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

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



Case Details (Reverse Sorted by Onset Date)

This is page 168 out of 3,524

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VAERS ID: 1366564 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Constipation, Dehydration, Diarrhoea, Dyspepsia, Erythema, Fatigue, Feeling hot, Gastrooesophageal reflux disease, Headache, Hepatic enzyme abnormal, Hepatic enzyme increased, Hepatomegaly, Laboratory test abnormal, Metamorphopsia, Nausea, Pain in extremity, Pruritus, Pyrexia, Rash morbilliform, Skin warm, Sluggishness, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Retinal disorders (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Bupropion, Lamotrigine, Glipizide, Simvastin, Allerga, Benadryl,
Current Illness: None
Preexisting Conditions: Diabetic
Allergies: None
Diagnostic Lab Data: Lab-work on 5/18/2021 in the ER-resulting in elevated liver enzymes and an enlarged liver I''m scheduled to see my primary physician on Monday, June 7th so she can review these symptoms and order lab to check my thyroid and liver levels.
CDC Split Type:

Write-up: Initially no symptoms, however the next day I had a terrible headache and warped vision. On day 2, I felt sluggish in the morning and by the afternoon I was nauseous and had a fever. The fever continued for several days from 99.5 to 102.9. On day 3, I began vomiting and was unable to keep down water. On day 4, I reported to the ER where I was treated for dehydration. The ER department also ran extensive lab and it showed I had high liver enzymes. They did a sonogram to check my gall bladder and determined my liver was enlarged. M y temperature was 98.5 upon leaving the ER. After leaving the hospital, I began having diarrhea. At this point, I had not eaten for almost 2 days. I went on a liquid only diet to help keep hydrated and stop the diarrhea. On day 5, I woke up with very red and hot hands and feet. They were painful to the touch. Also on this day, my fever returned to 100.2 and began fluctuating until the evening of day 6. The diarrhea continued on day 6, probably because of the medicine at the hospital for acid reflux and indigestion. They hydrated me with 2.5 IV bags in less than 9 hours. On day 7, I had my first ''real'' meal and notice the redness and pain were replaced with a measles like rash on my hands. Which caused constipation. On day 6 and the 2 days following, I didn''t have a fever, my hands and feet had returned to normal, but itched, and I didn''t have many symptoms, but felt very sluggish and fatigued. On 5/29/2021, more than 2 weeks after the 2nd shot, I noticed blisters on my fingers. I have made no changes to any health and beauty products or done any work to cause this. The blistering has continued today, 6/1/2021. I''m also having reactions to food I could once eat so it seems I''ve developed food allergies. I don''t know what is causing stomach pain and nausea eating foods I''ve never had a problem with. I''m also still feeling very fatigued. I have to take frequent breaks when completing simple tasks.


VAERS ID: 1366872 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Asphyxia, Chest discomfort, Dizziness, Erythema, Fatigue, Feeling abnormal, Myalgia, Nasal discomfort, Nasal oedema, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: THIAMINE; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; OMEPRAZOLE; LORATADINE; VITAMIN D3
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high; Gastritis; Rheumatoid arthritis; Rhinitis
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: felt like they were asphyxiating; chest felt tired; tired; body aches; was wanting to vomit, nausea; pain in the pit of stomach; nose swollen, got big; dizziness; nose hurt; nose like a tomato; felt decayed, body feels watery like is loosening; This spontaneous case was reported by a consumer and describes the occurrence of ASPHYXIA (felt like they were asphyxiating) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Rheumatoid arthritis, Gastritis, Blood pressure high and Rhinitis. Concomitant products included THIAMINE, CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]), OMEPRAZOLE, LORATADINE and VITAMIN D3 for an unknown indication. On 13-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-May-2021, the patient experienced ABDOMINAL PAIN UPPER (pain in the pit of stomach), NASAL OEDEMA (nose swollen, got big), DIZZINESS (dizziness), NASAL DISCOMFORT (nose hurt), ERYTHEMA (nose like a tomato), FEELING ABNORMAL (felt decayed, body feels watery like is loosening), MYALGIA (body aches) and NAUSEA (was wanting to vomit, nausea). On 19-May-2021, the patient experienced ASPHYXIA (felt like they were asphyxiating) (seriousness criterion medically significant), CHEST DISCOMFORT (chest felt tired) and FATIGUE (tired). At the time of the report, ASPHYXIA (felt like they were asphyxiating), CHEST DISCOMFORT (chest felt tired), ABDOMINAL PAIN UPPER (pain in the pit of stomach), NASAL OEDEMA (nose swollen, got big), DIZZINESS (dizziness), NASAL DISCOMFORT (nose hurt), ERYTHEMA (nose like a tomato), FEELING ABNORMAL (felt decayed, body feels watery like is loosening), FATIGUE (tired), MYALGIA (body aches) and NAUSEA (was wanting to vomit, nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Additional concomitant product: Unspecified cholesterol medication, high blood pressure medication and natural herbs. Treatment information not provided. Based on the current available information and temporal association between the use of the product and the start date of the events Abdominal pain upper, Nasal oedema, Dizziness, Nasal discomfort, Erythema, Feeling abnormal, Myalgia, and Nausea, a causal relationship cannot be excluded. Concerning the events Asphyxia, Chest discomfort, and Fatigue, very limited information regarding these events has been provided at this time. However, the patient''s injection of thymine prior to experiencing Asphyxia, Chest discomfort, and Fatigue remains as a confounder. Further information can''t be requested.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events Abdominal pain upper, Nasal oedema, Dizziness, Nasal discomfort, Erythema, Feeling abnormal, Myalgia, and Nausea, a causal relationship cannot be excluded. Concerning the events Asphyxia, Chest discomfort, and Fatigue, very limited information regarding these events has been provided at this time. However, the patient''s injection of thymine prior to experiencing Asphyxia, Chest discomfort, and Fatigue remains as a confounder. Further information can''t be requested.


VAERS ID: 1366876 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-17
Onset:2021-05-14
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040B21A / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chest pain, Choking, Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Headache, Muscular weakness, Pain, Throat tightness, Total lung capacity decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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: VIIBRYD; DESVENLAFAXINE; BREO ELLIPTA; SPIRIVA RESPIMAT; IPRATROPIUM BROMIDE; ALBUTEROL SULFATE; METOPROLOL; ASPIRIN 81
Current Illness: Chronic obstructive pulmonary disease; Gastroesophageal reflux disease; Heart disorder
Preexisting Conditions: Medical History/Concurrent Conditions: Angioplasty; Heart attack
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: throat closed and choked on me; chest pain; trouble breathing and chocked on me/cannot breath; throat closed and chocked on me; muscle weakness; getting week for some reason; dizzy; pain shoot up at left side; Feeling strange; headache; started to whack out; lung capacity is down to half; This spontaneous case was reported by a consumer and describes the occurrence of CHOKING (throat closed and choked on me) in a 57-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Heart attack in 2007 and Angioplasty in 2007. Concurrent medical conditions included Gastroesophageal reflux disease, Chronic obstructive pulmonary disease and Heart disorder. Concomitant products included METOPROLOL for Blood pressure high, IPRATROPIUM BROMIDE and SALBUTAMOL SULFATE (ALBUTEROL SULFATE) for Chronic obstructive pulmonary disease, ACETYLSALICYLIC ACID (ASPIRIN 81) for Heart disorder, VILAZODONE HYDROCHLORIDE (VIIBRYD), DESVENLAFAXINE, FLUTICASONE FUROATE, VILANTEROL TRIFENATATE (BREO ELLIPTA) and TIOTROPIUM BROMIDE MONOHYDRATE (SPIRIVA RESPIMAT) for Psychosis. On 17-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-May-2021, the patient experienced TOTAL LUNG CAPACITY DECREASED (lung capacity is down to half). On an unknown date, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced CHOKING (throat closed and choked on me) (seriousness criterion medically significant), CHEST PAIN (chest pain), DYSPNOEA (trouble breathing and chocked on me/cannot breath), THROAT TIGHTNESS (throat closed and chocked on me), MUSCULAR WEAKNESS (muscle weakness), ASTHENIA (getting week for some reason), DIZZINESS (dizzy), PAIN (pain shoot up at left side), FEELING ABNORMAL (Feeling strange), HEADACHE (headache) and FATIGUE (started to whack out). At the time of the report, CHOKING (throat closed and choked on me), CHEST PAIN (chest pain), DYSPNOEA (trouble breathing and chocked on me/cannot breath), THROAT TIGHTNESS (throat closed and chocked on me), TOTAL LUNG CAPACITY DECREASED (lung capacity is down to half), MUSCULAR WEAKNESS (muscle weakness), ASTHENIA (getting week for some reason), DIZZINESS (dizzy), PAIN (pain shoot up at left side), FEELING ABNORMAL (Feeling strange), HEADACHE (headache) and FATIGUE (started to whack out) outcome was unknown. The patient presented to the Emergency Room for his symptoms on 22-Apr-2021 and 01-May-2021. Additionally, on 17-May-2021, he went to his doctor who told him his lung capacity was down to half. No treatment information was provided. The patient received both scheduled doses of mRNA-1273 prior to the events therefore, action taken with the drug in response to the event is not applicable. Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded. This case was linked to MOD-2021-148103 (Patient Link).; Sender''s Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.


VAERS ID: 1367126 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-12
Onset:2021-05-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Fibroids
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021547947

Write-up: unusually heavier menstrual flow; This is a spontaneous report from a non-contactable consumer (patient). A 35-year-old female patient received second dose of bnt162b2 (BNT162B2), via an unspecified route of administration, administered in Left Arm on 12May2021 15:00, at the age of 35-years-old, (Lot Number: RHTSFD) as 2ND DOSE, SINGLE for Covid-19 immunization. Medical history included Fibroids. Historical vaccine includes first dose of BNT162B (lot number: ER8731) on 19Apr2021, left arm. The patient was not pregnant at the time of vaccination. Prior to vaccination, the patient has not been diagnosed with COVID-19. The patient''s concomitant medications were not reported. On 14May2021, patient experienced unusually heavier menstrual flow with outcome of not recovered. Since the vaccination, the patient has not been tested for COVID-19. No treatment was received for the event. No follow up attempts are possible. No further information is expected.


