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From the 6/4/2021 release of VAERS data:

Found 323,133 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 172 out of 3,232

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VAERS ID: 1337897 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Paranoia
SMQs:, Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 17 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient admitted for paranoia related to schizophrenia disorder, as per EAU all admissions are to be reported irrespective of attribution to vaccine . This hospitalization does not appear to be related to the vaccine.


VAERS ID: 1340217 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-05-04
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Headache, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210534779

Write-up: BODY SORENESS THE DAY OF AND DAY AFTER; CHILLS; KILLER HEADACHE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 04-MAY-2021 11:18 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. On 04-MAY-2021, the subject experienced body soreness the day of and day after. On 04-MAY-2021, the subject experienced chills. On 04-MAY-2021, the subject experienced killer headache. The action taken with covid-19 vaccine was not applicable. The outcome of the killer headache, chills and body soreness the day of and day after was not reported. This report was non-serious.


VAERS ID: 1340352 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-23
Onset:2021-05-04
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 LA / -

Administered by: Unknown       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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021513927

Write-up: Have been diagnosed with Bell''s Palsy due to a facial paralysis; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 2 via an unspecified route of administration, administered in arm left on 23Apr2021 11:00 (Lot Number: EW0171) as 2ND DOSE, SINGLE for covid-19 immunisation. No known allergies and other medical history. The patient concomitant drugs were not reported. The patient previously received first dose of BNT162B2 on 02Apr2021 12:00 am in left arm (lot number: ep7534). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient had been diagnosed with Bells Palsy due to a facial paralysis on 04May2021 12:00 AM. Unknown if it was related to the vaccine or the cause. The adverse event result in emergency room/department or urgent care. Currently taking prescribed medication for event. The outcome of event was recovering.


VAERS ID: 1340428 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angina pectoris, Arthralgia, Back pain, Disorientation, Dizziness, Muscular weakness, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ELDERBERRY ECHINACEA & OLIVE LEAF
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Latex allergy; Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021519730

Write-up: sharp passing pain near my heart; Almost fainted; woozyiness; disorientation; weakness in arm; Pain going across shoulders and across upper back; Pain going across shoulders and across upper back, lasted through part of the night; Fever started after I came home. I usually get fevers when I have an allergic response.; This is a spontaneous report from a contactable consumer (patient). This 50-years-old female (not pregnant) patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in left arm on 04May2021 15:00 (Lot Number: EW0172) as single dose for covid-19 immunisation. Medical history included penicillin and latex (allergy). Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication(s) included echinacea purpurea root, olea europaea leaf, sambucus nigra fruit (ELDERBERRY ECHINACEA & OLIVE LEAF). The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: ER8729) administered in left arm on 13Apr2021 02:45 pm (at 50-year-old) as single dose for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 04May2021 at 15:15, patient experienced almost fainted, woozyiness, disorientation and weakness in arm, could feel the loss of control of arm, pain going across shoulders and across upper back, lasted through part of the night. Fever started after patient came home, she usually get fevers when had an allergic response. Patient experienced discomfort as drug initially moved through the body, she had a sharp passing pain near heart, this subsided after a few minutes on 04May2021. Since the vaccination, the patient had not been tested for COVID-19. No treatment received for the events. Outcome of the event sharp passing pain near heart was recovered on 04May2021, other events was recovered in May2021. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1340470 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Missouri  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acoustic stimulation tests, Deafness neurosensory, Fatigue, SARS-CoV-2 test, Tinnitus
SMQs:, Hearing impairment (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ROSUVASTATIN; PROPRANOLOL; FINASTERIDE; MULTIVITAMIN [VITAMINS NOS]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure abnormal; Cholesterol; COVID-19; Hair loss; Sinus operation
Allergies:
Diagnostic Lab Data: Test Date: 20210510; Test Name: Hearing test; Result Unstructured Data: Test Result:SNHL; Comments: High Frequency RSL muffled hearing; Test Date: 20210111; Test Name: COVID-19; Result Unstructured Data: Test Result:Positive
CDC Split Type: USPFIZER INC2021529883

Write-up: hearing loss/Unilateral sensorineural hearing loss; ringing in his ear; Tired; This is a spontaneous report from a contactable consumer (patient''s wife). A 46-year-old patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE2), via an unspecified route of administration on 04May2021 09:00 (Batch/Lot Number: EW0179) as 2nd dose, single for covid-19 immunisation. The first dose was received on 13Apr2021 15:00 (lot number: ER8731) and patient experienced tired, slight fever and back pains similar to what he experienced with covid. Medical history included sinus surgery on Dec2014 and covid-19 positive on from 11Jan2021 to an unknown date. Concomitant medications included rosuvastatin for cholesterol; propranolol for blood pressure; finasteride for hair loss; and multivitamin. Patient felt tired on 04May2021. On 08May2021 07:30, patient woke with ringing in ear and hearing loss/ significant reduced hearing. Tinnitus was reported as ongoing, reported as medically significant, and resulted to physician''s office visit. Prednisone 2-pac was given as treatment. ENT (Otorhinolaryngologist) performed hearing test and exam, no obvious reason for issues. Hearing test on 10May2021, High frequency SNHL Right greater than Left (Unilateral sensorineural hearing loss) muffled hearing. Patient had experienced improvement but still has tinnitus (17May2021). Outcome of the event of tired was unknown and for the remaining events was recovering. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1340502 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 - / -

Administered by: Military       Purchased by: ?
Symptoms: Blood pressure measurement, Dizziness, Dyspnoea, Erythema, Headache, Hypersensitivity, Hypertension, Inflammation, Loss of consciousness, Pruritus, Rash macular, Urticaria
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: INSULIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma (Verbatim: Asthma); Diabetes (Verbatim: Diabetes); Seasonal allergy (Verbatim: Seasonal allergy)
Allergies:
Diagnostic Lab Data: Test Name: high blood pressure; Result Unstructured Data: Test Result:140 over 100; Comments: went up like 140 over 100
CDC Split Type: USPFIZER INC2021550924

Write-up: I had dizziness, I was so dizzy I thought I was going to pass out and that was like at the top of the steps when you getting to walk down the stairs; Severe allergic reaction; I had dizziness, I was so dizzy I thought I was going to pass out and that was like at the top of the steps when you getting to walk down the stairs; My body was red and I had blotches bumps all over me my back under my right breast; My body was red and I had blotches bumps all over me my back under my right breast; My entire body was inflamed; Started getting hives on my back, under my right breast, both arms and both legs and thighs and I started getting bump. I broke out in hives in sleep in middle of night; I woke up out of my sleep in the middle of the night like the wee hours of the morning itching; I had like difficulty breathing; I had severe headache and I had it like all week; severe headache; My pressure went up like 140 over 100; high blood pressure; This is spontaneous report from a contactable consumer (Patient herself). A 60-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EW0172), via an unknown route route on 04May2021, as a single dose, for COVID-19 immunization. Patient''s medical history included seasonal allergy (using an inhaler), Asthma and Diabetes. The patient''s concomitant medications included insulin. On the same day of vaccination on 04May2021, at the first hour, the patient had a severe allergic reaction. The patient also experienced severe headache and I had it like all week and her pressure went up like 140 over 100 and then like the next day you know I had like difficulty breathing. On the third day, The patient also had a severe allergic reaction. The patient stated that her entire body was inflamed and then she started getting hives on her back, under the right breast, both arms and both legs and thighs. The patient also experienced bumps. The patient further stated that she had dizziness and was going to pass out when she had to walk down the stairs. The patient also stated that she broke out in to hives in her sleep in the middle of the night. The patient had itching at the wee hours in the morning. The patient stated that she went and looked in the mirror and her body was red and I had blotches bumps all over her back under my right breast. The patient wanted to know whether she can take the second shot. The patient asked whether the vaccine was going to affect her and if so, she cannot take it. Patient was supposed to take the second shot on 26May2021. The patient did not had any physician visit for the events. The patient used Benadryl as treatment medication for the events. The patient asked whether the vaccine was going to affect her and if so, she cannot take it. Patient was supposed to take the second shot on 26May2021. The outcome of the events was unknown. Information about batch/lot number was available. Further information was expected.


VAERS ID: 1341211 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-01
Onset:2021-05-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Arthritis (broad)

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

Write-up: TWO TO THREE DAYS AFTER SHOT 5/2-5/3 PT HAD STIFF/ CRICK IN NECK FELT LIKE IT NEEDED TO VBE CRACKED BUT COULDNT CRACK IT.. ONE WEEK AFTER INJECTION 5/8 PT DEVELOPED BELLS PALSEY ON LEFT SIDE OF FACE PT STILL HAS BELLS PALSELY PT WAS SEEN BY HIS PHYSICIAN AND WAS ADVISED TO REPORT ADVERSE EVENT(S) TO PHARMACY TO REPORT TO VAERS


VAERS ID: 1341462 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Balance disorder, Blood test, Chills, Computerised tomogram, Dizziness, Motor dysfunction, Muscular weakness, Vertigo, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Omeprzaole Rosuvastatin Calcium Rizatriptan
Current Illness:
Preexisting Conditions: History of Bell''s palsy
Allergies:
Diagnostic Lab Data: ER on May 7th, CT Scan and blood work performed; discharged and instructed to follow up with primary physician. Called Dr. Monday, May 10th and was referred to Neurologist. Since no improvement by Friday, May 14th, had in person visit with primary doctor''s office and was prescribed a course of steroids. Had appointment on Friday May 21 with Neurologist on Friday, May 21, 2021, was given prescriptions for MRI, speech therapy, occupational therapy and physical therapy. Blood work was ordered. In process of scheduling tests and therapy.
CDC Split Type:

Write-up: Chills, vomiting, dizziness/vertigo, loss of motor function of right arm and leg, arm and leg were weak, uncoordinated, unbalanced. Could not write. The symptoms starting on May 4 and have been ongoing. Course of steroids have helped but still continue to have symptoms.


