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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 181 out of 3,232

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VAERS ID: 1296454 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-02-05
Onset:2021-05-02
   Days after vaccination:86
Submitted: 0000-00-00
Entered: 2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute myocardial infarction, Asthenia, Dizziness, Speech disorder, Vision blurred
SMQs:, Myocardial infarction (narrow), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: dizzy, weakness, blurry vision, abnormal speech; non-STEMI


VAERS ID: 1297052 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-09
Onset:2021-05-02
   Days after vaccination:54
Submitted: 0000-00-00
Entered: 2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia
SMQs:, 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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: This 85 year old male received the Covid shot on 3/9/21 and went to the ED on 5/2/2021 and was admitted on 5/2/2021 with the diagnoses listed below. U07.1, J12.82 - Pneumonia due to COVID-19 virus U07.1 - COVID-19


VAERS ID: 1298824 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Muscle twitching, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Eosinophilic pneumonia (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: Abstains from alcohol; High cholesterol; Migraine; Non-smoker
Preexisting Conditions: Comments: The patient did not have history of drug abuse or illicit drug usage
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210505734

Write-up: MUSCLE TWITCHING ON THE RIGHT LEG; TWITCHING IN THE BRAIN; CHILLS; MUSCLE ACHES; FEVER; This spontaneous report received from a patient concerned a 32 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included migraine, high cholesterol, non alcohol user, and non smoker, and other pre-existing medical conditions included the patient did not have history of drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A expiry: UNKNOWN) dose was not reported, administered on 01-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 02-MAY-2021, the subject experienced muscle twitching on the right leg. On 02-MAY-2021, the subject experienced twitching in the brain. On 02-MAY-2021, the subject experienced chills. On 02-MAY-2021, the subject experienced muscle aches. On 02-MAY-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from twitching in the brain, and fever on MAY-2021, was recovering from muscle twitching on the right leg, and the outcome of muscle aches and chills was not reported. This report was non-serious.


VAERS ID: 1299353 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021492372

Write-up: chest pain; This is a spontaneous report from a contactable consumer (patient) reported that a 59-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number was not reported), via an unspecified route of administration, administered in arm left on 01May2021 10:30 (at the age of 59-years-old) as a single dose for covid-19 immunization. The vaccine was administered at the Pharmacy/drug store. The patient''s medical history and concomitant medications were not reported. The next day morning on 02May2021 05:00, the patient experienced chest pain. The event was considered as life-threatening. It was unknown if the patient received treatment for the event. The outcome of the event was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1299361 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cerebrovascular accident, SARS-CoV-2 test, Thrombosis
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), Thrombophlebitis (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC2021494207

Write-up: Blood clot on the cerebellum that caused a stroke; Blood clot on the cerebellum that caused a stroke; This is a spontaneous report from a contactable consumer (patient). A 29-year-old female patient (not pregnant) received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EW0167), first dose via an unspecified route of administration, administered in Arm Left on 30Apr2021 11:30 (at 29 years old,(not pregnant), single dose for covid-19 immunisation. The patient''s medical history was not reported. The patient''s concomitant medication included an unspecified vitamin. The patient previously took ibuprofen and experienced Ibuprofen drug allergy. On 02May2021 08:30, patient experienced a Blood clot on the cerebellum that caused a stroke. The outcome of the events was recovering. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The adverse event resulted in visit to Emergency room/department or urgent care. Treatment received for the adverse event was Blood clot meds. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19 (02May2021), negative for swab test. Events caused 3 days of hospitalization. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1299535 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Immediate post-injection reaction, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), 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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Pain at Injection Site-Severe, Additional Details: mild sore arm right after injection. on may 5th, it got worse (to level 8). then calmed down. On May 7th, it got worse again. walking caused lots of pain in shoulder. Patient has been taking ibuprofen 600mg every 6 hours since May 2nd.


VAERS ID: 1299542 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Systemic: Abdominal Pain-Severe


VAERS ID: 1299625 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Currently undergoing treatment for cancer
Preexisting Conditions: memory care patient in a long term care setting
Allergies: Seasonal allergies: pollen
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient was given Janssen covid-19 vaccine on 5-2-2021, when doing Alert data entry after vaccination it was discovered that the patient had received Moderna Covid-19 Vaccine in Jan/Feb of 2021.


VAERS ID: 1299700 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-23
Onset:2021-05-02
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045B21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Pneumonia
SMQs:, Guillain-Barre syndrome (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Sulfa drugs
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient''s wife stated that on Sunday he was feeling weak most the day. She took his blood oxygen because he is on oxygen for COPD and it was lower than normal. She turned his oxygen up to 5%, then took his blood pressure. His blood pressure was 256/136, so she called the ambulance. When he was brought into the hospital they put him on a ventilator. He is still on a ventilator as of 5/8/2021. The hospital staff said he had double pneumonia and they plan on trying to take him off the ventilator on 5/10/2021.


VAERS ID: 1299996 (history)  
Form: Version 2.0  
Age: 6.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-23
Onset:2021-05-02
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Confusional state, Disorientation, Lumbar puncture
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: copd
Allergies: no
Diagnostic Lab Data: Blood spinal tap and many other test.
CDC Split Type:

Write-up: 36 HR. after confusion and disorganization led to hospital.