VAERS ID: 1367137 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Unknown  
Location: California  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Illness, Pain in extremity, Vomiting
SMQs:, Acute pancreatitis (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210513; Test Name: Blood for TB test; Result Unstructured Data: Test Result:Unknown results
CDC Split Type: USPFIZER INC2021550533

Write-up: Arm was hurting; got sick; Throwing up; This is a spontaneous report from a contactable consumer (patient). A 55-year-old patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EW0185, Expiry date not reported), via an unspecified route of administration, administered in deltoid left on 13May2021 (age at vaccination was 55 years) as unknown, single for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient experienced arm was hurting on 14May2021 with outcome of recovering, got sick on 14May2021 with outcome of recovering, and throwing up on 14May2021 with outcome of recovering. The patient underwent lab tests and procedures which included blood for TB test: unknown results on 13May2021. The events were reported as non-serious. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1367145 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-21
Onset:2021-05-14
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210514; Test Name: COVID; Test Result: Positive ; Comments: Testing was swabbed from mouth
CDC Split Type: USPFIZER INC2021555751

Write-up: COVID-19 confirmed by positive COVID-19 test; COVID-19 confirmed by positive COVID-19 test; This is a spontaneous report received from a contactable consumer (patient). This 51 years old female received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) the first single dose on 31Mar2021 (lot EN6199) in left arm and the second single dose on 21Apr2021 (lot ER8737), both at 51 years of age, for COVID-19 immunisation. Relevant medical history, family history and concomitant medications were none. She had no problems with unspecified shots in the past. The patient had her second dose of the Pfizer COVID 19 vaccine and tested positive on 14May2021 (she got the results on 15May2021). Testing was swabbed from mouth. Her 16 years old teenage daughter turned out to be positive for COVID so she got tested. She didn''t have any symptoms at that time, but right now she had like a cold. The patient added that she lost her smell. The event required physician office visit. She was not hospitalized. The event did not require any treatment or ER visit or hospitalization. She did not display clinical signs at rest indicative of severe systemic illness. The event did not result in multiorgan failure, respiratory diseases, cardiovascular diseases, gastrointestinal/hepatic diseases, renal diseases, neurological diseases, hematological diseases or dermatological diseases. COVID-19 was resolving.


VAERS ID: 1367191 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Unknown  
Location: Utah  
Vaccinated:2021-05-12
Onset:2021-05-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021559053

Write-up: Breathing was still not back up where it should be so the patient was on oxygen all the time instead of being on at night; arm''s still a little bit sore; This is a spontaneous report from a Pfizer. A contactable consumer (patient) reported that a 63-year-old patient of unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), the first dose via unspecified route of administration on 12May2021 as single dose for COVID-19 immunization; misoprostol, diclofenac sodium (ARTHROTEC), via unspecified route of administration from an unspecified date at an unspecified dose for an unspecified indication. The relevant medical history and concomitant medications were not reported. The patient just had Pfizer Vaccine, the first Pfizer vaccine on Wednesday because that''s what the patient wanted. That''s what the patient was trying to get before got COVID and ended up in the hospital, it was last month. On 14May2021, breathing was still not back up where it should be so the patient was on oxygen all the time instead of being on at night. It was just temporary. Patient later stated that arm''s still a little bit sore but other then that the patient hadn''t had any side effects with the vaccine. The patient was just happy and had a mild case. Action taken for misoprostol, diclofenac sodium was unknown. The outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1367207 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021561543

Write-up: like little temperature; achy joints; bad headache that usually she has, but it gets a little more achy; This is a spontaneous report received from Pfizer sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 2 via an unspecified route of administration on 13May2021 (lot number and expiry date: unknown) as 2nd dose, single, for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 for COVID-19 immunisation. On 14May2021, the patient experienced a reaction like little temperature, achy joints, and bad headache that usually she has, but it gets a little more achy. She took Excedrin, a type of Aspirin as treatment for the events. She was asking if those reactions can spread to others. Outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.


VAERS ID: 1367229 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Body temperature, Chills, Fatigue, Headache, Influenza like illness, Malaise, Nausea, Pain, Pain in extremity, Pyrexia, Suspected COVID-19, Vaccination site erythema, Vaccination site pain, Vaccination site swelling
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASPIRIN [ACETYLSALICYLIC ACID]; ROSUVASTATIN; TYLENOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (They all had COVID last year.); COVID-19
Allergies:
Diagnostic Lab Data: Test Date: 20210515; Test Name: body temperature; Result Unstructured Data: Test Result:100.4
CDC Split Type: USPFIZER INC2021568260

Write-up: headache; chills; joint pain; 100.4 fever; injection site swelling; little bit of redness on the site/injection site redness; injection site redness, pain, and swelling; nauseated; pain in the arm/arm started hurting/his arm and all the way up to his jaw was hurting; It felt like he had the flu and he had body aches.; It felt like he had the flu and he had body aches; He felt like what he was experiencing was COVID symptoms.; tiredness; general feeling of unwell; This is a spontaneous report from a contactable consumer (patient''s wife) via Medical Information Team. A 58-year-old male patient (Reporter''s husband) received first dose of bnt162b2 (FIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0177), via an unspecified route of administration, administered in left arm on 14May2021 in the evening (at the age of 58-years-old) as single dose for covid-19 immunization in pharmacy. Medical history included covid-19 in 2020. Family history included COVID (They all had COVID last year). Concomitant medications included acetylsalicylic acid (ASPIRIN), oral at 81 mg, daily started a couple of months ago and ongoing rosuvastatin at 40 mg, daily, has been taking it for a couple of months; paracetamol (TYLENOL, Strength: 650mg, Lot: SEA002, Expiry: Mar2021) at 650 mg. No additional Vaccines were administered on same Date of the Pfizer Suspect. It was unknown if he had prior Vaccinations (within 4 weeks). When he goes to the doctor he goes by himself. It was reported that reporter''s husband had the first dose of the Pfizer Friday and enquired some people say on the second dose the symptoms are worse, if it was true. He had tiredness and had general feeling of unwell on 14May2021; on 15May2021 he had headache, chills, joint pain, 100.4 fever, little bit of injection site redness, pain, and swelling/ injection site swelling, was nauseated. It felt like he had the flu and he had body aches. He went to sleep early on Friday night. She asked if he wanted Tylenol he said no. He mentioned in the middle of the night his arm started hurting. Then in the morning his arm and all the way up to his jaw was hurting. For the past two days their son has been sick and caller hasn''t been able to talk to her husband much. He comes home from work and goes to bed. It is unknown if symptoms are ongoing. It was the 8 hour muscle ache and pain. He took Tylenol twice on Saturday. On Sunday, he was feeling better. He felt like what he was experiencing was COVID symptoms. Reporter asked if he could wait a couple of days for getting the second so he can be off work. The second vaccine was scheduled for 04Jun2021. That is a Tuesday and he prefers a Thursday so he could have Friday and Saturday off. A visit to emergency room or physician office was not required. Seriousness for the events was reported as unspecified. The outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1367238 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chills, Diarrhoea, Dysgeusia, Dyspnoea, Pain in extremity, Palpitations
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021576067

Write-up: She had Covid 19 virus symptoms; shortness of breath; heart is racing; chills; she feels her mouth as if she had eaten too much salt; diarrhea; Feet pain; This is a spontaneous report from a contactable consumer or other non-HCP. A 59-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EW0170), via an unspecified route of administration, administered on Left Arm on 14May2021 09:00 at single dose for covid-19 immunization (to protect herself from the virus). The patient''s Medical history and concomitant medications were not reported. The Family Medical History Relevant to events was reported as none. The patient has not received any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0172) via unspecified route of administration administered on Left Arm on 23Apr2021 for COVID-19 immunization. On 14May2021 14:00 the patient experienced shortness of breath, heart is racing, chills, she feels her mouth as if she had eaten too much salt, diarrhea, feet pain. Upon received follow-up information on 20May2021, it was reported that On 18May2021 the patient experienced She was told she had Covid 19 virus symptoms and if her symptoms persisted to keep treating herself at home. The doctor did not perform a Covid 19 virus test. It was reported that About 5 hours after receiving her second Covid 19 vaccine, the patient experienced the events. The events resulted in physician visit. The relevant tests was reported as none. The outcome of event she had covid 19 virus symptoms was unknown, while rest of events was not recovered. Follow up(20May2021): New Information received from the Pfizer colleague includes new adverse event details, anatomical location of both doses details. Follow up(20May2021): Upon follow up, no new information has been included. Information about Lot/Batch number is available. Further information is expected.


VAERS ID: 1367732 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-02
Onset:2021-05-14
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

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


VAERS ID: 1367830 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Per patients mother/guardian, mom thought it would be okay for the patient to receive the vaccination due to the fact that the patient was going to be 12 in September, and felt that the benefits outweighed the risks. Mother/Patient also attested that patient was 12 years of age/older


VAERS ID: 1367850 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-25
Onset:2021-05-14
   Days after vaccination:78
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038K20A / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012A21A / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood osmolarity decreased, Cerebrovascular accident, Facial paresis, Hyponatraemia, Immune system disorder
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (narrow), Chronic kidney disease (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC) E87.1 - Hypo-osmolality and hyponatremia R29.810 - Facial weakness


VAERS ID: 1367956 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

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

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

Write-up: I have severe menstrual problems. Excruciating cramps and heavy bleeding. It started the day after the jab. A lot of women been saying that they had reactions like this and it''s not being study which is upsetting.


VAERS ID: 1368020 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-12
Onset:2021-05-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Headache, Hip arthroplasty, Influenza, Malaise, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Osteoporosis/osteopenia (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (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: SEVERE FLU SYMPTOMS; HEADACHE, DIZZY, HIP/MUSCLE PAIN , NAUSEA, AND MALAISE X 2.5 WKS. DID CONTACT PCP AND WAS TOLD SHE WOULD HAVE TO ''RIDE IT OUT''. HAS MEDS FOR PAIN, DIZZYNESS AND NAUSEA. STATES SHE DOES FEEL A LITTLE BETTER NOW.