VAERS ID: 1341542 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-04-30
Onset:2021-05-04
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram, Blood magnesium, Blood thyroid stimulating hormone, C-reactive protein, Cardiac stress test, Chest X-ray, Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram, Full blood count, Lipids, Loss of personal independence in daily activities, Metabolic function test, Pain, Palpitations, Troponin
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lexapro 20mg
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ECG Angiogram Stress test Chest X-ray Troponin 1 Magnesium Basic metabolic panel CBC with differential Lipid panel TSH C Reactive Panel
CDC Split Type:

Write-up: I got my shot on a Friday afternoon. The following Tuesday afternoon, I was out running sprints with a friend. After a couple, I felt super winded, like I was gonna pass out. This was concerning since I run at least 30 miles a week. Early the next morning, I woke up with my heart racing and shortness of breath. This persisted for a couple of hours. I woke up with a stiff chest, pain and aches around my body, and struggling to breathe. I went to urgent care and they did an EKG on me that came out abnormal. They referred me to a cardiologist where I got an appointment the next day. The cardiologist runs another ekg this time it?s worse. She sends me straight to the ER. They run a bunch of tests but nothing is conclusive. I?m released the next evening. The following Monday I had a checkup with my cardiologist and she referred me to someone she knows at a HCF. My appointment is not until the end of June


VAERS ID: 1341704 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031B21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood test, Computerised tomogram head, Dyspnoea, Echocardiogram, Electrocardiogram, Functional gastrointestinal disorder, Gastrointestinal disorder, Hypoaesthesia, Injection site pain, Loss of consciousness, Loss of control of legs, Magnetic resonance imaging head, Migraine, Mobility decreased, Muscle contracture, Nausea, Pain in extremity, Paraesthesia, Sensory disturbance, Ultrasound Doppler, X-ray
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin a, d, e, c.
Current Illness: No illness
Preexisting Conditions: Rheumatoid arthritis, interstitial cystitis, fibromyalgia
Allergies: Gabapentin
Diagnostic Lab Data: Brain mri, coratid artery US, blood tests, EKG, CT of head, X-ray, echo. All on 5/22 and 5/23
CDC Split Type:

Write-up: After the 1st dose, I had chills and had trouble walking. My legs moved incredibly slow. The arm pain lasted for 2-3 weeks and was INCREIDBLY bad. Soon after I got the additional vaccine (second dose) 5/4/21. I?ve been having bowel issues since then, and some numbing in limbs on and off.. but stomach issues every day... yesterday morning I thought I woke up with a HUGE migraine and nausea. Soon after I felt like my breathing was difficult. I felt like something was on my chest. I got up and took a shower/ didn?t work and I felt too weak. So I headed downstairs because my husband had just left. I grabbed my phone and felt like I should call an ambulance. My arm was going numb and my legs too. I woke up on the bathroom floor and dialed 911. My body was shutting down on me and I could feel it. Tingles all over my body. By the time the paramedics got there I couldn?t control my arms or legs AT ALL. My arms curled up into my chest mangled looking and so much pain. I couldn?t get words out and had ZERO ability to move my arms or legs, paramedics told me my PaC02 was 10. I am currently being evaluated and treated for a stroke with ZERO prior heart conditions. Additionally, I have a pain in my left arm where the injection was. Anything magnetic hurts it. Anything metal sticks to it. Forks, knives, Bobby pins, coins, magnets. They all stick to the site.


VAERS ID: 1341975 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Contusion, Depression, Fatigue, Headache, Insomnia, Mental status changes, Neuralgia, Palpitations
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (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: None
Preexisting Conditions: None
Allergies: Amoxicillin and penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fatigue, chills, headache, heart palpitations, stomach pain, bruising, insomnia, change in mental status (depression), nerve pain in hands/feet


VAERS ID: 1342989 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: sore arm, fatigue, overall ill feeling


VAERS ID: 1343034 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-20
Onset:2021-05-04
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Hot flush, Postmenopause
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid Vitamin D Licorice Magnesium Cod liver oil
Current Illness:
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I am post menopausal. I have not had hot flashes consist for over a year After the vaccine the hot flashes returned severe again


VAERS ID: 1343118 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-01
Onset:2021-05-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Limb mass, Pain in extremity, Ultrasound Doppler
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin, cephalosporins, and sulfas
Diagnostic Lab Data: Arterial duplex and venous duplex ultrasounds.
CDC Split Type:

Write-up: Swollen, painful lumps below right calf. Two weeks no improvement. Ultrasounds done and ruled out blood clots and varicose veins. Still working with my physician to determine the cause. They believe it to be a muscle injury, though I have had no accidents, do not work out or run and no bruising.


VAERS ID: 1343295 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Muscle spasms, Pain, Pain in extremity
SMQs:, Dystonia (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: Levothyroxine, 75 mcg, once daily Lyothyronine Sodium, 5 mcg, twice daily Lisinopril, 10 mg, once daily 1st Phorm Microfactor Vitamin Pack (multi vitamin, antioxidant, CoQ10, fruit and veg, probiotic, EFA) Biotin
Current Illness: None
Preexisting Conditions: High Blood Pressure, High Cholesterol Papillary Thyroid Cancer in 1994, total thyroidectomy - take prescription hormone replacements
Allergies: None
Diagnostic Lab Data: I contacted my doctor''s office this morning and am waiting for a call back.
CDC Split Type:

Write-up: 13 hours post (second) vaccination, I developed the usual/listed symptoms: sore arm, extreme chills, overall body aches, fatigue and a bad headache. All of those lasted about 3 solid days. I also developed muscle spasms, similar to the feeling of a "charlie horse" during that time in my feet and left arm and hand. The next day, they developed in my groin (both sides). It feels like the muscles in my feet are curling inward when they occur. The ones in my arm, hand groin usually subside after a 3-5 minutes. These muscle spasms have continued daily and the ones in my feet are especially bad at night when I am lying down.


VAERS ID: 1343489 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Feeling hot, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: Patient received dose 2 of the Pfizer COVID vaccine (lot EW0179, exp 8/2021) at 1300. At 1318, patient was sitting in the observation area when he informed EMT that he felt dizzy, warm, and had blurry vision. EMT informed PHN who came over to assess. At 1320, vital signs: blood pressure 130/86, O2 97%, pulse 93, respirations 18. Patient reported blurry vision had resolved. EMT r offered to have patient lay down in the zero-gravity recliner but patient declined. Patient denied allergies, medical conditions, or taking medication. Patient reported eating breakfast and that he experienced no adverse reaction to dose 1. PHN encouraged patient to follow up with provider and when to contact 911. PHN offered Benadryl but patient declined. At 1326, vital signs: blood pressure 124/82, pulse 97, O2 98%, respirations 18. Patient reported all symptoms had resolved. Patient stood up, reporting no dizziness or remaining symptoms. PHN encouraged patient to wait for 30min since onset of symptoms, patient stated he was leaving. Patient left AMA, walking with steady gait at 1330.


VAERS ID: 1343685 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Interchange of vaccine products
SMQs:, Medication errors (broad)

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

Write-up: Patient had Moderna shot for 1st dose. PT received Pfizer shot for 2nd dose


VAERS ID: 1343712 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA HT239 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Injection site hypoaesthesia, Injection site pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypertension (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: Glucosamine Condroitin Tumericoswellia, Preser Vision, Magnesium
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: My blood pressure normally averages 115/65 to 120/70 on a daily basis. Following my injection my blood pressure was 135/77, 140/80, 132/76, 129/79, 126/80 and has been consistently in the mid 120''s over 75 to this date. The day following the injection I experienced the normal pain at the injection site but three days later I also started experiencing tingling that radiates from the injection site to my finger tips. This feeling can be described like the arm falling asleep. This continues to this date. (21 days later). I have at least two episodes an hour and It is worse at night with cramping and when trying to do chores around the house or work like vacuuming and washing floors.


VAERS ID: 1343901 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute polyneuropathy, CSF glucose normal, CSF protein increased, CSF red blood cell count positive, CSF white blood cell count positive, Demyelinating polyneuropathy, Gait disturbance, Hypoaesthesia, Immunoglobulin therapy, Inflammation, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Muscular weakness, Pain, Pruritus, Sensorimotor disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: LP performed 5/23/21 with CSF results as follows: protein slightly elevated at 57, glucose normal at 51, WBC 4 and RBC <1 in tube 4. 5/24/21 MRI Brain was unremarkable and MRI C spine notes possible mild enhancement involving nerve roots at multiple levels.
CDC Split Type:

Write-up: Progressive sensorimotor changes first starting one day after Moderna COVID vaccine on 5/3, initially with itching in palms of hands and feet then gradually ascending pain and numbness, with weakness starting in right lower extremity first noted on 5/20 and gradually progressing such that she had difficulty ambulating independently since 5/23. Diagnosed with acute inflammatory demyelinating polyneuropathy on 5/24/21, starting five days of treatment with IVIG.


VAERS ID: 1344020 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-05-04
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Synovial rupture, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Accidents and injuries (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: had bakers cyst burst and had 3 blood clots


VAERS ID: 1344093 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 RA / IM

Administered by: Public       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: THE PATIENT WAS NOT 16 YR OLD YET


VAERS ID: 1344131 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046B21A / 3 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: No adverse event
SMQs:

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

Write-up: NO ADVERSE REACTIONS WERE NOTED, NO SYMPTOMS , ETC


VAERS ID: 1344862 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Atypical pneumonia, Blood creatinine normal, Blood culture negative, Blood lactic acid, Blood potassium normal, C-reactive protein increased, Chest X-ray abnormal, Chest X-ray normal, Cough, Dyspnoea, Haemoglobin decreased, Influenza virus test negative, Monocytosis, Platelet count increased, Pneumonia, Procalcitonin decreased, Pyrexia, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (narrow), Opportunistic infections (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin40 mg daily, Aleve 220 mg prn bid, Multivitamin, vit d 2000 iu daily
Current Illness: none
Preexisting Conditions: hyperlipidemia, diet controlled hypertension
Allergies: none
Diagnostic Lab Data: 5/13/21 CXR wnl, 5/16/21 CXR LLL pna, and 5/16/21 CTAngio chest: LLL pna. 5/16- 5/17/21 labs: low procalcitonin, (-) covid/flu,(-)blood cult, d/c labs: WBC 8.5, hb 12.9, plt 467 (549 at admission )monocytosis, K+ 3.7, Cr 0.77,admission lactic acid 3.5, but at d/c 1.8.
CDC Split Type:

Write-up: fever 102 starting day after vaccination, and 12 days later diagnosed with Left lower lobe atypical pneumonia. Symptoms SOB, Fever, cough, hospitalized at medical center 5/16/21 to 5/17/21 Initially fever without sob or cough: with normal CXR but elevated ESR, CRP. Was treated with Solumedrol dose pack 2 days before he developed symptoms.


VAERS ID: 1345393 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-24
Onset:2021-05-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Angina unstable, Anticoagulant therapy, Cardiac septal defect, Chest pain, Echocardiogram abnormal, Electrocardiogram ST segment depression, Electrocardiogram abnormal, Myocardial necrosis marker normal, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Congenital, familial and genetic disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aprovasc 300mg/5mg
Current Illness: None
Preexisting Conditions: Hypertension Asthma
Allergies: Lisinopril
Diagnostic Lab Data: ECG: mild ST depression (May 7, 2021 Echocardiogram: Thickened septum ( May 7, 2021) Cardiac enzymes were normal. (May 7, 2021
CDC Split Type:

Write-up: Initial presentation was chest pain for 3 days. I was seen by a cardiologist. Diagnosis: Unstable Angina I was given a loading dose of Heparin, Aspirin, Concor and Crestor. Chest pain persisted and I was admitted to hospital on May 7, 2021, treated and sent home on May 9, 2021. Intermittent bouts of chest pain over the last 2 weeks. I returned to the cardiologist on May 19, 2021. Diagnosis: Pericarditis. I am currently being treated with Arcoxia.


VAERS ID: 1345809 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-18
Onset:2021-05-04
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040D21A / 1 LA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210504; Test Name: Tested positive for COVID; Test Result: Positive ; Result Unstructured Data: developed pneumonia
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: May possibly have allergy; Tested positive for COVID/had trouble breathing/Developed pneumonia; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 PNEUMONIA (Tested positive for COVID/had trouble breathing/Developed pneumonia) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 18-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-May-2021, the patient experienced COVID-19 PNEUMONIA (Tested positive for COVID/had trouble breathing/Developed pneumonia) (seriousness criterion medically significant). On an unknown date, the patient experienced HYPERSENSITIVITY (May possibly have allergy). At the time of the report, COVID-19 PNEUMONIA (Tested positive for COVID/had trouble breathing/Developed pneumonia) and HYPERSENSITIVITY (May possibly have allergy) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 04-May-2021, SARS-CoV-2 test: positive (Positive) developed pneumonia. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported. Treatment for the event included: Amoxicillin. Company comment: Very limited information regarding this event of Hypersensivitiy has been provided at this time. Further information has been requested. Based on biological implausibility the event of COVID-19 infection causality is assessed as not applicable in related to mRNA-1273.; Sender''s Comments: Very limited information regarding this event of Hypersensivitiy has been provided at this time. Further information has been requested. Based on biological implausibility the event of COVID-19 infection causality is assessed as not applicable in related to mRNA-1273.