VAERS ID: 1300411 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-22
Onset:2021-05-02
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Analgesic drug level, Anion gap normal, Antiphospholipid antibodies negative, Aspartate aminotransferase normal, Balance disorder, Basophil count normal, Beta 2 microglobulin, Bilirubin conjugated normal, Blindness, Blood albumin, Blood alkaline phosphatase normal, Blood bicarbonate, Blood calcium normal, Blood chloride normal, Blood cholesterol normal, Blood creatinine increased, Blood electrolytes, Blood glucose normal, Blood immunoglobulin M, Blood magnesium normal, Blood potassium normal, Blood sodium normal, Blood triglycerides normal, Blood urea normal, Brain death, Cardiolipin antibody, Cerebrovascular accident, Computerised tomogram head, Eosinophil count decreased, Full blood count, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin normal, Heart rate decreased, Hypotension, Lymphocyte count normal, Mean cell volume, Metabolic function test, Monocyte count decreased, Nausea, Neutrophil count normal, Platelet count normal, Protein total normal, Red blood cell count increased, Red blood cell sedimentation rate normal, SARS-CoV-2 test negative, Troponin I increased, Vomiting, White blood cell count
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Famotidine tums tumeric garlic C50 Vitamin B multivitamin
Current Illness: none
Preexisting Conditions: none
Allergies: laytex, narcotic pain meds, gabapentin,
Diagnostic Lab Data: Metabolic/Electrolyte Panel May 6, 2021 CT HEAD WITHOUT IV CONTRAST May 5, 2021 Complete Blood Count May 5, 2021 CARDIOLIPIN ANTIBODY May 4, 2021 BETA 2 GP1 AB, IGM/IGG, S May 4, 202 Metabolic/Electrolyte Panel May 6, 2021 Potassium, P 4.0 mmol/L 3.6 - 5.2 mmol/L Sodium, P 137 mmol/L 135 - 145 mmol/L Chloride, P 104 mmol/L 98 - 107 mmol/L Bicarbonate, P 24 mmol/L 22 - 29 mmol/L Anion Gap, P 9 7 - 15 BUN, P 14 mg/dL 8 - 24 mg/dL Creatinine, P 1.25 mg/dL 0.74 - 1.35 mg/dL Calcium, Total, P 9.2 mg/dL 8.6 - 10.0 mg/dL Glucose, P 129 mg/dL 70 - 140 mg/dL CT HEAD WITHOUT IV CONTRAST May 5, 2021 FINDINGS: Large region of encephalomalacia involving the central and inferior right cerebellar hemisphere appears similar when compared with 05/04/2021 consistent with an evolving large right cerebellar hemisphere. No new infarcts. No intracranial hemorrhage, mass, mass effect, shift of the midline structures, ventriculomegaly, or new infarcts. Osseous structures are negative. Soft tissues within normal limits. No change. Complete Blood Count May 5, 2021 Hemoglobin 13.9 g/dL 13.2 - 16.6 g/dL Hematocrit 40.5 % 38.3 - 48.6 % Erythrocytes 4.48 x10(12)/L 4.35 - 5.65 x10(12)/L MCV 90.4 fL 78.2 - 97.9 fL RBC Distrib Width 11.9 % 11.8 - 14.5 % Platelet Count 224 x10(9)/L 135 - 317 x10(9)/L Leukocytes 8.7 x10(9)/L 3.4 - 9.6 x10(9)/L Neutrophils 5.78 x10(9)/L 1.56 - 6.45 x10(9)/L Lymphocytes 2.02 x10(9)/L 0.95 - 3.07 x10(9)/L Monocytes 0.74 x10(9)/L 0.26 - 0.81 x10(9)/L Eosinophils 0.09 x10(9)/L 0.03 - 0.48 x10(9)/L Basophils 0.05 x10(9)/L 0.01 - 0.08 x10(9)/L CARDIOLIPIN ANTIBODY May 4, 2021 Phospholipid Ab IgM, S <9.4 MPL <15.0 (Negative) MPL Phospholipid Ab IgG, S <9.4 GPL <15.0 (Negative) GPL General Information BETA 2 GP1 AB, IGM/IGG, S May 4, 2021 Beta 2 GP1 Ab IgG, S <9.4 U/mL <15.0 (Negative) U/mL Beta 2 GP1 Ab IgM, S <9.4 U/mL <15.0 (Negative) U/mL CT HEAD WITHOUT IV CONTRAST May 4, 2021 Routine CT of the head without contrast. No acute intracranial hemorrhage. No midline shift or mass effect. Mild central volume loss. Ventricles are mildly prominent, but are not significantly changed in the interval. Basilar cisterns are patent. No significant change in appearance of the fourth ventricle. Poorly defined area of decreased attenuation is identified throughout the right cerebellum, representing an area of evolving infarct. This has progressed compared to the CT from 5/2/2021. There is associated vasogenic edema and some mass effect. However, there is not significant change in morphology of the fourth ventricle. Some mass effect extends across the midline. No definite extra-axial fluid collection. Mild mucosal thickening along the paranasal sinuses. Complete Blood Count May 4, 2021 Hemoglobin 13.9 g/dL 13.2 - 16.6 g/dL Hematocrit 40.7 % 38.3 - 48.6 % Erythrocytes 4.44 x10(12)/L 4.35 - 5.65 x10(12)/L MCV 91.7 fL 78.2 - 97.9 fL RBC Distrib Width 12.0 % 11.8 - 14.5 % Platelet Count 225 x10(9)/L 135 - 317 x10(9)/L Leukocytes 8.0 x10(9)/L 3.4 - 9.6 x10(9)/L Neutrophils 4.81 x10(9)/L 1.56 - 6.45 x10(9)/L Lymphocytes 2.37 x10(9)/L 0.95 - 3.07 x10(9)/L Monocytes 0.71 x10(9)/L 0.26 - 0.81 x10(9)/L Eosinophils 0.09 x10(9)/L 0.03 - 0.48 x10(9)/L Basophils 0.04 x10(9)/L 0.01 - 0.08 x10(9)/L Metabolic/Electrolyte Panel May 4, 2021 Potassium, P 3.7 mmol/L 3.6 - 5.2 mmol/L Sodium, P 140 mmol/L 135 - 145 mmol/L Chloride, P 107 mmol/L 98 - 107 mmol/L Bicarbonate, P 23 mmol/L 22 - 29 mmol/L Anion Gap, P 10 7 - 15 BUN, P 14 mg/dL 8 - 24 mg/dL Creatinine, P 1.24 mg/dL 0.74 - 1.35 mg/dL eGFR Black 73 mL/min/BSA $g=60 mL/min/BSA ----ADDITIONAL INFORMATION---- Estimated GFR calculated using the 2009 CKD_EPI creatinine equation. eGFR Non-Black 63 mL/min/BSA $g=60 mL/min/BSA ----ADDITIONAL INFORMATION---- Estimated GFR calculated using the 2009 CKD_EPI creatinine equation. Calcium, Total, P 8.9 mg/dL 8.6 - 10.0 mg/dL Glucose, P 114 mg/dL 70 - 140 mg/dL MR BRAIN WITHOUT IV CONTRAST May 3, 2021 FINDINGS: Noncontrast brain MRI shows a large region of diffusion restriction, dark ADC signal involving the inferior right cerebellar hemisphere extending to the superior lateral right cerebellar hemisphere consistent with acute ischemia. There is some increased FLAIR, T2 signal noted. There is no evidence for petechial hemorrhage by MRI at this time. There is no structural abnormality