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

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



Case Details (Reverse Sorted by Onset Date)

This is page 161 out of 6,867

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VAERS ID: 1582679 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-03-09
Onset:2021-08-11
   Days after vaccination:155
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ABIRATERONE HCTZ LISINOPRIL METOPROLOL XL PREDINOSNE
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: COVID POSITIVE TEST
CDC Split Type:

Write-up: WEAKNESS, COUGH, SOB, FEVERS


VAERS ID: 1582758 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-08-11
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 2 RA / IM

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

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

Write-up: COVID-19 hospitalization


VAERS ID: 1582760 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

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

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

Write-up: mild headache


VAERS ID: 1582777 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever, chills, fatigue, soreness at injection site.


VAERS ID: 1582790 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Feeling abnormal, Injection site pain, Lethargy, Nausea, Neck pain, Pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (broad), Hypoglycaemia (broad)

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

Write-up: client reports having, left sore arm still one week later with left neck soreness. Lethargic, body ache, brain fog, nausea, extreme dizziness.


VAERS ID: 1582855 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-05
Onset:2021-08-11
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006D21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Full blood count, Lymphadenopathy, Neck pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: On the 5th-6th day I became incredibly fatigued. Noticed that my neck was swollen and sore. I am a nurse practitioner, therefore palpated my neck, and noted very large supraclavicular lymph node present., multiple. This was on the right side, the same side I had my shot. The next day however another supraclavicular lymph node appeared on the left side as well. Fatigue was extreme for three days.


VAERS ID: 1582857 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-05-21
Onset:2021-08-11
   Days after vaccination:82
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO172 / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: compounded t3 t4 compounded hormone cream xanax
Current Illness: chronic fatigue syndrome
Preexisting Conditions: chronic fatigue syndrome
Allergies: yes.
Diagnostic Lab Data: no test. doctor diagnosed by sight of rash and symptoms.
CDC Split Type:

Write-up: Shingles


VAERS ID: 1582901 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-14
Onset:2021-08-11
   Days after vaccination:119
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Imodium, Decadron, Tessalon, Duoneb, ProAir, Breo Ellipta, Incruse Ellipta, ASA
Current Illness: None known
Preexisting Conditions: COPD, Acute Respiratory failure with hypoxia, irregular heartbeat
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: COVID positive on 8/11/2021


VAERS ID: 1582933 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-26
Onset:2021-08-11
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / -

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

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

Write-up: Chest pain, tightness, trouble breathing


VAERS ID: 1582958 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-08
Onset:2021-08-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood electrolytes, Blood test, Chest discomfort, Dizziness, Headache, Muscular weakness, Paraesthesia, Thyroid function test
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular 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: Birth Control
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 8/14 Emergency room visit. Vitamins, minerals, electrolytes, and thyroid were checked via a blood test.
CDC Split Type:

Write-up: Tingling in hands, arms, and feet. Weakness in right arm. Dizziness, headache, chest tightness.


VAERS ID: 1582980 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-20
Onset:2021-08-11
   Days after vaccination:144
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6204 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Cough
SMQs:, Anaphylactic reaction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler atorvastatin (LIPITOR) 20 mg tablet benzonatate (TESSALON) 100 mg capsule coenzyme Q10 100 mg capsule escitalopram (LEXAPRO) 20 mg table
Current Illness:
Preexisting Conditions: Respiratory COPD (chronic obstructive pulmonary disease) (CMS/HCC) Chronic respiratory failure with hypoxia (CMS/HCC) Obstructive sleep apnea Solid nodule of lung 6 mm to 8 mm in diameter On supplemental oxygen therapy Circulatory Essential hypertension Digestive Obese Endocrine/Metabolic HLD (hyperlipidemia) DM type 2 (diabetes mellitus, type 2) (CMS/HCC) Other Elevated troponin History of tobacco abuse
Allergies: SimvastatinMyalgia / Muscle Pain Darvon [Propoxyphene]Other (document details in comments) LisinoprilCoughing
Diagnostic Lab Data: Chest x-ray
CDC Split Type:

Write-up: Cough


VAERS ID: 1583005 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-24
Onset:2021-08-11
   Days after vaccination:140
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Pyrexia, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: b complex vitamins capsule betamethasone valerate (VALISONE) 0.1 % lotion calcium carbonate/vitamin D3 (CALCIUM 500 + D ORAL) clopidogreL (PLAVIX) 75 mg tablet estradioL (ESTRACE) 0.01 % (0.1 mg/gram) vaginal cream pantoprazole (PROTONIX) 4
Current Illness:
Preexisting Conditions: Nervous Dysuria Impacted cerumen Ophthalmic migraine Stroke-like symptoms Expressive aphasia Respiratory Seasonal allergic rhinitis Small cell lung cancer, right upper lobe Circulatory Arrhythmia Pulmonary hypertension Genitourinary Vaginal lesion Increased frequency of urination Urinary tract infection Musculoskeletal Insect bite Infectious/Inflammatory Condyloma acuminatum Other Anxiety History of venous thrombosis and embolism Insomnia Pap smear abnormality of cervix Malaise and fatigue
Allergies: No Known Allergies
Diagnostic Lab Data: COVID-19 Antigen
CDC Split Type:

Write-up: Cough Fever


VAERS ID: 1583096 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-07
Onset:2021-08-11
   Days after vaccination:126
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chest discomfort, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin 400 mcg tablet
Current Illness:
Preexisting Conditions: Nervous Pain, foot, chronic, right Digestive Irritable bowel syndrome with diarrhea Genitourinary Perimenopause Vaginitis Musculoskeletal Displaced fracture of fifth metatarsal bone of left foot Folliculitis Other Anxiety Fatigue Encounter for screening mammogram for breast cancer Family history of heart disease
Allergies: No Known Allergies
Diagnostic Lab Data: COVID-19 PCR
CDC Split Type:

Write-up: Scratchy chest Exposure to COVID-19 Tested Positive


VAERS ID: 1583191 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-01
Onset:2021-08-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Insomnia, Limb discomfort, Muscular weakness, Neuralgia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Sexual dysfunction (broad)

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

Write-up: I got my first dose of the Pfizer vaccine on 07/22/21. The second dose was on 08/12/21. Since my second dose, I have had extreme numbness, tingling, neuropathy-like pain/discomfort in both upper extremities, mostly from the elbow to the tips of my fingers. My arms feel extremely weak the majority of the time, but I am able to move them fine. The pain gets worse at night and makes it difficult to sleep, despite taking NSAIDs to try to alleviate the pain.


VAERS ID: 1583195 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Ageusia, Anosmia, COVID-19, Headache, Pain in extremity, Renal pain, Sinus disorder
SMQs:, Acute pancreatitis (broad), Taste and smell disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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

Write-up: Sinus problems, no taste or smell. Tested positive for covid after receiving vaccination. Severe headaches, pain in the upper abdominal area, back of the legs and to the kidneys. Was provided muscle relaxers by healthcare provider.


VAERS ID: 1583332 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Culture, Laboratory test, Rash, Rash papular, Rash pruritic, Skin warm, Skin weeping
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: Metformin 500 mg, Lisiophril-hydrchlorithiazide 10-12.5 mg, Omaprazole OTC 20 mg, multivitamin, B12 Vitamin, Beets vitamin
Current Illness: High Blood pressure
Preexisting Conditions: High Blood pressure
Allergies: Shrimp, red onions, brussel sprouts
Diagnostic Lab Data: bloowork, labs, culture from LR chin
CDC Split Type:

Write-up: Three days after the vaccine approximatly 11:45 pm I had raised red very itchy bumps the size of quarters, hot to the touch, next morning they were oozing a yellowish liquid, I applied antibiotic ointment. The next day around 10:00 am i got a bump on my left pink finger and on my left ring finger, all the same issues. Later at night around 9:00 pm I got two quarter zise bumps on my right calf all same symptoms. Next day I got 3 bumps on my upper left thigh, all same issues. On Monday morning I got a bump on my right lower chin, after taking a shower I got a bump on my lower right lip. i got 2 bumps on my upper above my left elbow. I Went to see the doctor on Monday 08/16/2021, had bloodwork done and a cultue on my chin. Today I have more bumps on my inner left arm. a bump is forming on my right hand between my ring and pinky finger.