VAERS ID: 1345824 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-05-04
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Blood test, Chills, Dyspnoea, Headache, Malaise, Pneumonia, Scan
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: THYROID
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Pneumonia (Patient had Covid about an year ago and it gave them pneumonia.)
Allergies:
Diagnostic Lab Data: Test Name: Blood analysis; Result Unstructured Data: Blood analysis were good; Test Name: Scan; Result Unstructured Data: Found pneumonia in right lung
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: back pain; Pneumonia in right lung; Shortness of breath and couldn''t breath; Malaise; Chills; Headache; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (Pneumonia in right lung) in a 38-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043B21H) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included COVID-19 in 2020 and Pneumonia (Patient had Covid about an year ago and it gave them pneumonia.) in 2020. Concomitant products included THYROID for an unknown indication. On 08-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-May-2021, the patient experienced MALAISE (Malaise), CHILLS (Chills) and HEADACHE (Headache). On 07-May-2021, the patient experienced PNEUMONIA (Pneumonia in right lung) (seriousness criterion medically significant) and DYSPNOEA (Shortness of breath and couldn''t breath). On an unknown date, the patient experienced BACK PAIN (back pain). On 06-May-2021, MALAISE (Malaise), CHILLS (Chills) and HEADACHE (Headache) had resolved. At the time of the report, PNEUMONIA (Pneumonia in right lung), DYSPNOEA (Shortness of breath and couldn''t breath) and BACK PAIN (back pain) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: normal (normal) Blood analysis were good. On an unknown date, Scan: abnormal (abnormal) Found pneumonia in right lung. The patient was treated with doxycycline for five days and received antibiotics in the hospital. The patient received both scheduled doses of mRNA-1273 prior to the events therefore, action taken with the drug in response to the events was 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.; 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: 1346602 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-10
Onset:2021-05-04
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Fall, Peroneal nerve palsy, Transient ischaemic attack
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow)

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

Write-up: Patient''s daughter, called and states she is her mom''s POA and she stated that she was with her mom when she got the vaccine in the parking lot. About 3 weeks ago her mom started dragging her foot and fell twice, she went to a facility and then was sent to hospital and was hospitalized for about 3 weeks, she has had two mini strokes, she is currently at nursing home. She also provided the name of her mom''s PCP.


VAERS ID: 1346779 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031B21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Similar swollen lymph node for ~2 weeks after vaccination. Influenza vaccine, unknown lot. I was in my late 30s/early 40s (it''s
Other Medications: Yaz, naproxen sodium, albuterol inhaler, Trelegy Ellipta inhaler
Current Illness: None
Preexisting Conditions: Asthma, allergies, minor arrhythmia, obesity
Allergies: Cannot take Avelox due to side effects (tendon/joint issues, dizziness, heart palpitations, rash), but other fluoroquinolones are ok.
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Since the second dose of the Moderna vaccine for SARS-CoV-2, I have had a very swollen lymph node (supraclavicular) on the same side of the body as the injection. It is visibly swollen and can be palpated, and is just over dime-sized in diameter. I''ve now had it for 3 weeks with no reduction in size. There is no pain. (Please note that this same side effect has occurred to me in the past following administration of the influenza vaccine. It was not unusual for me, but I thought it should be reported. )


VAERS ID: 1347235 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-25
Onset:2021-05-04
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 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 on 5/4/21 and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.


VAERS ID: 1347261 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-04-29
Onset:2021-05-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001C21A / 2 UN / IM

Administered by: Military       Purchased by: ?
Symptoms: Blood test normal, Dyspnoea, Electrocardiogram normal, SARS-CoV-2 test, X-ray normal
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Advair 50/250mcg HFA INH twice daily Refresh Plus 0.5% eye drops daily PRN methylphenidate HCl ER (Concerta), 36MG every morning Albuterol Sulfate 0.09mg/Actuation Aerosol INH PRN Zyrtec 10mg daily Multivitamin daily Hydroxyzine 10mg P
Current Illness: None
Preexisting Conditions: Persistent moderate asthma Chronic Dry eye syndrome low back pain with radiculopathy nicotine dependence hyperlipidemia knee joint pain seasonal allergies insomnia adjustment disorder with anxiety
Allergies: NKA
Diagnostic Lab Data: Pt went to ER for evaluation of shortness of breath on 6May21. ER completed labs (bloodwork and COVID swab), xray, and EKG which were all WNL. Pt was d/c''d to home with a prescription for prednisone to fill the next day. When pt awoke on 7May21, the symptoms had resolved.
CDC Split Type:

Write-up: Pt reported five days after vaccinating started feeling shortness of breath. Symptom lasted until day #7 post vaccination. Symptoms resolved without intervention.


VAERS ID: 1347383 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-25
Onset:2021-05-04
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Chest discomfort, Chest pain, Echocardiogram normal, Electrocardiogram, Extrasystoles, Fatigue, Musculoskeletal stiffness, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Arthritis (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Blisove 24fe
Current Illness: na
Preexisting Conditions: na
Allergies: penicillin
Diagnostic Lab Data: 5/11: Physician EKG - Normal Full Physical with bloodwork 5/24: Cardiologist EKG - Normal Scheduled Echocardiogram for 6/18 Schedule Stress Test for 6/18
CDC Split Type:

Write-up: approx 1 wk after 2nd dose I had heart palpitations again lasting for about 5 days. It was more extreme. There was one day where I felt like my heart was skipping a beat every 2-3min, my chest was heavy, dull aching in the chest, sharp pain in upper left back under shoulder radiating through to chest, left side of neck very stiff, extremely fatigued. This lasted for about 8 hours before sunsiding and eventually stopping all together a few days later


VAERS ID: 1347427 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-13
Onset:2021-05-04
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Catheterisation cardiac abnormal, Chest pain, Echocardiogram normal, Electrocardiogram T wave inversion, Myocarditis, Pyrexia, Troponin increased, Ventricular hypokinesia
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Presented to ER 5/9/21 with chest pain for 2 days. Noted fever day one and two after 2nd Covid Vaccine 5/4/2021. T max 102. Abnormal EKG with inferior and lateral TWI. Elevated Troponin, peak 9.69 ng/ml. Cardiac catheterization -Normal coronaries, mild hypokinesis anterolateral wall. Echocardiogram - normal. Diagnosis - Myocarditis


VAERS ID: 1347475 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-30
Onset:2021-05-04
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Loss of personal independence in daily activities, Vertigo
SMQs:, Dementia (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: florinef .1 mg iron 65mg vitamin d zoloft 50mg
Current Illness: cold (sore throat, stuffy/runny nose, cough) since feb 2021. i had covid tests 2x/week and all were negative. student health center at my school said it was allergies but all symptoms were gone as soon as i came home so i think it was something in my room
Preexisting Conditions: history of fainting
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: i woke up on 5/4 with extreme vertigo. i wasn?t able to go to class that day. symptoms lasted the entire day but got better as the day went on and were gone by 5/5


VAERS ID: 1347525 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood test, Chest X-ray normal, Chest discomfort, Chest pain, Chills, Computerised tomogram abnormal, Dizziness, Dyspnoea, Electrocardiogram ST segment depression, Electrocardiogram T wave abnormal, Heart rate increased, Lymphadenopathy, Migraine, Nausea, Pain in extremity, Palpitations, Pyrexia, SARS-CoV-2 test negative, Sleep disorder, Stress echocardiogram normal, Tenderness
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: multi vit. , Vit. D, calcium supplement, fish oil, glucosamine
Current Illness: exercise-induced mild asthma
Preexisting Conditions: none
Allergies: penicillin
Diagnostic Lab Data: 5-5-21 chest x-ray (negative for acute cardiopulmonary) , blood work, EKG (abnormal - inferior ST depression and T-wave) , CT scan (shows enlarged left axillary lymph nodes) , nasal swab for Covid - negative 5-6-21 Exercise stress echo - normal results
CDC Split Type:

Write-up: 5-4-21 about 6 hours after shot, I had an extremely sore left arm and tenderness under the left arm pit. Beginning about 7 hours after shot, I had chills, fever of 100.2, migraine headache and lower back pain. Did not sleep at all through the night. By morning on 5-5-21, all symptoms still present plus feeling dizzy, light-headed and nausea. Stayed in bed all day. By 6 pm on 5-5-21 (27 hours after shot) I had a fast heart rate and heart palpitations. By 8 pm, I had a tightness and pain in my chest. Difficulty breathing, although that may have been my trying to alleviate some of the pain.


VAERS ID: 1347626 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

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

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

Write-up: About 30 min after vaccine administration, she felt generalized pruritis that resolved the next day.


VAERS ID: 1347629 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-01
Onset:2021-05-04
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 010A21A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Magnetic resonance imaging head abnormal
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)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: low dose aspirin finasteride 5mg Vyzulta opthalmic 0.024% multivatimin
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Brain MRI - 18 May 21
CDC Split Type:

Write-up: Stroke


VAERS ID: 1347897 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-30
Onset:2021-05-04
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 LA / IM

Administered by: Pharmacy       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? 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 reported a rash on her arm 3-4 days after getting the vaccine (dose 2). After about a week, the rash continues to spread and now is looking more like a burn. Patient was referred to see dermatologist for further evaluation.


VAERS ID: 1347898 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-05-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Lip swelling, Pruritus, Swelling of eyelid, Thermal burn, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Accidents and injuries (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Super Omega 3 Atorvastatin 10mg Magnesium CoQ10 Folate & B12 Digestive Enzymes with Probiotics Hair, Skin & Nail Renew Birth Control Pills
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hives all over body, mostly on the trunk and buttocks. They develop in the evening and last into mid-morning. Sometimes they affect my face, swollen eye lids or lips. Also, I''ve had them on the palms of my hands and tops of my feet. They are very itchy and burn. It can be hard to sit on my bottom when they are in full effect. This started 4 days after my second vaccine and has only gotten worse with time. I am taking over the counter allergy pills around the clock that barely takes the edge off. There have been no changes in anything I''m doing to cause these.


VAERS ID: 1348025 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Menstruation delayed, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Fertility disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1. My menstrual cycle is usually 28 days, but after the first dose of pfizer, it delayed for seven days. 2. arm pain after several hours of first dose, then in around 24 hours, I had a low grade fever and felt fatigue for about 3 hours.


VAERS ID: 1348294 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / SYR

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

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

Write-up: 10 minutes after receiving the injection, my ears began to ring. They have steadily rang since, except today it has increased slightly.