Scattered areas of white matter signal in the cerebral hemispheres consistent with mild leukoaraiosis No supratentorial ischemia. There is no midline shift. Intervals are normal in size. The extracranial structures are unremarkable in appearance. IMPRESSION: 1. Moderate size region of acute ischemia right cerebellar hemisphere with associated mild increased FLAIR, T2 signal, no MRI changes for petechial hemorrhage at this time. 2. Minimal white matter signal changes consistent with leukoaraiosis. Noncontrast brain MRI otherwise negative ECHO TRANSTHORACIC (TTE)May 3, 2021 Fasting Lipid (Cholesterol) Screening May 3, 2021 Cholesterol, Total, P 162 mg/dL mg/dL ----REFERENCE VALUE---- Desirable: < 200 Borderline high: 200 - 239 High: $g or = 240 Triglycerides, Fasting, P 137 mg/dL mg/dL ----REFERENCE VALUE---- Normal: <150 Borderline high: 150-199 High: 200-499 Very high: $g or =500 Cholesterol, HDL, P 33 mg/dL $g=40 mg/dL L Calculated LDL 102 mg/dL mg/dL ----REFERENCE VALUE---- Desirable: <100 Above Desirable: 100-129 Borderline high: 130-159 High: 160-189 Very high: $g or =190 Non HDL Cholesterol 129 mg/dL mg/dL ----REFERENCE VALUE---- Desirable: <130 Above Desirable: 130-159 Borderline high: 160-189 High: 190-219 Very high: $g or =220 Complete Blood Count May 3, 2021 Hemoglobin 13.8 g/dL 13.2 - 16.6 g/dL Hematocrit 40.1 % 38.3 - 48.6 % Erythrocytes 4.42 x10(12)/L 4.35 - 5.65 x10(12)/L MCV 90.7 fL 78.2 - 97.9 fL RBC Distrib Width 12.0 % 11.8 - 14.5 % Platelet Count 220 x10(9)/L 135 - 317 x10(9)/L Leukocytes 9.9 x10(9)/L 3.4 - 9.6 x10(9)/L H Neutrophils 6.74 x10(9)/L 1.56 - 6.45 x10(9)/L H Lymphocytes 2.21 x10(9)/L 0.95 - 3.07 x10(9)/L Monocytes 0.82 x10(9)/L 0.26 - 0.81 x10(9)/L H Eosinophils 0.09 x10(9)/L 0.03 - 0.48 x10(9)/L Basophils 0.05 x10(9)/L 0.01 - 0.08 x10(9)/L Hemoglobin A1C (Average Blood Sugar)May 3, 2021 Hemoglobin A1c, B 5.8 % SARS Coronavirus 2, PCR Rapid, V May 2, 2021 undetected SARS Coronavirus 2, PCR, V May 2, 2021 undetected CT HEAD NECK ANGIOGRAM WITH IV CONTRAST May 2, 2021 EXAM: CT HEAD NECK ANGIOGRAM WITH IV CONTRAST Including 3-D image postprocessing. COMPARISON: CT May 2, 2021. FINDINGS: Right carotid system: Normal. Left carotid system: Normal. Vertebral arteries: Normal. Left dominant. Aortic arch: Unremarkable. Intracranial: Anterior, middle and posterior cerebral arteries are well opacified with contrast. No evidence of a stenosis or aneurysm. Nonvascular findings: Focal loss of gray-white matter differentiation in the right cerebellar hemisphere as well as a chronic right cerebellar lacunar infarct. Measurement of a carotid stenosis, if present, is based on length parameters that compare the residual internal carotid luminal diameter with that of the normal distal ICA in accordance with North American Symptomatic Carotid Endarterectomy Trial (NASCET). IMPRESSION: 1. There is now evidence of focal loss of gray-white matter differentiation in the right cerebellar hemisphere, likely related to acute infarct. 2. Negative CT angiogram of the head and neck. TROPONIN T, 2H/6H, P May 2, 2021 Troponin T, 2 hr, 5th gen 7 ng/L <=15 ng/L Biotin has been identified by the manufacturer as a potential interfering substance. Higher concentrations of biotin may be found in multivitamins, hair/nail supplements, and workout supplements. If the result does not match clinical observations, repeat testing after patient refrains from the use of supplements for at least 12 hours. 2H Delta 0 ng/L ng/L 2H Delta Interp Not Changing Troponin T, 6 hr, 5th gen CANCELED ng/L ng/L CT HEAD WITHOUT IV CONTRAST May 2, 2021 FINDINGS: There is no evidence of acute intracranial hemorrhage. There is no intracranial mass. There is no midline shift. Ventricles and sulci appear within normal limits. There is no evidence of acute infarction. IMPRESSION: No acute findings or evidence of an intracranial mass. Complete Blood Count May 2, 2021 Hemoglobin 14.8 g/dL 13.2 - 16.6 g/dL Hematocrit 43.2 % 38.3 - 48.6 % Erythrocytes 4.88 x10(12)/L 4.35 - 5.65 x10(12)/L MCV 88.5 fL 78.2 - 97.9 fL RBC Distrib Width 11.9 % 11.8 - 14.5 % Platelet Count 240 x10(9)/L 135 - 317 x10(9)/L Leukocytes 11.3 x10(9)/L 3.4 - 9.6 x10(9)/L H Neutrophils 9.70 x10(9)/L 1.56 - 6.45 x10(9)/L H Lymphocytes 0.96 x10(9)/L 0.95 - 3.07 x10(9)/L Monocytes 0.55 x10(9)/L 0.26 - 0.81 x10(9)/L Eosinophils <0.03 x10(9)/L 0.03 - 0.48 x10(9)/L Basophils 0.05 x10(9)/L 0.01 - 0.08 x10(9)/L Extended Metabolic/Electrolyte panel May 2, 2021 Potassium, P 3.9 mmol/L 3.6 - 5.2 mmol/L Sodium, P 141 mmol/L 135 - 145 mmol/L Chloride, P 105 mmol/L 98 - 107 mmol/L Bicarbonate, P 25 mmol/L 22 - 29 mmol/L Anion Gap, P 11 7 - 15 BUN, P 15 mg/dL 8 - 24 mg/dL Creatinine, P 1.26 mg/dL 0.74 - 1.35 mg/dL eGFR Black 72 mL/min/BSA $g=60 mL/min/BSA ----ADDITIONAL INFORMATION---- Estimated GFR calculated using the 2009 CKD_EPI creatinine equation. eGFR Non-Black 62 mL/min/BSA $g=60 mL/min/BSA ----ADDITIONAL INFORMATION---- Estimated GFR calculated using the 2009 CKD_EPI creatinine equation. Calcium, Total, P 9.8 mg/dL 8.6 - 10.0 mg/dL Glucose, P 170 mg/dL 70 - 140 mg/dL H Protein, Total, P 6.9 g/dL 6.3 - 7.9 g/dL Albumin, P 4.2 g/dL 3.5 - 5.0 g/dL Aspartate Aminotransferase (AST), P 28 U/L 8 - 48 U/L Alkaline Phosphatase, P 79 U/L 40 - 129 U/L Alanine Aminotransferase (ALT), P 27 U/L 7 - 55 U/L Bilirubin, Total, P 1.0 mg/dL <=1.2 mg/dL TROPONIN T, BASELINE, 5TH GEN, P May 2, 2021 Troponin T, Baseline, 5th gen 7 ng/L <=15 ng/L Magnesium Level May 2, 2021 Magnesium, P 2.0 mg/dL 1.7 - 2.3 mg/dL SALICYLATE LEVEL May 2, 2021 Salicylate, P <0.3 mg/dL <30.0 mg/dL ECG May 2, 2021 Ventricular Rate ECG/Min 66 BPM BPM PR Interval 198 ms ms QRSD Interval 86 ms ms QT Interval 418 ms ms QTC Interval 438 ms ms P Axis 35 degrees degrees R Axis 45 degrees degrees T Wave Axis 29 degrees degrees
CDC Split Type:

Write-up: stroke on 5/2 8:45 am hospitalized 5 days no physiologiical explanation. 3/4 of right cerebellum is dead. at onset nausea vomiting vision loss, loss of balance and coordination BP bottomed out low heartrate while sleepiing


VAERS ID: 1300702 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-29
Onset:2021-05-02
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

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

Write-up: 2-3 days after the first injection, I developed a blood clot in my lower right leg.


VAERS ID: 1301076 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-12
Onset:2021-05-02
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002B21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Muscle spasms, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mircette
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: experienced a leg cramp beginning Sunday, May 2. Went in to the ER Tuesday, May 11 with chest pains/short of breath. Diagnosed with bilateral pulmonary embolism. Put on blood thinners for next three months.


VAERS ID: 1301337 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-03-08
Onset:2021-05-02
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Laboratory test, Pulmonary thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Nill
Preexisting Conditions: Nill
Allergies:
Diagnostic Lab Data: Contact the hospital
CDC Split Type:

Write-up: Blood clots in lungs was diagnosed after so many test. Treatment ongoing


VAERS ID: 1301665 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001CZ1A (NOT SU / 1 LA / SYR

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

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

Write-up: Shingles outbreak


VAERS ID: 1301669 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-04-07
Onset:2021-05-02
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Daily multi vitamin, Lutein, Biotin, fiber supplement, Zyrtec,
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Approximately four weeks after receiving the shot I came down with symptoms related to Shingles and was diagnosed with such five days later. Unsure if there is causation but I thought it was worth reporting because other than receiving the covid vaccine I have had no changes or health issues or anything else that would indicate a change in my immunity status that could have resulted in this onset. I am a bit on the young side to be experiencing Shingles so thought it was worth reporting.


VAERS ID: 1301746 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pain, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SOTALOL; METOPROLOL; ELIQUIS
Current Illness: Atrial fibrillation; Hereditary angioedema
Preexisting Conditions: Comments: The patient did not have any known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210505450

Write-up: BODY ACHES; THROAT SWELLING; This spontaneous report received from a patient concerned a 43 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hereditary angioedema, and atrial fibrillation, and other pre-existing medical conditions included the patient did not have any known allergies. The patient received covid-19 vaccine (suspension for injection, intramuscular, batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 02-MAY-2021 for prophylactic vaccination. Concomitant medications included apixaban for atrial fibrillation, metoprolol for atrial fibrillation, and sotalol for atrial fibrillation. On 02-MAY-2021, the subject experienced throat swelling. On 03-MAY-2021, the subject experienced body aches. Treatment medications (dates unspecified) included: icatibant acetate. The action taken with covid-19 was not applicable. The patient recovered from throat swelling on 02-MAY-2021, and had not recovered from body aches. This report was non-serious.


VAERS ID: 1301749 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chills, Headache, Influenza, Pain, Palpitations, Spinal pain, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Blood pressure high; Drug allergy
Preexisting Conditions: Comments: The patient was non alcoholic and non smoker. The patient did not have any drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210506526

Write-up: PAIN IN SPINE; BODY SORENESS; JOINT PAIN; FLU; VOMITING; CHILLS; SHAKING; HEADACHE; HEART RACING; This spontaneous report received from a patient concerned a 53 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure, and compazine - napazine codeine allergy, and other pre-existing medical conditions included the patient was non alcoholic and non smoker. the patient did not have any drug abuse or illicit drug usage.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 02-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 02-MAY-2021, the subject experienced heart racing. On 02-MAY-2021, the subject experienced body soreness. On 02-MAY-2021, the subject experienced joint pain. On 02-MAY-2021, the subject experienced flu. On 02-MAY-2021, the subject experienced vomiting. On 02-MAY-2021, the subject experienced chills. On 02-MAY-2021, the subject experienced shaking. On 02-MAY-2021, the subject experienced headache. On 04-MAY-2021, the subject experienced pain in spine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from heart racing, vomiting, and chills on 04-MAY-2021, and shaking, and had not recovered from body soreness, joint pain, headache, pain in spine, and flu. This report was non-serious.