VAERS ID: 1583375 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Herpes zoster, Immune-mediated adverse reaction, Rash, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: zinc, probiotics, B5, Niacinimide, fish oil
Current Illness: none
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: see above
CDC Split Type:

Write-up: 24 hours after the vaccine was administered, my daughter, the patient, broke out in a burning rash in her left armpit - same arm as vaccine. We thought it was "Covid Arm" and would resolve in a couple of day, however, the rash felt and looked worse. We went to a walk in clinic yesterday 8/17/21 and she was diagnosed with SHINGLES, not "Covid arm". The Covid vaccine triggered an immune response which resulted in a painful bout of Shingles. Now she on MethylPrednisolone and a topical Acyclovir/Hydrocortisone ointment.


VAERS ID: 1583585 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Decreased activity, Dyspnoea, Immediate post-injection reaction, Rash
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: He became hypoactive immediately after he received the vaccine.He was observed for a period of 15 minutes approximately but no other symptoms observed.He went home and upon arrival he developed difficult breathing, chest pain and rash over the chest.He was brought to ER treated with Benadryl with improvement of symptoms.


VAERS ID: 1583610 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH WAG17722 / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Perkiset, 65,
Other Medications: Nexium, B12 Injections, Multi Vitamin, Spironolacton, Valsartan, Byostolic, Restasis, Fluticasone, Albuoterol, Pulmicort Inhaler
Current Illness: N/A
Preexisting Conditions: Asthma, Fibromilga
Allergies: Penicillin, Epinephrine, Hydrocodone, Sulfa Drugs, Codeine, Perkiest
Diagnostic Lab Data: None taken
CDC Split Type:

Write-up: Moderate pain to right side on 08/11-12, 2021. Severe swelling of right side of face requiring Emergence room treatment on 08/13/2021 with follow-up at Primary Physician on 08/16/2021.


VAERS ID: 1584017 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-07-30
Onset:2021-08-11
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anion gap increased, Atrial fibrillation, Blood chloride increased, Blood potassium decreased, Blood sodium increased, Chest X-ray normal, Differential white blood cell count abnormal, Electrocardiogram abnormal, Full blood count abnormal, Haemoglobin normal, Heart rate irregular, Limb discomfort, Metabolic function test, Myocardial necrosis marker normal
SMQs:, Haematopoietic leukopenia (broad), Lactic acidosis (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Myelodysplastic syndrome (broad), Tumour lysis syndrome (broad), Tubulointerstitial diseases (broad), Dehydration (broad), Hypokalaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metamucil
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG- Atrial fibrillation CBC diff - abnormal results Hgb 15.4, BMP - Sodium 148, Potassium 3.3, Chloride 107, Anion Gap18 - Physician''s did not think these labs were that abnormal to cause Atrial fibrillation Chest x-ray normal Cardiac enzymes within normal limits
CDC Split Type:

Write-up: Woke up with irregular heat beat and just felt like legs and arms were heavy. Put watch on and heart rate at 130 beats/minute. Went to ER and was found to be in atrial fibrillation. Spent 4 hours in the ER. Heart rate slowed to the 70''s-80''s but remained in atrial fibrillation. Lovenox given and a prescription for apixaban 5mg twice daily.


VAERS ID: 1584873 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Headache, Neck pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)

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

Write-up: Pins and needles feeling in arms and legs, headache, neck pain


VAERS ID: 1586346 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-03-15
Onset:2021-08-11
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6204 / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cough, Investigation, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Hypertension
Allergies: Unknown
Diagnostic Lab Data: Covid 19 Rapid Antigen = Positive Result on 8/13/2021
CDC Split Type:

Write-up: Case had Covid19 symptom onset 8/11/21 which included fever, subjective fever, runny nose, sore throat and cough. Upon Disease Investigation date of 8/16/2021 case was still symptomatic.


VAERS ID: 1586510 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Fatigue, Headache, Loss of personal independence in daily activities, Nausea, Pain, Pain in extremity
SMQs:, Acute pancreatitis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Day 1-sore arm and body aches, this lasted two days, then he felt better on the third day. Yesterday he woke up with a bad headache and nausea and had to miss school. He felt better later in the day. Today he woke up with another bad headache and stomach pain. Also extreme fatigue in the morning.


VAERS ID: 1586572 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-30
Onset:2021-08-11
   Days after vaccination:103
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Fatigue, Headache, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: lisinopriL (ZESTRIL) 10 mg tablet
Current Illness:
Preexisting Conditions: Nervous Cigarette nicotine dependence without complication Respiratory Allergic rhinitis due to pollen Circulatory Benign essential hypertension Digestive Obesity (BMI 35.0-39.9 without comorbidity) Endocrine/Metabolic Hypertriglyceridemia Goiter Other Anxiety Advanced directives, counseling/discussion
Allergies: Oxycontin [Oxycodone]Other (document details in comments)
Diagnostic Lab Data: COVID-19 PCR
CDC Split Type:

Write-up: headache cough tiredness


VAERS ID: 1586613 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Montana  
Vaccinated:2021-02-06
Onset:2021-08-11
   Days after vaccination:186
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9269 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Hypoxia, Pyrexia
SMQs:, Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Diagnosed with COVID on 8/11/21, then developed low-grade fevers, weakness, and hypoxia. Patient admitted to hospital on 8/16/21.


VAERS ID: 1586664 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-06
Onset:2021-08-11
   Days after vaccination:97
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies: No Known allergies.
Diagnostic Lab Data: COVID-19 (SARS CoV-2,RNA Molecular Amplification). COVID-19 PCR.
CDC Split Type:

Write-up: Tested Positive for COVID-19.


VAERS ID: 1586692 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-17
Onset:2021-08-11
   Days after vaccination:147
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 325 MG tablet levothyroxine (SYNTHROID) 75 MCG tablet Multiple Vitamins-Minerals (EYE VITAMINS & MINERALS PO) Neomycin-Bacitracin-Polymyxin (TRIPLE ANTIBIOTIC) OINT nystatin (MYCOSTATIN) powder oxybutynin CR (DITROPA
Current Illness: Pneumonia due to COVID-19 virus Morbid obesity (HCC) Hypothyroidism Hyperlipidemia Acute hypoxemic respiratory failure due to COVID-19 (HCC)
Preexisting Conditions: Venous stasis dermatitis of both lower extremities Reflux DJD (degenerative joint disease) of knee Chronic back pain Hiatal hernia Urge urinary incontinence Bilateral lower extremity edema Yeast dermatitis Hypoxia Cellulitis and abscess of upper extremity Abscess of skin of right shoulder Obesity hypoventilation syndrome (HCC) Acute on chronic respiratory failure with hypoxia (HCC)
Allergies: Diflunisal Dynabac [Dirithromycin] IodineNausea and Vomiting
Diagnostic Lab Data: COVID19 PCR- Positive 8/11/2021
CDC Split Type:

Write-up: This 61-year-old morbidly obese female presents here to emergency department complaining of 2 weeks of cough and shortness of breath which is gotten worse. She also complains of a sore throat. They called the ambulance and at her house her O2 sat was found to be in the 70s. Patient states she is not on oxygen at home she does have oxygen but she is not on it. She states her brother had a cold as well 2 weeks ago but his symptoms have resolved.