VAERS ID: 1348814 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Influenza like illness, Migraine
SMQs:, 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: Levothyroxine, prilosec
Current Illness:
Preexisting Conditions: asthma, hypothyroidism
Allergies: latex, lactose
Diagnostic Lab Data: none.
CDC Split Type:

Write-up: I have had severe migranes since getting the second dose. I also spiked a fever of 102 with whole body weakness and flu like symptoms, but the migraines have not gone away.


VAERS ID: 1348883 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blindness, Blood glucose increased, Chills, Dizziness, Fatigue, Migraine, Pain, Vision blurred
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: Within 10 minutes after the vaccine I started to feel very faint and eyes became very blurry and couldn?t see. The pharmacy gave me water and kept making me drink water and kept checking on me. The vaccine spiked my blood sugar. After a little while my sugar went down and I was fine. That evening I had the worst migraine ever and it lasted 3 days. I also had body aches and chills for 3 days as well and fatigue.


VAERS ID: 1349510 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-29
Onset:2021-05-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heavy menstrual bleeding, 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021515434

Write-up: I usually bleed lightly now its heavy and clot as well.; menstruation heavy lasting over week; This is a spontaneous report from a contactable consumer (patient). A 41-year-old female patient (non-pregnant) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in arm right on 29Apr2021 11:00 (Lot Number: EW0151) at the age of 41-year-old as single dose for covid-19 immunization. Medical history included none. The patient had known allergies. The patient''s concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient experienced menstruation heavy lasting over week on 04May2021 12:00, it started on 25Apr-28Apr normal 3 day. The patient had shot taken on 29Apr2021. It (menstruation) restarted 30th and continues still of day of 05May2021. She usually bleed lightly now its heavy and clot as well on 04May2021 12:00. No treatment was received for events. Outcome of events was unknown.


VAERS ID: 1349516 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ENO273 / 1 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Burning sensation, Erythema, Fatigue, Hypersensitivity, Illness, Insomnia, Pruritus, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN C [ASCORBIC ACID]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021515655

Write-up: rings of redness around my wrist and beneath my arm; sick; tired; burning; Worse allergy; When the itching and hives around my writs, neck, forearms, eyes, palms front and back would disappear; When the itching and hives around my writs, neck, forearms, eyes, palms front and back would disappear; keeping me awake; I have an itchy rash around my wrists, underneath my breasts and on my forearms that is spreading further around these areas.; This is a spontaneous report from a contactable consumer. A 68-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 04May2021 04:00 (Batch/Lot Number: ENO273) as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included known allergies: Aspirin. Concomitant medications included vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]). On 04May2021 04:00, I have an itchy rash around my wrists, underneath my breasts and on my forearms that is spreading further around these areas. On 04May2021 16:45, When the itching and hives around my writs, neck, forearms, eyes, palms front and back/ hives in the arms, neck would disappear$g I tried all kind of ointments and antihistamines. This has being going on for 10 days. On an unspecified date, rings of redness around my wrist and beneath my arm, tired, burning, Worse allergy. Hives around both writs, on forearms, neck, eyes, inside palm of hands. It is awfully itchy, burning and unbearable, keeping me awake. Tried Benadryl, several steroid creams, the patient is still suffering after 10 days. Therapeutic measures were taken as a result of when the itching and hives around my writs, neck, forearms, eyes, palms front and back would disappear (urticaria), when the itching and hives around my writs, neck, forearms, eyes, palms front and back would disappear (pruritus), i have an itchy rash around my wrists, underneath my breasts and on my forearms that is spreading further around these areas. (rash pruritic), rings of redness around my wrist and beneath my arm (erythema), keeping me awake (insomnia): Benadryl, Loratidine, Trimcinolone Acetonid + Fluo, Benadryl Allergy Antihistamine 25 mg gels tablets. The outcome of the event sick, tired, burning, Worse allergy was unknown, while not recovered for the other events. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1349547 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Washington  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW013 / 1 RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to sting (swelling of face response. severe itching / swelling); Anemia (Recovered from Anemia); Food allergy (swelling of face response. severe itching / swelling)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021523104

Write-up: Whole body swell and itching; Whole body swell and itching; Burning sensations every where on body; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 04May2021 13:30 (Lot Number: EW013) as single dose for COVID-19 immunisation. Medical history included anaemia and recovered from Anemia, known allergies as bee stings, mango skin allergy, swelling of face response. severe itching / swelling. Concomitant medications included: thyroid medicine and multi vitamins. Two hours after shot on 04May2021, patient''s whole body swell and itching, burning sensations every where on body, took antihistamine at home and went to the ER room where they gave patient steroids and EPI pen as well as more antihistamines. Events resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. Events were reported as non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19; Since the vaccination, the patient had not been tested for COVID-19. The outcome of events was not recovered. Information on lot/batch was available. Additional information has been requested.


VAERS ID: 1349584 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chills, Condition aggravated, Head discomfort, Heart rate, Heart rate increased, Hypersensitivity, Malaise, Nasal congestion, Nasal discomfort, Nausea, Throat tightness, Tremor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MONTELUKAST; NEXPLANON; VALACYCLOVIR [VALACICLOVIR]; HYDROXYCHLOROQUINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to nuts; Allergy to plants; Asthma; Egg allergy; Food allergy; Lupus erythematosus systemic
Allergies:
Diagnostic Lab Data: Test Name: heartrate; Result Unstructured Data: Test Result:65 bpm; Comments: I had my Apple I watch set up to moniter my heartrate. it was 65bpm at that time; Test Name: Pulse; Result Unstructured Data: Test Result:134 bpm; Comments: pulse went up to 134bpm
CDC Split Type: USPFIZER INC2021527195

Write-up: Recurring smaller allergic reactions; Felt a little unwell; I made it 2 blocks when my pulse went up to 134bpm; i felt nauseous; Shaky; Weak; Head and nose pressure; Head and nose pressure; Throat felt tight; Congested; My symptoms became rapidly worse; Teeth chattering; This is a spontaneous report from a contactable consumer, the patient. A 42-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot Number: EW0172), via an unspecified route of administration, on 04May2021 at 09:30 (at the age of 42-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history included asthma from an unknown date and unknown if ongoing, systemic lupus erythematosus from an unknown date and unknown if ongoing. The patient reports being allergic to dairy, wheat, eggs, sesame, ginger, garlic, onion, tomato and tree nuts from unspecified dates and unknown if ongoing. The patient was not pregnant at the time of vaccination. The vaccine was administered in a hospital. The patient did not have COVID-19 prior to being vaccinated. Historical vaccinations included the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot Number EW0150), via an unspecified route of administration on an unspecified date in Apr2021 at 09:30 as a single dose in the left arm for COVID-19 immunization. Concomitant medications included montelukast (MONTELUKAST) taken for an unspecified indication, start and stop date were not reported; etonogestrel (NEXPLANON) taken for an unspecified indication, start and stop date were not reported; valacyclovir (VALACYCLOVIR) taken for an unspecified indication, start and stop date were not reported; hydroxychloroquine (HYDROXYCHLOROQUINE) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccinations within 4 weeks prior to the COVID-19 vaccine. The patient previously took sulfa drugs and experienced drug hypersensitivity, ADVAIR discus and experienced drug hypersensitivity and an unspecified flu vaccine and experienced drug hypersensitivity. The patient reported that, after receiving the 2nd dose of the vaccine, she sat for the required 15 min. Because of allergic responses to food and the flu vaccine in the past she had her Apple iwatch set up to moniter her heartrate; it was 65bpm at that time. She felt a little unwell but thought she was ok. So she left at the 15 min mark. She walked to her car and as she left her symptoms became rapidly worse. She made it 2 blocks when her pulse went up to 134bpm. She felt nauseous, shaky and weak, teeth chattering, head and nose pressure, throat felt tight and congested. She was not sure if she was going to throw up or pass out. She did not feel well. She went back to the vaccination site and her blood pressure was ok so they did not administer the Epi pen. Instead they gave her Benadryl and observed her for 1 1/2hrs. She experienced recurring smaller allergic reactions over the next couple days. She has taken her Prednisone pills to help.She has an upcoming appointment for allergy testing to some of the vaccine ingredients. The patient experienced recurring smaller allergic reactions beginning on 04May2021 09:45 with outcome of recovering, felt a little unwell on 04May2021 09:45 with outcome of recovering, pulse went up to 134bpm on 04May2021 09:45 with outcome of recovering, felt nauseous on 04May2021 09:45 with outcome of recovering, shaky on 04May2021 09:45 with outcome of recovering, weak on 04May2021 09:45 with outcome of recovering, head and nose pressure on 04May2021 09:45 with outcome of recovering, head and nose pressure on 04May2021 09:45 with outcome of recovering, throat felt tight on 04May2021 09:45 with outcome of recovering, congested on 04May2021 09:45 with outcome of recovering, symptoms became rapidly worse on 04May2021 09:45 with outcome of recovering, teeth chattering on 04May2021 09:45 with outcome of recovering. The patient underwent lab tests and procedures which included heart rate of 65 bpm on 04May2021 and heart rate of 134 bpm on 04May2021. Therapeutic measures were taken as a result of the events and included Benadryl and prednisone.


VAERS ID: 1349658 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-30
Onset:2021-05-04
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: 20210507; Test Name: covid-19; Test Result: Positive
CDC Split Type: USPFIZER INC2021546954