VAERS ID: 1301966 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: No known drug allergies
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: SARS-CoV-2 RT-PCR test; Result Unstructured Data: POSITIVE
CDC Split Type: USJNJFOC20210506427

Write-up: CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; This spontaneous report received from a patient concerned a 42 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025 expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 02-MAY-2021, the patient tested positive for Covid-19 (coded as confirmed covid-19 infection and confirmed clinical vaccination failure). Laboratory data included: SARS-CoV-2 RT-PCR test (NR: not provided) POSITIVE. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the confirmed covid-19 infection and confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This case is associated with product quality complaint (PQC) number 90000178477.; Sender''s Comments: V0: 20210506427-covid-19 vaccine ad26.cov2.s-confirmed clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1301988 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eye swelling, Nausea, Swelling face, Swollen tongue, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium


VAERS ID: 1302455 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Dyspnoea, Impaired work ability, Insomnia, Nausea, Pain
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Testosterone intramuscular
Current Illness: None
Preexisting Conditions: Pituitary adenoma, migraines, chest pain (sees cardiologist), herniated disc in spine, growth on liver.
Allergies: Unknown
Diagnostic Lab Data: Have yet to see any doctor. I have been too nervous to go. I will be going today though. 5/10/21
CDC Split Type:

Write-up: Pain when breathing and difficulty breathing. Nausea. Started 12 hours after the 2nd dose and has yet to go away 1 week later. It''s hard to breathe without coughing and pain. And the nausea came I had body aches too. But everything else went away except for the nausea which has been haunting me and the difficulty breathing which has limited the amount of work i do at work and has had an impact on my sleeping as well.


VAERS ID: 1303248 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-05-02
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: CT IMAGING
CDC Split Type:

Write-up: FIRST DOSE ADMINISTERED 3/22/21. SECOND DOSE ADMINISTERED 4/9/21. DIAGNOSED WITH APPENDICITIS 5/6/21 WITH ONSET OF SYMPTOMS 5/2/21. LAPAROSCOPIC APPENDECTOMY PERFORMED 5/6/21.


VAERS ID: 1303953 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Missouri  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180890 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Nausea, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202105; Test Name: Body temperature; Result Unstructured Data: 99.8; Test Name: Body temperature; Result Unstructured Data: 97
CDC Split Type: USJNJFOC20210512108

Write-up: NAUSEA; FEVER; SLIGHT ARM PAIN; This spontaneous report received from a patient concerned a 63 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 180890 expiry: UNKNOWN) dose was not reported, administered on 02-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On MAY-2021, Laboratory data included: Body temperature (NR: not provided) 99.8. On 02-MAY-2021, the subject experienced slight arm pain. On 04-MAY-2021, the subject experienced nausea. On 04-MAY-2021, the subject experienced fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 97. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from slight arm pain on 02-MAY-2021, and had not recovered from nausea, and fever. This report was non-serious.


VAERS ID: 1304417 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 - / SYR

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pfizer 4/11/2021 , fever and fatigue
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin and sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Resting heart rate of 117bpm and fever of 103.8(39.9C)


VAERS ID: 1306334 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthma, Dizziness, Headache, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (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: Vitamin D3 Vitamin c w magnesium and zinc
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Penicillin Theophylline Nuts Shellfish Latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5/2/2020 2:30 pm dizziness, nausea lasted 8 hours. Went away. Headache remained 5/2/2020 asthma symptoms flare up. Utilized nebulizer 5 times. Headache remained 5/3/2020 utilized nebulizer 5 times . Headache remained 5/4/2020 utilized nebulizer 5 times. requested meds: received prednisone. 20 mg 2xs daily for 5 days. Headache remained 5/5/2020 began treatment of prednisone. Utilized nebulizer 4 times. No headache 5/6/2020 utilized nebulizer 4 times headache returns 5/7/2020 utilized nebulizer 3 times headache remained 5/8/202 utilized nebulizer 1 time no headache 5/9/2020 discontinued use of nebulizer headache remains 5/10/2020 headache pain near brain stem occipital lobe region 5/11/2020 headache in the morning occipital lobe region. Pain at the top of head corpus callosum region. Right down the middle. Awake at 3:41am w the pain.


VAERS ID: 1306566 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Lethargy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium


VAERS ID: 1306957 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest discomfort, Chest pain, Computerised tomogram thorax, Dyspnoea, Echocardiogram, Electrocardiogram, Heart rate increased, Myocarditis, Pericarditis, Pulmonary embolism, Urine analysis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Contraceptive pill (Estelle)
Current Illness: Nil
Preexisting Conditions: Nil
Allergies: Nil
Diagnostic Lab Data: Two nights in hospital (2-4 May) - around 6+ EKGs (on 2, 3 and 4 May), countless blood tests (on 2, 3 and 4 May), 1 urine test (2 May), 1 chest X-ray (2 May), 1 CT pulmonary angiograph (2 May), 1 ultrasound of the heart (3 May). There are extensive laboratory results stemming from all these tests, which can be provided upon request (I expect the hospital will include more details when it reports this as an adverse reaction as well).
CDC Split Type:

Write-up: 2 days after the vaccine (on 2 May), I woke with an accelerated heart rate, chest pain, tightness of chest and shortness of breath. I presented to MD where they took my vitals and an EKG. The doctor called an ambulance for me as she assessed I was potentially displaying signs of pulmonary embolism. The ambulance took me to the emergency department. I ultimately stayed there two nights, and following many tests was diagnosed with acute pericarditis versus myopericarditis. My admitting doctor and the cardiologist both advised that while they could not be 100% certain, the pericarditis could very well be an adverse reaction to the Moderna COVID-19 vaccine. The admitting doctor told me she would report it as an adverse reaction. I am now on colchacine anti-inflammatory medication for 3 months and have one follow-up with the cardiologist to come.