VAERS ID: 1586774 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-21
Onset:2021-08-11
   Days after vaccination:82
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Pt received a Moderna dose IM on 8/11/21 at our facility- lot number 033C21A. On 8/12/21 while auditing charting for COVID doses, noticed pt''s 8/11/21 first Moderna dose did not decrement in . Noticed in pt?s account documentation of a Janssen dose on 5/21/21 administered by Health Department. Called pt and spoke to his caregiver listed in his chart who shared that per pt?s fiduciary pt had been admitted to a skilled nursing facility, but was unsure if he had received the Janssen dose. Caregiver has not been able to retrieve records from the skilled nursing facility. Gave them my number and suggested we might need to remove the 9/8 second dose appt if he did indeed receive Janssen, explained that Janssen is one dose series and Moderna is a two dose series. Caregiver will call facility for records. Meanwhile, contacted Health Department and confirmed pt did indeed receive Janssen dose on 5/21/21. On 8/13/21 called pt?s caregiver who also confirmed via skilled nursing facility records that pt received Janssen. Agreed to cancel appt for his second Moderna dose. RN agreed to follow up with CDC and agreed to follow up with pt and caregiver if any new information is learned about this particular scenario. The concern here is that the pt received a Janssen dose 5/21/21 followed by one Moderna dose 8/1//21. I have canceled his appointment for his second dose. Assuming we would not administer a second Moderna dose in this context. I know there is no information at this time on booster doses after a Janssen dose. Caregiver reported that pt is doing well.


VAERS ID: 1586804 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-03-12
Onset:2021-08-11
   Days after vaccination:152
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: omeprazole (PRILOSEC) 20 mg capsule TAKE 1 CAPSULE (20 MG) BY MOUTH 2 TIMES A DAY BEFORE MEALS Phytonadione, vitamin K, 100 MCG TABS tablet Take 1 tablet (100 mcg) by mouth 1 time per day warfarin (JANTOVEN) 5 mg tablet TAKE 1 TO 1&1/2 TABS
Current Illness: none
Preexisting Conditions: CAD (coronary artery disease) Thrombus of left atrial appendage without antecedent myocardial infarction Typical atrial flutter Presence of drug coated stent in right coronary artery Abnormality of left atrial appendage OSA (obstructive sleep apnea) Obese Dyslipidemia Diabetes mellitus Fuchs'' corneal dystrophy History of ST elevation myocardial infarction (STEMI) Long term (current) use of anticoagulants
Allergies: NKA
Diagnostic Lab Data: positive covid-19 test on 8/16/21
CDC Split Type:

Write-up: patient developed covid-19 infection on 8/11/21. positive test 8/16/21


VAERS ID: 1586834 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blepharospasm, Blood glucose increased, Cellulitis, Chills, Dyspnoea, Oedema, Pain, Pruritus, Pyrexia, Skin warm, Vaccination site discolouration
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Hypersensitivity (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Dose 1 Moderna (metallic taste in my mouth for couple of days).
Other Medications: Metformin, Anastrozole, Vit D.
Current Illness: No
Preexisting Conditions: Type 2 Diabetes, History of breast cancer, Pulmonary Embolism, Hypertension, Neuropathy, Lymphoma, Bipolar, Anxiety, Osteoporosis, Osteoarthritis, Complex Migraines, TIA, Obesity.
Allergies: Cipro, Sulfa, Augmentin, Bactrim, IV contrast, Latex.
Diagnostic Lab Data: No.
CDC Split Type: vsafe

Write-up: I had excess edema, extreme pain, hot to touch, itching on my left arm diagnosed with Cellulitis. I experienced right eye twitching around 5 mins after vaccine for 5 days. On 8/12 my left arm got bigger, hotter to touch, chills, with a fever of 102 and breathing was off. My sugar level has been high when checked since the vaccine. Before the vaccine it was 98 maybe high as 120 and now ranges high to 150. As of today my arm is still discolored.


VAERS ID: 1586867 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Axillary pain, Dizziness, Fatigue, Full blood count, Headache, Lymphadenopathy, Malaise, Metabolic function test, Nausea, Neck pain, Pain, Pain in extremity, Pain in jaw, Troponin
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Osteonecrosis (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: Losartan Escitalopram Ropinirole
Current Illness: n/a
Preexisting Conditions: HTN Anxiety
Allergies: Pcn Ceftzil Contrast medium
Diagnostic Lab Data: CBC CMP Troponin
CDC Split Type:

Write-up: left armpit lymph node swelling and pain (could not wear bra), nausea, headache, dizziness, back of left arm pain, and pain radiating to the neck and under the jaw, general fatigue and malaise. Visited ER for symptoms of back of left arm pain and radiating neck pain to rule out heart condition. The arm pain and lymph node pain resolved but continue to have nausea and headache.


VAERS ID: 1586872 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Contusion, Dizziness, Fatigue, Feeling abnormal, Headache, Hypoaesthesia oral, Immediate post-injection reaction, Pyrexia, Vision blurred
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Phendimetrazine
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Jansen Covid 19 Vaccine Immediately after receiving vaccine, I experienced blurred vision, and dizziness. My lips were semi-numb. The day following the vaccine I was extremely tired, and had a mild fever on and off for approximately 36 hours. Since receiving the vaccine, I have experienced a relentless headache, increased bruising, joint pain, tiredness, and what I have been describing as a floating sensation. None of the symptoms have left me unable to perform daily responsibilities, but the strange headache accompanied by the dizzy, floating sensation has been odd, and I thought it was worth mentioning. Today is the first day I have woken up without the strange headache, and tiredness since receiving the vaccine.


VAERS ID: 1586893 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-08-06
Onset:2021-08-11
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Headache, SARS-CoV-2 test
SMQs:, COVID-19 (broad)

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

Write-up: I had a headache that would not go away. However, the only reason I went to my doctor was to be tested because my husband tested positive the previous day.


VAERS ID: 1586929 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New York  
Vaccinated:2021-01-29
Onset:2021-08-11
   Days after vaccination:194
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/08/21Lot#EL3248 2nd dose01/29/21 ,lot#EN5318 Diagnosed covid positive:08/11/21 Symptom onset:08/11/21 Exposure: Symptoms:Cough, fatigue


VAERS ID: 1586946 (history)  
Form: Version 2.0  
Age: 1.5  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-02
Onset:2021-08-11
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Heart rate abnormal, Influenza virus test negative, Maternal exposure during breast feeding, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Neonatal exposures via breast milk (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: She had a rash after her two and four month vaccines
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: milk
Diagnostic Lab Data: Covid, Flu, RSV - all negative
CDC Split Type:

Write-up: My daughter is breastfeeding. 10 days after I took the covid vaccine she spiked a fever of 101 and her heart rate was over 150 bpm. I took her to the ER. They completely dismissed this is possible by the vaccine even though in a study it happens 1% of the time. She was tested for covid, flu, and RSV to be negative. She was diagnosed with unknown febrile fever. I am reporting in case this is a trend with other breast feeding mothers. We took her to the doctor two days later and they also dismissed the possibility. The fever lasted 24 hours and she seems healthy now.


VAERS ID: 1587061 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-13
Onset:2021-08-11
   Days after vaccination:151
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Blood creatinine increased, COVID-19, Central venous catheterisation, Chest X-ray abnormal, Cough, Decreased appetite, Fatigue, Hypertension, Lung opacity, Malaise, Pulmonary fibrosis, SARS-CoV-2 test positive, Troponin
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: furosemide (LASIX) 40 MG PO Tab take 1 Tab by mouth once daily. lenalidomide (REVLIMID) 25 MG PO Cap take by mouth once daily. 3 weeks on, 1 week off leuprolide (LUPRON DEPOT) 22.5 MG IM Kit inject 22.5 mg into the muscle once. q 6 mo
Current Illness: Chronic kidney disease ? Heart murmur ? Hypertension ? Multiple myeloma ? Prostate cancer ? Severe mitral regurgitation
Preexisting Conditions: Chronic kidney disease ? Heart murmur ? Hypertension ? Multiple myeloma ? Prostate cancer ? Severe mitral regurgitation
Allergies: No Known Allergies
Diagnostic Lab Data: Lab Results Component Value Date COVID19 Detected (A) 08/18/2021 I have discussed Coronavirus (COVID19) test result with patient (or patient''s representative) and communicated the appropriate follow up actions to the patient. ED to Hosp-Admission (Current) on 8/18/2021 ED to Hosp-Admission (Current) on 8/18/2021 EXAM: Chest Two Views CLINICAL INDICATION: 83-year-old male with cough COMPARISON: 3/21/2018 chest x-ray, 4/13/2018 CT thorax TECHNIQUE: Frontal and lateral views of the chest FINDINGS: There are hazy opacities throughout the right hemithorax, new from 2018. Streaky opacities suggestive of scarring are redemonstrated, most prominently in the left lung apex. The cardiac silhouette is normal in size. No pleural effusion or pneumothorax. Right IJ port is in place. Previously seen expansile lesion of the right 4th rib anteriorly and multiple suspicious osseous sclerotic lesions are suboptimally visualized radiographically. IMPRESSION: Nonspecific hazy opacity in the right hemithorax which are new from 2018 and could represent an acute infectious/inflammatory process or chronic ch
CDC Split Type:

Write-up: Cough "for a while" ? Anorexia loss of appetite x1 week This is a 83y.o. male with significant past medical history of HTN, CKD, multiple myeloma, prostate cancer, and severe MR that presented to the hospital with chief complaint of malaise. For the past week the patient endorses complaints of generalized weakness, fatigue, cough, and loss of appetite. He denies any fever, chills, headache, lightheadedness, dizziness, chest pain, palpitations, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary symptoms. He did previously receive the Moderna vaccine in February and March 2021. In the ED, patient borderline hypertensive, afebrile, stable SPO2 on room air. COVID confirmed on NP swab. Significant labs: Cr 2.38, troponin 0.08. CXR concerning for pneumonia. He has been admitted for further evaluation and management with ID consultation. Patient seen and examined only by the attending physician; NP only responsible for chart review given the patient''s COVID positive status.


VAERS ID: 1587072 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-23
Onset:2021-08-11
   Days after vaccination:141
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH N/A / 1 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH N/A / 2 AR / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: POSITIVE PCR COVID TEST ON 8/11/21
CDC Split Type:

Write-up: CLIENT CONTRACTED COVID DESPITE BEING FULLY VACCINATED AT TIME OF EXPOSURE/POSITIVE PCR TEST ON 8/11/21


VAERS ID: 1587075 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-11
Onset:2021-08-11
   Days after vaccination:92
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Positive SARS-CoV-2 by PCR from specimen collected 8/18/21
CDC Split Type:

Write-up: Known exposure to +COVID household contact, presented to ED with cough, fever, chills, loss of taste/smell, generalized body aches.


VAERS ID: 1587118 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC 3180 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Hot flush, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Low-dose birth control pill
Current Illness: No
Preexisting Conditions: No
Allergies: Allergic to Penicillin, Ibuprofen, insect bites
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortness of breath for 4 hour period in the middle of the night, extreme hot flashes & heart palpitations for 7 days.


VAERS ID: 1587132 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-04
Onset:2021-08-11
   Days after vaccination:99
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2, Nausea, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HTN, DM, CKD
Allergies:
Diagnostic Lab Data: Positive COVID-19 test 8/11/21
CDC Split Type:

Write-up: Known family exposure. Nausea, vomiting, diarrhea, weakness, SOB, cough


VAERS ID: 1587274 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Cough, Dyspnoea, Fatigue, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient has fatigue and shortness of breath starting a few days after J&J vaccines. Also chest tightness and occasional dry cough. Low grade fever of 99.6 today. Symptoms have not improved despite 10 days have passed since administration of vaccine.


VAERS ID: 1587306 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 043A21A / UNK UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Local reaction
SMQs:

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

Write-up: local reaction


VAERS ID: 1587341 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Computerised tomogram abnormal, Fatigue, Laboratory test, Nausea, Scan with contrast, Vaginal haemorrhage
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ambien as needed for sleep
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Cipro Zoloft
Diagnostic Lab Data: Emergency room 8/17/21 Ct with Labs
CDC Split Type:

Write-up: 24 hours after receiving vaccination- extreme fatigue that has not went away. 8/11/21 10pm- heavy Vaginal bleeding (not due for menstrual period) 8/12/21 moderate vaginal bleeding until 8/16/21 8/16/21 moderate dull stomach pain and nausea 8/17/21 extreme stomach pain and nausea- went to walk in clinic, transferred to Emergency department. Diagnosed with acute Appendicitis. 8/18/21 - Appendix removed.


VAERS ID: 1587364 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-05
Onset:2021-08-11
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (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: Vitamin B-12 and fish oil
Current Illness: None
Preexisting Conditions: None
Allergies: Gluten sensitive
Diagnostic Lab Data:
CDC Split Type:

Write-up: Burning rash occurred Wednesday 8/11. Included Arms, chest, back and legs. The rash has reoccurred every morning since 8/11. Sometimes it?s mild and is just on my arms other times it?s severe with burning and itching. It usually lasts about half hour then goes away.


VAERS ID: 1587387 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

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: Unknown
Current Illness: None
Preexisting Conditions: Unknown
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2 days after vaccine patient developed intermittent ringing in her ears. Had continued up till 8/17. Now the tinnitus is continuous in both ears.


VAERS ID: 1587395 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-05
Onset:2021-08-11
   Days after vaccination:98
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chills, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Sjogren''s syndrome, Type 2 Diabetes, Asthma, IBS
Allergies: nka
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient vaccinated for COVID-19 on 04/07/2021 and 05/05/2021. Patient began having symptoms of feverish, chills, and sore throat on 08/08/2021. Patient tested positive for COVID-19 on 8/11/2021.


VAERS ID: 1588525 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Fatigue, Nausea, Rhinorrhoea, SARS-CoV-2 test negative
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: GERD
Preexisting Conditions: unknown
Allergies: none known
Diagnostic Lab Data: SARS COV 2 RNA nasopharyngeal swab was collected on 08/17/2021 and was resulted on 08/18/2021 as NEGATIVE
CDC Split Type:

Write-up: C/O fatigue, lightheadedness, nausea and nasal drainage.


VAERS ID: 1588533 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin, AREDS 2, zetia, evista, calcium, vitamin D3, saw palmetto, L-lysine, magnesium.
Current Illness: None
Preexisting Conditions: Chronic back pains.
Allergies: Sulfa, iodine dye.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Chills all night, later developed headache. Next day still had headache, and had generalized body aches and fatigue.


VAERS ID: 1588566 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Oedema peripheral, Pain in extremity, Tenderness, Vaccination site reaction
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: erythromycin
Diagnostic Lab Data: None as of yet, after reading this has been reported for Moderna already and normally resolves itself within a week.
CDC Split Type:

Write-up: ?Vaccine Arm? my armpit felt slight swollen on the 17th of August and on the 18th and 19th it proceed to my right right. My right arm feels very tender and is painful to move.


VAERS ID: 1588587 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-07-30
Onset:2021-08-11
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trazodone 50mg nightly Melatonin 6mg nightly Crestor 10mg nightly
Current Illness: None
Preexisting Conditions: History of Juvenile Rheumatoid Atypical Neuralgia
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shingles to Left side, treated with 7 days TID ValcyclOVIR


VAERS ID: 1589059 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 3 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
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 scheduled for a walk in appt to receive 1st dose Moderna vaccine. Pt received Moderna vaccine @ 3 pm. Upon documentation, a warning poped-up saying that pt already received a complete dose of Pfizer vaccine. Pt''s chart shows he received Pfizer vaccine 1st dose on 1/12/21 and 2nd dose 2/2/21 at hospital. Clarified it with patient and patient stated that he received the full dose of Pfizer last January and February, pt is aware that he didn''t disclose the information when he was asked by the front desk at registration. Front desk didn''t notice that pt already completed a full Pfizer vaccine d/t pt is not a pt from clinic and doesn''t have a chart from us. Pt also mentioned that he is an immunocompromised and had a transplant before. His doctor from hospital advised him to get another shot of Covid vaccine even he got the full dose of Pfizer already. Informed pt that there''s no recommendation yet to get a booster during that time. Pt didn''t experienced any adverse effects after receiving the Moderna vaccine.