VAERS ID: 1368100 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-14
Onset:2021-05-14
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 2 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045A21A / 1 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: valacyclovir 500 mg bid, prenatal vitamins, biktarvy once a day
Current Illness:
Preexisting Conditions: HIV
Allergies: no known drug allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: recurrence of her recurrent R flank shingles 3 weeks later on 5/14


VAERS ID: 1368167 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Echocardiogram normal, Electrocardiogram normal, Epstein-Barr virus test negative, Fatigue, Full blood count normal, Headache, Immunology test, Oropharyngeal pain, Parvovirus B19 test, Pyrexia, Red blood cell sedimentation rate normal, SARS-CoV-2 test negative, Streptococcus test negative, Tachycardia, Viral test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Norditropin - 1.6 ml/10mg per day Calcium 600 mg/day Vitamin D - 25 mcg/day
Current Illness: none
Preexisting Conditions: Idiopathic pediatric osteoporosis Idiopathic short stature
Allergies: sulfa drugs
Diagnostic Lab Data: Covid rapid negative 5/21 Covid PCR negative test on 5/21 results soon 5/23 5/25 - negative strep 5/26 EBV - negative, normal CBC, sed rate 20, 5/28 normal CBC 5/28 normal chest xray 5/29 normal EKG and echocardiogram Still waiting Lyme, Parvo and full nasal viral test
CDC Split Type:

Write-up: May 14 started a low grade fever, headache, fatigue May 18 bad headache, still low grade fever May 23 complaining of sore throat May 25 fever elevating to 101 May 27 fever as high as 103, begin to have chest pain and tachycardia May 28 fever 103.5 tachycardic and chest pain May 29 fever 102 range tachycardic and chest pain May 30 fever 102.7 still exhibiting chest pain and tachycardic May 31 fever of 102 June 1 fever only 99.5


VAERS ID: 1368264 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest pain, Electrocardiogram, Fibrin D dimer, Troponin
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: 5/18: EKG, bloodwork to check troponin levels and inflammation levels and D-Dimer.
CDC Split Type:

Write-up: Within a couple of hours I had intense stabbing chest pain. It felt like constant heart attacks. Yes, I should have gone to the ER, but I was alone with my kids and was worried about calling an ambulance. The pain in my left chest around my heart was excruciating and pretty constant. I read that it may be myocarditis so I self- treated with OTC anti-inflammatories. That seemed to help. So I waited 4 days taking lots of Ibuprofen before I felt up to going to the doctor. They ran tests, but the symptoms had subsided greatly by then so they didn''t diagnose it precisely. I am way too scared to get the 2nd dose. I feel like I wouldn''t survive it.


VAERS ID: 1368444 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-06
Onset:2021-05-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031B21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

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

Write-up: Patient developed a large bruise one week after receiving the vaccine. The bruise wrapped around her arm.


VAERS ID: 1368453 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Joint swelling, Lip swelling, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Bupropion
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Rash over entire body -3weeks and counting, swelling of lips in the morning 2 days, swelling of left ankle every night -3 weeks and counting


VAERS ID: 1368624 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-12
Onset:2021-05-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, HCTZ, Proscar, Flomax, aspirin 81 mg, Lipitor, Prilosec, Zoloft 50 mg.
Current Illness: Fever and myalgias after first vaccine 2 weeks prior.
Preexisting Conditions: HTN, HLD, BPH, nicotine deendence, depression.
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: He had extreme fatigue for 2 days after the vaccine. About 2 days after the vaccine, he developed watery diarrhea that has persisted for 2 weeks.


VAERS ID: 1368640 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-06
Onset:2021-05-14
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Condition aggravated, Heart rate increased, Thyroid function test abnormal, Tremor, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Hypoglycaemia (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra; Diamista - Steroid nasal spray; selenium
Current Illness: no
Preexisting Conditions: Grave''s disease - hyperthyroidism;
Allergies: Codeine; Stone fruits
Diagnostic Lab Data: Routine blood work - Thyroid numbers were elevated. I''m scheduled for follow up blood work in July. If I''m still elevated I will be put on immune suppressant medication.
CDC Split Type: vsafe

Write-up: Have been in remissions from Grave''s disease - auto-immune disease - for over a year. I had gone in for a routine blood exam (may 10th) - my Dr (May 11th - routine visit) saw that my thyroid numbers were elevated. Before the shot, I had no symptoms and now I have had symptoms of Grave''s disease. I am starting to get tremors and a bit of an elevated heart rate. When I go running, it gets elevated I have to stop. Weight loss.


VAERS ID: 1368654 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-12
Onset:2021-05-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Pain, Weight bearing difficulty
SMQs:, 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: No
Current Illness: No
Preexisting Conditions: No
Allergies: all medications causes reactions, no pain killers, no anesthesia, no dilation, no medical drug intervention
Diagnostic Lab Data: No
CDC Split Type:

Write-up: I started having hip pain where I couldn''t put weight on my left leg and the pain went from place to place on my body but it stopped, but the hip pain has been continuous and I''m going to physical therapy. It felt like maybe advance stages of arthritis but I''ve not had arthritis.


VAERS ID: 1368692 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-10
Onset:2021-05-14
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Vaginal haemorrhage
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: N93.9 - Abnormal uterine and vaginal bleeding, unspecified. ABDOMINAL PAIN. VAGINAL BLEEDING.


VAERS ID: 1368696 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-02
Onset:2021-05-14
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: Unspecified convulsions


VAERS ID: 1368723 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Per patients mother/guardian, mom thought it would be okay for the patient to receive the vaccination due to the fact that the patient was going to be 12 in September, and felt that the benefits outweighed the risks. Mother/Patient also attested that patient was 12 years of age/older


VAERS ID: 1368827 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative, Streptococcus test, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: Vitamin D
Current Illness: None
Preexisting Conditions:
Allergies: Nuts, peanuts, sesame seeds, and blood products
Diagnostic Lab Data: Covid test - Negative, Strep test - Negative
CDC Split Type:

Write-up: Really bad sore throat and hives.


VAERS ID: 1368873 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Patient vomited ten minutes post-vaccination and reported feeling better immediately afterward. 6/2/21: 12:23pm - spoke to dad. Child doing fine. No questions or concerns.


VAERS ID: 1369346 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Hypoaesthesia, Mobility decreased
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Moderna COVID-19 Vaccine EUA. About 10 minutes after I got the shot I felt a small pain in the left side of my chest. It lasted about two minutes before passing so I wasn''t very concerned, I thought it was just part of the shot. About an hour after the shot the pain in my chest came back much worse. Ten minutes after the chest pain my arms felt numb. I struggled with opening and closing my hands. I have terrible insurance, no primary care physician and don''t have the money for hospital bills so i didn''t want to go to the hospital. I slept a couple hours hoping I''d feel better when I woke. It didn''t help. The pain and numbness lasted about two days, most of which I tried to sleep through. I still have a off feeling in my chest that I don''t know how to describe. My family tried to getting me to go to the ER but I resisted for the reasons mentioned. I''m supposed to get my second shot on the eleventh but I''m scared of what will happen.


VAERS ID: 1369952 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Electrocardiogram normal, Laboratory test
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? 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: CRUSHING CHEST PAIN 2 HOURS AFTER SHOT. DID NOT GO TO ER BUT FELT LIKE SHE WAS GOING TO DIE. DID GO TO PCP AND EKG/LABS WERE NORMAL.


VAERS ID: 1370588 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Feeling abnormal, Headache, Hypoaesthesia, Loss of consciousness, Malaise, Nausea, Pain in extremity, Paraesthesia, Rash, Vaccination site pain, Vascular injury
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CETIRIZINE; QVAR; MOMETASONE FUROATE; ZENATANE; TYLENOL; AYR SALINE; AYR SALINE; SIMILASAN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Acne; Allergy; Anaphylaxis; Asthma; Eczema; Gastroparesis; Pain; Red blotches
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021567769

Write-up: it looked like the blood vessels or veins in the bend of elbow, inside of the elbow that looked like possibly a blood vessels that burst there.; feels sick; his body didn''t feel right and he felt that way again yesterday when he felt so bad.; numbness and tingling right arm; tingling/numbness and tingling right arm; rash on the right arm; he has pain and a rash on his right arm; feeling like passing out; dizziness/lightheadedness; nausea; chest tightness/ chest was so tight and pulling.; pain in the arm at the injection site; headache; This is a spontaneous report from a contactable consumer (patient''s mother). A 15-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 14May2021 11:15 (Batch/Lot Number: EW0173; Expiration Date: Aug2021) as 1ST DOSE, SINGLE for covid-19 immunisation (Age at vaccination: 15 years). Medical history included asthma, allergy, acne, pain, Gastroparesis, eczema, red blotches /bright red dots on his whole body and anaphylaxis. Concomitant medications included cetirizine (CETIRIZINE) taken for allergy; beclometasone dipropionate (QVAR) taken for asthma; mometasone furoate (MOMETASONE FUROATE) taken for allergy; isotretinoin (ZENATANE) taken for acne; paracetamol (TYLENOL) taken for pain; sodium chloride (AYR SALINE, both nasal spray and nasal gel) taken for allergy; herbal extract nos, homeopathics nos (SIMILASAN) taken for allergy, all are ongoing. The patient previously took advil [ibuprofen] and experienced anaphylactic reaction (when he was about 4 years old in about 2009 or 2010.). The reporter who is mother of patient calling regarding the Pfizer Covid 19 vaccine. States she wanted to call and report some side effects from the vaccine for her son. Reports he received the first dose of the Pfizer Covid 19 vaccine 14May2021 at 11 15 AM in the upper left arm. He stayed extra minutes after the shot because he had anaphylaxis before and had red blotches before in the past. Reports after receiving the first dose of the Pfizer Covid 19 vaccine, when they got to the car he said his chest was so tight and pulling. That lasted 1 to 2 minutes only on that day (on 14May2021, 12:00). Since then and even on the very first day he has had dizziness; lightheadedness; and felt like passing out (on 14May2021, 12:00). Adds he has been having to go to the nurse''s office for headaches for the last two days (occurred on 14May2021). The reporter states her son has been very disappointed and mad at her for making him have the vaccine. Nausea - she adds her son also had some nausea (on 14May2021, 12:00). Right arm - he has pain and a rash on his right arm, the opposite arm from the shot, with numbness and tingling right arm (occurred on 17May2021); tingling. When he went to the nurse someone in that office mentioned that it looked like the blood vessels or veins in the bend of elbow, inside of the elbow that looked like possibly a blood vessels that burst there on an unspecified date. Pain in the arm at the injection site (occurred on 14May2021, 12:00) from the first day that is improved. The patient''s body didn''t feel right - when they started walking to the car his body didn''t feel right and he felt that way again yesterday when he felt so bad. The first day and yesterday he felt his body didn''t feel right (occurred on 17May2021, 11:45). Dizziness - is mostly when standing up and is lasting a lesser amount of time and getting better. Feels the sensation of like passing out with the dizziness on standing. Headaches - he has every day but yesterday was terribly bad and today were the worst. The reporter mentions that the patient stated the he feels sick on an unspecified date. Outcome of the events loss of consciousness, dizziness and vaccination site pain was recovering. Outcome of the event chest tightness was recovered on 14May2021 while outcome of the events numbness and tingling right arm was recovered on 18May2021. Outcome of the events pain in arm, vascular injury and malaise was unknown. Outcome of the remaining events was not recovered.


