought she ate something and it went down the wrong way. Never giving it a second thought. Then after the second shot it was much worse. Had I not the pharmacist on the phone, Benadryl liquid and a medical bag, I would have called an ambulance. In the county we live in though we do not have enough ambulances and I am afraid she would have went into full anaphylaxis and died. I did what I thought was the best for my only child.


VAERS ID: 1366833 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-05-15
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Retinal detachment
SMQs:, Accidents and injuries (broad), Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210600305

Write-up: DISCONNECTED RETNA; This spontaneous report received from a patient concerned a 64-year-old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A expiry: unknown) dose was not reported, 1 total administered on 14-MAY-2021 for prophylactic vaccination to left arm. No concomitant medications were reported. On 15-MAY-2021, the patient started to experience intermittent flashing lights on his right eye, followed by a black line that goes across his right eye when his eyes are closed. Patient also experienced a "black curtain" effect. After a week of symptoms, the patient visited his MD and was diagnosed with a ''Disconnected Retna''. The patient had surgery for his right eye as per diagnosis on Tuesday, 25-MAY-2021. Patient was doing well so far with slight discomfort but no pain. Patient was going to see his ophthalmologist on 01-JUN-2021 for his post-op follow-up. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from Disconnected Retna. This report was Serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210558759-covid-19 vaccine ad26.cov2.s-Disconnected Retna.. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1367127 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 INC2021547961

Write-up: Some pain and soreness in his arm; This is a spontaneous report from a non-contactable consumer (patient). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 14May2021 (Batch/Lot number was not reported, expiry date not reported) as second dose, single for COVID-19 immunization. Medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 on an unspecified date at first dose, single for COVID-19 immunization. The patient experienced some pain and soreness in his arm on 15May2021, and asked if it was safe to take Tylenol. Clinical outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1367133 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021549828

Write-up: Pain in her arm; Chills; his is a spontaneous report from a contactable consumer (patient''s husband). A female patient (wife) of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 15May2021 (Batch/Lot number and expiry date were not reported) as second dose single for COVID-19 immunization. Medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 on an unspecified date at first dose, single for COVID-19 immunization. The patient experienced pain in her arm on 15May2021 with outcome of unknown, and chills on 15May2021 with outcome of unknown. The events were reported as non-serious. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1367166 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-02-14
Onset:2021-05-15
   Days after vaccination:90
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 RA / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Head discomfort, Headache, Rhinorrhoea, 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: METOPROLOL; ELIQUIS; LOVASTATIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Atrial fibrillation (has been diagnosed for approximately 2 years)
Allergies:
Diagnostic Lab Data: Test Date: 20210515; Test Name: Covid-19 Rapid Test; Test Result: Positive
CDC Split Type: USPFIZER INC2021556590

Write-up: Her first dose was 21Jan2021 and the second dose was 14Feb2021. This past Saturday, 15May2021 she was diagnosed with Covid-19; Her first dose was 21Jan2021 and the second dose was 14Feb2021. This past Saturday, 15May2021 she was diagnosed with Covid-19; Headaches; Her nose was running continuously; When she got the headaches, she felt like her head was pounding or coming through her ears in her head; This is a spontaneous report from a contactable consumer (patient). A 77-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in arm right on 14Feb2021 probably around 1 or 1:30 (Batch/Lot Number: EN5318) as single dose, dose 1 via an unspecified route of administration, administered in arm right on 21Jan2021 10:00 (Batch/Lot Number: EL1283) as single dose for COVID-19 immunization. Medical history included atrial fibrillation (A-fib) has been diagnosed for approximately 2 years. Concomitant medications included metoprolol taken for atrial fibrillation for a couple of years; apixaban (ELIQUIS) taken for blood thinner for a couple of years; lovastatin; vitamins. Vaccine was injected by a nurse. No AEs following prior vaccinations. The patient has had both doses of the vaccine. Her first dose was 21Jan2021 and the second dose was 14Feb2021. This past Saturday, 15May2021 she was diagnosed positive with COVID-19 by a COVID-19 rapid test. No other tests reported. Patient stated the case she has was not too severe. She got a knee injection on the same day of the vaccine. She was not sure what medication it was but she thought it was cortisone. She stated it appeared her immune system didn''t react properly so it made her feel she was not properly protected by the vaccine. Patient added that she had a couple of injections into her knee and she did not know if that can have any effect on the vaccine and break down immunity. Patient asked if she can get an additional shot since this one obviously did not work. Patient added that she did not want to get COVID19. She wanted to find out why did it breakdown, why did her immunity breakdown. Secondly, once this is all over, can she get another shot? She is not going to get comfortable based on what is going to happen. Diagnosed with COVID19 after receiving vaccines, patient stated that she had a few symptoms and was shocked it came back positive. She had no fever, she had no nausea. She had headaches, chills, and a really bad cough in 2021. Her nose was running continuously in 2021. When she got the headaches, she felt like her head was pounding or coming through her ears in her head. It was like something she never experienced before and it was out of the ordinary. She thought it was something more than an ordinary cold so she went and got tested. Patient was taking paracetamol (TYLENOL) and she took some Coricidin for treatment, and stated this was an over the counter decongestant. AEs did not require a visit to Emergency Room and Physician Office. Patient just went to the medical building. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1367180 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure measurement, Dizziness, Fatigue, Heart rate, Heart rate increased, Hot flush, Oxygen saturation, Pain in extremity
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; IBUPROFEN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergic reaction; Epidural anesthesia; Hypotension; Penicillin allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210515; Test Name: Blood pressure; Result Unstructured Data: Test Result:normalized; Test Date: 20210515; Test Name: heart rate; Result Unstructured Data: Test Result:rapid; Test Date: 20210515; Test Name: heart rate; Result Unstructured Data: Test Result:lowered to normal; Test Date: 20210515; Test Name: Oxygen; Result Unstructured Data: Test Result:stable
CDC Split Type: USPFIZER INC2021557548

Write-up: Arm soreness; fatigue; Rapid Heart Beat; Hot Flush over body; dizziness; This is a spontaneous report from a contactable other health professional. This consumer (patient) reported that a 39-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at the age of 39-years, via an unspecified route of administration in left arm on 15May2021 at 11:15 at single dose for COVID-19 immunization, in hospital. Medical history included penicillin allergy, epidural caused severe hypotension/allergic reaction, demoral adverse reaction (as reported). Patient was not pregnant at time of vaccination. Concomitant medications included ibuprofen, cetirizine hydrochloride (ZYRTEC) and multi vitamin. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 15May2021 12:00, rapid heart beat, hot flush over body, dizziness. Started 40 minutes after vaccination. EMS called since she was driving at the time. Arrived 10 minutes later. Oxygen stable entire time. Blood pressure normalized and heart rate lowered to normal by the time they left 20 minutes later and diphenhydramine hydrochloride (BENADRYL) administered. Arm soreness and fatigue next day on 16May2021. BENADRYL taken again 6 hours later. Back to normal 2 full days later. The events result in emergency room/department or urgent care. Outcome of the events was recovered/resolved. Since the vaccination, the patient has not been tested for COVID-19. Information on lot/batch number has been requested.; Sender''s Comments: There is a reasonable possibility that the events arm soreness and fatigue were related to BNT162b2 based on known drug safety profile Based on the close temporal relationship, the association between the events rapid heart beat, hot flush over body, and dizziness can not be fully 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: 1367202 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021560841

Write-up: muscle aches; This is a spontaneous report from Pfizer-sponsored program. A contactable female consumer (patient) reported that a female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 15May2021 (lot number and expiry date: unknown) as 1st dose, single for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient experienced muscle aches on 15May2021. The patient wanted to know if she can take ibuprofen. Outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained. No further information has been expected.