Write-up: started feeling COVID symptoms on 04May 2021, and received a COVID positive diagnosis on 07May 2021; This is a spontaneous report from a contactable consumer (patient). A 46-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 30Apr2021 08:15 (Batch/Lot Number: EN6207) as single dose for COVID-19 immunisation. Patients Medical History (including any illness at time of vaccination) was none. No Family Medical History Relevant to AE(s). There were no concomitant medications. No history of previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available). No prior vaccinations (within 4 weeks). No AE(s) following prior vaccinations. It was reported that the patient had the first vaccine on 30Apr2021, and started feeling COVID symptoms on 04May 2021, and received a COVID positive diagnosis on 07May 2021. The patient is scheduled on 21May2021 for her second shot, and was trying to decide if should delay her vaccine based on fact that she had COVID after the first shot. States she thinks she is mostly recovered, so she is improving. The patient did a virtual visit to physician office to get scheduled for COVID test, did drive through test. Outcome of the event was recovering. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1350405 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Biopsy bone marrow abnormal, Blood creatinine increased, Blood culture negative, Blood lactic acid increased, Blood test abnormal, C-reactive protein increased, Chemokine increased, Chest X-ray abnormal, Computerised tomogram abdomen abnormal, Cough, Culture urine negative, Device dependence, Dyspnoea, Echocardiogram normal, Encephalopathy, Endotracheal intubation, Epstein-Barr viraemia, Fatigue, Haemodialysis, Haemophagocytic lymphohistiocytosis, Hepatitis B core antibody positive, Hepatosplenomegaly, Hyperbilirubinaemia, Hypertriglyceridaemia, Inflammatory marker increased, Influenza like illness, Interleukin level increased, Laboratory test abnormal, Lung disorder, Magnetic resonance imaging head normal, Mental status changes, Myalgia, Natural killer cell activity normal, Procalcitonin increased, Pyrexia, Renal failure, Respiratory failure, Serum ferritin increased, Tachycardia, Thrombocytopenia, Transaminases increased, Viral load increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Liver infections (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Dyslipidaemia (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (broad), Haematopoietic thrombocytopenia (narrow), Lactic acidosis (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (narrow), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Lipodystrophy (broad), Chronic kidney disease (narrow), Hypersensitivity (broad), Malignant lymphomas (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (broad), Sepsis (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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, 13 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Patient was otherwise reportedly healthy.
Preexisting Conditions: Appears to have a chronic hepatitis B carrier infection, as noted by core antibody positivity during his current hospital admission (viral load was negative). Also appears to have a history of Epstein-Barr virus as noted by a detectable viral load of 34,406 copies/mL at the time of presentation to the hospital.
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient manifested with flu-like symptoms (myalgias, fatigue, cough, abdominal discomfort, shortness of breath) with high-grade fevers (TMax 103F) approximately 4-6 hours following administration of 2nd Moderna vaccine on 5/4/2021 per patient''s wife. The symptoms progressively worsened to the point that he presented to an outside hospital on 5/12/2021 at which time he was found to be tachycardic and febrile (T 103.1F). Labs at that time were notable for significant thrombocytopenia, elevated creatinine, elevated lactate, elevated procalcitonin. Chest imaging showed bilateral airspace disease. CT of the abdomen noted hepatosplenomegaly with no evidence of lymphadenopathy. Echocardiogram showed normal cardiac function. He was empirically started on broad-spectrum antibiotics. Labs on 5/13/2021 were notable for a markedly elevated ferritin level, fasting hypertriglyceridemia, elevated CRP, elevated transaminase levels, hyperbilirubinemia, markedly elevated CXCL-9 level, markedly elevated IL-18 level, normal natural killer cell function. Of note, while his blood and urine cultures were negative, he was found to have elevated EBV viral load on peripheral blood draw. He had a bone marrow biopsy which reportedly showed rare evidence of cells with what appeared to be erythrocytes within their cytoplasm, concerning for HLH. Given strong clinical and serological suspicion for HLH, he was transferred to our hospital for a higher level of care. Upon transfer to our facility on 5/18/2021, his inflammatory markers were persistently elevated. He unfortunately developed worsened renal and respiratory failure, and required both hemodialysis and intubation respectively. He was continued on empiric broad-spectrum antibiotics, however we additionally initiated high-dose steroids as well as anakinra for treatment of HLH. Given EBV viremia, we also began rituximab therapy. He was successfully extubated, however as of 5/26/2021 remains dialysis-dependent with continued improvement in urinary output. His post-intubation course has been complicated by encephalopathy of unknown etiology. We have consulted infectious disease to proceed with a diagnostic lumbar puncture to ascertain potential CNS pathogens explaining the cause of his altered mental status. MRI of the brain showed no evidence of pathology. CNS involvement by HLH remains on our differential.


VAERS ID: 1350581 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-02
Onset:2021-05-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Chronic bronchitis Poor respiratory health, generally Seasonal allergies
Allergies: none
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: I was fine for the first day. When I woke up the following day, I was itchy and started breaking out into hives. This happened spontaneously over the course of about 2 weeks. The hives started to die down but seemed to be triggered by cold after the first few days. I have not had hives since the two weeks passed, but the weather also warmed up so the cold stimulus hasn''t been present.


VAERS ID: 1350588 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039A21A / 1 RA / IM

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

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

Write-up: Patient is under the age of 18. Moderna should not have been administered. Patient returned for Dose 2 Pfizer.


VAERS ID: 1350681 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-22
Onset:2021-05-04
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 1 RA / IM

Administered by: Private       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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol, Benadryl, OTC hydrocortisone cream
Current Illness: None
Preexisting Conditions: None
Allergies: PCN
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Rash on hands that started one week after vaccine, It is mildly itchy, localized essentially to the hands now but he also had a few spots in his feet, has never had any sores in his mouth, he has no new soaps, products, detergents, he describes it is mildly itchy like a mild case of poison ivy, there has been no breathing problems, he is not having to use his rescue inhaler more than average. He is using Benadryl and over-the-counter hydrocortisone cream which seems to indicate his symptoms his main question is should he proceed with his next vaccine dose which is scheduled for 05/20/2021. He has had no fevers, chills, nausea, vomiting, diarrhea.


VAERS ID: 1350789 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-27
Onset:2021-05-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 1 - / IM

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

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

Write-up: sudden onset partial sensorineural hearing loss sibling had complete


VAERS ID: 1350801 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-09
Onset:2021-05-04
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac arrest, Myocardial infarction, Myocardial oedema
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Respiratory failure (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: testosterone, Phentermine
Current Illness: none
Preexisting Conditions: none
Allergies: shell fish
Diagnostic Lab Data:
CDC Split Type:

Write-up: Got swelling of the heart that gave me a heart attack causing my heart to stop.


VAERS ID: 1350888 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-20
Onset:2021-05-04
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Per patient none.
Current Illness: No reported illnesses
Preexisting Conditions: Per patient he claims he never had any health issues previously.
Allergies: no allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reported to have a sudden heart attack on 05/04/2021. Patient was hospitalized, released to rehab and released from rehab on 05/24/2021. Patient thinks that the heart attack is related to his covid vaccine 2 weeks prior. Patient denies having any health conditions previously leading up to the heart attack.


VAERS ID: 1350957 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heart palpitations, resting heart rate is elevated, these symptoms have not subsided


VAERS ID: 1351003 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-01
Onset:2021-05-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cerebellar stroke, Computerised tomogram head abnormal, Dizziness, Dysstasia, Headache, Hemiparesis, Hypocoagulable state, Magnetic resonance imaging head abnormal, Nausea, Vomiting
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), 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 encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Vestibular 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: prenatal vitamins
Current Illness: According to the doctors, I had Covid 3 weeks prior. I thought I had a mild sinus infection.
Preexisting Conditions:
Allergies: amoxicillin
Diagnostic Lab Data: 5/6/21 CAT scan and MRI - brain I should be having blood work done after my neurology appointment on Friday, May 28, 2021.
CDC Split Type:

Write-up: I experienced a headache at the base of my skull the night of 5/3/21. On 5/4/21 around 11 am I began feeling dizzy, nauseous and had an extreme headache. I began throwing up and was unable to stand. An ambulance was called and the EMS checked me out. They told me I was probably experiencing Covid vaccine side effects and they should resolve. After 2 days I was able to stand and eat normally but I experienced right-sided weakness. I went to the ER on 5/6/21 and was admitted after a CAT scan and MRI revealed I had a cerebellar stroke. I am currently in treatment (PT, OT, neurology) but the doctors have told me they think I had Covid and that mixed with the vaccine hypo-coagulated my blood leading to the stroke. I currently cannot use my right side.


VAERS ID: 1351036 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-28
Onset:2021-05-04
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0165 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Electrocardiogram abnormal, Full blood count, Leukocytosis, Metabolic function test, Pericarditis, Troponin normal
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin metformin lisinopril pantoprazole
Current Illness: none, had COVID infection in January 2021
Preexisting Conditions: DM2, HLD, HTN, GERD
Allergies: none
Diagnostic Lab Data: EKG, trop, BMP, CBC
CDC Split Type:

Write-up: pericarditis diagnosed in setting of positional chest pain, minimal EKG changes, trop negative, + leukocytosis


VAERS ID: 1351480 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Muscle spasms, Muscle tightness, Musculoskeletal discomfort, Tension headache
SMQs:, Rhabdomyolysis/myopathy (broad), Dystonia (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: synthroid, hysingla er, hydrocodone, Lyrica, baclofen , zoloft, rednisone
Current Illness:
Preexisting Conditions: fibromyalgia, hypothyroidism, back and neck injury
Allergies: penicillin, sulfur drugs, morphine sulfate
Diagnostic Lab Data:
CDC Split Type:

Write-up: muscle spams, headache, tightness in shoulder , neck, right jaw, temple, no relief


VAERS ID: 1351520 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Dyspnoea, Fatigue, Feeling abnormal, Foaming at mouth, Full blood count, Metabolic function test, Pregnancy test, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CBC Pregnancy test CMP CXR
CDC Split Type:

Write-up: Pt began feeling bad with chest pain and fatigue, SOB after the vaccine. Per spouse woke up in the middle of the night and tried to get out of bed but fainted and possibly had a seizure, had foam coming out of her mouth. Was transported to the ER and released.


VAERS ID: 1351582 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-09
Onset:2021-05-04
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hepatic enzyme increased, Ultrasound liver abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin 500mg twice daily; lisinopril 20-25mg daily
Current Illness: N/A
Preexisting Conditions: Diabetes without long term insulin use; hypertension
Allergies: None
Diagnostic Lab Data: Liver ultrasound
CDC Split Type:

Write-up: Elevated liver enzymes


VAERS ID: 1351626 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-29
Onset:2021-05-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Heart rate irregular, Nausea, Tinnitus, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Hearing impairment (narrow), Vestibular disorders (narrow)

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

Write-up: Vertigo, nausea, ear ringing, rapid heartbeat, lightheadedness


VAERS ID: 1351956 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-02
Onset:2021-05-04
   Days after vaccination:63
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029A21A / UNK RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray abnormal, Chills, Pneumonia, Pulmonary congestion, SARS-CoV-2 test negative, Tremor
SMQs:, Cardiac failure (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (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: None
Preexisting Conditions: Chronic pancreatitis
Allergies: None
Diagnostic Lab Data: Chest X-ray indicated pneumonia in lower left lobe.
CDC Split Type:

Write-up: Hard chills and shaking in middle of night with fever the next morning with chest congestion. Our internist had her take the test for Covid-19 and she tested negative. About 3-4 weeks later she had a very similar event with chills & fever with increased chest congestion. on May 24 she was diagnosed with pneumonia by our internist, Dr & put on antbiotics and steroid medication.


VAERS ID: 1352148 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-25
Onset:2021-05-04
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006B21A / 2 LA / SC

Administered by: Unknown       Purchased by: ?
Symptoms: Musculoskeletal stiffness, Pain in extremity
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: On May 4th, I woke with pain and stiffness in the joints of my fingers on both hands. No swelling or redness. The pain persists throughout the day but is worse in the mornings. It is slowly improving, but I still have stiffness and pain.


VAERS ID: 1352360 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-30
Onset:2021-05-04
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWQ164 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Injection site bruising, Injection site pain, Tinnitus
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3; Magnesium; Vitamin C: Estriol cream
Current Illness: none
Preexisting Conditions: none
Allergies: Can be allergic to some topical products and heavy scents or perfumes; dust allergy
Diagnostic Lab Data: None yet. I have an appointment on June 7th.
CDC Split Type:

Write-up: A short time after receiving the vaccine I began experiencing a constant low buzzing and a ringing in my ears that has not gone away. I do not have a history of tinnitus or anything like it. It is extremely unnerving. I think it is related to a reaction to the vaccine. Incidentally, while not the adverse effect I am reporting, I developed a resurgence of left arm injection site pain and a small bruise about 14 days after the shot that has lasted for days.