VAERS ID: 1370590 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-30
Onset:2021-05-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: School       Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021567942

Write-up: Bell''s Palsy; This is a spontaneous report from a contactable consumer reported for herself. A 41-year-old female patient (not pregnant) received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose via an unknown route on 30Apr2021 10:00 for Covid-19 immunization. Medical history and concomitant drug were not provided. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Historical vaccine included 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 09Apr2021 for Covid-19 immunization. The patient reported events diagnosed as Bell''s Palsy, left sided facial droop, inability to move the left forehead, left facial numbness, inability to close the left eye. The adverse event started since 14May2021. Treatment included prescription of a seven-day course of Prednisone, etc. The adverse event result in Emergency room/department or urgent care. Outcome of the event was not resolved. Since the vaccination, the patient has not been tested for COVID-19. The report was not assessed as serious. Information on the lot/batch number has been requested.


VAERS ID: 1370613 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Gastrointestinal inflammation
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PROTONIX [OMEPRAZOLE]; PAXIL [PAROXETINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Crohn''s disease; Sulfonamide allergy (sulfa and pristique)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021569096

Write-up: Extreme abdominal pain with inflammation of the intestines; Extreme abdominal pain with inflammation of the intestines; This is a spontaneous report from a contactable consumer (patient). A 38-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number EP6955, at the age of 38-year, on 13May2021 13:00 at single dose in left arm for COVID-19 immunization. Medical history included crohns disease, allergies to sulfa and pristique. The patient had no covid prior vaccination. The patient had not tested Covid post vaccination. Concomitant medications included omeprazole (PROTONIX) and paroxetine hydrochloride (PAXIL). The patient had not received other vaccine in four weeks. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received first dose of BNT162B2, Lot number ER8732, on 22Apr2021 13:00 in right arm. The patient experienced Extreme abdominal pain with inflammation of the intestines on 14May2021 12:00. Both events resulted in Emergency room/department or urgent care and Hospitalization. Duration of hospitalization was 4 days. Treatment included steroids, antibiotics, fluids, pain medicine. The outcome of both events was resolving.


VAERS ID: 1370991 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-05-10
Onset:2021-05-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / IM

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

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

Write-up: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild


VAERS ID: 1371313 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Lymphadenopathy, Neck pain, Sensation of foreign body
SMQs:, Anaphylactic reaction (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Swollen lymph nodes in my neck. Sore swollen neck. Constantly feeling a lump inside my throat. This has been happening ever since I received the vaccine.


VAERS ID: 1371340 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-19
Onset:2021-05-14
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 2 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Menstrual disorder, Menstruation irregular
SMQs:, Fertility disorders (broad)

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

Write-up: My period used to be quite regular and last 3 days. My period after covid vaccine second shot has been pretty much non-existent. On my first cycle I had no blood. On second, one day of light spotting and that was it.


VAERS ID: 1371357 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Chills, Decreased appetite, Diarrhoea, Dyskinesia, Muscle spasms, Myalgia, Nausea, Oropharyngeal pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Dyskinesia (narrow), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Anaphylaxis to PCN''s. Reactions to Reglan through an IV: increased heart rate, jitters, uncontrollable muscle spasms, talking out of my head, rocking back and forth etc.
Diagnostic Lab Data: none, did not report to my physician but I would have if the fever was over 104, or continued past the 4 days.
CDC Split Type:

Write-up: within 3 hours started a fever and chills. By 12 hours later fever even with a dose of tylenol remained at 103. Next day fever and chills but also included muscles aches. Within 24 hours could not bring fever down below 103+ (even with tylenol and motrin, double dose of each at the same time) and started uncontrollable muscle jerks/spasms. Continued high fever for 4 days along with muscle spasms for 48 hours. Fever broke 4 days later but was left with a sore throat, no taste, no appetite and nausea and diarrhea. 6 days later nausea, diarrhea, and sore throat subsided and left with inability to taste normally. Tastebuds went back to normal around two weeks after vaccine. The severity of the fever and muscle jerks was the main concern.


VAERS ID: 1371399 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Paroxetine
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None yet, seeing doctor on 6/4 (per advice of nurse who administered second vaccine today)
CDC Split Type:

Write-up: Arm painful weeks after first vaccine


VAERS ID: 1371454 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Discomfort, Dyspnoea, Fatigue, Fear, Feeling hot, Flushing, Heart rate increased, Pain, Paraesthesia, Sleep disorder, Tachycardia
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Dehydration (broad)

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

Write-up: Starting 5/14 evening, I started having tingling and pins and needles in my extremities, and that same evening, I started having shortness of breath/difficulty breathing. I was wide awake and had a very difficult time sleeping. I woke up numerous times hot and flushed and at 1am, I could barely breathe because my heart was beating extremely fast. I was very scared. I couldn''t even slow my breath with meditation or breathing. I somehow finally fell back asleep after about 2 hours, even though my heart continued to beat very fast. I woke up the next morning naturally exhausted. I have since experienced occasional tachycardia and frequent bouts of tingling and pins and needles particularly in my extremities. Yesterday, 6/2, I woke up with extreme pins and needles in my extremities to the point of pain and discomfort, particularly my hands/fingers but throughout my body, and they kept up all day long and well into the night, worsening into the night. I woke up today with less pins and needles, but there are still felt in my upper limbs, particularly my left arm/hands.


VAERS ID: 1371616 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site irritation, Injection site paraesthesia, Injection site pruritus, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: REDNESS, ITCHING, IRRITATION AT INJECTION SITE THAT PERSISTED FOR OVER 10 DAYS AFTER RECEIVING THE FIRST DOSE OF THE MODERNA COVID VACCINE. SHE DESCRIBED A GENERALIZED, ODD, TINGLY FEELING THAT SHE HAD NEVER FELT BEFORE BUT DESCRIBED THE IRRITATION AS RESEMBLING A BAD BUG BITE. SIZE OF RASH, WHICH WAS NOT BLISTERING, OOZING, OR FLAKING, COVERED A SIZE ROUGHLY 3-4 TIMES THE SIZE OF HER PALM.


VAERS ID: 1371617 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-06
Onset:2021-05-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 UN / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: CSF protein increased, Hemiparesis, Hypoaesthesia, Inflammation, Lumbar puncture abnormal, Magnetic resonance imaging head, Magnetic resonance imaging neck, Myelitis transverse, Myelomalacia
SMQs:, Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ibuprofen 800mg Synthroid Multivitamin
Current Illness: none
Preexisting Conditions: Hypothyroidism Hyperlipidemia
Allergies: NKDA
Diagnostic Lab Data: Brain MRI, cervical MRI done around May 16, 2021. Lumbar puncture done on May 17, 2021
CDC Split Type:

Write-up: Patient developed numbness and weakness in left arm, left leg and left side of abdomen. Cervical MRI with and without contrast showed enhancement . Lumbar puncture had high protein levels. Neurology consulted and think process is either cervical myelomalacia or cervical transverse myelitis/vaccine associated inflammation. Patient had never had a problem like this before. He was given high dose Solumedrol X 2 days and sent home on a prednisone taper. His numbness and weakness had improved at time of discharge from the Hospital on May 18, 2021. However, I see he has been readmitted to the Hospital on May 27, 2021 with similar symptoms.


VAERS ID: 1371916 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-30
Onset:2021-05-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient presented to the ED with mild chest pain and hypertensive urgency and was subsequently hospitalized.


VAERS ID: 1372043 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Injection site induration, Joint range of motion decreased, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: not available
Current Illness: not available
Preexisting Conditions: not available
Allergies: NKDA
Diagnostic Lab Data: Patient has been advised to get in touch with his primary care physician for a consultation.
CDC Split Type:

Write-up: Pt called on 6/3/21 to say he is still having arm pain. He still feels a hard knot at the injection site. He also described gradual decrease in range of motion of the arm. Patient also stated that he has had a headache almost every day since the vaccine.


VAERS ID: 1372061 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Paraesthesia, Skin discolouration, Skin texture abnormal, Swelling face, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Periorbital and eyelid disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Genvoya; Atorvastatin; Netformin; Escitelpram; Hydrochlotho-Thiazide
Current Illness: None
Preexisting Conditions: Hypertension; HIV+
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Excessive swelling of face and eye lids;tingling sensation on face-immediatly the morning aftervacination Discoloration of cheek and texture change to skin at cheek-continuous through next three (3) weeks


VAERS ID: 1372148 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Mobility decreased, Muscle fatigue, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Patient has not gone to the doctor. I encouraged her to go to her provider but she is refusing.
CDC Split Type:

Write-up: Leg muscles are tired and weak. Started day after second dose vaccination. Still an issue (6/3). Had to reduce activity level by at least 50%. Weakness has been constant (not getting better or worse) since it started.


VAERS ID: 1372743 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-11
Onset:2021-05-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

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

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

Write-up: Rash on arm


VAERS ID: 1372758 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Headache, Immediate post-injection reaction, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, Klonopin
Current Illness: No illness, but dealing with spinal fluid leak
Preexisting Conditions: Previously diagnosed with autoimmune urticaria, however auto-antibody levels had disappeared years ago and no recent flare ups. Seemingly increased sensitivity to high histamine foods or drinks, but with few outbreaks. Spinal Fluid Leak. Bulging discs and nerve pain. Gastroparesis.
Allergies: Cortef, Hydrocortisone, Avelox, Levaquin, Chicken, Pineapple
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediately after receiving first shot, I became light headed and developed a headache. Within 2.5 hours, I began to develop itching and hives on my face and neck and within 24 hours they were also covering the trunk of my body. Within three days they began to recede (treated with Zyrtec). Roughly 13 days after the shot, I began to develop hives and itching again but this time over my entire body. Began treating with Benadryl cream, Benadryl anti-itch spray, Zyrtec and by day 17 my hives had gone down by itching remained. Going on day 21 and itching remains and gets worse depending on what I eat, what medications I take. I now seem to be reacting as though I''m having an allergic reaction to (Gabapentin and Klonopin) and liquid and pill form Benadryl are making me itch. All began immediately after shot - no issues before.