VAERS ID: 1367224 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-05-06
Onset:2021-05-15
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / -

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: Medical History/Concurrent Conditions: Acid reflux (oesophageal) (acid reflux); Bladder disorder NOS (weak bladder); Familial tremor (familial tremors); High cholesterol
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021567943

Write-up: Tingling in hands and now feet; This is a spontaneous report from a contactable consumer (patient). A 65-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: Ew0179), via an unspecified route in the left arm on 06May2021 at 09:00 (at the age of 65 years) as 2nd dose, single for COVID-19 immunisation. The patient medical history included high cholesterol, acid reflux, familial tremors, weak bladder. The patient''s had unspecified concomitant medications within 2 weeks of vaccination. Patient had no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to the vaccination. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: Ew0169) via an unspecified route in the arm left on 15Apr2021 at 09:15 as 1st dose, single for COVID-19 immunisation. On 15May2021 at 09:00, the patient experienced tingling in hands and now feet. Started about 9 days after 2nd dose in hands and now was affecting feet. Patient received no treatment for the events. Since vaccination patient was not tested for COVID 19. The outcome of event was not recovered. No follow up attempts are possible. No further information is expected.


VAERS ID: 1367725 (history)  
Form: Version 2.0  
Age: 93.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-05-15
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027B21A / 2 LA / IM

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

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

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


VAERS ID: 1367740 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Cardiac arrest, Cardiac pacemaker insertion, Dizziness, Loss of consciousness, Resuscitation, Somnolence
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Clonidine 0.2 mg four times a day Benadryl twice a day as needed for seasonal allergies
Current Illness: None
Preexisting Conditions: None
Allergies: Gluten
Diagnostic Lab Data:
CDC Split Type:

Write-up: Started with not being able to wake up but being aware of surroundings. He then got very dizzy and passed out. 911 was called and EMS was dispatched to his home. He experienced cardiac arrest and need to be resuscitated 7 times. He was flighted to hospital where he had surgery to place a pacemaker.


VAERS ID: 1367754 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-24
Onset:2021-05-15
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal rigidity, Abdominal tenderness, Anticoagulant therapy, Chest discomfort, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer increased, Hypoxia, Pulmonary embolism, Pulmonary infarction, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: quinine
Diagnostic Lab Data: D-dimer elevated. CT angiogram showed multiple bilateral pulmonary emboli and right lower lobe infarct.
CDC Split Type:

Write-up: Patient presented on May 15, 2021 with sudden right lateral inferior chest pain that awoke him. He noted a feeling of heaviness and mild dyspnea for two days prior. Worse when flat. Hypoxic. Right upper quadrant guarding and tenderness. Treated with anticoagulation as an outpatient.


VAERS ID: 1367952 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 RA / SYR

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

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

Write-up: Patient began experiencing hives within 5 hours of receiving COVID vaccine #1. Patient noticed hives on stomach, back, legs, and buttocks. Patient reported them being itchy. Patient''s PCP was notified and a telehealth visit was performed. Patient''s PCP recommended Benadryl every 4-6 hours. Hives would wane and return for the next 4 days. Hives were on arms, chest, back, buttocks, and legs throughout the five days. Patient began Zyrtec on Monday morning and continued Zyrtec through Wednesday. Allergy was e-consulted to discuss the second dose of the vaccine and if patient should receive it. Allergy recommended Zyrtec one hour prior to second dose and have PCP prescribe epi-pen in case of more severe reaction.


VAERS ID: 1368067 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Mobility decreased, Pain
SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Limited range of motion and severe pain. Pain and range of motion limitation started next day and lasted for 3 days. Then pain and range of motion issues persisted slightly and constantly for over 2 weeks. Ongoing.


VAERS ID: 1368129 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-13
Onset:2021-05-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood test normal, Hypoaesthesia, Limb discomfort, Magnetic resonance imaging normal, Mobility decreased, Myalgia, Neck pain, Pain, Pain in extremity, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celebrate Calcium Nitrate Soft Chews (500mg of Calcium Citrate and 12.5 mcg of Vitamin D3), Vthrive: Bioactive B-Complex &Bioactive Women''s Daily Multi-Vitamin, VitaFusion Fiber well gummies, Vitamin D3 drops
Current Illness: none
Preexisting Conditions: Was treated for Diabetes but since my surgery (gastric sleeve and Hiatal hernia repair-12/17/2020) I have not had to take any medication ordered by my endocrinologist
Allergies: sulfa
Diagnostic Lab Data: Bloodwork 5/25-looking for any autoimmune disease and ruling out any other possibility-findings:normal MRI-6/1-findings: normal All the doctors are perplexed in what to do, they have ruled out everything they can think of and do not know how to help me get out of pain.
CDC Split Type:

Write-up: 24 hours after shot-massive burning pain shooting through my left bicep, shoulder neck, and down my arm. On 5/22 the pain traveled to my right arm causing restrictions in movement. Went to PCP on 5/24 and was prescribed Prednisone for 5 days. The symptoms in my right arm were corrected and in my left arm increased in the burning pain. It is amplified or the weekend where it feels like there is a 1000lb weight hanging from my hand weighing down my arm, burning and shooting pain, and sometime makes my hand and fingers tingle and go numb. Went to Urgent Care on 5/30was prescribed Naproxen 550mg for 5days, with no change. They gave me a referral to get an MRI on shoulder and arm.


VAERS ID: 1368180 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-13
Onset:2021-05-15
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID-19/Sars-Cov2, NAAT 6/1/21 positive.
CDC Split Type:

Write-up: COVID positive $g14 days post vaccine series. 5/15/21 known high risk exposure. Asymptomatic test.


VAERS ID: 1368201 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-03-25
Onset:2021-05-15
   Days after vaccination:51
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011M20A / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, Asthenia, Blood creatinine increased, Blood lactic acid, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest pain, Cough, Diarrhoea, Dyspnoea, Hypotension, Hypoxia, Pain, Pneumonia, Pyrexia, Vaccine breakthrough infection, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: aspirin 81 mg PO QD calcium vitamin D 1 tab PO QD vitamin D 1000 IU PO QD ezetimibe 10 mg PO QD ferrous sulfate 325 mg PO BID furosemide 20 mg PO QD gemfibrozil 300 mg PO BID isosorbide dinitrate 40 mg PO BID metoprolol 50 mg PO BID levothy
Current Illness: liver transplant on immunosuppresion colon cancer s/p partial colectomy with colostomy prostate cancer s/p androgen deprivation therapy CKD Stage 4 OSA
Preexisting Conditions: liver transplant on immunosuppresion colon cancer s/p partial colectomy with colostomy prostate cancer s/p androgen deprivation therapy CKD Stage 4 OSA
Allergies: NKDA
Diagnostic Lab Data: see above
CDC Split Type:

Write-up: Moderna Dose 1 2/25/21 (041L20A) Moderna Dose 2 3/25/21 (011M20A) COVID Positive 5/10/2021 5/10/21: Presented to ED. 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough. Patient reports symptoms started about 1 week ago with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea. He was treated with Z-Pak but symptoms continued and he presented to the emergency room, found to be hypoxic requiring up to 6 L nasal cannula oxygen Patient also had fever no chills or rigors. Reports he has received both shots of COVID-19 vaccine. In the emergency room patient was hypotensive which was responsive to IV fluids and received levofloxacin. Chest x-ray showed bilateral pneumonia. WBC 15.5, lactic acid 2.8 and the creatinine 2 which is patient''s baseline. 5/13/21: 84-year-old male with history of liver transplant for primary sclerosing cholangitis currently on immunosuppressive therapy with CellCept and sirolimus, colon cancer status post partial colectomy with colostomy, prostate cancer s/p androgen deprivation therapy, CKD stage 4 and obstructive sleep apnea presented with cough. Patient reports symptoms started about 1 week prior to hospitalization with dry intermittent cough associated with shortness of breath, chest pain, generalized weakness body aches and worsening of chronic diarrhea. Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Treated with dexamethasone and levofloxacin. With not a candidate for remdesivir based on poor renal function and ID consulted and did not believe patient qualifies for Actemra. Subsequently shortness of breath and hypoxia resolved and he was deemed stable for discharge and will complete 7 days steroid taper. Liver transplant team at pain clinic was consulted, recommended holding sirolimus while patient is on dexamethasone. I have clearly communicated to the patient and his wife to resume sirolimus after 1 week. On discharge patient was a febrile and hemodynamically stable. He was discharged home.