VAERS ID: 1352997 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-05-04
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, SARS-CoV-2 antibody test, Somnolence, Therapy non-responder
SMQs:, Lack of efficacy/effect (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad), COVID-19 (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: Test Date: 20210517; Test Name: COVID-19 antibody test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210545203

Write-up: SUSPECTED IMMUNOLOGICAL VACCINE FAILURE; FELT LITTLE SLEEPY; FATIGUE; This spontaneous report received from a consumer concerned a 50 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 204A21A, expiry: 23-JUN-2021) dose was not reported, 1 total, administered on 03-MAY-2021 vaccination at left arm for prophylactic vaccination. No concomitant medications were reported. On 04-MAY-2021, the patient felt little sleepy the day after the vaccine and experienced fatigue. On 17-MAY-2021, Laboratory data included: COVID-19 antibody test (NR: not provided) Negative (Coded suspected immunological vaccine failure). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fatigue, and the outcome of suspected immunological vaccine failure and felt little sleepy was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint 90000180552. The suspected product quality complaint has been confirmed to be voided, this did not meet the defined definition for lack of effect on a vaccine product. based on the PQC evaluation/investigation performed.; Sender''s Comments: V0:20210545203-COVID-19 VACCINE AD26.COV2.S-Suspected Immunological vaccine failure. This event is considered not related. The event 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 than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1353077 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Blood potassium, Blood pressure measurement, Diverticulitis, 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), Gastrointestinal nonspecific inflammation (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: LISINOPRIL; POTASSIUM; OMEPRAZOLE
Current Illness:
Preexisting Conditions: Comments: No medical history reported by the reporter.
Allergies:
Diagnostic Lab Data: Test Date: 20210504; Test Name: potassium; Test Date: 20210504; Test Name: Blood pressure
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: passed out; very bad infection from the Diverticulitis in the bowel; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of LOSS OF CONSCIOUSNESS (passed out) and DIVERTICULITIS (very bad infection from the Diverticulitis in the bowel) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history reported by the reporter. Concomitant products included LISINOPRIL for Blood pressure, POTASSIUM and OMEPRAZOLE for an unknown indication. On 04-May-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-May-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criterion medically significant) and DIVERTICULITIS (very bad infection from the Diverticulitis in the bowel) (seriousness criterion medically significant). On 04-May-2021, LOSS OF CONSCIOUSNESS (passed out) had resolved. At the time of the report, DIVERTICULITIS (very bad infection from the Diverticulitis in the bowel) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 04-May-2021, Blood potassium: Low. On 04-May-2021, Blood pressure measurement: Low. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Events included some other issues. Patient was treated with 2 unspecified antibiotics. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1353084 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006-C21A / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Blood pressure decreased, Dyspnoea, Fatigue, Feeling abnormal, Somnolence, Vaccination site pruritus, Vaccination site urticaria, Vaccination site warmth
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; EPIPEN; FUROSEMIDE; FAMOTIDINE; ALBUTEROL HFA; SINGULAIR; POTASSIUM; VITAMIN D NOS; REGLAN [METOCLOPRAMIDE]; FLOVENT; B12-VITAMIIN
Current Illness: Allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: "arm warm", "arm hot", "arm really really hot"; vaccination site itching; hive on top of the arm, about the size of a half-dollar-bill coin; feels like "someone punched me in the back real hard like I''m out of breathe, like its harder to breathe, like my blood pressure drop"; my blood pressure drop"; "Hard to move and get up"; "I''m so sleepy", "I take two naps during the day", "can''t stay up", "awake 4 to 5 hours then back to sleep"; I''m so tired/fatigue; "out of it now" / "Feels like "she is high from some heavy drugs" when she wakes up"; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE ("I''m so sleepy", "I take two naps during the day", "can''t stay up", "awake 4 to 5 hours then back to sleep") and FATIGUE (I''m so tired/fatigue) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006-C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Allergy. Concomitant products included CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) for Antihistamine therapy, EPINEPHRINE (EPIPEN), FUROSEMIDE, FAMOTIDINE, SALBUTAMOL (ALBUTEROL HFA), MONTELUKAST SODIUM (SINGULAIR), POTASSIUM, VITAMIN D NOS, METOCLOPRAMIDE (REGLAN [METOCLOPRAMIDE]), FLUTICASONE PROPIONATE (FLOVENT) and CYANOCOBALAMIN (B12-VITAMIIN) for an unknown indication. On 03-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-May-2021, the patient experienced SOMNOLENCE ("I''m so sleepy", "I take two naps during the day", "can''t stay up", "awake 4 to 5 hours then back to sleep") (seriousness criterion disability), FATIGUE (I''m so tired/fatigue) (seriousness criterion disability) and FEELING ABNORMAL ("out of it now" / "Feels like "she is high from some heavy drugs" when she wakes up"). On 10-May-2021, the patient experienced DYSPNOEA (feels like "someone punched me in the back real hard like I''m out of breathe, like its harder to breathe, like my blood pressure drop"), BLOOD PRESSURE DECREASED (my blood pressure drop") and ASTHENIA ("Hard to move and get up"). On 12-May-2021, the patient experienced VACCINATION SITE WARMTH ("arm warm", "arm hot", "arm really really hot"), VACCINATION SITE PRURITUS (vaccination site itching) and VACCINATION SITE URTICARIA (hive on top of the arm, about the size of a half-dollar-bill coin). At the time of the report, SOMNOLENCE ("I''m so sleepy", "I take two naps during the day", "can''t stay up", "awake 4 to 5 hours then back to sleep"), FATIGUE (I''m so tired/fatigue), FEELING ABNORMAL ("out of it now" / "Feels like "she is high from some heavy drugs" when she wakes up"), DYSPNOEA (feels like "someone punched me in the back real hard like I''m out of breathe, like its harder to breathe, like my blood pressure drop"), BLOOD PRESSURE DECREASED (my blood pressure drop"), ASTHENIA ("Hard to move and get up"), VACCINATION SITE WARMTH ("arm warm", "arm hot", "arm really really hot"), VACCINATION SITE PRURITUS (vaccination site itching) and VACCINATION SITE URTICARIA (hive on top of the arm, about the size of a half-dollar-bill coin) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient was so tired that she took two naps during the day and drank sports drink like Red bull to stay awake. After being awake for 4-5 hours she went back to sleep. Patient drank plenty of water and fluids. Treatment medication information was not provided by the reporter. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. The SD does not state any information that supports a persistent disability, which open to doubt the seriousness criteria.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. The SD does not state any information that supports a persistent disability, which open to doubt the seriousness criteria.


VAERS ID: 1353098 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-03
Onset:2021-05-04
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017B21A / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Decreased appetite, Discomfort, Muscular weakness, Myocardial infarction, Nausea, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Myocardial infarction (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PANTOPRAZOLE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No medical history reported); Comments: No medical history was provided by the reporter.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: Stroke; Heart Attack; loss of appetite; weak in the legs; felt achy; felt yucky; felt queasy; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) and MYOCARDIAL INFARCTION (Heart Attack) in a 92-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included PANTOPRAZOLE for an unknown indication. On 03-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 04-May-2021, the patient experienced DECREASED APPETITE (loss of appetite), MUSCULAR WEAKNESS (weak in the legs), PAIN (felt achy), DISCOMFORT (felt yucky) and NAUSEA (felt queasy). On 12-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criteria hospitalization, medically significant and life threatening) and MYOCARDIAL INFARCTION (Heart Attack) (seriousness criteria hospitalization, medically significant and life threatening). The patient was hospitalized on 12-May-2021 due to CEREBROVASCULAR ACCIDENT and MYOCARDIAL INFARCTION. At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke), MYOCARDIAL INFARCTION (Heart Attack), DECREASED APPETITE (loss of appetite), MUSCULAR WEAKNESS (weak in the legs), PAIN (felt achy), DISCOMFORT (felt yucky) and NAUSEA (felt queasy) outcome was unknown. Treatment information was not provided. The reporter reported that the patient did not have any medical conditions to cause the events. This case was linked to MOD-2021-132255 (Patient Link).; Sender''s Comments: This case concerns a 92-year-old male with serious unexpected events of cerebrovascular accident and myocardial infarction, and nonserious unexpected decreased appetite, muscular weakness, pain, discomfort and nausea. Latency 1 day after second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.


VAERS ID: 1353467 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure measurement, Blood pressure systolic increased, Chills, Diarrhoea, Dizziness, Fatigue, Feeling cold, Headache, Hypersensitivity, Hypoaesthesia, Nausea, Peripheral swelling, Pulse pressure increased, Rash, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Date: 20210504; Test Name: Blood pressure; Result Unstructured Data: Test Result:165/40 mmHg
CDC Split Type: USPFIZER INC2021523533

Write-up: allergic reaction; she couldn''t get warm; chills; rash all over; swelling in her arms and legs; diarrhea; Extremely tired; headache; Nausea; her blood pressure was taken and it was 165/40.; her blood pressure was taken and it was 165/40.; throwing up; dizzy; Numb on body on right side; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) dose 1 via an unspecified route of administration, administered in arm left on 04May2021 08:30 (Lot Number: EW0172) as 1st dose, single for covid-19 immunisation. The patient medical history was reported as none. There were no concomitant medications. Patient had investigation assessment. No additional administered vaccines. No Prior vaccinations within 4 weeks. The patient had an allergic reaction to the first dose of the Pfizer covid 19 vaccine and wanted to know if she should take the other one. The patient had throwing up, numb on body on right side, dizzy, nausea on 04May2021; headache and extremely tired on 05May2021; diarrhea on 06May2021; rash all over, swelling in arms and legs, chills on 08May2021; her blood pressure was taken and it was 165/40 mmHg on 04May2021, she couldn''t get warm on an unspecified date. Events did not require a visit to emergency room or physician office. The outcome of events rash all over, swelling in arms and legs, chills was not recovered; event throwing up was recovered on 04May2021; numb on body on right side was recovered on 06May2021; events diarrhea, headache and extremely tired was recovered on 07May2021; events dizzy and nausea was recovered in May2021; of other events was unknown.


VAERS ID: 1353632 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-02
Onset:2021-05-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA LOST LOT # / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Computerised tomogram, Crying, Electroencephalogram, Encephalitis viral, Grip strength decreased, Headache, Laboratory test, Lumbar puncture, Magnetic resonance imaging
SMQs:, Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Opportunistic infections (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: Wold work, Cat Scan, MrI, EEG, Spinal Tap
CDC Split Type:

Write-up: My daughter started to experience headaches 2 days after her first dose. On May 13th the headache had become so bad that she would cry and then suddenly became unable to speak or grab. She could not formulate actual words and was unable to smile . This lasted 15 minutes. A trip to the nearest Emergency room was inconclusive and resulted in discharge. 24 hours later , we had the same incident only this time magnified times 10. Where she remained in a catatonic like state for 7 hours only to snap out of it independently without medical treatment. After multiple test she was diagnosed with viral encephalitis. All major causes of encephalittis were ruled out and we were told it was possible a side affect of her first Moderna Covid Vaccine dose. We are still seeing doctors and testing but she seems to have improved without medication which is even more alarming .


VAERS ID: 1354103 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Lightheadedness.