VAERS ID: 1307462 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-01
Onset:2021-05-02
   Days after vaccination:62
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Deep vein thrombosis, Pleural effusion, Pulmonary embolism
SMQs:, Systemic lupus erythematosus (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

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

Write-up: DVT and PE and pleural effusion


VAERS ID: 1307490 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-24
Onset:2021-05-02
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute myocardial infarction, Catheterisation cardiac, Stent placement
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: had LHC and had stent placed in ostial LAD 5/2/2021
CDC Split Type:

Write-up: 2nd dose of Moderna vaccine given on 4/23/2021. He presented with acute STEMI on 5/2/2021. He has no family hx of premature CAD and no known cardiac RFs. Although doubt relationship between the vaccine and his acute MI our ID agreed that reporting this to VAERS is reasonable.


VAERS ID: 1307963 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site induration, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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: unknown
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient has a quarter sized lump that is firm and has pain to the touch at the injection site 11 days after injection.


VAERS ID: 1309631 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-28
Onset:2021-05-02
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Myocarditis, SARS-CoV-2 test
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? 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: 20210502; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC2021499995

Write-up: myopericarditis; This is a spontaneous report from a contactable consumer (patient). A non-pregnant 21-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in left arm on 28Apr2021 at 13:00 (at 21 years old, no pregnant, Batch/Lot number was not reported) as a single dose for covid-19 immunization. The patient medical history was not reported. No other medical history and no known allergies. The patient not had Covid prior vaccination. The patient previous took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in left arm on 07Apr2021 at 13:00 (at 21 years old, no pregnant, Batch/Lot number was not reported) as a single dose for covid-19 immunization. The patient''s concomitant medications were not reported. The patient was ended up in the hospital with myopericarditis on 02May2021 at 06:45AM. Patient was a health 21 years old who had no heart problems before. Also had no heart problems in the family. The event was resulted in Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event). Hospitalized 1 day. Prescribed colchicine and metoprolol for event. The patient underwent lab tests and procedures which included SARS-CoV-2 test (Nasal Swab): negative on 02May2021. The outcome of the event was recovering. Information about the Lot/batch number has been requested.


VAERS ID: 1309968 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-02
Onset:2021-05-02
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

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

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

Write-up: Continuous pain in left arm


VAERS ID: 1310558 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Anaemia, Chills, Confusional state, Depressed level of consciousness, Discoloured vomit, Faeces discoloured, Gastrointestinal haemorrhage, Haematemesis, Melaena, Mental status changes, Metabolic encephalopathy, Nausea, Pain, Pyrexia, Restlessness, Upper gastrointestinal haemorrhage, Vomiting
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Akathisia (broad), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: presented with altered mental status and hematemesis and admitted for metabolic encephalopathy and severe anemia secondary to upper GI bleeding. Patient was in her usual state until 3 days prior to admission when she had her 2nd dose of COVID-19 vaccination that she started to experience generalized body aches accompanied by fever and chills a day later. She also developed epigastric pain accompanied by nausea and vomiting which was later noted to have dark colored vomitus. One day prior to admission, she went to Urgent Care and was given Famotidine. Yesterday, she was found to be obtunded with dark colored vomitus and black tarry stools and was sent to ER where she was noted to have severe anemia. GI consult called for further evaluation. Patient still confused and restless. History taken from chart and from nursing staff. Currently, no more hematemesis and no BM.


VAERS ID: 1310949 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-01-28
Onset:2021-05-02
   Days after vaccination:94
Submitted: 0000-00-00
Entered: 2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024M20A / 2 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Confusional state, Dehydration, Gastrointestinal disorder, Renal failure, Seizure
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamins
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ask the hospital about this information.
CDC Split Type:

Write-up: On May 2nd started with symptoms of food poison, went to urgent care, gave her hydration and sent her home. On May 7th was taking to the hospital, look very weak and was confused, couldn''t answer basic questions. They kept her in the hospital. On May 8th she had an apparent seizure and was was not until May 11 that she came out of it, being able to recognize people (though very weak). In the meantime her two kidneys stopped working. She continues to have seizures despite of the hospital giving her anti seizure medications. You could talk to the hospital more about the medical details.


VAERS ID: 1311248 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-21
Onset:2021-05-02
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Systemic inflammatory response syndrome
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), 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), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Sepsis (broad), Opportunistic infections (broad)

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

Write-up: R65.10 - SIRS (systemic inflammatory response syndrome) (CMS/HCC) N17.9 - AKI (acute kidney injury) (CMS/HCC)


VAERS ID: 1311458 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-05-02
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Cough, Decreased appetite, Fatigue, Headache, Myalgia, Pulmonary congestion, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Strong flu-like response lasting one day after second dose of shingles vax in fall of 2020.
Other Medications: Losartan-HCTZ 100-12.5 Mg, low dose aspirin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: I did not see or inform my clinic during this episode.
CDC Split Type:

Write-up: Saturday evening May 1 I met with nine friends (all vaccinated) and ate a lot of food, drank moderately, and then did not sleep well. Approximately noon the next afternoon (Sunday, May2) while driving I noticed a developing dry-cough, chest congestion, and general fatigue. While camping that night I had some chills, thought I might have a bit of a fever, and had little appetite. I arrived home Tuesday, May 4 coughing a lot and very fatigued. Wednesday morning I went in for a Covid test. My cough and fatigue continued to increase along with muscle pain and headache. Wednesday night my fever topped out near 104. It broke and I felt much better but for the next few days (until around May 11) it fluctuated between normal and around 100-102. The Covid test came back negative but I went back for another just in case. It too came back negative. My temperature has now stabilized, the cough and congestion are mostly gone. I''m still a bit tired but feeling much better. It seemed like a case of Covid without the Covid. I am glad I got vaccinated but that was rough.