VAERS ID: 1368623 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, COVID-19, Cough, Fatigue, Headache, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HTN
Preexisting Conditions: HTN
Allergies: Celebrex, Vioxx, egg
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient presents with upper abdominal pain, HA, fatigue, cough on the same day of receiving her 2nd dose of her vaccine; she was found to be COVID+ on 5/29/2021 after return of her COVID-19 ER nasal swab test.


VAERS ID: 1368797 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 8-31-21 8W0182 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test abnormal, Headache, Infectious mononucleosis, Lymphadenopathy, Oral pain, Streptococcus test negative
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: Previous vaccination. Severe pain at injection site (left arm) for about a week.
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None known.
Diagnostic Lab Data: As mentioned on Item 18 above. Blood tests ordered from the pediatrician on Friday, May 21st, performed same day, results came back positive for mono, May 24th, Monday.
CDC Split Type:

Write-up: On the outset: There is no proven link of the vaccine with what happened, but I am filling this just in case you see a pattern emerge: She was vaccinated (pfizer, 1st dose) on Saturday, May 15 2021. A couple of hours later she started experiencing mild symptoms (moderate headache, which we thought as a normal reaction). These persisted on and off until Wednesday, May 19th, when patient started having swollen and painful glands at the back of her mouth. Long story short, after testing first for strep, followed by blood work, patient''s blood test came back positive with mono on Monday, May 24. The reason for this report is that I have read that mRNA vaccines, great as they may be, may trigger a virus response for viruses that stay within a person - like shingles or herpes etc. The way I understand it, mono also stays with a person. Patient had never been diagnosed with mono before, but mono sometimes does not have symptoms. So, is it possible that she had mono sometime before the vaccine, and it got re-triggered due to the vaccine? Again, just in case you see a pattern, I am just reporting if helpful. Patient also developed a mono rash on Wednesday, May 26; treated with topical benadryl cream.


VAERS ID: 1369569 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Nausea, Vaccine positive rechallenge
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nausea 2nd vaccine. Reported same with first vaccine lasted 2 HR. Feels OK to go home.


VAERS ID: 1369585 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-15
Onset:2021-05-15
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038821A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood culture negative, Injection site swelling, Rash, Septic shock
SMQs:, Anaphylactic reaction (broad), Toxic-septic shock conditions (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), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: FOLFIRI plus Avastin, arimidex, insulin
Current Illness:
Preexisting Conditions: colon cancer, diabetes, breast cancer history
Allergies: chlorhexidine-rash, hives, blisters Clindamycin- possible rash Vancomycin - possible rash
Diagnostic Lab Data: negative blood cultures
CDC Split Type:

Write-up: Swelling injection site, rash, the septic shock starting after second vaccine


VAERS ID: 1369787 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-12
Onset:2021-05-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

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

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

Write-up: Felt sharp stabbing pain in chest about three days after I received the first dose of the vaccine.


VAERS ID: 1370330 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-05-15
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Blindness unilateral, Cerebrovascular accident, Diplopia
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Ocular motility 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? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: Stroke; Lost sight in one eye; Double vision; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) and BLINDNESS UNILATERAL (Lost sight in one eye) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-May-2021, the patient experienced BLINDNESS UNILATERAL (Lost sight in one eye) (seriousness criterion medically significant) and DIPLOPIA (Double vision). On 16-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criteria hospitalization and medically significant). The patient was hospitalized on 16-May-2021 due to CEREBROVASCULAR ACCIDENT. At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke), BLINDNESS UNILATERAL (Lost sight in one eye) and DIPLOPIA (Double vision) outcome was unknown. Concomitant product use was not provided. It was reported that the patient is planning to go to rehab center from Hospital. Treatment information was unknown. Very limited information regarding these events has been provided at this time. Further information has been requested; Sender''s Comments: Very limited information regarding these events has been provided at this time. Further information has been requested


VAERS ID: 1370544 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Blood cholesterol, Blood cholesterol increased, Blood test, Chest X-ray, Computerised tomogram, Coordination abnormal, Dizziness, Echocardiogram, Feeling abnormal, Feeling drunk, Loss of consciousness, Malaise, Nausea, Presyncope, SARS-CoV-2 test, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Lipodystrophy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Vasovagal reaction (history of vasovagal reactions in high school)
Allergies:
Diagnostic Lab Data: Test Date: 20210515; Test Name: cholesterol; Result Unstructured Data: Test Result:208; Test Date: 20210515; Test Name: blood drawn; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210515; Test Name: chest x-ray; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210516; Test Name: CAT scan; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210516; Test Name: cardiac ultrasound; Result Unstructured Data: Test Result:Unknown results; Test Name: COVID-19; Result Unstructured Data: Test Result:Unknown results
CDC Split Type: USPFIZER INC2021562488

Write-up: dizziness; nausea; He did not feel well at all and was not able to feel well enough to stand up.; definite lack of coordination; he vomited on himself; his cholesterol was high at 208.; had very little strength; started feeling like something was wrong; just had sort of a feeling like being really drunk; passed out (fainted) in his car 3 times; He was told he had a vasovagal reaction; This is a spontaneous report from a contactable consumer (patient). A 52-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 15May2021 10:50 (Lot Number: EW0173; Expiration Date: 31Aug2021) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included vasovagal reactions in high school. No other vaccinations within four weeks prior to the first administration date of the suspect vaccine. The patient''s concomitant medications were not reported. Within 2 minutes of receiving the Covid 19 vaccine he started feeling like something was wrong. He pulled to the side in the parking garage and as soon as he stopped the car he passed out. He woke back up and was able to put the car in park and he passed out a second time. He woke up again and his foot was on the gas pedal and he tried to roll down the window. He was able to roll down the window but he wasn''t able to get anyone''s attention. He passed out a third time. When he woke up again he wasn''t able to get the door open and he was nauseated. He basically had nausea, dizziness, and a definite lack of coordination. He just had sort of a feeling like being really drunk. He doesn''t drink. He had very little strength but he was able to push his car horn. He was out of it. He could see someone in his car mirror a little ways behind his car and the horn didn''t get the person''s attention so he honked a second time and someone came to help him, maybe from the fire department and maybe some emergency medical technicians. He was placed on a golf cart or ATV to be transported downstairs to a waiting ambulance and while on the ride he vomited himself. He mentioned that the EMTs called it a vasovagal reaction. He was brought to the hospital in which he had a lot of tests done. He did not feel well at all and was not able to feel well enough to stand up. He had tests done at the hospital, a chest x-ray and his blood was drawn. He had a cardiac ultrasound later in the afternoon the next day on 16May2021. The doctor''s didn''t find anything wrong other than his cholesterol was high at 208. He was admitted to the hospital on 15May2021. He continued to have his blood drawn through the night and the next morning, on 16May2021, he had a CAT scan. For his cholesterol he was told to eat better and maybe follow up with a doctor in a couple months to check his cholesterol again. No one had any answers to the effect of what happened to him. Everything was fine, his tests were normal. He was told he had a vasovagal reaction. He''s had vasovagal reactions before and he can tell this was much different than the vasovagal reactions he''s had before. In the past when he''s had vasovagal reactions the world went black like looking through a small circle, his vision got blacker and blacker and then he''d pass out. He did not have this feeling with the Covid 19 vaccine. He can only describe this feeling that he had like an occasion in his past when he''s drank to much and he''s stumbling around. He may have passed out briefly to someone helping him move to a bed and his arms are weighted and he can''t lift them and he''s disoriented but still has a sense of what''s going on but he feels like he could vomit at any second. He''s comparing his experience to the Covid 19 vaccine to drinking to much alcohol and then falling asleep or passing out. He was pretty much out of it for 5 hours. Between the fourth and fifth hours after receiving the Covid 19 vaccine he was comfortable enough to stand on his own for brief moments. He was feeling better and was able to use the restroom. By the next day, around the 24 hour period after the vaccine he was feeling almost normal. He was released from the hospital the next day, 16May2021 at around 4:00PM. He was maybe in the hospital for about 27 to 28 hours. At the hospital he had all these tests and he was found to be healthy with no problems. He also had a Covid 19 virus test, he never asked what the results were but he''s going under the assumption that if he was Covid 19 virus positive the hospital staff would have told him. Passing out, nausea, dizziness required a visit to Emergency Room. The outcome was unknown.