VAERS ID: 1354351 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-02-27
Onset:2021-05-04
   Days after vaccination:66
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012M20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac failure congestive, Cardiomegaly, Catheterisation cardiac abnormal, Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal, Positron emission tomogram abnormal
SMQs:, Cardiac failure (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ativan 0.5 mg, Tramadol HCL 50 mg, Ozempic (0.25 Or 0.5 MG/Dose) 2 mg/1.5ml, KP Ferrous Sulfate 325 (65 Fe) MG, Tessalon Perles 100 mg, Prodigy No Coding Test, Unifine Pentips 4mm 32G, Lantus Solostar 100 unit/ml, Prodigy Autocode Blood Glu
Current Illness: Pinguecula Peripheral pterygium, stationary Type 2 diabetes mellitus Intervertebral disc disorder of cervical region with myelopathy Gastric lymphoma Esophageal varices without bleeding Type 2 diabetes mellitus Shoulder joint pain Vitamin D deficiency Heartburn Body mass index 40+ - severely obese Obesity
Preexisting Conditions: See #11
Allergies: NKDA
Diagnostic Lab Data: Echo #1 - 25% EF Echo #2 - 35% EF Cardiac Cath Pet Scan
CDC Split Type:

Write-up: Started 5/05/21 with shortness of breath - increasing over the next 2 weeks with dyspnea on exertion Congestive Heart Failure and Cardiomegaly


VAERS ID: 1354639 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-02
Onset:2021-05-04
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Loss of personal independence in daily activities, Muscle tightness
SMQs:, Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (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: no
CDC Split Type: vsafe

Write-up: I had some pretty bad back problems and the reason I went to the doctor was because it was lasting for more than 3 days. Hip flexors were really tight and causing my back pain. I have had something similar happen before but it''s always resolved itself within a week. And now I''m three weeks out and still having this back pain and hip flexor tightness. For the first two weeks - the PT said I should be laying down or standing and only sitting for 5 minutes to help those hip flexors. I''m limited now on activities that I can do. I am not suppose to lift over 20 pounds or bend over. I can''t sit cross legged on the floor. PT gave me exercises to do to help.


VAERS ID: 1355315 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Lethargy
SMQs:, Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: Lethargic; Lightheadedness; Other.


VAERS ID: 1355324 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-05
Onset:2021-05-04
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dysmenorrhoea, Hypomenorrhoea, Laboratory test normal, Menopause, Menstruation irregular
SMQs:, Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: penicillin
Diagnostic Lab Data: I went to an urgent care facility as I thought the blood was in my urine and I was cramping, not thinking it could possibly be my period. I was tested and had no irregularities.
CDC Split Type:

Write-up: I have gone through menopause and hadn''t had a period in two full years. I got my period about a month after the first Pfizer COVID injection complete with cramps. The period was similar to periods I used to get which is is a light period that lasts a couple days. (I wouldn''t have related this event to these shots but then saw a BBC article about this affect on women.)


VAERS ID: 1355334 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Hot flush
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu Vaccine, 2004. Age 31. Bells Palsy Following Vaccine
Other Medications: None
Current Illness: None
Preexisting Conditions: Endometriosis, Possible non-specific connective tissue disease, asthma
Allergies: 2004 Flu vaccine caused Bell''s Palsy Environmental Allergies Compazine
Diagnostic Lab Data:
CDC Split Type:

Write-up: The night of the vaccine, I began having hot flashes through the night. I didn''t worry about it because I assumed it was normal. What does not seem normal is the fact that the hot flashes have continued. I''m now more than 3 weeks post vaccination, and each night I have multiple hot flashes all night long. I did not have any hot flashes before this vaccine.


VAERS ID: 1355827 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-29
Onset:2021-05-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: C-reactive protein increased, Catheterisation cardiac normal, Chest pain, Computerised tomogram abnormal, Echocardiogram abnormal, Myocarditis, Pericardial effusion, Pleural effusion, Red blood cell sedimentation rate increased
SMQs:, Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), 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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Elevated ESR/CRP Echo with pericardial effusion CT with pleural effusion Cardiac cath negative
CDC Split Type:

Write-up: Myopericarditis, chest pain, pericardial effusion, pleural effusion


VAERS ID: 1356071 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-05-02
Onset:2021-05-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Hypoaesthesia, Nausea, Pain, Pain in extremity
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A. Just notes I sent my primary care doctor.
CDC Split Type:

Write-up: I had a significant reaction to shot 2. Fever type feelings, aches, pains, nausea, etc. I was in bed for many hours. One of those symptoms on day 2 seemed to be a throbbing pain in my right knee and right foot. it seemed quite strange at the time. By Tuesday morning - about 40 hours after the shot - when I felt well enough to move around I noticed that I had numbness in my right leg starting at the knee and working up the leg about 9-10 inches. The numbness is only on the front of my leg and only in a strip about 3-4 inches wide starting about half way on the kneecap and working up the leg again about 9-10". This numbness almost feels like the sensation after a dentists numbs the mouth for a procedure, like local anesthesia. I just assumed it was temporary and would completely heal. It has not. I informed my primary care doctor and sent a follow up that it is continuing to manifest itself. My leg is functioning normally and I have no other symptoms or issues - only the numbness in the leg in that one area. Because this has gone on for so long I felt I should report it.


VAERS ID: 1356555 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-04-22
Onset:2021-05-04
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 2 UN / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Bundle branch block right, Cardiovascular evaluation, Chest discomfort, Echocardiogram, Fibrin D dimer normal, Palpitations, Troponin normal
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (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? No
Previous Vaccinations:
Other Medications: betamethasone, clotrimazole, adderall
Current Illness: ADD, h/o kidney stone, h/o shingles
Preexisting Conditions: See above
Allergies: NKDA
Diagnostic Lab Data: Patient with new Right bundle branch block (no prior for comparison), negative troponin, negative d-dimer, negative bedside ultrasound of heart to evaluate for pericardial effusion, normal work-up otherwise, negative CXR
CDC Split Type:

Write-up: Patient began to experience palpitations and left-sided chest discomfort approximately 1-2 weeks after the second vaccine dose on 4/22/2021 was received.


VAERS ID: 1357246 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-05-04
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Menstruation irregular, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021542766

Write-up: large blood clots during menstruation; irregular menstrual cycle; This is a spontaneous report from a contactable consumer (patient). A 34-year-old female patient received BNT162B2 (Lot Number: er8731), via an unspecified route of administration in Apr2021 as single dose for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced irregular menstrual cycle and large blood clots during menstruation, both on 04May2021. The events resulted in Doctor or other healthcare professional office/clinic visit. The outcome of the events was recovering.


VAERS ID: 1357251 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW 0167 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Dizziness, Facial pain, Hypoaesthesia, Malaise, Musculoskeletal stiffness, Myalgia, Neck pain, Pain in extremity, Sensory loss, Vaccination site pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021542861

Write-up: Severe muscle pain in left calf; Severe pain at the injection site; stiff Face muscles; joint pain all over my body; Muscle pain all over my body; something just felt off; Numbness in my right foot; loss of sensation in my right foot; Neck sore; cheeks, and jaw felt sore; Dizzy; This is a spontaneous report received from a contactable consumer (patient). A 46-year-old Female patient (Pregnancy at time of Vaccination: No) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 04May2021 09:15 (Batch/Lot Number: EW0167) as single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Facility where the most recent COVID-19 vaccine was administered: Pharmacy or Drug Store. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 04May2021 10:15 AM, the patient developed Severe muscle pain in left calf, Severe pain at the injection site, stiff Face muscles, Muscle and joint pain all over my body, something just felt off, Numbness/loss of sensation in my right foot, Neck sore, cheeks, and jaw felt sore, and Dizzy. The patient was recovered from the events. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient had not been tested for COVID-19 Since the vaccination. No follow-up attempts are needed. No further information expected.


VAERS ID: 1357293 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-01
Onset:2021-05-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Chest discomfort, Coordination abnormal, Fall, Feeling abnormal, Head discomfort, Joint noise, Ligament injury, Limb discomfort, Loss of consciousness, Seizure, Skin abrasion
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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: Medical History/Concurrent Conditions: Breast cancer; Leukemia
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021547476

Write-up: passing out/sort of out of body-ish awareness; Patient had never had a seizure, but it felt more like that than a faint; Felt heavy in upper arms/chest; Felt heavy in upper arms/chest; feeling uncoordinated walking through house; felt out of body; felt pain in knees/pain in right knee; joints seizing/cracking really hard; abrasions on both of knees; Moderate damage to L mcl; Must have fallen; stinging spot in the back of head; This is a spontaneous report from a contactable consumer (patient). A 57-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0171) via an unspecified route of administration, administered in arm left on 01May2021 09:00 (at the age of 57-year-old) as single dose for COVID-19 immunization. Medical history included leukemia from 1998, breast cancer from 2001. No Known allergies. Concomitant medications were not reported. The patient previously received first single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0164) on 10Apr2021 08:00 AM (at the age of 56-year-old) in left arm for Covid-19 immunization, then experienced adrenal disorder and epinephrine increased. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. Patient woke up Tues, 04May2021 08:00 AM. Felt heavy in upper arms/chest. Started feeling uncoordinated walking through house. Didn''t remember actually passing out but felt out of body and felt pain in knees, and joints seizing/cracking really hard. sort of aware something was happening, but sort of out of body-ish awareness. Came back to awareness. abrasions on both of knees, moderate damage to L mcl. pain in right knee. must have fallen but no awareness of that - came to laying on back. Patient had never had a seizure, but it felt more like that than a faint. Also noticed a stinging spot in the back of head that seemed to travel up the back of skull for several days. Treatment was not received for the adverse event. Reporter assessed events were non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the event "passing out/sort of out of body-ish awareness" was recovered in May2021, of other events was unknown.


VAERS ID: 1357302 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? 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:
CDC Split Type: USPFIZER INC2021547976

Write-up: face swelled up really bad to where she could not open her eyes; allergic reaction; Fever; pain and aches; This is a spontaneous report from a contactable consumer (patient). A 32-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) second dose via an unspecified route of administration, administered in arm left on 03May2021 (at age of 32 years old) (lot number: ER8735, it also reported "the second dose lot number was either ER8735 or ER8235"), time the vaccination was given was between 15:00 and 15:30, as single dose for covid-19 immunisation. Patient''s medical history was reported as no. Other products was reported as no. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 05Apr2021 (at age of 32 years old) (lot number: ER8N30) as single dose for covid-19 immunisation. Family medical history relevant to events was no. No relevant tests. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced face swelled up really bad to where she could not open her eyes on 05May2021, fever on 04May2021, pain and aches on 04May2021. The patient stated she was calling to make a report on the second shot since she had an allergic reaction. The patient clarified the second shot she was referring to was the COVID 19 vaccine. The patient stated the symptoms she had was the first day she had fever, aches, and pain then the next day her face swelled up really bad to where she could not open her eyes. The patient stated she went to urgent care and at urgent care she was given a steroid shot and then she took a steroid and allergy medication and also diphenhydramine hydrochloride (BENADRYL). The events did not require a visit to emergency room. When asked if went to physician office, the patient stated she went to urgent care for events fever, aches, pain, face swelled up really bad to where she could not open her eyes. History of all previous immunization with the Pfizer vaccine considered as suspect was no. Additional administered vaccines was no. The outcome for allergic reaction was recovered on 09May2021, for face swelled up really bad to where she could not open her eyes was recovered on 09May2021, for fever was recovered on 05May2021, for pain and aches was recovered on 07May2021.


VAERS ID: 1357653 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D3, Zinc
Current Illness: none
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: severe shoulder pain which is not getting much better almost a month after the injection.


VAERS ID: 1357707 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Citirizine (Zyrtec) Spiriva Respimat Singulair Vitamin D Probiotic w/ Fiber
Current Illness: None
Preexisting Conditions: Brugada Syndrome COPD or Asthma
Allergies: Oral Allergy Syndrome (Birch pollen related)
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Body aches, headaches, chills, sleeplessness, tiredness. Treated with Ibuprofen, and rest. Took roughly 24 hours to subside to manageable levels.