VAERS ID: 1589079 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dysphagia, Hyperhidrosis, Influenza like illness, Injected limb mobility decreased, Injection site erythema, Injection site pruritus, Injection site swelling, Pain in extremity, Pharyngeal erythema, Pharyngeal swelling, Pruritus, Pyrexia, Rash, Weight bearing difficulty
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: When I first received the shot I felt dizzy after the 15 minutes I waited after it was injected. When I left the urgent care my arm was sore which I was told was common. When I got home I noticed my arm was starting to itch. I took off the bandaid and noticed that around the injection site my skin started turning red, and was about the size of a dime. Later that evening I started sweating profusely, I took my temperature, and it was at 101.6. I started taking Advil to help with the flu like symptoms I was having. I noticed my arm was itching so much at this point I also could not touch it with out physically holding my breath. When I woke up the next day and went to work I could barely lift my arm to a 90 degree angle or bare weight on it. I still had a constant fever and the itch on my arm started to spread up my shoulder. Later that evening I checked my injecting site in the mirror and noticed that the size of the red patch had grown from a dime to a three inch diameter across the center of the patch. At this point I had been taking benedryl to try to stop the itching as well as using hydrocortisone ream with no help. By Saturday the itching was uncontrollable all the way to my fingers and down the left side of my back. On Saturday two new symptoms started to develop. My throat felt swollen and has physically hurt to swallow anything. I checked my throat for any sign of spots or sores, it was bright red and looked inflamed. My right ear was the other symptom that developed, all noises seem to make my ear worse. The rash has not gone away and neither have the other symptoms.


VAERS ID: 1590960 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-03-31
Onset:2021-08-11
   Days after vaccination:133
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Cough, Decreased appetite, Dyspnoea, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Hospital admission 7 days after symptom onset. Patient-reported symptoms include weakness, poor appetite, body aches, fever, cough, shortness of breath.


VAERS ID: 1591154 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 2 LA / IM

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

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

Write-up: Patient received the second dose of the series one week early. Patient received at 14 days after first vaccine (first dose was 7/28/2021) instead of the recommended 21 days (should have been 8/18/2021)


VAERS ID: 1591158 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 2 LA / IM

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

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

Write-up: Patient received their second dose in the series one week early. Their first dose was administered on 7/28/2021 the second dose should have been administered on 8/18/2021 but was actually given 8/11/2021.


VAERS ID: 1591193 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Complement factor C4, Cough, Dyspnoea, Intensive care, Laryngoscopy abnormal, Nausea, Pruritus, Respiratory distress, Throat irritation, Tryptase, Vocal cord dysfunction, Wheezing
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: reports hives and wheezing with dose 1 that was self-managed.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: hymenoptera anaphylxis apple allergy nut allergy
Diagnostic Lab Data: C4 complement 23 (ref 15-57 mg/dL) Tryptase 1.2 (ref <11.5 ng/mL)
CDC Split Type:

Write-up: Developed difficulty breathing, wheezing, cough, nausea, itchy ears, fuzzy throat within minutes of second dose of Moderna vaccine prompting transfer to ED. Had self premedicated with diphenhydramine. Treated with epinephrine x 3, dexamethasone, famotidine, albuterol and placed on epinephrine drip. Admitted to ICU for monitoring. Otolaryngology consult with bedside direct laryngoscopy revealed paradoxical vocal cord dysfunction. which was deemed to be the most likely cause of her respiratory distress.


VAERS ID: 1591288 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-08-05
Onset:2021-08-11
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN E1431170 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Contusion, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None (patient monitored injury at home)
CDC Split Type:

Write-up: Suspected blood clot. Day one: hard welt developed under the ball of the left foot behind the small toe. Welt was approx. kidney bean sized and noticeable on placing weight on the foot while walking. Day two: bruising (purple color) developed on the outside and top of the left foot behind the small toe. Day three: welt starts to soften and subside. Bruising lasted about a week and gradually faded. There was no other apparent cause of the injury--no unusual shoes or socks, no acute trauma, no insect bite, and no unusual physical activity.


VAERS ID: 1591291 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Burning sensation, Chest pain, Chills, Feeling cold, Headache, Rash, Rash erythematous, Respiratory arrest, Tongue discomfort
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Respiratory failure (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: (Morning Meds) 70/30 Premixed Insulin 70 units (twice daily) Furosemide 80mg Atropine Eye drops Levothyroxine 50 mcg''s Clopidogrel 75mg Generic Bentyl 10mg Metoprolol 50mg (2) Vitamin D2 1.25 mg Ranolazine Extended Relief 1000mg Loratadi
Current Illness: Four stents in heart Diabetic Thyroid Issues Blind in one eye
Preexisting Conditions: Four stents in heart Diabetic Thyroid Issues Blind in one eye
Allergies: Codeine Lasonopril Seafood
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Woke up right leg and eye was quivery. Stop breathing 3 different times, burning sensation that came up leg up to chest. Also on tongue. Cold sensations up leg and body, headaches , red dots on right leg


VAERS ID: 1591296 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-07-13
Onset:2021-08-11
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / UNK AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax, Echocardiogram, Pericardial effusion, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Pericarditis Pericardial effusion


VAERS ID: 1591359 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 - / IM

Administered by: Private       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: na
Current Illness: na
Preexisting Conditions: asthma
Allergies: na
Diagnostic Lab Data: na
CDC Split Type:

Write-up: na


VAERS ID: 1591446 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-03-01
Onset:2021-08-11
   Days after vaccination:163
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 2 LA / IM

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

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

Write-up: POSITIVE COVID CASE 08/11/2021


VAERS ID: 1591449 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: epi pen
Current Illness: none
Preexisting Conditions: obesity , HTN
Allergies: " to numerous to Count"
Diagnostic Lab Data: none
CDC Split Type:

Write-up: chest tightness and scratchy throat


VAERS ID: 1591450 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Dysgeusia, Dyspnoea, Fatigue, Headache, Pain
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Taste and smell disorders (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow)

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

Write-up: 5 min after shot i could taste medicine in my mouth. That lasted for 3 days. I had painful body aches headaches. Felt so tired like all the energy was drained from my body. I had severe abdominal pain and diarrhea. My energy level still has not returned to normal. I also feel shot of breath. Before I could wear my mask with no problem but now I must remove to breathe. I had shooting pain in my abdominal area.


VAERS ID: 1591571 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Heart rate irregular, Hypoaesthesia, Palpitations
SMQs:, Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-Vitamin; Super Lysine Vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: No medical attention was pursued
CDC Split Type:

Write-up: Upon laying in bed for sleep, heart began pounding with what seemed to be irregular heartbeat. Lasted approximately an hour. Woke in the night with numbness in left arm and hand. After moving and flexing arm and hand, numbness began to deteriorate, and normal feeling began to come back. Symptoms seemed to have subsided by the next morning.


VAERS ID: 1591799 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Initial insomnia, Insomnia, Pruritus
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (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: Prenatal vitamins, fiber, probiotic, collagen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itchy, trouble staying asleep, headache. I am also breastfeeding my 10mth old son and he struggled to fall asleep and stay asleep for 48 hours following my vaccine.


VAERS ID: 1591888 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-21
Onset:2021-08-11
   Days after vaccination:112
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / -

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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: no
Current Illness: no
Preexisting Conditions: Cardiovascular disease
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: ? Fatigue ? Tenderness at injection site


VAERS ID: 1591915 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site bruising, Limb discomfort, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

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

Write-up: 41 yo female received J&J Covid vaccine on 11AUG2021 at Health Department. Pt states left arm began to feel numb, tingling, within 30 minutes of vaccine. The numbness and tingling described by the patient spread to pt''s face, head, neck and right wrist. Pt was evaluated at local urgent care and advised of possible histamine reaction with recommendation for ibuprofen and prednisone. Symptoms have worsened over 8 days reporting heaviness in left arm with continued left arm tingling and numbness. Mild bruising noted at injection site, pt denies pain, redness or rash. No previous immunization reaction reported by pt.


VAERS ID: 1591920 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 - / IM

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

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

Write-up: Our healthcare facility was performing a public service by providing vaccines at our local school. During this time, the vaccine recipients parent completed our COVID-19 vaccine consent form with inaccurate information. The date of birth provided on the consent form was incorrect. This lead our vaccinator to believe the patient was 12 years old, but the patient is actually 11 years old. The patient received the vaccine and was monitored for 15 minutes with no adverse effects. Later, this writer was contacted by the Regulatory authority to notify us that we had vaccinated a person under the age of 12. This writer called the patient''s parent to inquire whether she was harmed at all or had any adverse effects from the vaccine dose. The parent confirmed that the recipient had no adverse effects. Furthermore, the parent admitted that the patient was not 12, and that the parent still would like for the patient to receive the second dose of the series. This author replied that it is not recommended for the patient''s age and that we would not willfully vaccinate a child under the age of 12.