VAERS ID: 1370549 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Hypersomnia, Lethargy, Lymph node pain, Swelling face, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergy to grains
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PFIZER INC2021562595

Write-up: Face is swollen/face was puffy; complaining of pain in her throat glands/Glands under throat are painful; sleeping a lot; didn''t really eat much; Very Lethargic; vomited once or twice/Vomiting; This is a spontaneous report from a contactable consumer. This consumer (patient''s mother) reported for her daughter (patient). A 13-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose at the age of 13-years-old via an unspecified route of administration on 15May2021 15:30 (Batch/Lot number was not reported) as 1st dose, single for covid-19 immunisation. Medical history included ongoing reaction to bread. Concomitant medication included an unspecified anxiety medication. It was reported the patient received the first dose of the Pfizer COVID-19 vaccine on 15May2021, and the next day, 16May2021, she was sleeping a lot and vomited once or twice, didn''t really eat much. This morning, 18May2021, she vomited and noticed face was puffy and complaining of pain in her throat glands, they will be taking her to her HCP this afternoon. Shee mentioned that she has had a reaction to bread, possible gluten intolerance, maybe yeast, and was asking if is there is yeast in the production of the vaccine. She got the vaccine on Saturday at 1530. It was further reported that for the first day or two she was very lethargic and vomiting on 15May2021. States they thought it was just a normal reaction. The reporter stated that today her daughter isn''t in school again because she is vomiting, her face is swollen, and her glands under her throat hurt. States she is going to the doctor this afternoon. The patient did not recover from vomiting, was recovering from very lethargic while the outcome of the other events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1370566 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-12
Onset:2021-05-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021565214

Write-up: Ramsay Hunt syndrome 3 days after second vaccine shot; This is a spontaneous report from a contactable consumer(patient). A 25-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 12May2021 (at age 25-years-old) (Batch/Lot Number: Unknown) as 2nd dose, single for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. Patient was not pregnant. The patient experienced Ramsay Hunt syndrome 3 days after second vaccine shot on 15May2021. Treatment was received for the event that resulted to doctor/ healthcare professional clinic visit and emergency room/urgent care. Outcome was not recovered. Patient was not diagnosed with COVID prior to vaccination.


VAERS ID: 1370598 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-12
Onset:2021-05-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood glucose, Blood test, Full blood count, Haemorrhage, Lip swelling, Pain, Pruritus, Rash, SARS-CoV-2 test, Swelling face, White blood cell count
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: AMLODIPINE; HUMALOG; LOVASTATIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high; Diabetes mellitus; High cholesterol
Allergies:
Diagnostic Lab Data: Test Name: sugar; Result Unstructured Data: Test Result:came up; Test Date: 20210515; Test Name: blood test; Result Unstructured Data: Test Result:normal; Test Date: 20210516; Test Name: blood test; Result Unstructured Data: Test Result:normal; Test Date: 20210517; Test Name: blood test; Result Unstructured Data: Test Result:normal; Test Name: CBC; Result Unstructured Data: Test Result:Unknown Result; Test Name: COVID test; Result Unstructured Data: Test Result:Unknown Result; Test Name: WBC count; Result Unstructured Data: Test Result:came up
CDC Split Type: USPFIZER INC2021568241

Write-up: Rashes and those rash become swollen; face become swollen; itching; very painful; Lips become swollen; She is bleeding so much of bleeding from there; This is a spontaneous report from a contactable consumer (patient''s daughter). A 66-year-old female patient received bnt162b2 (Pfizer-BioNTech COVID-19 vaccine), dose 2 via an unspecified route of administration on 12May2021 (Batch/Lot Number: EW0172) as 2nd dose, single for covid-19 immunisation. Medical history included diabetes, high blood pressure and high cholesterol. Concomitant medications included amlodipine; insulin lispro (HUMALOG), empagliflozin, linaglipin, metformin hcl (TRIJARDY XR) and lovastatin all taken for an unspecified indication, start and stop date were not reported. The patient previously received first dose of bnt162b2 on unspecified date for Covid-19 immunization. On 15May2021, 2 days after vaccine administration, it was reported that the patient''s body reacted to the vaccine. The side effect which the patient got was in the form of rashes and those rash become swollen and her face become swollen and is very itching and very painful, her lips become swollen. The daughter went to almost all doctors in urgent care and they are giving basically allergy medication but the allergy medications that they are giving is making worse. And the doctor says this is new for them so they don''t know why her body is reacting to the vaccine like this. The patient was administered with treatment medications which includes Prednisone, Pepcid, Benadryl, Claritin, she also got Solu-Medrol, which the daughter reported was making the events worse and now the doctors ae not doing anything. Because the patient was given steroids her sugar and WBC came up. The daughter also reported she is bleeding so much of bleeding from there. The patient underwent blood test on 15May2021, 16May2021 and 17May2021 which were normal. The outcome of the events was unknown.


VAERS ID: 1370616 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthma, Confusional state, Delirium, Dyspnoea, Inappropriate schedule of product administration, Laryngitis, Pyrexia
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: XANAX; CYMBALTA
Current Illness: Anxiety; Asthma; Depression; Pain; Panic attacks
Preexisting Conditions: Medical History/Concurrent Conditions: Burn; Fall; Gallbladder removal; Hernia; Peripherally inserted central catheterisation; Surgery; Wound; Wound infection staphylococcal
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021569208