VAERS ID: 1357882 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Impaired driving ability
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

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

Write-up: dizziness starting the day after 2nd dose and continuing every day. There have been times that I had to sit down and other times I had someone else drive.


VAERS ID: 1357898 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-30
Onset:2021-05-04
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, 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: iodine
Diagnostic Lab Data:
CDC Split Type:

Write-up: SHINGLES facial: requiring oral acyclovir and ophthalmological abx.


VAERS ID: 1357980 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / -

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

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

Write-up: Lightheadedness; Patient felt light headed and weak, EMS called, patient recovered within 5 minutes. Will keep in observation for 20 more minutes.


VAERS ID: 1358176 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH KW0171 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Neuralgia, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: tb testing hives and joint swelling1975 and hepatitis chest pain svt joint swelling. 1990
Other Medications: tylenol es prn, citra cal, zinc. multi vit, seakelp, lubricant eye drops allergy eye drops. benadryl hs.magnesium.
Current Illness: diab diet control, cpap for apnea, low bp, over weight,
Preexisting Conditions: arthritis, sleep apnea, left hip replaced 2017 torn meniscus repair both knees carpal tunnel both wrist tand a , gb removed.
Allergies: betadine, all foods to diff degrees, trees grass , cigarettes. tb testing hepatitis vaccine. dogs
Diagnostic Lab Data: just the vaccine covid number one vaccine
CDC Split Type:

Write-up: 15 min after injection first vaccine nerve like pain under shoulder blades into rt shoulder... first 48 hrs unbearable like nerve pain then at end of 4 day pain gone. the 13 day i have several chills no temp tingling pricking over entire body which worsen with activity at its worse 13 and 14 day and the past 3 days intermittanty but still present.


VAERS ID: 1358183 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-22
Onset:2021-05-04
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Catheterisation cardiac, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: possible pancreatic cancer
Preexisting Conditions: HTN, chronic back pain
Allergies:
Diagnostic Lab Data: Troponin, left heart catheterization
CDC Split Type:

Write-up: Likely myocarditis. Elevated troponin, clean cath. Started on colchicine.


VAERS ID: 1358235 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: lupus, asthma, mood disorder nos
Allergies: latex, lactose, cobalt, kiwi
Diagnostic Lab Data: lumbar puncture, blood culture
CDC Split Type:

Write-up: Persistent high fever for five to six days after vaccine with sever headache. Fever required hospitalization to rule out meningitis


VAERS ID: 1358278 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Contusion, Full blood count normal, International normalised ratio increased, Prothrombin time normal
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), 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: Pertussis, high fever, early childhood, further pertussis vaccinations were discontinued.
Other Medications: Vyvanse 60mg Subvenite 20mg
Current Illness: None
Preexisting Conditions: Ventricle septal heart defect - no restrictions
Allergies: Codeine
Diagnostic Lab Data: Prothrombin time LC - 12.4 seconds (range 9.1-12) 5/27/21 12:49pm INR LC - 1.2 (range .9-1.2) 5/27/21 12:49pm CBC results all within normal ranges.
CDC Split Type:

Write-up: Beginning 2 - 3 days after injection I began noticing easy and severe bruising. I monitored until 5/27 when I went to get blood work, as I was concerned about the effect of another dose. My blood work shows a high prothrombin time and INR. This is a new occurrence. It has not been treated. Course of action is not known at this time.


VAERS ID: 1358643 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Blood bilirubin, Chills, Computerised tomogram abdomen, Differential white blood cell count, Dizziness, Dysstasia, Full blood count, Gait inability, Glomerular filtration rate, Headache, Impaired work ability, Lipase, Liver function test, Metabolic function test, Mobility decreased, Nausea, Pregnancy test, Pyrexia, Scan with contrast, Syncope, Urine analysis
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Drospirenone-EE3-0.02 GG TAB Advair Diskus 250/50 Montelukast 10 MG TAB Levocetirizine 5 MG TABLET Flintstones Complete Multivitamin Supplement Emergency Inhaler-only had to use a handful of times, last used prior to vaccination Feburary
Current Illness: NA
Preexisting Conditions: Asthma, allergies, vasovagal syncope response to perfume, diagnosid with COVID-19 January 29, 2021.
Allergies: Not varified, have had reaction to ibuprofen, allergic to perfume and other artificial scents, some gastro reaction to certain food like whole wheat. Test for allergies in 2006 (pets, dust, grass, pollen, cockroaches, etc.)
Diagnostic Lab Data: Abdominal Pain, Unknown Cause, (Female) Laboratory: Basic Metabolic Panel, Bill UAM, CBC with Diff, Urine Pregnancy Test, Estimated Glomerular Filtration Rate Fem, Lipase Level, Liver Profile, Urinalysis with Microscopic if indicated Radiology: CT Abdomen Pelvis w/ Contrast
CDC Split Type:

Write-up: On May 4th, I fainted shortly after waking up. Light headed and unable to sit upright, stand, or walk. Had a fever. Called out of work. Headaches, chills, nausea, pain at injection sight, bedridden for most of the day. Around 3/4 in the afternoon I called the doctor''s office (phone kept ringing) so I called the nurse through the insurance company. Nurse advised me to stay home for now but to seek medical care if symptoms persisted for more than 3 days. Symptoms continued but were less severe on Wednesday May 5th causing me to miss another day of school. On Friday May 7th at about 12:50 AM I awoke to severe abdominal pain-the kind the pharmacist had warned me of when getting my vaccine. I could not stand or move. I never take aspirin and yelled for a family member to give me Tylenol. I called the nurse from my insurance company and she asked me a series of questions and advised me to seek immediate medical attention. My family called 911 and an ambulance was sent to the house. They checked my vitals and suggested a family member take me to the ER. My family took me to the Emergency Center. I was wheeled into the ER. ER did test but put "Abdominal Pain, Unknown Cause, (Female) on my paperwork. I missed another day of work due to my ER visit. Symptoms lessened but persisted for several days.


VAERS ID: 1358792 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-02
Onset:2021-05-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Bedridden, Dizziness, Ear congestion, Multiple allergies, Nasal congestion, Nausea, Pain in extremity, Pyrexia, Vertigo
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin 40 mg, aspirin 81 mg
Current Illness: Vertigo, nausea, diarrhea, fever/chills 6 days after first vaccine on 4/7/21
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Day 1: Sore arm Day 2: low grade fever of 99.7, Day 3: low grade fever 99.5 and woke up with extreme vertigo which lasted 2 days. Could not get out of bed. Also felt like my head was congested and ears clogged, but did not have a cold. I have allergies, but clogged ears is not something I''ve ever experienced with them. I did take Benadryl to try and help that. Day 5: continued to experience dizziness which has gotten better each day. I''m still experiencing dizziness when I move my head too quickly or stand up. It''s livable, but wish it would go away. Haven''t seen a doctor, just living with it. I had vertigo and nausea on day 6 of my first vaccine so the side effect was consistent. Just don''t understand why it happened.


VAERS ID: 1358807 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthma, Cough
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Came in with a chronic cough (since January 2020), patient states her cough got worse since after getting the covid vaccination. Patient states she sees a pulmonologists on a regular basis, was diagnosed with asthma.


VAERS ID: 1359274 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, B complex, Vitamin C, Vitamin D, gingko biloba, glucosamine/chondroitin, cranberry,
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Amoxicillin, sulfa drugs
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Chills, body and joint aches, fever up to 101.1 appeared 12 hours after injection, lasted about 32-36 hours. Soreness and aches at injection site for about 72 hours after injection. Large red patch and severe itching around injection site, appeared about day 4 after injection, lasted less than 24 hours.


VAERS ID: 1359531 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Anxiety, Nervousness, 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: None
Current Illness: Wolf Parkinson White
Preexisting Conditions: No
Allergies: Epinephrine
Diagnostic Lab Data: BP 90/40 pulse 45, temp 98, O2 Sat 99. Retaken BP 107/62 Pulse 60, O2 Sat 97.
CDC Split Type:

Write-up: Patient was very nervous after the vaccine, anxious as usual, accompanied by her MOther (Mother called 911) Patient appeared to faint for a few seconds, and back to normal at 1240PM patient stable


VAERS ID: 1360452 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Hypersensitivity, Hypoaesthesia, Hypoaesthesia oral
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021541836

Write-up: coughing; face went numb as well as her tongue and hands for two and half days; face went numb as well as her tongue and hands for two and half days; maybe she had an allergic reaction to the first one; This is a spontaneous report from a contactable consumer (patient herself). This consumer reported similar events for two patients. This is one for two reports. A 49-year-old female patient received BNT162B2 ((PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 04May2021 (Batch/Lot Number: EW0171) as 1st dose, single for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient reported that for the first 15 minutes she was fine but aafter like 25 minutes, her face went numb as well as her tongue and hands for two and half days. She was "feeling like death for two days and a half ." Because she needed to work that day, she took fexofenadine (ALLEGRA 180 mg) because "it''s for allergies" and massaged her face, tongue and hands. After that, she felt okay. Her daughter, aged 18 had the same vaccine, and had the same exact reaction but received it at the+3 hospital. Her sister received Pfizer Covid 19 vaccine but in its a 90 day interval between doses. Her doctor told her maybe she had an allergic reaction to the first one and wasn''t sure if she should get the second dose. She was told to call Pfizer to see what they recommend. Primary care told her to call Pfizer to make sure if she is supposed to take the second one or if she needed to choose a different kind like Moderna or maybe Johnson and Johnson because of the side effect. Patient also stated "after my shot, I had horrible coughing. I am coughing for like 2 weeks but I don''t know if it is related with my vaccine or not. I am going to hospital tonight to check." Outcome of the event coughing was unknown, and of remaining events was recovered on an unspecified date. Additional information has been requested.


VAERS ID: 1360499 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Loss of consciousness, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLUOXETINE
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: known allergies: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021548448

Write-up: passed out; vomited; This is a spontaneous report from a contactable consumer (patient). A 17-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm left on 03May2021 15:30 (Batch/Lot Number: EW0153) as 2nd dose, single for COVID-19 immunisation. The patient had no relevant medical history. She had no allergies to medications, food, or other products. Concomitant medication included fluoxetine taken for an unspecified indication within 2 weeks of vaccination. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in right arm on 12Apr2021, 03:30 PM (Batch/Lot Number: EW0153) as 1st dose, single for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. She was not diagnosed with COVID-19 prior to vaccination. On 04May2021 12:00, the patient passed out and vomited at the same time while in a sitting position. The were no additional side affects once the episode passed. The event resulted in doctor or other healthcare professional office/clinic visit. Events were reported as non-serious. No treatment was received. Outcome of the events was recovered in May2021. The patient had not been tested for COVID-19 since the vaccination. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1360716 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SC

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chills, Erythema, Peripheral swelling, Rash, Swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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: PO/ Benadryl
Current Illness: Remission lymphoma
Preexisting Conditions: NA
Allergies: Penicillin, Retuximax
Diagnostic Lab Data: Blood tests in
CDC Split Type:

Write-up: Rigger, redness and swollen neck hands and feet, rashes neck feet abdomen


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