VAERS ID: 1373745 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Cardiac disorder, Chills, Dizziness, Feeling abnormal, Loss of consciousness, Lymphadenopathy, Pain, Paraesthesia
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: USPFIZER INC2021583451

Write-up: Completely blacked out; heart unstable; Light headedness; On Monday she did not feel herself. She felt bad,; tingling in hands, legs, and ankles; left hip was super sore; glands in neck were aching; Body aches; Chills; This is a spontaneous report from a contactable consumer (patient). A 72-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 13May2021 (Lot Number: EW0172) as 2nd dose, single for covid-19 immunisation. The patient medical history was not reported. The patient''s concomitant medications were not reported. The patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) lot number EW0162, left arm, on 13Apr2021 for Covid-19 immunization. The patient experienced completely blacked out on 18May2021 with outcome of unknown, body aches on 14May2021 with outcome of unknown, chills on 14May2021 with outcome of unknown, tingling in hands, legs, and ankles on 15May2021 with outcome of recovering, left hip was super sore on 15May2021 with outcome of recovering, glands in neck were aching on 15May2021 with outcome of unknown, heart unstable on 18May2021 with outcome of unknown, light headedness on 18May2021 with outcome of unknown, on Monday she did not feel herself. she felt bad, on 18May2021 with outcome of unknown. She received treatment for event heart unstable. Clinical course: Caller called after her first dose of the COVID vaccine because she had a question about a heart test she needed to have done and was it safe. She also had called about side effects she had from the first vaccine. She wanted to follow up with the second vaccine because she had some unusual problems with it. She got the vaccine. She did not have a prescribing doctor. She went to University . She asked questions from side effects after the first one. Caller doesn''t have a reference number. She was reluctant to get the second knowing how sensitive she was to the first dose. She worked with her heart doctor after the symptoms she had after first dose which were heart related. They beefed up her heart medications for the second one. She is very sensitive to medications and vaccines in the past. She was in shock. With the second shot, everything was fine on the first day. That night she was fine as well. She got the shot Thursday 13 May 2021.On Friday she was pretty okay. She did have body aches and chills. On Saturday 15 May 2021, she had tingling in her hands, legs, and ankles. Her left hip was super sore enough that she couldn''t stand on it. The glands in her neck were aching. They beefed up her heart medication, but her heart was beating like crazy. On day 3, Sunday, she was still having weird tingling and heart stayed stable. On Monday she did not feel herself. She felt bad but went to work. At that point she was not happy she took the COVID vaccine. Tuesday, 18 May 2021, her heart was really unstable. She was lightheaded. Her heart was beating back and forth extra hard. She had a hard time getting ready for work. She took readings on her apple watch. She went to leave for work but couldn''t find her keys. She decided she would be fine. She was standing at her door trying to set the alarm when she woke up on the floor in the kitchen. She had blacked out in the kitchen. She came too on the floor, and her heart was going back and forth. Her heart doctor said don''t go to the hospital. He thought it was a combination between the stress of the vaccine, and her extra heart medication. She is seeing her heart doctor today for follow up. This is the first time she has ever just completely blacked out. Her symptoms are ongoing, but much improved. She can finally stand now. She had body aches in specific places. There was nothing wrong in her left hip normally. The tingling in her hands has went away, but it is still in her knees and feet. It feels like she has neuropathy. It has improved but is bothersome. She is glad it is not seeming to be an ongoing thing. Second dose on 13May2021, She waited a week due to side effects from the first one because she was pretty sick. Most of the symptoms were on the left side of her body. She had numbness and tingling in her hands and feet. The passing out was not good. She was super disoriented . She didn''t know if she hit her head or not. She is very sore. Her friend came over. Her shoulder and arm are bruised. The doctor said with COVID going on not to go to the ER. The doctor stayed in touch with her on Tuesday, and said he would see her Thursday morning, Today. She thinks she is okay. It was just a combination of everything. With the first vaccine she had arrhythmias and Afib for 3 days. The doctor said he read that multiple patients from all the different COVID vaccine have experienced a flare up in their arrhythmias.


VAERS ID: 1373809 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Hawaii  
Vaccinated:2021-05-10
Onset:2021-05-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Musculoskeletal chest pain, Pain
SMQs:, Anaphylactic reaction (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021612368

Write-up: I was woken up at 01:30am in extreme pain; Sharp pain in the left side chest wall muscle; Difficult to breathe normally without significant pain; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on 10May2021 as 2ND DOSE, SINGLE for Covid-19 immunisation. The patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on unspecified date as first dose, single for Covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 14May2021 the patient went to lay down then suddenly, the patient got sharp pain in the left side of the chest wall muscle, the patient found it difficult to breathe normally without significant pain. The patient had applied heat, balms, icy hot as corrective therapy. Last night the patient was woken up at 01:30 in extreme pain, the muscle pain was so sharp and debilitating, the patient seriously thought of calling 911. The outcome of the events was unknown. Information about the Lot/batch number has been requested.


VAERS ID: 1374086 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Paraesthesia, Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Dehydration (broad)

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

Write-up: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild


VAERS ID: 1374143 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

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

Write-up: Dumbness and tingling in arm, hand and fingers of arm in which shot was administered.


VAERS ID: 1374229 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 RA / IM

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

Write-up: Patient falsified DOB when registering for vaccination, stating the minor was one year older. Guardian consented to the vaccination. Health department verified with statistical records that the patients actual DOB is (what is now on file) which made the vaccine a contraindication. No known adverse reactions noted.


VAERS ID: 1374388 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Sleep disorder
SMQs:

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

Write-up: sleep disturbance - unable to fall asleep, waking frequently - worse in the week after vaccination, gradually improving


VAERS ID: 1374526 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186-H / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186-H / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Syringe issue
SMQs:, Medication errors (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: Non Report
Current Illness: None Report
Preexisting Conditions: None Report
Allergies: None Report
Diagnostic Lab Data: Needle Stick Protocol implemented at Medical Center
CDC Split Type:

Write-up: Adverse Event: This writer was informed by vaccinator (LPN) that guest had concerns of being vaccinated by vaccinator, LPN, with a previously used Vanish Point syringe. The vaccinator informed patient that the syringe was empty and he would like to re-vaccinate him. Intervention: The needle retracts into the syringe and the needle would not be able for another injection. Patient states that he felt the needle as it was injected into his arm. Patient states that he was told by the vaccinator (LPN) that the syringe was empty. Guest?s asked the vaccinator ?why would you not check the syringe before sticking me?? The vaccinator stated ?I am sorry, I usually do, but I could tell by the way the syringe plunger felt as I was pushing it, to administer the vaccine that it was empty. Outcomes: This writer assessed and educated guest and explained to him that it was more than likely not ? that he was injected with a previously used syringe. The Vanish Point needle and syringe system retracts once it has been activated/engaged. He felt the needle as it entered his Left Deltoid. Guest agreed to re-injection of the Pfizer Vaccine in his Right Deltoid. Dr. called and the above information provided to him. He advises that if the guest would like he would call Emergency Room so that the guest could be further assessed and offered prophylaxis protocol if indicated. Guest and his daughter were informed of this offer and decided that they would go for this assessment and services. Received a call from Dr. (ER) and informed him of the above information. Called guest on 5/19/2021 for follow-up and his daughter reports that guest has had no untoward effects.


VAERS ID: 1374632 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Heart rate irregular, Myocarditis
SMQs:, Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Myocarditis. Irregular heartbeat.


VAERS ID: 1374750 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-03
Onset:2021-05-14
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Facial pain, Facial paralysis, Neuralgia, Pain
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Hearing impairment (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: Lexapro; Lamotrigne; Trazodone; Levothyroxine; Simvastatin; Flovent asthma maintenance; Fluticasone; Latanoprost, eye drops'' Dorzolomide/Timolol, eye drops; Tylenol; Calcium; Vitamin D; Magnesium; Cinnamon
Current Illness: None
Preexisting Conditions: Asthma; Osteo Arthritis; Glaucoma
Allergies: Pennicillan; Demorol
Diagnostic Lab Data: None. My Primary doctor prescribed a steroid and anti-viral medication.
CDC Split Type:

Write-up: The problem started around May 14 with facial nerve pain around my right eye and temple. Just super sensitive to touch. It then became very painful down low behind my right ear. It didn''t burn, but it did feel like nerve pain and it was throbbing. It was r3eally quite painful. Then I noticed that my right eye didn''t feel right and neither did my mouth. I went to look in the mirror and my face wasn''t right . It was all sagging on the right side. My eye brow had fallen, my eye wouldn''t blink on it''s own and I couldn''t smile on the right side of my mouth. I checked for all the signs of stroke and fortunately my speech was okay and my tongue worked okay. I did a video call with my Dr. the next day and she said I have Belle"s Palsy. The pain behind my ear lasted about 3 days. It is now a week past the diagnosis of Belle''s and my face is still paralyzed. I read that there were cases of Belle''s Palsy in the trials and felt I should report this.


VAERS ID: 1375056 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / IM

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

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

Write-up: Pt claims that a rash formed roughly 12 hours after first dose of the Pfizer Covid-19 Vaccine. Started on his back/abdomen area and moved up both arms. Itchy rash with no throat swelling, dizziness, etc.


VAERS ID: 1375114 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Seizure like phenomena, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Cardiomyopathy (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient fainted immediately after vaccination, and was described as having seizure-like activity. Patient felt better after resting and drinking juice; refused transport to hospital and was released to home.


VAERS ID: 1375120 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 - / -

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (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), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient felt dizzy and momentarily lost consciousness immediately following vaccination. Patient felt better after resting and was released to home.