VAERS ID: 1592132 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Echocardiogram, Ejection fraction normal, Electrocardiogram T wave inversion, Headache, Tricuspid valve incompetence, Troponin increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Hypokalaemia (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Hydroxyzine 25mg prn
Current Illness: None
Preexisting Conditions: Anxiety
Allergies: Doxycycline
Diagnostic Lab Data: Troponin elevated to 0.05 on ED admission on 8/13 Troponin increased to peak of 2.4 on 8/14 EKG on 8/14 showed T-wave inversions Echocardiogram was done on 8/14: EF 55-60%, mild tricuspid regurgitation
CDC Split Type:

Write-up: Headache starting 1 hour after vaccination. Chest pain, shortness of breath 10 hours after vaccination. Patient''s pain improved over the next few days. Significant family history of CAD, mother had MI in her 40s


VAERS ID: 1592341 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Anxiety, Bowel movement irregularity, Cold sweat, Hyperacusis, Photophobia
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Noninfectious diarrhoea (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: HPV
Other Medications: Wellbutrin, klonopin
Current Illness: Still recovering from cancer and cancer treatments
Preexisting Conditions: Colon Cancer
Allergies: NKDA
Diagnostic Lab Data: None to date
CDC Split Type:

Write-up: With 2 days I started having light and sound sensitivity and worsening anxiety that cause cold sweats. Also lower left abdominal pains that are sharp/stabbing that come and go. Also It has made it more difficult to eat and hold onto the food in my body as my bowels move constantly as soon as I eat yet the stools are not loose.


VAERS ID: 1592345 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-05
Onset:2021-08-11
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 091D21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood test, Chest pain, Computerised tomogram, Echocardiogram, Electrocardiogram, Hypopnoea, Myocardial infarction, Pericardial effusion
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: Blotchy and itchy left arm for (3) days and VERTIGO, age 68, 07/08/2021, COVID19 (Moderna)
Other Medications: Metformin, 850mg before ea meal; Tasulosina, 0.4mg ea night
Current Illness: None
Preexisting Conditions: Diabetes, Type 2
Allergies: Dilaudid
Diagnostic Lab Data: 08/11/2021 - 08/13/2021: EKG, Echocardiogram, CT scan, blood tests and perhaps others. Until final hospital insurance billing, a complete list can not be provided.
CDC Split Type:

Write-up: 08/11/2021, 02:00pm: Chest and back between shoulder blades began; patient thought it was indigestion. 08/11/2021, 05:30pm: Blood Pressure taken at home, 145/81; pulse 88; shallow breathing 08/11/2021, 05:56pm: Blood Pressure taken at home, 161/89; pulse 98; shallow breathing 08/11/2021, 06:08pm: Arrive at Hospital Emergency Room; Blood pressure 163/91; extreme pain; initial diagnosis in emergency room was a heart attack. Pericardial Effusion: Please contact Cardiologist, Dr. for additional detailed clinical/medical information regarding this event and follow-up patient care.


VAERS ID: 1592353 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure abnormal, Blood test abnormal, Chest pain, Palpitations, Pleurisy, Pneumonia, Pulmonary oedema, Vasculitis, X-ray
SMQs:, Cardiac failure (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vasculitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), 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: Trazadone. Venafaxine. Trazadone. Klonopin.
Current Illness:
Preexisting Conditions:
Allergies: Na
Diagnostic Lab Data: X Ray showed. Pneumonia. Bloodwork should severe inflammation in my blood.
CDC Split Type:

Write-up: Severe chest pains, heart populations. Edema in lungs. Blood pressure issues. Pleurisy


VAERS ID: 1592556 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Hepatic pain, Renal pain
SMQs:, Liver related investigations, signs and symptoms (narrow), Peripheral neuropathy (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: multivitamin zinc vitamin D
Current Illness: no
Preexisting Conditions: high blood pressure thyroid copd
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: next evening experience pain on right side down near my kidney floated up right side back and forth from liver to kidney on 5th day experienced burning and slowly decreased till the 8th day


VAERS ID: 1592567 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nausea, Pallor, Vomiting
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), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: Pt was very nervous about getting the shot. After the shot he told us he always passes out after giving blood or anything with needles. Patient received the vaccine and was waiting 15 minutes after. He began to get very pale and sweating and lips were white Patient passed out for about 10 seconds and then came to feeling nauseas and lightheadness. We called EMS the paramedics came and checked him out for about a half an hour, he vomited a few times and he was fine after that.


VAERS ID: 1592583 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Muscle tightness, Paraesthesia, Pharyngeal hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)

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

Write-up: Tingling in leg, muscle tightness in shoulders and numb feeling in throat


VAERS ID: 1593173 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-01-11
Onset:2021-08-11
   Days after vaccination:212
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cough, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Onset of symptoms on 8/11/21 with cough, sore throat, and fever. Test results on 8/13/211 positive. Isolation until 8/22/21 per DOH.


VAERS ID: 1593203 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-08
Onset:2021-08-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Asthenia, Balance disorder, Blood test, Cerebral haemorrhage, Disturbance in attention, Exposure during pregnancy, Fatigue, Gait inability, Magnetic resonance imaging, Muscle spasms, Somnolence, Thrombosis, Ultrasound foetal, Urine analysis, Vaginal discharge
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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: Flagyl, Wixela, Albuterol
Current Illness: Uterine hemorrhage
Preexisting Conditions: Asthma, long-haul COVID, ADHD, Autism, Hearing loss
Allergies: Dairy, Clindamycin (IV formulation), Morphine
Diagnostic Lab Data: MRI on 8/12/2021, fetal ultrasound on 8/20/2021, many blood tests, urine toxicology screening
CDC Split Type:

Write-up: Pregnancy was at 7 weeks at vaccination, additional blood clot discovered on 8/20/2021, birth ETA March of 2022. Adverse event occurred at about midnight on 8/12/21 - loss of ability to speak, loss of ability to walk with proper balance, loss of ability to focus, weakness and exhaustion, and difficulty keeping eyes open. MRI performed several hours later revealed small brain bleed in front left lobe of brain. Symptoms have abated for the most part, follow-through testing is being scheduled. Visit to OB-GYN on 8/20/2021 included ultrasound to confirm pregnancy, second uterine hemorrhage was discovered, cramping and vaginal discharge occurred 8/19/2021. Additional monitoring via ultrasound is being planned / scheduled.


VAERS ID: 1594312 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-08-11
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 antibody test, Therapy non-responder
SMQs:, Lack of efficacy/effect (narrow), 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: Test Date: 20210811; Test Name: COVID-19 antibody test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210827076

Write-up: CONFIRMED IMMUNOLOGICAL VACCINE FAILURE; This spontaneous report received from a pharmacist concerned a 62 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: 21-JUN-2021) dose was not reported, frequency time 1 total was administered on left arm on 02-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-AUG-2021, the patient was tested negative for COVID-19 antibody test and had confirmed immunological vaccine failure. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The outcome of confirmed immunological vaccine failure was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000189474.; Sender''s Comments: V:20210826496-COVID-19 VACCINE AD26.COV2.S-Confirmed immunological vaccine failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1594324 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Louisiana  
Vaccinated:0000-00-00
Onset:2021-08-11
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Chills, Fatigue, Neuralgia, Pain, SARS-CoV-2 test negative
SMQs:, Peripheral neuropathy (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LISINOPRIL; METHIMAZOLE
Current Illness: Blood pressure; Thyroid disorder NOS
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test negative; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210829045

Write-up: FATIGUE; NERVE PAIN AROUND MY WAIST LINE ON THE RIGHT SIDE; FULL BODY ACHES; CHILLS; This spontaneous report received from a patient concerned a 46 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: blood pressure, and thyroid, and other 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, and batch number: 043A21A expiry: UNKNOWN) dose was not reported, administered on 10-AUG-2021 for prophylactic vaccination. Concomitant medications included lisinopril for blood pressure, and thiamazole for thyroid. On 11-AUG-2021, the patient experienced nerve pain around my waist line on the right side. On 11-AUG-2021, the patient experienced full body aches. On 11-AUG-2021, the patient experienced chills. On 12-AUG-2021, the patient experienced fatigue. Laboratory data (dates unspecified) included: COVID-19 virus test negative (NR: not provided) Negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from full body aches, chills, and fatigue, and had not recovered from nerve pain around my waist line on the right side. This report was non-serious.