Write-up: first dose is 10May2021 and the second dose was 15May2021; She had an 101 fever/probably like 100.5 or close to 101; laryngitis; Short of breath/can''t catch her breath; Her asthma has gotten worse; delirious/delirium; confused/confusion; This is a spontaneous report from a contactable consumer (patient). A 54-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration administered in upper left arm on 15May2021 13:45 (at the age of 54-years-old) (Lot Number: EW0169) as single dose for covid-19 immunization. Medical history included ongoing asthma and had been worse the past 2 days, ongoing panic attacks, ongoing anxiety, ongoing depression, ongoing pain, had 24 operations in the past 4 years, was in a motorcycle wreck and the muffler landed on her lower right leg and burned down to the fibula, she ended up getting staphylococcus from her wounds, had PICC (peripherally inserted central catheter) Iv''s for 4 years and after that they went in and cut out 8 inches of her fibula and took muscle from her stomach and placed it down there because it was so shallow where they took the muscle out, because of the thin lining when she had a fall she ended up with a hernia it came through the fascia tissue, she ended up with an 8 pound hernia and had her gall bladder removed which they said was as big as a grapefruit. Concomitant medications included ongoing alprazolam (XANAX) taken for panic attacks and anxiety, had been taking for approximately 21 years; ongoing duloxetine hydrochloride (CYMBALTA) taken for depression and pain, had been taking for about 9 years. Historical vaccine included first dose of BNT162B2 on 10May2021 1:00 pm (at the age of 54-years-old) for covid-19 immunization. There was no Prior Vaccinations (within 4 weeks). There were no additional vaccines administered on same date of the pfizer suspect. The patient was calling regarding the Pfizer injection for Covid, clarified that she was referring to the Covid vaccine. Her voice was a little better right now. She had the second shot Monday and weird things have been happening. She received her second dose of the Pfizer BioNTech Covid 19 vaccine on 15May2021. She first provided a date of the 15May2021 for the second dose and then stated that the first dose was 10May2021. She provided lot number from the vaccine card of EW0169 and the date says 16Apr2021, she said that''s the second dose. Attempted to clarify date of 10May2021 as it was 5 days apart from the date she provided for the second dose and she stated that they said it was ok. She provided again that first dose was 10May2021 and the second dose was 15May2021. She provided the only LOT number listed on the card. She did not see any other lot numbers. After receiving the vaccine she was pretty confused and delirious in 2021. People were not able to understand what she was saying until today. She had an 101 fever for two days as well as laryngitis. The morning after the vaccine she thought she was at the grocery store in a buggy and grabbing green beans off the shelf but she was really in bed. For the first 36-48 hours after the vaccine she was talking nonsense. Maybe the fever caused the delirium. She currently had no doctor. She asked if confusion and delirium are side effects of the vaccine. She can''t find anywhere to read about the symptoms she had been having. She had been delirious all-day Tuesday and all night long in 2021. Everyone who talked to her told her she was talking out of her head. They couldn''t understand anything she was saying, and everything was jumbled and mumbled. She had a fever that went along with it. Laryngitis had been so bad that people couldn''t understand her. She was just going to weather her way through it and get to the other end. She had asked her mother where her fiance was and he lives in (city). Her niece, who lives with her was at school and she was asking where she was. When they told her she was at school, she was confused because she thought today was Saturday. She had been in total confusion. Her doctor literally walked out and left the practice and it turned into an urgent care. She was very delirious and confused on Tuesday. She was very delirious and everyone she knew that she had talked to was telling stories about her and their conversations with her. She had not gotten better. She just walked in and asked her mother where her fiance and niece were. For Fever, she did not take it but she was guessing it was around 101. Fever started that night of the vaccine on 15May2021. She asked her mother to feel her to see if she was hot and then stated she still had a fever, hadn''t checked it but was probably like 100.5 or close to 101. She was treated with Ibuprofen and some Tylenol. She was surprised that Laryngitis had broken up today (unknown date). She was given Amoxicillin for dental implants that were prescribed by her dentist about a month and a half ago. She was prescribed 500mg capsules. She took 2 capsules yesterday and took 2 more capsules this morning. Her chest had seemed to clear up some. She thought that was working, she was not going to continue to take 1000 mg each time. She said the Amoxicillin was in a prescription bottle. She did not usually have bad asthma attacks but her asthma had gotten worse since she got the vaccine. Asthma symptoms had been worse the past 2 days in 2021. She had been very short of breath and can''t catch her breath in 2021. She had not taken anything for the shortness of breath. She had just taken her regular medicine. The events did not require a visit to Emergency Room and Physician Office. She would have probably waited a few more days. The outcome of the events was unknown.


VAERS ID: 1370633 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-13
Onset:2021-05-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Heavy menstrual bleeding
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
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 INC2021571900

Write-up: already had her period and started having heavy bleeding 2 days after the vaccine; This is a spontaneous report from a contactable physician (patient''s father). A 15-year-old female patient (not pregnant) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration, administered in arm left at age of 15 years on 13May2021 05:30 (Lot Number: EW0173) as single dose for covid-19 immunisation. Medical history reported as none. No know allergies. The patient''s concomitant medications were none. No other medications the patient received within 2 weeks of vaccination, the patient did not receive any other vaccines within 4 weeks prior to the COVID. vaccine Facility where the most recent COVID-19 vaccine was administered was other. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient had already had her period and started having heavy bleeding 2 days after the vaccine on 15May2021. No treatment received. The outcome of the event was not recovered. Follow up attempts are needed. Further information has been requested.; Sender''s Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of event Bleeding menstrual heavy cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1371064 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cough, Headache, Heavy menstrual bleeding, Hyperhidrosis, Hypoaesthesia, Injection site pain, Muscle spasms, Oligomenorrhoea
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Fertility disorders (broad), Hypoglycaemia (broad)

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

Write-up: cycle lasted for 12 days First 2 days was extremely heavy soreness at injection site and it felt numb headache and cough Unsure if the below information is related: I though I had Food poisonous severe cramping sweating


VAERS ID: 1371097 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-04-18
Onset:2021-05-15
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Cough, Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Heart rate increased, Pericardial drainage, Pericardial effusion, Tachycardia, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Eliquest, multivitamin, Aspirin 81mg, Allegra
Current Illness: none
Preexisting Conditions: AML in remission, active cGVHD
Allergies: none
Diagnostic Lab Data: -EKGs, ultrasounds, Echos, blood works, CT Scan done from 5-17-21 through 5-21-21
CDC Split Type:

Write-up: adverse events -Shortness of breath, elevated heart rate, hacking cough - Found to have be tachycardic, with pericardial effusion treatment - pericardiocentesis performed to drain fluid Outcome - heart rate slowly came down over days


VAERS ID: 1371113 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-13
Onset:2021-05-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Pallor, Rash, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (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: occassional vitamin
Current Illness: no systemic illnesses
Preexisting Conditions: none
Allergies: allergy to dust mites
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Rash that was red, flat, blanching, itchy, covered about half my body. I took Zyrtec and the intensity of rash/itchiness seemed to decrease. The rash/itchiness migrated over several days, some days on legs, some days on trunk, less on arms. It resolved after 3-4 days.


VAERS ID: 1371136 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN 5318 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Chest pain, Dyspnoea, Oxygen saturation decreased, Pain in extremity, Pyrexia, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: lexpril 20mg 1 day seroquel kabay inhaler vitamin d3
Current Illness:
Preexisting Conditions: asthma anxiety
Allergies: trees cats
Diagnostic Lab Data: oxygen test
CDC Split Type: vsafe

Write-up: had a light fever and sore arm after vaccine, started complaining of chest pain the night after vaccine , a few days later started complaining about not being able to breath and face was swollen, mom rushed to hospital and they said his oxygen level was low and he was having a asthma attack which he hasn''t had since he was a baby. hospital had to give him 8 treatments of albuterol. my son is still not completely back to his normal self


VAERS ID: 1371322 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-03-15
Onset:2021-05-15
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011AZ1A / UNK LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Ageusia, Anosmia, Chills, Fatigue, Headache, Hyperhidrosis, Pyrexia, Retching, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HMD Fluticasone Rx#: 7912813 50mgc as need Jenkins n = night HMD TiZNidine Rx#: 7955331 2mg as needed Vujicic m = morning HMD Pravachol Rx#: 7912815 40mg 1 n Jenkins HMD Hydrochlorot Rx#: 7912811 25mg 1 m Jenkins
Current Illness: none
Preexisting Conditions: back and knee
Allergies: tape
Diagnostic Lab Data:
CDC Split Type:

Write-up: High fever 105 first 4 hours then between 100 To 104 for three days. Headache, sweats, chills, vomiting, dry heaves, body fatigue, no taste or smell, It took five to start felling better after 7 days all was good.