VAERS ID: 1312039 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Culture negative, Fatigue, Memory impairment, Pyrexia, Urinary tract infection, Urine analysis abnormal
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (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: Vivelle, progesterone
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: urinalysis and culture, 05/05/2021
CDC Split Type:

Write-up: severe chills, fever, fatigue, urinary tract infection (no symptoms before 5/02, more memory problems than previous ( normal aging, not dementia).


VAERS ID: 1312948 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Chills, Mastitis, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Functional lactation disorders (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:

Write-up: Fever, chills, body aches, mastitis in breast on the same side as injection


VAERS ID: 1313235 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abnormal dreams, Body temperature, Headache, Malaise, Mucosal inflammation, Penile erythema, Penile pain, Pyrexia, Thrombosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (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: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: Body temperature; Result Unstructured Data: 40 degree Celsius
CDC Split Type: USJNJFOC20210513944

Write-up: SUSPECTED URETHRAL MUCOSITIS; CLOT; PENIS TIP GOT RED; PENIS PAIN; SAW ANGELS AND DEMONS IN BED; TERRIBLE MALAISE; HEADACHE; FEVER 40 DEGREE; This spontaneous report received from a patient concerned a 26-year-old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 204A21A, and expiry: UNKNOWN) dose was not reported, 1 total, administered on 02-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 02-MAY-2021 at night, the patient experienced some symptoms after vaccination including Fever of 40 degrees Celsius, headache, and a terrible malaise. The patient also reported seeing angels and demons in bed; Also, the patient noticed that the penis tip got red and experienced pain. On 05-MAY-2021, the patient continued with the symptoms, and it seemed as if a clot was generated. On 06-MAY-2021, the patient had an appointment with general physician who informed that he never saw an adverse reaction like this after vaccination and that it could be a urethral mucositis. On 10-May-2021, the patient would have an appointment with the urologist to inform the symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever 40 degree Celsius, saw angels and demons in bed, headache, terrible malaise, penis tip got red, penis pain, clot and urethral mucositis was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0.20210513944-covid-19 vaccine ad26.cov2.s -thrombosis. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1313714 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-28
Onset:2021-05-02
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Facial pain, Facial paralysis, Fatigue, Neck pain, Neuralgia, Oropharyngeal pain, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Hearing impairment (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: tetanus in 2007, fever, aches, chills, jaw pain, neck pain for one month
Other Medications: duoloxetine
Current Illness: migraines
Preexisting Conditions: migraines, chronic neck pain, inflammatory responses/autoimmune, possible lyme, depression, concussions (I got lip filler two days after the vaccine and this may be a contributor?)
Allergies: tetanus shot
Diagnostic Lab Data: I had blood tests done by doctor on 5/5/21 with a PC and a sinus CT scan to check for sinus infection (have been chronic) and it was negative.
CDC Split Type:

Write-up: four days later I got very tired, sore throat, swollen face, pain on the left side of neck and face (which is already chronic for me, but this was more acute), and nerve pain across my left cheek under the sinus, right side of my face drooping (bells palsy)


VAERS ID: 1314439 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cheilitis, Headache, Herpes virus infection, Oropharyngeal pain, Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Stomatitis, Streptococcus test negative
SMQs:, Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), 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? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data: Strep 5/6 - negative COVD 19 - 5/26 - negative
CDC Split Type:

Write-up: Started with sore arm and headache, progressed to high fever (101). Next day had sores on mouth, which spread all over lips and started sore throat. Fever did not go away without medication. Medication would alleviate it but it continued for 6 days, reaching 102.4. Pediatrician tested for strep and for COVID, both were negative. Sore throat persisted after fevers subsided. Had to finally be prescribed magic mouthwash. Doctor said sores on lips were herpes so prescribed viral medications. My son never has a sore throat and has never had a herpes sore until after the shot.


VAERS ID: 1315169 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-28
Onset:2021-05-02
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204AZIA / UNK LA / -

Administered by: Pharmacy       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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Blood thinkers. Very minor ones.
Current Illness: no
Preexisting Conditions: slight cold and minor heart attack 2009
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Facility


VAERS ID: 1315705 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Fatigue, Influenza like illness, Musculoskeletal discomfort, Pain in extremity, Pyrexia, Sensory disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (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: Test Date: 20210502; Test Name: Body temperature; Result Unstructured Data: 102 F
CDC Split Type: USJNJFOC20210505260

Write-up: FELT LIKE TRUCK HIT ME; FLU- LIKE SYMPTOMS; EXTREME MUSCLE DISCOMFORT AND SENSITIVE HIPS AND IN LOWER BACK TO SIDE; SORE ARM; FATIGUE; FEVER; This spontaneous report received from a consumer concerned a 52 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 01-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 02-MAY-2021, the subject experienced felt like truck hit me. On 02-MAY-2021, the subject experienced flu- like symptoms. On 02-MAY-2021, the subject experienced extreme muscle discomfort and sensitive hips and in lower back to side. On 02-MAY-2021, the subject experienced sore arm. On 02-MAY-2021, the subject experienced fatigue. On 02-MAY-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 102 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu- like symptoms, and fever on 03-MAY-2021, was recovering from felt like truck hit me, and had not recovered from extreme muscle discomfort and sensitive hips and in lower back to side, sore arm, and fatigue. This report was non-serious.