VAERS ID: 1375800 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-11
Onset:2021-05-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Confusional state, Fatigue, Headache
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: Methimazole, Aspirin, Sym,bicort, Spirivia, Loratadine, Montelukast, Pro Air, Vitamin b12, Xanax, AREDS 2, Amlodipine
Current Illness: Seasonal allergies
Preexisting Conditions: CPOD, Hypertension, Thyroid, Allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Confusion, headache, Joint Pain, Weakness,Tiredness


VAERS ID: 1376176 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-07
Onset:2021-05-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: IRON; VIT B12; MULTI VITAMINS & MINERALS; IBUPROFEN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Iron deficiency anemia; Pernicious anemia
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021574403

Write-up: A week after the 1st shot my period came on extremely heavy.Gushing, passing clots and bleeding through both pad and tampon quickly!; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 42-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), at same age, dose 1 via an unspecified route of administration, administered in Arm Left on 07May2021 15:00 as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included iron deficiency anemia, and pernicious anemia. Concomitant medications included iron; cyanocobalamin (VIT B12); ascorbic acid, biotin, calcium pantothenate, calcium phosphate dibasic, cyanocobalamin, ferrous fumarate, folic acid, magnesium oxide, manganese sulfate, nicotinamide, potassium sulfate, pyridoxine hydrochloride, riboflavin, thiamine mononitrate, tocopheryl acid succinate, zinc sulfate (MULTI VITAMINS & MINERALS); and ibuprofen. The patient experienced a week after the 1st shot her period came on extremely heavy, gushing, passing clots and bleeding through both pad and tampon quickly on 14May2021 16:30 with outcome of recovering. Patient had iron deficiency anemia that had been under control until now. Had not bled like this in years. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, patient had not been tested for COVID-19. No treatment was received. Information about batch/Lot number has been requested.


VAERS ID: 1376412 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-05
Onset:2021-05-14
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Gingivitis, Lip ulceration, Mouth ulceration, Viral test negative
SMQs:, Severe cutaneous adverse reactions (broad), Systemic lupus erythematosus (broad), Oropharyngeal infections (narrow), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Xyzal 5 mg BID, famotidine 40 mg BID, zileuton XR 1200 mg BID, hydroxycholorquine 200 mg BID, methotrexate 15 mg SC weekly, Gastrocrom 200 mg PO BID, cromolyn sodium nebulized 20 mg PRN, tramadol 100 mg BID, gabapentin 300 mg SID, Xolair 30
Current Illness: Being worked up for GI symptoms - had colonoscopy 3 days prior to vaccination (colonoscopy biopsy results normal)
Preexisting Conditions: Mast cell activation syndrome; mastocytic enterocolitis; extraglandular Sjogren''s syndrome. In diagnostic work up: history of chronic diarrhea not fully responsive to mast cell disease management, with intermittent hematochezia; current differentials include Crohn''s or Behcet''s
Allergies: Latex, morphine, gluten, dairy, nightshades
Diagnostic Lab Data: Viral culture swab - negative for growth 5/17/21
CDC Split Type:

Write-up: 6 weeks after vaccination developed severe diffuse oral ulcerations ($g50 ulcers) present on buccal mucosal margins, lips, gingivitis, oropharynx.


VAERS ID: 1376540 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vienva (oral contraceptive), Spironolactone, Levothyroxine, omeprazole OTC
Current Illness:
Preexisting Conditions: Hashimoto?s Hypothyroidism
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heart palpitations and shortness of breath for approximately 6 hours in duration


VAERS ID: 1376824 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 2 LA / SYR

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

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

Write-up: Chest pain; pain and soreness in kidneys. Both chest pain and kidney pain lasted for about 36 hours


VAERS ID: 1376890 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Hyperhidrosis, Nausea, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

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

Write-up: After both shots, around 10 hours later I started to experience shivering but I was also sweating. I took my temperature and did not have a fever. I felt very nauseous during this time too but threw up only after the first dose. My whole body was sore and even the slightest touch was painful.


VAERS ID: 1377155 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0165 / 1 LA / IM

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

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

Write-up: Patient w/ history of anxiety, Pt felt dizzy, complaining of SOB, tongue swelling. Gave 0.3mg IM epi immediately. RRT called. Patient given 50mg of IM Benadryl. Patient escorted to the ED. In the ED, serial exams normal since vss, nad, d/c around 10pm after more obs.


VAERS ID: 1377351 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-21
Onset:2021-05-14
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: For 2-3 weeks, episodes of L ear numbness, top of ear, lasting for 10-15 seconds multiple times during the day and then goes away. But comes back, sometimes some electric feeling.


VAERS ID: 1378094 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Extra dose administered, Interchange of vaccine products
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: Person received the Johnson & Johnson vaccine on 3/4/21 and then received their first Pfizer vaccine on 5/14/21.


VAERS ID: 1378339 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Dry throat, Dysphagia, Throat irritation, Tongue discolouration
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Client received her 1st dose of COVID Pfizer vaccine at 17:14. After leaving vaccine site and sitting in her car for 5 minutes she returned to the vaccine site at 17:44 and communicated to the Ancillary Co-Lead that she was having trouble swallowing. Ancillary Co-Lead sat client in a chair and requested EMT & Nurse assistance over the walkie-talkie at 17:45. Lead RN, Co-Lead RN, and EMT reached client at 17:47. Client stated her throat was dry and she was having mild trouble swallowing. EMT requested client to stick out her tongue. EMT, Lead RN, and Co-Lead RN observed that client''s tongue appeared white and chalky. Client stated no SOB, trouble breathing, or any other symptoms. Client stated she has no allergies and has never experienced passing out or any adverse reaction to a medicine or medical procedure. Client was alert & oriented times 4. Client stated that she started to have an odd feeling in her throat when she was sitting in the observation room, but did not think anything of it and left. After getting in her car, client drank a immunity booster shot, noticed trouble swallowing and came back to the site. Client stated she was unsure if the immunity shot contained caffeine. Client stated that she has a doctor she sees regularly, has no underlying medical conditions and takes no medications. Client also stated that she had a hysterectomy 6 months prior and could be experiencing surgical menopause. Client indicated that she was nervous about getting vaccinated and felt anxious both before and after receiving the vaccine. Tech brought client a bottle of water. EMT proceeded to take client''s vital signs at 17:55 as follows: BP: 146/88, HR: 75, O2: 99. The client''s friend who came to the site with her also walked up at that time. Client communicated that she does not have high blood pressure. Client requested more water and ended up drinking a total of 4.5 bottles. Client stated that she had no dinner the night prior and only had a protein shake and small amount of soup today. Client stated that she was starting to feel better and that her throat was just really dry. EMT obtained 2nd set of vitals at 18:06 as follows: BP: 142/80, HR: 98, O2: 99. Client stated she was just feeling anxious about the incident, but feeling better overall. Client stated she was swallowing OK. Client stood up and stated that she felt OK. Lead RN recommended client go to urgent care if swallowing issue returned and to call 911 if she experiences any SOB or trouble breathing. Lead RN also communicated to client that she can follow up with her HCP and/or allergist for input on receiving 2nd shot of Pfizer vaccine. Client left with her friend at 18:11 and was walking with a steady gait.


VAERS ID: 1378990 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-29
Onset:2021-05-14
   Days after vaccination:46
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Appendicitis
SMQs:

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

Write-up: Unspecified appendicitis


VAERS ID: 1378997 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Decreased appetite, Fatigue, Feeling abnormal, Hypertrophy of tongue papillae, Noninfective gingivitis, Paraesthesia oral, Pyrexia, Taste disorder, Tongue discomfort
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Periodically: VitaFusion Women''s multivitamin gummy & Antarctic Krill Oil 2000mg
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin (Body rash)
Diagnostic Lab Data: No tests have been performed.
CDC Split Type:

Write-up: Around 12 hours after receiving the 2nd dose of Pfizer vaccine (around 1:00am), I began to get extremely tired (similar to the way one gets after taking a sedative). The next morning, I felt run down. I didn''t want to get out of bed. Felt like a truck hit me. Very normal reactions so far. Foggy headed. Then got chills and a mild fever some time in the afternoon. Tongue *felt*(?) funny. Difficult to explain the sensation. Taste and tongue feel just felt different than usual. On Saturday (two days after the vaccine), I still felt run down, cold and foggy headed. Attempted to eat a cheese sandwich, but it hurt(!?). Felt like I really burnt my tongue on food, but did not. The rest of the symptoms were 90% gone by Sunday, the 3rd day after vaccine, but tongue still hurt. Noticed a few swollen taste buds on tongue on Monday (4th day after), and a sore on upper R gum area, near canine. It took roughly 5-6 days for tongue to return back to normal. "Odd" feeling remained for a few days more. I had been put off, for some reason, by wanting to drink coffee ever since day 1 after the vaccine. I drank it on Friday, but absolutely didn''t want it on Saturday, or since. I have just been drinking tea. It is very strange for me, since I absolutely love(d) coffee and would normally drink several cups a day! Also, side random note: On Tuesday, the 5th day after the vaccine, I had a very random, very strong taste of rosemary while eating lunch (a tuna sandwich, prepared by myself). I didn''t put rosemary in it. The taste subsided nearly as quickly as it came, which is odd considering if I were to have bitten into a rosemary leaf (that washow strong it tasted), the taste would have lingered for several more bites. It did not.


VAERS ID: 1380644 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Nevada  
Vaccinated:0000-00-00
Onset:2021-05-14
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Antibody test, SARS-CoV-2 antibody test, T-lymphocyte count, 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; Non-smoker; Sulfonamide allergy
Preexisting Conditions: Comments: The patient did not have any history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210514; Test Name: Antibody test; Result Unstructured Data: Negative; Test Date: 20210514; Test Name: SARS-CoV-2 IgG antibody test; Result Unstructured Data: Negative; Test Date: 20210526; Test Name: T-lymphocyte count; Result Unstructured Data: Negative; Test Date: 20210526; Test Name: Antibody test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210606012

Write-up: CONFIRMED IMMUNOLOGICAL VACCINE FAILURE; This spontaneous report received from a patient concerned a 55-year-old white and non-Hispanic or Latino male. Initial information received from patient on 02-JUN-2021 was processed with additional information received on 03-JUN-2021. The patient''s height, and weight were not reported. The patient''s concurrent conditions included allergy to sulfa. Patient was non-alcohol user, and non-smoker. Patient had no any history of drug abuse or illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805018 expiry: UNKNOWN) dose was not reported,1 total, administered on 13-MAR-2021 to right arm as prophylactic vaccination. No concomitant medications were reported. On14-MAY-2021, the patient went to doctor for a regular antibody test and also completed a spike protein test. The antibody test was negative (confirmed immunological vaccine failure). The result of spike protein test was negative. On 26-MAY-2021, the patient had T-cell test and antibody test. Both tests were negative. Laboratory data included: Antibody test (NR: not provided) as Negative, and SARS-CoV-2 IgG antibody test (NR: not provided) as negative. On 26-MAY-2021, Laboratory data included: Antibody test (NR: not provided) as Negative, and T-lymphocyte count (NR: not provided) as Negative. 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:90000181572.; Sender''s Comments: V0:20210606012-COVID-19 VACCCINE 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: 1381127 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177.CCC-MN / 1 RA / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Dysarthria, SARS-CoV-2 test
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (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: IBUPROFEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210518; Test Name: PCR Saliva; Test Result: Positive
CDC Split Type: USPFIZER INC2021585276

Write-up: COVID test result positive; Slurred speech, difficulty putting thoughts to words in complete sentences; Slurred speech, difficulty putting thoughts to words in complete sentences; This is a spontaneous report from a contactable consumer (patient). A 15-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in right arm on 14May2021 08:00 (Batch/Lot Number: EW0177.CCC-MN, as reported) (at the age of 15 years old) as 1st dose, single dose for COVID-19 immunization. The patient medical history was not reported. No known allergies. Concomitant medication included ibuprofen. No other vaccine in four weeks. Facility where the most recent COVID-19 vaccine was administered at Clinic. The patient experienced slurred speech, difficulty putting thoughts to words in complete sentences on 14May2021 08:30 and COVID test result positive on 18May2021. There was no treatment for the events. No COVID prior vaccination. The patient underwent lab tests and procedures which included PCR Saliva (COVID-19 test): positive on 18May2021. The outcome of the events was recovered on unspecified date.