VAERS ID: 1371489 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Montana  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cough, Dysphagia, Fatigue, Headache, Oropharyngeal pain, Pain in extremity, Pruritus, Rash, Throat irritation, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Friday (Day of shot): Fairly typical symptoms (soreness in arm, cough and sore throat, headache, and fatigue) Saturday (24hrs): Same symptoms as above, but slightly worse than day before. In addition, both feet (on top) began itching later into day. Sunday (48 hrs): Typical symptoms began disappearing, itch on feet became more intense, bottoms of feet and ankles started to itch as well. Monday (72 hours): Typical symptoms virtually disappeared. Itching became progressively worse throughout the day on feet/ankles, and various small areas of body (abdomin, back of knees, inside of elbows/forearms) became itchy. Hives and rashes noticed over entire body later in afternoon. Hives/rashes were either single (unraised) isolated red dots, clustered and raised red patches, or clusters of small "braille-like" bumps (clusters and bumps area-size ranged anywhere from quarter-sized to palm-sized). Most noticeable areas were upper left back/shoulder, both sides of abdomin, groin, front/inner thighs, behind both knees, inner forearms, and both ankles and feet (top and bottom). Sore throat also came back on Monday afternoon, and over ~2 hr became itchy, then constricted with trouble swallowing, then restricted/strained breathing. Went to ER after noticed trouble swallowing, given epinehrine shot in left leg. Throat slowly went back to normal over the next 1-2 hours. From 05/18 through today (3 weeks, and still ongoing), rashes and hives have been diminished in size and amount, but are present both in pre-existing and new areas of body. Rashes/hives may last 1-2 days after developing or be on-going (feet and ankles). No prior history of allergies. No change in diet, lifestyle, soaps/detergents, environment at time of reaction.


VAERS ID: 1371668 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-07
Onset:2021-05-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Musculoskeletal stiffness, Pain in extremity, Peripheral swelling, Thrombosis, Ultrasound scan
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Parkinson-like events (broad), Thrombophlebitis (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), 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: Citalopram Sudafed Loratadine Alprazolam
Current Illness:
Preexisting Conditions: Sinus congestion
Allergies:
Diagnostic Lab Data: Ultrasound 5/28/21; Thrombus in left upper cephalexin vein with partial compression
CDC Split Type:

Write-up: Pain, swelling, stiffness and blood clot in left arm


VAERS ID: 1371802 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test normal, Chills, Dizziness, Fatigue, Gait disturbance, Hypersomnia, Immunology test normal, Impaired driving ability, Musculoskeletal stiffness, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pneumonia vaccine
Other Medications: Methotrexate Leucavorin multi vitamin Vit D Magneseum Probiotic Vit C
Current Illness: none
Preexisting Conditions: Rheumatoid Arthritis Sjogrens symdrome
Allergies: sulfa drugs flexeril
Diagnostic Lab Data: I saw my PCP on Wed May 26, 2021 which was 13 days after I recieved the first vaccine. She ordered a blood work-up, and tested me for Lyme''s disease. All the my test results were normal.
CDC Split Type:

Write-up: The day after I received the vaccine, I had a sore arm, dizziness, chills, heart palpations, extreme fatigue, stiff neck, tingling and creepy-crawly feelings in my torso, arms, up my neck, into my head, and thighs . The dizziness was so intense, I was unable to drive, or even walk without hanging on to something. I slept most of the day. These symptoms have continued for 21 days.


VAERS ID: 1371844 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Swelling face, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Almodipine 10 mg daily
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: Life-threatening reaction while taking fluid for colonoscopy during hospitalization. MD discontinued preparation after a copious amount of vomiting and I was given oxygen for trouble breathing.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Experienced vomiting, shortness of breath and trouble breathing for a short period of time. The next morning, my face was swollen but eventually subsided by the next day. I''m making this report after the nurse (who gave my daughter her second shot) suggested I make this report.


VAERS ID: 1372142 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 AR / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aldolase increased, Aspartate aminotransferase increased, C-reactive protein increased, Muscular weakness, Myalgia, Rash, Rash pruritic, Serum ferritin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa drugs
Diagnostic Lab Data: AST/ALT elevated from before, CK high at 883, CRP and ferritin also elevated. Aldolase high at 21.8
CDC Split Type:

Write-up: Developed full-body itchy rash as well as muscle pain/weakness that has not resolved


VAERS ID: 1372315 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-12
Onset:2021-05-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 2 LA / SYR

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

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

Write-up: Tinnitus


VAERS ID: 1372582 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-13
Onset:2021-05-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Menstruation delayed, Pain in extremity, Pyrexia, Sleep disorder, Somnolence
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Fertility disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: I had a sore arm the first day after the shot. Two days after I woke up from my sleep with very bad chills and a 102 fever at 11:30 pm. After two hours, the chills stopped but my fever was still at 102. I went back to sleep at 3:00 am and woke up without a fever but still felt very tired and groggy for the next two days. Also, am not sure if it is related, but I am usually very regular on my menstrual cycle, but was 20 days late after getting the first vaccine. I know this because I track my menstrual cycle. Also, when my period did finally come, it was the most painful period that I have had in a while. The cramping was very painful and I bled very heavily. Although, I got my second shot on the 27th of May and had no symptoms. I also, to my knowledge, did not have covid prior to getting either shot.


VAERS ID: 1373710 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Headache, Loss of consciousness, Malaise, Nausea, Presyncope, Suspected COVID-19
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TRELEGY; MONTELUKAST; ALBUTEROL HFA; FAMOTIDINE; VITAMIN D3 1000; PREDNISONE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Acid reflux (esophageal); Allergy NOS (allergies from stuff); Allergy NOS (2 weeks before the shot); Allergy to plants (allergies from trees); Asthma (diagnosed as a child); COVID-19; Passed out (She passed out at home and she went to the hospital); Sneezing; Sore throat; Syncope vasovagal (diagnosed around 10 years ago)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021576119

Write-up: completely passed out; she was going to pass out; chills; headache; nausea; feeling very sick; She states it felt like she had the COVID virus again; This is a spontaneous report from a contactable consumer (patient). A 53-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 14May2021 16:30 (Batch/Lot Number: EW0176) as SINGLE DOSE for covid-19 immunisation. Medical history included asthma, she was diagnosed as a child, she was in treatment because her pulmonologist said the airflow in her lungs were very low; this was before she got COVID in February and before she got the vaccine. She was in treatment for her asthma since Dec2020; Vasovagal syncope, she explained she has always had this problem, but she didn''t know what it was, she was diagnosed around 10 years ago because it kept getting worse and worse; Covid-19 from 12Feb2021 to an unknown date, she passed out at home and she went to the hospital; acid reflux; she had regular allergies from trees and stuff; she was suffering from allergies 2 weeks before the shot, She went to take the COVID shot and she was sneezing, and had a sore throat. She asked everybody if it was okay to take it and everybody said it was fine so she took it. She was not sure if it has anything to do with it, but she was already suffering from her allergies with the sneezing and sore throat when she took the COVID shot. Concomitant medications included fluticasone furoate, umeclidinium bromide, vilanterol trifenatate (TRELEGY) taken for asthma from Dec2020 to an unspecified stop date; Montelukast, taken for asthma from Dec2020 to an unspecified stop date; salbutamol (ALBUTEROL HFA) taken for asthma from Dec2020 to an unspecified stop date; famotidine taken for acid reflux from Dec2020 to an unspecified stop date; colecalciferol (VITAMIN D3 1000) taken for an unspecified indication from Dec2020 to an unspecified stop date; prednisone taken for asthma from Dec2020 to an unspecified stop date, and antibiotics taken for asthma from Dec2020 to an unspecified stop date, she confirmed these medications were before the vaccine, she wasn''t taking the antibiotic or Prednisone at the time of the vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. She had the vaccine last Friday, 14May2021. The patient woke up feeling very sick the next day, 15 May 2021. She spent all day in bed with chills, headache, nausea. Around 11:00, her husband had to call 911 because she completely passed out. She went to the hospital. She explained now, she was feeling much better, but she was still feeling like her body wanted to still go to bed. On 15 May 2021, she woke up thinking she was going to pass out. Her husband tried to help her; she didn''t want to go to the hospital. The whole day she was going downhill. She spent all day in bed with chills, headache, and nausea. She stated it felt like she had the COVID virus again. She felt like she has improved. She still had a little bit of a headache, and she still felt like her body wanted to stay in bed, but she doesn''t feel as bad as she did on Saturday. She was taken to the Emergency Room (ER) around 12:30AM Sunday morning, 16 May 2021. She confirmed she was never admitted into the hospital, she was only seen in the ER. She left the ER at 5:00 AM. Her second dose is supposed to be on 04Jun2021. Right now, she was afraid to get her second shot. Patient wanted to know was there any other risk with getting the second shot. The outcome of the events was recovering.