VAERS ID: 1594360 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-08-11
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 antibody test, Therapy non-responder
SMQs:, Lack of efficacy/effect (narrow), 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: Abstains from alcohol; Complex regional pain syndrome; Connective tissue disorder; Degenerative disc disease; Diabetes mellitus; Facial pain; Lung disease; Psoriasis; Reynold''s syndrome; Smoker (Marijuana); Stenosis
Preexisting Conditions: Comments: The patient did not have any history of drug abuse or illicit drug use. The patient was not pregnant at the time of vaccination. The patient have allergy to any medicine ends with zine.
Allergies:
Diagnostic Lab Data: Test Date: 20210811; Test Name: SARS-CoV-2 IgG antibody test; Result Unstructured Data: Negative; Test Date: 20210811; Test Name: SARS-CoV-2 IgA antibody test; Result Unstructured Data: Negative; Test Date: 20210811; Test Name: SARS-CoV-2 IgM antibody test; Result Unstructured Data: Negative.
CDC Split Type: USJNJFOC20210832576

Write-up: CONFIRMED IMMUNOLOGICAL VACCINE FAILURE; This spontaneous report received from a patient concerned a 55 year old white Not Hispanic/Latino female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: complex regional pain syndrome (RSD/CRPS), diabetes mellitus, lung disease, Reynold''s syndrome, connective tissue disease, mild facial pain syndrome, psoriasis, degenerative disc disease, stenosis, non-alcohol user, smoker, and other pre-existing medical conditions included: the patient did not have any history of drug abuse or illicit drug use except marijuana. The patient was not pregnant at the time of vaccination. The patient has allergy to any medicine ends with zine. The patient experienced drug allergy when treated with morphine, Propofol, oxycontin, injectable Benadryl. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, and expiry: unknown) dose was not reported, 1 total, administered on 14-MAR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 11-AUG-2021, the patient experienced confirmed immunological vaccine failure. Laboratory data included: SARS-CoV-2 IgG antibody test (NR: not provided) negative, SARS-CoV-2 IgM antibody test (NR: not provided) negative, and SARS-CoV-2 IgA antibody test (NR: not provided) negative. The patient wanted an exemption letter to get a booster shot as her doctor recommended (she could not afford to get Covid-19). Her health care professional wanted her to get Pfizer Covid-19 Vaccine. She was frustrated at the time of report. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of confirmed immunological vaccine failure was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000189771; Sender''s Comments: V0: 20210832576-covid-19 vaccine ad26.cov2.s- confirmed immunological vaccine failure . This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1594412 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-08-11
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker.
Preexisting Conditions: Comments: The patient had no known allergies. Patient did not have any medical history.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210835396

Write-up: PAIN FEELS LIKE BURN-LIKE A CHEMICAL BURN OR SUN BURN; RED ITCHY RASH ALL OVER THE BODY; This spontaneous report received from a patient concerned a 36 year old female. The patient''s weight was 125 pounds, and height was 66 inches. The patient''s concurrent conditions included: non alcohol user, and non smoker, and other 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, and batch number: 043A21A expiry: 19-SEP-2021) dose was not reported, administered on 11-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-AUG-2021, the patient experienced pain feels like burn-like a chemical burn or sun burn. On 11-AUG-2021, the patient experienced red itchy rash all over the body. On 11-AUG-2021 13:00, treatment medications included: diphenhydramine hydrochloride. The action taken with COVID-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from red itchy rash all over the body, and pain feels like burn-like a chemical burn or sun burn. This report was non-serious.


VAERS ID: 1602591 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-06
Onset:2021-08-11
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Ultrasound scan
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Sonogram performed on August 21, 2021 confirmed the fetus?s estimated gestational age and lack of heartbeat or blood flow.
CDC Split Type:

Write-up: Suffered a miscarriage at 8 weeks gestation on August 11, 2021 after receiving the Moderna COVID-19 vaccine. Miscarriage was confirmed at Hospital on August 20, 2021. I was unaware that I was pregnant when I received the vaccine.


VAERS ID: 1602648 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: South Dakota  
Vaccinated:2021-08-09
Onset:2021-08-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test normal, Computerised tomogram normal, Dizziness, Electrocardiogram normal, Headache, Palpitations, SARS-CoV-2 test negative, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT scan brain, two ekg, three blood tests. Covid test. All showed no indication of a problem. Three total ER visits.
CDC Split Type:

Write-up: Heart palpitations, Tachycardia 120bpm first two days. Dizziness for 10 days. Significant headaches for 10 days. Could not perform normal daily tasks.


VAERS ID: 1602731 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Headache, Nausea, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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: Irbesartan 300mg, vit D 2000iu, B12 5000mcg, C 500mg
Current Illness:
Preexisting Conditions: Hypertension
Allergies: Sulfa, Penicillin, Morphine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Had vertigo symptoms, ie extreme dizziness, nausea and headache which lasted til Sunday. Took Meclizine and Mometasone for symptoms


VAERS ID: 1602857 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Methotrexate injection for psoriasis once weekly. Has not take since rash appeared. Vitafusion Power C Gummies a couple days after vaccination.
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: The day after vaccination the patient developed a rash on left side of face (same side as she received the vaccine.) Rash initially spread, but has slowly dissipated over the course of 10 days. Rash on check was size of a dime, had multiple elongated spots appear on eyebrow (roughly 2 inches long) and on the chin (roughly 2.5in long.)


VAERS ID: 1602898 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939902 / 1 LA / IM

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

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

Write-up: allergic reaction at injection site, red and warm to the touch,


VAERS ID: 1602910 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Hypoaesthesia, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: lamictal 200mg/day
Current Illness: none
Preexisting Conditions: none
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tingling, numbness, pins and needles feeling throughout entire body several hours after vaccine. These symptoms were sporadic and then intensified and became constant 6 days after the vaccine when I felt chest tightness.


VAERS ID: 1603829 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

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

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

Write-up: Broke out in hives all over body from head to toe. Started at 11 pm with a small patch on inside of left wrist. Took one Benadryl, slept for a couple hours. At 2 am she woke up with hives all over her face, arms, stomach, groin, spread out on both legs. Called nurse line and was advised to monitor and take Benadryl every 6-8 hours. Next day around noon it cleared from her upper body but worsened on both legs and began spreading to feet. Top lip remained swollen. Friday morning 8/13 she has patches spread throughout her body but not as much of her body is covered.


VAERS ID: 1617442 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 091D21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Electrocardiogram, Full blood count, Hyperhidrosis, Magnetic resonance imaging head, Metabolic function test, Vision blurred, Visual field defect, Visual impairment
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Anaphylaxis as a teenager, from Rhus Tox Antigen injection, approx. 1977?
Other Medications: Doxycycline 50 mg, Multi-vitamin, Fish oil capsule, Vitamin C, Vitamin D3
Current Illness: none
Preexisting Conditions: diagnosed as possible M.S. in the year 2000, no limiting conditions, not on any medicine for it
Allergies: Rhus Tox Antigen (poison ivy preventative injection)
Diagnostic Lab Data: CBC with Differential Comprehensive Metabolic Panel EKG 12-Lead MRI Brain w/o contrast The first three of the above were normal. The MRI was consistent with the last one done in 2010, no changes from 2010.
CDC Split Type:

Write-up: I got awake ~12:15 am on 8/11/21, felt sweaty, took off the blanket. Checked my phone for messages. Could not make out anything on the screen. Put on my reading glasses, still could not make out anything on the screen. Objects in the distance appeared blurry, could make out silhouettes but not detail. Both eyes had blurred vision, left eye had no peripheral vision, both eyes had "spider webs". Got up to wash my face in case that would clear the disturbance; it did not. Called a neighbor to take me to the hospital E.R. Arrived there around 1:15 a.m.. By then the vision was mostly returned but still not my normal.