VAERS ID: 1381152 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Body temperature increased, Chest pain, Dyspepsia, Electrocardiogram, Fatigue, Myocardial infarction, Pain, Pain in extremity, Speech disorder, Troponin
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210514; Test Name: temperature; Result Unstructured Data: Test Result:small temperature that was one degree higher; Comments: small temperature that was one degree higher than before; Test Date: 20210520; Test Name: EKG; Result Unstructured Data: Test Result:heart attack; Test Date: 20210520; Test Name: Troponin; Result Unstructured Data: Test Result:elevated; Test Date: 20210520; Test Name: Troponin; Result Unstructured Data: Test Result:elevated
CDC Split Type: USPFIZER INC2021586507

Write-up: pain; heart attack; couldn''t talk, the pain was so hard; pain in his left arm; Indigestion; chest pain; small temperature that was one degree higher than before; wiped out tired-extremely exhausted and tired; This is a spontaneous report from a contactable consumer (patient''s mother). A 20-year-old male patient received the second dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number and expiry date unknown), via an unspecified route of administration, administered in right arm on 13May2021 at 11:00 as a single dose for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient is very strict on his health. The patient is a vegetarian, he is very health conscious. The patient did not receive any other vaccinations within four weeks prior to the first administration of the COVID vaccine. The patient previously received the first dose of bnt162b2 on Apr2021 for COVID-19 immunization and experienced tenderness at the shot site and was very tired. On the morning of 14May2021, the patient had a small temperature that was one degree higher than before and the patient was wiped out tired-extremely exhausted and tired. Then the patient started experiencing chest pain within days of the second dose. The patient woke up on 15May2021 with chest pain that was persistent through 18May2021. On 19May2021, the chest pain got worse. The reporter thought the patient had indigestion so she gave the patient Tylenol, Pepcid, and clear soda and the patient felt a little better. On 20May2021, the patient was clutching his chest and had pain in his left arm. The patient couldn''t talk, the pain was so hard. The patient went to the emergency room at 12:00 and the healthcare team said that the patient was experiencing a heart attack (reported time of heart attack was 10:00). The patient was not admitted to the hospital. They said the chemical that the large muscle in the heart makes, it was elevated which was how they determined it was a heart attack. These lab numbers were drawn every three hours and they came down but never went away. The patient had two Troponin draws and they were both elevated. They also did an EKG on the patient which showed a heart attack. The patient was told to see a cardiologist and was sent home. The reporter is watching the patient and the patient is still in a little bit of pain but not as much. The patient went to his primary care provider on the day of the report and the doctor doesn''t see this as a displaced issue. The doctor does not know what would cause this in the heart. The patient is to see the cardiologist on Tuesday, 25May2021. The reporter is unsure if this is related to the vaccine but it was almost a week after the patient''s second dose. The outcome of the event small temperature that was one degree higher than before was recovering and the outcome of the event wiped out tired-extremely exhausted and tired was not recovered. The outcome of the other events was unknown. Information on the lot/batch number has been requested


VAERS ID: 1381391 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-11
Onset:2021-05-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021648233

Write-up: Diagnosed with Covid; This is a spontaneous report from a non-contactable consumer reported for a female patient. A female patient of an unspecified age received the first dose of BNT162B2 (COMIRNATY, Solution for injection, lot number: unknown), via an unspecified route of administration on 11May2021, as first dose single dose for covid-19 immunisation. The patient medical history was not reported. The patient did not receive any concomitant medications. On 14May2021, the patient was diagnosed with covid. It was reported that the patient was scheduled for her second dose on an unspecified date. The patient later stated that she received the Pfizer vaccine, not the Moderna vaccine (mRNA-1273). The event was reported as non-serious. The outcome of the event was unknown. The reporter was asking whether the patient should get her second dose or not. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1381671 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-06
Onset:2021-05-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Chills, Contusion, Erythema, Hot flush, Pain, Paraesthesia, Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal, metformin, vitamin d, vitamin c, iron, vitamin e, synthroid, magnesium, calcium, probiotic, Xiidra eye drops
Current Illness: NA
Preexisting Conditions: Dry eye syndrome
Allergies: Hydrocodone, penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills and hot flashes, extreme weakness and joint pain, tingling right hand that led to throbbing, swollen, red fourth finger tip. Pain in fourth finger tip continued for days, swelling diminished and purple bruises appeared.


VAERS ID: 1381810 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-11
Onset:2021-05-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Haematochezia, Pollakiuria
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (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:
CDC Split Type:

Write-up: janssen covid-19 vaccine eua blood in stool pains in stomach frequent urination


VAERS ID: 1381844 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 2 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dizziness, Electrocardiogram normal, Fatigue, Laboratory test normal, Neutrophil count increased, Pain, Palpitations, Platelet count increased, Pyrexia, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Denies
Preexisting Conditions:
Allergies: No known drug allergies
Diagnostic Lab Data: 5/24/2021-CBC showed elevated white blood cell count12.6, elevated platelet count 541k, elevated neutrophils 93874 5/25/2021 CBC showed elevated white blood cell count 13.2, elevated platelet count 520k, elevated neutrophils 10058 recent 6/7/2021 CBC showed a normal white blood cell count of 10.8 and a platelet count that was still elevated but getting closer to normal at 433k
CDC Split Type:

Write-up: Patient developed a fever, body aches, chills, palpitations, dizziness and fatigue that lasted for 10 days past the second dose of the moderna vaccine Three days before being seen at Medical Center for her long lasting vaccine side effects, patient states that she took 50mg of benadryl twice a day to see if it would help with her body aches and palpitations. This probably made her symptoms worse with the increased sedation from the benadryl. Blood work and Ekg were done. EKG was read as normal. Her cbc showed an elevated WBC and platelet count. Her chemistry panel was unremarkable. She was told to stop taking benadryl, increase fluid intake and monitor her temperature. The patient was seen in followup and felt better with resolution of her symptoms. CBC was repeated twice and the last one done on June 7th showed that the wbc was normal and her platelets were coming down (only slightly above normal). Patient has fully recovered.


VAERS ID: 1381992 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006CZ1A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Arthralgia, Exposure during pregnancy, Fatigue, Headache, Injection site pain, Injection site reaction, Nausea, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 10mg loratadine - daily for allergies prenatal vitamins - daily
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: At time of vaccine patient was 14 weeks 4 days pregnant with third baby, due November 9, 2021. Muscle soreness at injection site, started afternoon of 5/14, lasted through 5/16 Fatigue, started afternoon of 5/14, lasted through 5/28 Aching joints, started morning of 5/15, lasted through 5/16, took acetaminophen to relieve pain Nausea, started over night 5/14, lasted through morning of 5/15 Headaches, started afternoon of 5/15, occurred daily through 5/26, took acetaminophen to relieve pain Red, itchy rash at injection site, started 5/21, lasted through 5/27


VAERS ID: 1382184 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Hyperhidrosis, Migraine, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Had covid shortly before 1st vaccine shot
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Woke up the morning after my shot with a huge migraine, probably the worst one I''ve ever had. I was vomiting all day , dripping in sweat, exhausted, and didn''t start feeling better until the next afternoon.


VAERS ID: 1382489 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 2 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Cough, Haemoptysis
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prilosec, Miralax, Lisinopril 20 mg, Pepcid
Current Illness: SOB, GERD, IBS, chest pain, ABD pain, ABD bloating, change in bowel habits, constipation, chest pain
Preexisting Conditions: Hypertension
Allergies: NKDA
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Pt received Moderna vaccine, later that day pt complained of having a productive cough with blood-tinged sputum.


VAERS ID: 1383621 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis perforated, Fatigue, Fluid intake reduced, Hypophagia, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Oxcarbazapine, zonisamide, ASA, adderall ER, losartan, omega 3
Current Illness: none
Preexisting Conditions: Transposition of the great arteries, epilepsy
Allergies: no known
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately 26 hours after receiving injection (around 6:30 pm on a Friday), he began to vomit and have extreme fatigue. The nausea and extreme fatigue persisted through Saturday and Sunday. He was only able to keep minimal liquids and food down. On Sunday afternoon (around 1pm) we had a low grade fever. This was the first time he was noted to have a fever. After consulting with telehealth, it was determined that there may be concern about his appendix. He was admitted to the ER about 5:30pm on Sunday, and was diagnosed with a perforated appendicitis. An appendectomy was performed at 1am Monday.