VAERS ID: 1374103 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-15
Onset:2021-05-15
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006B21A / 1 RA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 2 RA / SYR

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

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

Write-up: Moderate ringing in ears, more noticeable in last week or two. Started noticing about three weeks after last dose.


VAERS ID: 1374231 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Contraindication to vaccination, 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? 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 falsified DOB when registering for vaccination, stating the minor''s DOB was (date given). Guardian, consented to the vaccination. A state Department of Health verified with statistical records that the patients actual DOB is (date given) which made the vaccine a contraindication. No known adverse reactions noted.


VAERS ID: 1374283 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-11
Onset:2021-05-15
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 2 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Fatigue, Feeling abnormal, Pyrexia, Vertigo
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: - Tylenol
Current Illness:
Preexisting Conditions: - Asthma
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I made sure to stay very hydrated before and after my vaccine and took an extra strength Tylenol right after. That evening I was tired and had a bit of a fever, but felt fine. The following days were fine, except I was under a lot of stress at work and on the 3rd day I flew to for a Bachelorette party weekend where I drank alcohol and stayed out a little later than usual. I get fine however. On the 5th day we spent it drinking on a boat and after leaving the boat exhaustion and the vertigo of being on a boat never left. I?ve been feeling this way since May 15 and it is now June 4. I?ve seen an ENT that thought it might be allergy related so I was tested for that, but I?m fine. I?m awaiting a full panel of blood test results from my Functional Doctor. Rest, relaxation haven?t helped. I?ve had brain fog, exhaustion and vertigo for almost 3 weeks now.


VAERS ID: 1374347 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injected limb mobility decreased, Nerve injury
SMQs:, Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: sertraline e 100mg trazodone 100mg
Current Illness:
Preexisting Conditions: ptsd
Allergies: condone
Diagnostic Lab Data:
CDC Split Type:

Write-up: I can''t use my right arm. nerve damage.


VAERS ID: 1374387 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arrhythmia, Feeling cold, Heart rate increased, Injection site pain, Seasonal allergy, Sneezing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Conjunctival disorders (narrow), Hypersensitivity (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Dermal Repair Complex. Boiron Histaminum 30C (Homeopathic remedy for Hayfever/Seasonal Allergies). Active Heart. Prebiotics Probiotics.
Current Illness: Hayfever/Seasonal Allergies
Preexisting Conditions: Arythmia inherited. Low blood pressure inherited. Seasonal allergies. Circulatory. Bronchial.
Allergies: Sensitivities to wheat, dairy, environmental, chemicals.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: On May 14th, 2021, the day of my 2nd Pfizer COVID-19 vaccine dose, I went to bed. I sneezed 6 times, hayfever related. I had a little too much sugar before bed and had a strong beating heart. I woke at 3am on May 15th, 2021 felling cold. Definitely cold, NOT chills. I felt "off", meaning that I was not experiencing the usual COVID-19 symptoms listed on eligible sources. I had a sore arm at the site of the vaccine. I took a hot shower, layered up and went back to bed to sleep, or doze. I had to get up at 5:30am. I felt better by 11am. Much improved by 3:00pm. I had heart arrhythmia for seconds between 11:00am-1:00pm. I had super and caffeine for breakfast. I have been consuming sugar and coffee together for years. No sugar and caffeine (coffee, chocolate) before bed on May 15th. No heart arrhythmia. Heart arrhythmia after combo M&Ms chocolate/peanuts. Sugar and caffeine seems to be a developed sensitivity to the point of getting heart arrhythmia.


VAERS ID: 1374529 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / -

Administered by: Private       Purchased by: ?
Symptoms: Bronchospasm, Dyspnoea, Injection site erythema, Injection site pain, Myalgia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
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: NSAID''S
Diagnostic Lab Data:
CDC Split Type:

Write-up: shortness of breath, bronchospasm, Rash over entire body, pain and redness at injection site, muscle aches


VAERS ID: 1374549 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

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

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

Write-up: Rash with raised red bumps on torso and inner thighs. Not itchy


VAERS ID: 1374756 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bone pain, Headache, Hypoaesthesia, Lymphadenopathy
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Osteonecrosis (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:
Current Illness:
Preexisting Conditions: Asthma Chronic Migraines
Allergies: Sulfa Ephedrine and Pseudoephedrine products.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: The patient reported facial numbing for about 10 minutes, as well as head/clavical pain that lasted hours, and a swollen lymph node and that lasted a day.


VAERS ID: 1374927 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-05-15
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Intraocular pressure test, Magnetic resonance imaging, Ophthalmological examination, Optical coherence tomography, Retinal disorder, Visual acuity tests
SMQs:, Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies
Allergies:
Diagnostic Lab Data: Test Date: 20210518; Test Name: Optical coherence tomography; Result Unstructured Data: retinal pigment epithelitis; Comments: diagnosis of retinal pigment epithelitis; Test Date: 20210518; Test Name: Ophthalmological examination; Result Unstructured Data: performed to rule out optic neuritis; Comments: performed to rule out optic neuritis; Test Date: 20210518; Test Name: MRI; Result Unstructured Data: performed to rule out optic neuritis; Comments: performed to rule out optic neuritis; Test Date: 20210518; Test Name: Intraocular pressure test; Result Unstructured Data: unspecified; Test Date: 20210518; Test Name: Visual acuity tests; Result Unstructured Data: unspecified
CDC Split Type: JPJNJFOC20210604114

Write-up: MILD RETINAL PIGMENT EPITHELITIS (LEFT EYE); This spontaneous report received from a physician via a company representative concerned a 45 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 01-MAY-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 15-MAY-2021, the subject experienced mild retinal pigment epithelitis (left eye). On 18-MAY-2021, Laboratory data included: Intraocular pressure test (NR: not provided) unspecified, MRI (NR: not provided) performed to rule out optic neuritis, Ophthalmological examination (NR: not provided) performed to rule out optic neuritis, Optical coherence tomography (NR: not provided) retinal pigment epithelitis, and Visual acuity tests (NR: not provided) unspecified. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from mild retinal pigment epithelitis (left eye). This report was non-serious.; Sender''s Comments: V0: Medical assessment comments not required as per standard procedure as the case is assessed as non serious


VAERS ID: 1375158 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH CY0173 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure decreased, Hyperhidrosis, Hypotension, Pallor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: Patient became diaphoretic, pale, hypotensive, BP dropped to 86/ 43, HR: 41 SaO2: 98%. patient was placed in a Trendelenburg position, O2 via nasal canal at 2 liters per min. administered IV line with normal salin given. BP recovered ( 137/94) he was transferred to ED in stable condition


VAERS ID: 1375285 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / SYR

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

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

Write-up: Occipital Lymph node on left side swelled and was very painful. It lasted about a week and a half or approximately 10 days


VAERS ID: 1375351 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Condition aggravated, Cough, Dizziness, Dyspnoea, Ear infection, Fatigue, Lymphadenopathy, Myalgia, Pyrexia, Sinusitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra, multi vitamin, and as of the last week doxycycline for lymph node infection.
Current Illness: Ongoing symptoms from being sick in feb2020. Sinus infections, upper respiratory infections, inner ear infection possibly. I am not a doctor... They actually went away after 1st shot. But returned with a vengeance with second shot.
Preexisting Conditions: Hepatitis B
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: By the second day of ?second shot all of my symptoms from being sick (previously cured by 1st vaccination shot) returned with a vengeance. fatigue, shortness of breath, cough, sinus infection, ear infection, swollen lymph nodes, dizzy spells, fever off and on, muscle and joint pain.