VAERS ID: 1617550 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram normal, Laboratory test normal, Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, atorvastatin, isosorbide mononitrate, lamotrigine er, meloxicam, omeprazole, eliquis, metoprolol tartrate, ranolazine, buproprion sr, valacyclovir
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: penicillin
Diagnostic Lab Data: patient does not have the records.
CDC Split Type:

Write-up: Patient experiences symptoms of a TIA around 8:15pm, they resolved on their own. She has experienced TIAs in the past. Her daughter encouraged her to be seen in the emergency room the following morning 8/12/21. She states the emergency room did a CT scan and labs and did not find anything and sent her home without a diagnosis. She followed up with her primary care physician who diagnosed this as being a TIA event.


VAERS ID: 1617607 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-02-01
Onset:2021-08-11
   Days after vaccination:191
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Feeling abnormal, Feeling cold, Malaise, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Depression medications (unspecified)
Current Illness: None
Preexisting Conditions: Depression, skin cancer (removed)
Allergies: NKDA
Diagnostic Lab Data: 12Aug2021: COVID-19 test = positive
CDC Split Type:

Write-up: On an unknown date, in Feb2021 / Mar2021, the 65 year old female patient was vaccinated with the COVID-19 from Pfizer (lot/batch# unknown) (two doses 4 weeks apart). Medical history included: depression, skin cancer (removed; Concomitant medications include unspecified depression medications. On 11Aug2021, the patient had a fever of 102 degree Fahrenheit and felt really chilly. On 12Aug2021, the patient''s son went to buy COVID-19 test, came home, took the COVID-19 test and it came out positive. The patient had a fever, sore throat, nasal drainage, felt lousy, (described as nasty flu like symptoms) and was quarantining her bedroom away from the family. On 13Aug2021, the patient still felt sick with the same symptoms with frequent naps. On 15Aug2021, she was feeling better, taking zinc and orange juice, but still quarantining in her bedroom and nervous about going back to work (in person) at the University. On 15Aug2021, she reported that her 29 year old vaccinated (by Pfizer) son now has COVID-19 and a separate report will be completed in VAERs. The reporter (Registered Nurse) assessed the causality of lack of effect, COVID-19 vaccine failure, and all adverse reactions as absolutely related to the COVID-19 Pfizer vaccine.


VAERS ID: 1617745 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-02
Onset:2021-08-11
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Concerta, Ritalin, Zoloft, Omega-3
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EKG (8/13/2021)
CDC Split Type:

Write-up: Had a heartbeat of 119 BPM. I have never had a heartbeat this high before, even under stress. Additionally, after I went to the ER I got an unusual bruise after having an IV put in me. I have gotten an IV before but I never bruised this badly.


VAERS ID: 1619166 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Computerised tomogram head, Full blood count normal, Metabolic function test, Muscular weakness, Red blood cell sedimentation rate normal, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Head CT negative - 8/20/2021 MRA/MRV - negative - 8/22/2021 CBC, CMP, ESR, CRP wnl 8/22/2021
CDC Split Type:

Write-up: full body tremors, left-sided muscle weakness - ongoing and currently 10 days post vaccine


VAERS ID: 1623335 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Dizziness, Headache, Hyperhidrosis, Impaired work ability, Limb discomfort, Syncope, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (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: Allopurinol daily
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None, stayed home
CDC Split Type:

Write-up: About 5-6 minutes after getting the shot my vision went spotty, I felt weak and eventually fainted ending up laying on the floor of the building in a puddle of (cold) sweat. My arm remained very sore for about 5 days (until the following Monday). The night after the shot I was awaken after just 2 or so hours of sleep feeling cold and shaky, also alternating cold sweats and weakness. I wasn''t able to sleep from 2am onwards, but also too weak to get out of bed until 10am so I called out of work for Thursday morning as a sick half day. Severe headache and moderate dizziness remained with me for the first 48 hours after the shot into Friday night.


VAERS ID: 1623453 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: New York  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW-1198 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Pain, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? 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: I did some tests during the illness Call my family doctor
CDC Split Type:

Write-up: I had a fever of 102?F on August 11, and then I took Tylenol. The fever was cured on August 12, and I went to the Emergency Room because of rash and itching all over my body at night. I went to the emergency room on the afternoon of August 14th and went to the emergency room on the evening of August 15th. On August 16th, I decided to stop taking the medicine. After 2 days with itching, the pain and feeling improved. There is no recurrence on August 23rd.


VAERS ID: 1623480 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Oral discomfort, Pain in jaw
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Osteonecrosis (broad), Sexual dysfunction (broad)

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

Write-up: Patient reports she received Janssen Covid 19 vaccine on 8/10 on 8/11 she began to experience jaw pain, left facial numbness and perioral full feeling This has persisted. She saw the provider for this on 8/23.


VAERS ID: 1623513 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-25
Onset:2021-08-11
   Days after vaccination:139
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: COPD, kidney transplant
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, myalgias, shortness of breath. Hospitalized


VAERS ID: 1623607 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-08-11
Onset:2021-08-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Deafness, Dizziness, Injection site pain, Paraesthesia, Sitting disability
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hearing impairment (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: supplements: vitamin D3, vitamin C
Current Illness: None
Preexisting Conditions: None
Allergies: None known
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Three to five minutes after receiving the shot, while sitting in a chair for post-vaccination observation, I got a sudden head rush and felt dizzy to the point where I could no longer sit upright and had to lay on the floor. While positioning myself on the floor I lost hearing in my right ear for several seconds; my extremities also began feeling tingly. The clinicians who were present brought a pad for me to lay on and a pillow. I remained on the floor for about 15 minutes, during which time the dizziness subsided and I eventually I felt well enough to stand. The clinicians gave me water to drink. About 5 minutes later felt well enough to leave the clinic and go home. For the next two days I felt intermittent tingling sensation in my extremities, and well as moderate pain in the vaccine injection site. The abnormalities subsided by about the third day after vaccination.


VAERS ID: 1623608 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-15
Onset:2021-08-11
   Days after vaccination:118
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH N/A / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Exposure to SARS-CoV-2, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: POSITIVE COVID PCR TEST ON 8/16/2021
CDC Split Type:

Write-up: PATIENT CONTRACTED COVID DESPITE BEING FULLY VACCINATED AT TIME OF EXPOSURE- SYMPTOM ONSET 8/11/21 OF LOSS TASTE/SMELL, SORE THROAT, AND NASAL CONGESTION. POSITIVE COVID PCR TEST ON 8/16/2021


VAERS ID: 1623647 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-03
Onset:2021-08-11
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059E21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Contusion, Ear pain, Epistaxis, Erythema, Herpes zoster, Hypoaesthesia, Muscle spasms, Neuralgia, Pruritus, Skin warm, Sneezing, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, amitriptylin, b12, biotin, valocyclovir, magnesium
Current Illness: None
Preexisting Conditions: Hypothyroidism, insomnia, HSV2
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: -Friday-Monday 8/5-8 random intermittent muscles spasms all over body -Shot Wednesday 8-3 -Big red, hot, itchy welt with redness spreading & bruise 8/5-9 -Same welt reappeared 8/10-13 with large red ring around it -Massive leg cramp for at least 1 min on 8/9 -Random intermittent chest pains behind breasts from 8/9-11 & 16-17 -Dark bruise about 2 inches below welt from 8/9-15 -Whole body itchiness 8/11-present -Shingles nerve pain 8/9-present -Left arm numbness 8/11 - Nosebleed 8/11-12 & 8/14 - Anti itch & lidocaine cream made welt worse - Benadryl had no effect - No relief with Pepcid & Claritin - Right earache 8/16 - Increased sneezing 8/13


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