VAERS ID: 1384610 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / -

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure measurement, Chest discomfort, Chest pain, Dizziness, Heart rate, Hot flush, Hypertension, Tachycardia, Throat irritation, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ASCORBIC ACID; VITAMIN B; TURMERIC CURCUMIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Premature ventricular contractions (other_medical_history PVC < 1 %)
Allergies:
Diagnostic Lab Data: Test Date: 20210514; Test Name: Blood pressure; Result Unstructured Data: Test Result:147/90; Test Date: 20210514; Test Name: Heart rate; Result Unstructured Data: Test Result:145
CDC Split Type: USPFIZER INC2021594946

Write-up: Heart rate was 145/ tachycardia; chest tightness/pain; chest tightness/pain; dizziness; hot flushes; itchiness on throat and tightness; BP 147/90; itchiness on throat and tightness; This is a spontaneous report from a contactable nurse (patient). A 48-years-old female patient received bnt162b2 (BNT162B2), via an unspecified route of administration, administered in Arm Right on 14May2021 08:45 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. Medical history included PVC < 1 %. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other vaccine in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication(s) included ascorbic acid; vitamin b complex (VITAMIN B); curcuma longa root (TURMERIC CURCUMIN) and Multivitamins. The patient previously took ibuprofen and experienced drug allergy (known allergies: Ibuprofen). The patient experienced heart rate was 145/ tachycardia, chest tightness/pain, dizziness, hot flushes, itchiness on throat and tightness, bp 147/90 on 14May2021 08:45. Reported as: approximately 5 -10 minutes after being vaccinated, I had sudden chest tightness/pain followed by tachycardia, dizziness and hot flushes, with itchiness on throat and tightness. Heart rate was 145 with BP 147/90. The adverse event result in Emergency room/department or urgent care. The patient received hydration with 0.9 NaCl to lower heart rate. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovered in May2021. Information about lot/batch number has been requested.; Sender''s Comments: Based on data given, the event tachycardia is assessed as possibly related to BNT162B2. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1384856 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-03-05
Onset:2021-05-14
   Days after vaccination:70
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Hot flush, Menopausal symptoms, Oligomenorrhoea
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad)

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

Write-up: End of menopause hot flashes days after dose and return on menstrual cycle after 8 months, cycle to date has been 25 days in length and heavy


VAERS ID: 1385077 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal discomfort, Abnormal dreams, Dizziness, Fatigue, Headache, Injection site pain, Malaise, Nightmare, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Had vaccine evening of 5/13 and did not notice side effects that night. Was very tired. Arm slightly hurt where vaccine was administered. On 5/14, woke up with headache and felt dizzy. Had very slight fever (~99 F). Felt better and worse off and on during day. By evening of 5/14, had fever of 101.9. Continued drinking water, took half tylenol dose. Felt very dizzy and a bit sick to my stomach. Fever gone by morning of 5/15. Still felt tired and had vivid dreams/ nightmares for few days after.


VAERS ID: 1385095 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus, Rash, Skin discolouration
SMQs:, Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Janumet and Pantoprazole
Current Illness: None
Preexisting Conditions: Diabetes, Acid Reflux
Allergies: Iodine 30 yrs ago
Diagnostic Lab Data: none
CDC Split Type:

Write-up: severe rash in both hands and feet, extremely itchy then, the next day, a big dark blue mark appeared on my left hand


VAERS ID: 1385198 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-16
Onset:2021-05-14
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Unknown       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SARS-CV-2 RAPID 07-jun-2021
CDC Split Type:

Write-up: TESTED POSITIVE WHEN FULLY VACCINATED


VAERS ID: 1385837 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-01-11
Onset:2021-05-14
   Days after vaccination:123
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0142 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abnormal uterine bleeding
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad)

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

Write-up: Abnormal uterine and vaginal bleeding, unspecified


VAERS ID: 1385987 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-12
Onset:2021-05-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Deafness unilateral
SMQs:, Hearing impairment (narrow)

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

Write-up: Patient reported losing complete hearing in her right ear on 5/14/2021. She went to the Dr who prescribed amoxicillin and said it looked ok but was giving amoxicillin just in case. Patients hearing did not return and is currently 100% deaf in her right ear since 2 days after her first dose of Moderna COVID vaccine.


VAERS ID: 1386291 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cheilitis, Lip swelling, Pain, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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: Zyrtec, Prevacid, miralax, children''s probiotic
Current Illness: N/A
Preexisting Conditions: Mild acid reflux; severe constipation
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: VSAFE

Write-up: 5/13 vaccination, 5/14 Woke up, her bottom lip was swollen and darkened in color; almost purplish. Her upper lip had a rash between the lip and the nose. That night, I gave her children''s Benadryl. 5/15 administered benadryl again. 5/16 She seemed better but as the day wore on, her rash got worse, she complained that her lips were itchy and that they hurt. 5/17 same symptoms. Her mouth got progressively worse and sought medical attention. The dr. stated he didn''t really know what was happening, if it was related to vaccine? ''just keep monitoring'', keep with the zyrtec morning and night, don''t delay 2nd shot. 5/20 symptoms disappeared.


VAERS ID: 1387035 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-03
Onset:2021-05-14
   Days after vaccination:72
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test, Cardiac stress test, Dehydration, Diarrhoea, Echocardiogram, Gait disturbance, Muscular weakness, Myalgia, Palpitations
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Naproxen, gabapentin, Tylenol, Marijuana, cyclobenzaprine.
Current Illness: Back issues, previously taken steroids, pulmonary embolism, taken metopolol prior as young adult
Preexisting Conditions: Since vaccine I''m having issues with my stomach, my heart, and muscles in my body.
Allergies: None
Diagnostic Lab Data: Ecocardiogram, stress test, blood tests doctor office visits
CDC Split Type:

Write-up: I''m having issues with my heart, my heart races my muscles then hurt then I get extremely dehydrated, heart rate went into the 200s, I''m having diarrhea, stomach pain, water and loose stools, muscle weakness when I walk, I stumble a lot,.


VAERS ID: 1387383 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Chest discomfort, Dyspnoea, Sleep disorder
SMQs:, Anaphylactic reaction (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: X-Ray
CDC Split Type:

Write-up: Chest discomfort. Difficulty breathing. Still have dyspnea. Went to Urgent Care clinic and had neg. chest X-Ray. Wake up frequently at night due to shortness of breath.


VAERS ID: 1387806 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Unknown  
Location: New Jersey  
Vaccinated:2021-05-09
Onset:2021-05-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Chest X-ray, Chills, Cough, Dyspnoea, Feeling cold, Headache, Pain, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210514; Test Name: Body temperature; Result Unstructured Data: Test Result:Fever; Test Name: Chest X-ray; Result Unstructured Data: Test Result:Unknown
CDC Split Type: USPFIZER INC2021648834

Write-up: I cough all the time; Headache/persisting headache; Fever; Cold like in my bones, I feel chills.; Cold like in my bones, I feel chills.; Breathing has been acting up; shortness of breath; Body ache; This is a spontaneous report from a contactable consumer (patient) reported for self. A 38-years-old patient of an unspecified gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0185, Expiration Date: unknown) via an unspecified route of administration, administered in arm on 09May2021 around 8.30 to 9:00 am (age at vaccination was 38 years) as 2nd dose, single dose for COVID-19 immunization. The patient did not have any medical history. Concomitant medications were not reported. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EW0162, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on 18Apr2021 around 13:00 pm (age at vaccination was 38 years) as 1st dose, single dose for COVID-19 immunization. The patient took the COVID Vaccine for prevention from COVID. The patient stated that the patient got COVID Vaccine on 09May2021, second shot but then after 2-3 days after the patient had been having reactions to it. The patient went to the doctor and she told to make sure to call and report the symptoms. On 14May2021, the patient experienced headache, fever, cold like in patient''s bones, felt chills, breathing had been acting up, shortness of breath and body ache. Because the symptoms the patient was having were persisting headache and cold and patient''s breathing had been acting up and patient cough all the time. The patient also had body ache. The body ache went away but shortening of breath and headache patient still had. She told the patient to call Pfizer to report the symptoms. The patient was informed the role of Pfizer Drug Safety. The patient confirmed started experiencing the event after the second dose. The patient stated that when the patient went to the doctor, she did the blood work and sent the patient for a chest X-ray for breathing and the result was unknown. The patient did not know the name of test. The patient stated that the patient was still experiencing the headache and the cold like in patient''s bones, the patient felt chills. The fever, it came and went but it was not as bad as it was before. It was improved. The patient did not receive any other vaccines within 4 weeks prior to the vaccine. The patient stated that doctor prescribed antibiotics and also gave the patient a nebulizer to take albuterol treatment for breathing. The outcome of the event fever was resolving. The outcome of the events headache/persisting headache, cold like in my bones, I feel chills and breathing has been acting up, shortness of breath was not resolved. The outcome of the event body ache was resolved on an unknown date in 2021. The outcome of the event I cough all the time was unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1388151 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-05-11
Onset:2021-05-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: No known allergies
Diagnostic Lab Data: no done at the time of reporting.
CDC Split Type:

Write-up: Fainting 2 times after receiving vaccine, no treatment.


VAERS ID: 1388205 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-05-14
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031B21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Menstruation irregular
SMQs:, Fertility disorders (broad)

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

Write-up: Irregular menstrual cycle. I''m having periods every 11-14 days vs. normal 21-23 day cycle.


VAERS ID: 1388444 (history)  
Form: Version 2.0  
Age: 90.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-28
Onset:2021-05-14
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Malaise, Ulcer haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal ulceration (narrow), Gastrointestinal haemorrhage (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: none
Preexisting Conditions: kidney
Allergies: none
Diagnostic Lab Data: unable to contact pt to get
CDC Split Type:

Write-up: pt rep states patient was hospitalized after receiving first dose of moderna vaccine. he became severely ill and was diagnosed as having 20 bleeding ulcers


VAERS ID: 1388924 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 1 LA / 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: no
CDC Split Type:

Write-up: 16 year old presented to clinic with parent for first Covid vaccine, patient was administered Moderna instead of Phizer. Parent was notified and no further adverse signs or symptoms reported by parent.


VAERS ID: 1388971 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-06
Onset:2021-05-14
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Testicular pain
SMQs:

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

Write-up: Right testicular pain


VAERS ID: 1389084 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-13
Onset:2021-05-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anaphylactic reaction, Dyspnoea, Joint swelling, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: According to patient: Approximately 24 hours after receiving the first dose of the Moderna COVID vaccine this patient reported difficulty breathing, swelling of the wrists, ankles and tongue. She was treated at the ED for anaphylactic adverse reaction with good effect.


VAERS ID: 1389260 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 1 LA / 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: no
CDC Split Type:

Write-up: 17 year old patient presented to clinic with parent for first Covid vaccine, patient was administered Moderna instead of Phizer. Parent was notified and no additional adverse signs and symptoms reported by parent.


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