VAERS ID: 1375671 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017CZIA / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Cardiac monitoring, Chest X-ray normal, Chest pain, Dizziness, Echocardiogram normal, Electrocardiogram normal, Laboratory test normal, Magnetic resonance imaging head normal, Palpitations, Panic attack, Pericarditis, Tachycardia, Tetany
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (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: Claritin vitamin D3
Current Illness: Post covid syndrome
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: MRI, chest x-rays, blood lab tests, echocardiogram and EKGs all came back normal.
CDC Split Type:

Write-up: Carpopedal spasm, chest pain, heart palpations, trachycadia, dizziness, light headedness, anxiety, panic attacks, paricarditis. 2 ambulance rides, 5 ER visits, 3 clinic visits, halter monitor for one week and cardiologist apt. Treatments included in fluids, 3 chest x-ray, Ativan, beta blocker for rapid heart rate, MRI of brain, various blood lab tests, 6 EKGs, and echocardiogram. Treatment is Ativan and beta blocker medication persribed.


VAERS ID: 1375832 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Fatigue, Feeling abnormal, Headache, Lymph node pain, Lymphadenopathy, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Streptococcus test negative
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), 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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I received my 1st vaccine on Friday May 14 and I felt worse than when I had Covid back in November. My fever was spiking and holding between 100 and 101 since Saturday along with my whole body hurt and armpits swollen-lymph nodes. Monday my stomach started hurting and had diarrhea Fever was back to 99 but still felt icky tired weird until Tuesday. Wednesday May 19th I felt a lot better but still not 100% still feeling a bit weird head feels weird and my lymph nodes are still a little enlarged( armpit also) Had about a week of not feeling bad and then May 27th I got a sore throat headache stuffed up tired.. by Wednesday June 2nd my neck lymph nodes was swollen and sore went in for strep/Covid test both negative . They gave me a antibiotic it?s helping a little throat not as sore and lymph not as swollen But my head still feels weird (kinda dizzy and off) like after my shot so I don?t k is if it is another flare up from the vaccine or not and I was supposed to get my second dose today June 4 but I canceled and rescheduled it but I?m nervous to get it in case all of this is from the initial shot


VAERS ID: 1375967 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-05-06
Onset:2021-05-15
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Skin rash at point of injection from the Shingrix shot 1 and shot 2. Received shots on 8/30/2019 and 2/7/2020 at the age of 70
Other Medications: Homeopathic remedy for food allergies to grains, sugar, and dairy. Magnesium, B complex, fish oil, Vit C Bioflavinoid, Vit D, and Trace Mineral supplements. Timolol and Latanoprost for glaucoma.
Current Illness: Skin rash on abdomen from the first COVID shot that went away after 1 week. Adverse report has been submitted on this event.
Preexisting Conditions: Glaucoma
Allergies: penicillin, grains, sugar
Diagnostic Lab Data:
CDC Split Type:

Write-up: Skin rash broke out on abdomen about 9 days after injection. Red, hot, and itchy. I treated with apple cider vinegar and then Calamine lotion for the itch. As of this date 3 weeks later, I still have the rash. I am treating with a herbal treatment for Skin Rash from a Doctor. My primary physician told me to take Benadryl prior to the 2nd COVID shot, but I still got the rash.


VAERS ID: 1376187 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-14
Onset:2021-05-15
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Dehydration, Hypoaesthesia, Insomnia, Nausea
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021583549

Write-up: lost feeling in legs; nausea; Dehydration; insomnia; This is a spontaneous report received from COVAES from a contactable consumer (patient). A 41-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 14Apr2021 14:30 at the age of 41-years-old (Batch/Lot Number: ER2613) as 2ND DOSE, SINGLE for covid-19 immunisation. The patient''s medical history was not reported. 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. There were no any other medications the patient received within 2 weeks of vaccination. The patient experienced lost feeling in legs 10 days after 2nd vaccine (as reported), extreme nausea, dehydration and extreme insomnia on 15May2021 04:00 with outcome of recovering. Since the vaccination, the patient had not been tested for COVID-19.


VAERS ID: 1376455 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Condition aggravated, Dizziness, Eczema, Fatigue, Feeling abnormal, Injection site pain, Menstrual disorder, Menstruation irregular, Migraine, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Fertility disorders (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: flu shot - Oct. 2020. Periodic migraine, nausea, fatigue, and inflamed eczema for 4-5 days.
Other Medications: Dietary Supplements - Vitamin E, D3, Iron, Super B-Complex. Over the counter meds - Aleeve Herbal Remedy - CBD gummy (10mg)
Current Illness: I had a mild cold mixed with my allergies 1 week before my 2nd covid19 vaccination shot.
Preexisting Conditions: Chronic inflammation in my neck, shoulders & upper back due to an old injury and severe stress. Chronic eczema due to food allergies (since birth). Irregular menstrual cycles (this was extremely exacerbated by my second covid19 vaccine).
Allergies: Allergy to mugwort, and possibly related sunflower products. Dairy Intolerance.
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Within 24 hours I felt sore all over, a little nauseous, dizzy, very tired, and started getting a migraine. At the same time my period started early full force. It was as if I Haden;t just had my period less than 2 weeks prior, but I had, I''ve had relatively irregular cycles since I was 13, but I haven''t; had one this bad for a long, long time. I felt awful for 5 full days, slowly recovers for 4 more days, then I was fine. The only lingering effects was my eczema became super inflamed and never calmed back down. And my right arm where I got my 2nd shot was soar for 2 weeks.


VAERS ID: 1376905 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: Not at the time, but 20 May 21 test positive Covid 19
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Ant?gen and Pcr tests
CDC Split Type:

Write-up: I gor positive covidtest 20/05/21


VAERS ID: 1376984 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-18
Onset:2021-05-15
   Days after vaccination:58
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, D, Maca
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Diagnosed on 6/3/21. First symptoms developed in early May
CDC Split Type:

Write-up: Developed vitiligo approximately 2-3 months after taking my 1st and 2nd dose of the Pfizer vaccine.


VAERS ID: 1377684 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038KZ0A / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Extrasystoles, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Took 2 Tension Headache Excedrin at 4PM.
Current Illness: None
Preexisting Conditions: May 6, 2021 Results from CT scan discovered lung mass. COPD
Allergies: Penicillin, latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: After feeding my kittens, upon going back to bed my heart started racing and skipping beats for a long time. Felt like for a whole minute, but probably less.


VAERS ID: 1377711 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Injection site rash, Nausea, Rash erythematous, Rash papular
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: PT came into the pharmacy to report that since she received her first Moderna Covid vaccination she has had a large red, raised rash on her left arm at the injection site. It was about the size of an orange at the time of her visit but she stated that it had been larger. Other than the large rash she had been feeling unusually tired and fatigued. She had also noticed a headache and nausea that had been almost constant since her first dose.


VAERS ID: 1377778 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-15
Onset:2021-05-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 RA / IM

Administered by: Private       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:
Current Illness:
Preexisting Conditions: h/o intermittent abdominal pain and vomiting
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Diffuse hives appeared on patients body several hours after receiving his first Covid vaccine. Dad not sure if was less than 4 hours after vaccination. He had no breathing issues or vomiting. The hives lasted for 2-3 days.


VAERS ID: 1378246 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-23
Onset:2021-05-15
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Dry throat, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: I feel throat tightness, dry throat since vaccinated. i hope this is not serious. Sorry if i should not report this.


VAERS ID: 1378260 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dry throat, Dyspnoea, Head discomfort, Headache, Tracheal inflammation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prescriptions: Neurontin, Efexor, Desyrel, Restoril, Klonopin. Vitamins: Omega 3-6-9, E, B Complex, Hair skin & nails, Calcium, C, Echinacea,
Current Illness:
Preexisting Conditions: Chronic asthma patient (under control for some years)
Allergies: Aspirin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Espor?dic severe headache pressure pain, treatment: Tylenol Traquea swollen and dry, unable to breath only while sleeping head up. Treatment: drink some water and sleep on the side


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