VAERS ID: 1315880 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013M20A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthma, Chills, Chronic obstructive pulmonary disease, Dyspnoea, Headache, Influenza like illness, Oxygen saturation, Pruritus, Pyrexia, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Heavy smoker
Allergies:
Diagnostic Lab Data: Test Date: 20210504; Test Name: Oxygen saturation; Result Unstructured Data: 91
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: This spontaneous case was reported by a consumer and describes the occurrence of CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), ASTHMA (Asthma) and DYSPNOEA (Difficulty breathing which started in the morning and got worst by evening / Barely catch his breath) in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Heavy smoker in 2020. On 01-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-May-2021, the patient experienced INFLUENZA LIKE ILLNESS (Flu-like symptoms), CHILLS (Chills), PYREXIA (Fever) and HEADACHE (Headache). On 03-May-2021, the patient experienced PRURITUS (Feeling scratchy). On 04-May-2021, the patient experienced CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) (seriousness criterion medically significant), ASTHMA (Asthma) (seriousness criterion medically significant), DYSPNOEA (Difficulty breathing which started in the morning and got worst by evening / Barely catch his breath) (seriousness criterion medically significant) and WHEEZING (Wheezing sounds). On 02-May-2021, INFLUENZA LIKE ILLNESS (Flu-like symptoms), CHILLS (Chills), PYREXIA (Fever) and HEADACHE (Headache) had resolved. On 03-May-2021, PRURITUS (Feeling scratchy) had resolved. On 06-May-2021, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), ASTHMA (Asthma), DYSPNOEA (Difficulty breathing which started in the morning and got worst by evening / Barely catch his breath) and WHEEZING (Wheezing sounds) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 04-May-2021, Oxygen saturation: 91 Low. On 03-May-2021, the patient was feeling scratchy and mentioned it could be due to pollen. On 04-May-2021, he was experiencing difficulty breathing, which began in the morning and exacerbated by the evening. He had wheezing sound and by 6 PM he could barely catch his breath. He got breathing treatment using nebulizer and his oxygen level was 91. By 8 PM he went to the ER and underwent tests. He was diagnosed to have Asthma and COPD. Treatment: Inhaler, nebulizer and steroid. 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: 1315988 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-29
Onset:2021-05-02
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Erythema, Herpes simplex, Herpes simplex test positive, Inflammation, Pain, Rash, Skin infection
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: Hypoglycemia. Anxiety
Preexisting Conditions: None.
Allergies: Lactose intolerant.
Diagnostic Lab Data: Medical Lab Standard culture PCR culture by medical facility 5/5/2021. 5/11/2020 Herpes Simplex IgG I Ab Value 59.90 see fn Standard Range seefn see fn Units: Index Value Ref Range: < or = 0.90 INTERPRETATION: Positive: IgG antibody detected which may indicate current or previous exposure. Herpes Simplex IgG II Ab Value 0.34 see fn Standard Range seefn see fn Units: Index Value Ref Range: < or = 0.90 INTERPRETATION: Negative: No antibody detected. Herpes Simplex I and/Or II IgM Your Value 0.53 INDEX Standard Range -<=0.90 INDEX Negative: No antibody detected Test performed at Medical Laboratory, in a state by, MD- Medical Director
CDC Split Type:

Write-up: To start, I had chicken pox as a child, 6 years old. On April 24, I had laser hair removal on my vagina - which I?m required to shave. The laser really gets into the skin, leaving it raw and open to infection. I received my vaccine 5 days later. I experienced chills, body aches for 2 days after, then the rash on vaginal area became extremely inflamed and red. I went to urgent care, doctor stated it did not look like genital herpes, but a skin infection. The following morning, it was worst, so I went to medical facility, who swabbed it. Came back as HSV-2. A week later, i had blood work G and M, which showed no signs or Antibodies for HSV- 2. I read an article that the vaccine is related to shingles activation. From my understanding: A dermatome is the area of skin supplied by a particular nerve. The varicella zoster virus lies dormant in the cranial and spinal nerves. When the virus is reactivated, it travels along the affected nerves to the area of the skin served by those nerves, where it causes a distinctive, stripe-like rash. Which, was my vaginal area after intense laser. Im also aware the the herpes zoster can be confused with gential, even in a culture that only test for hsv 1 and 2.


VAERS ID: 1317002 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-29
Onset:2021-05-02
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Deep vein thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none known
Preexisting Conditions: none known
Allergies: soy milk
Diagnostic Lab Data:
CDC Split Type:

Write-up: A blood clot ( DVT)


VAERS ID: 1317357 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2021-02-18
Onset:2021-05-02
   Days after vaccination:73
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9266 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN9581 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Pneumonia
SMQs:, Eosinophilic pneumonia (broad), 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Norco 5/325mg tabs, Albuterol MDI, apixiban 5mg BID, Probiotic daily, Vitamin D 5,000 units daily, duloxetine 90mg daily, escitalopram 10mg daily, Advair 1 puff BID, furosemide 80mg daily, gabapentin 1200mg BID, levothyroxine 88mcg daily, l
Current Illness: None recorded
Preexisting Conditions: Atrial fibrillation, cardiac pacemaker, COPD, Diastolic heart failure, hyperlipidemia, hypothyroidism, obstructive sleep apnea
Allergies: Codeine, lisinopril, pregabalin, simvastatin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pneumonia s/p Covid-19 resulting in hospitalization


VAERS ID: 1317474 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       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: fish oil. ibuprophen. multi-vitamin
Current Illness: None
Preexisting Conditions: hip artnritis
Allergies: Noine
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Tinnitus


VAERS ID: 1317498 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blindness, Chest discomfort, Dehydration, Diarrhoea, Dizziness, Dyspnoea, Headache, Hyperhidrosis, Paraesthesia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Dehydration (narrow)

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

Write-up: Tightness in chest and slight difficulty breathing hours before event. Event was an episode on the toilet including vomiting, diarrhea, dizziness, sweating, slight tingling sensations, and temporary loss of vision (5-6 minutes). Dehydration and headache occurred after the event.


VAERS ID: 1317703 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-22
Onset:2021-05-02
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute kidney injury, Asthenia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), 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), Guillain-Barre syndrome (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: N17.9 - Acute kidney failure, unspecified WEAKNESS - GENERALIZED


VAERS ID: 1320159 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Hypotension, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021488822

Write-up: fainted; low blood pressure; fever; This is a spontaneous report from a non-contactable consumer (patient). A 28-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in the left arm on 01May2021 (Batch/Lot Number: Unknown) as 2nd dose, single dose (at the age of 28-years-old) for COVID-19 immunization. Medical history was not reported. The patient did not have concomitant medications: the patient did not have any other medications the patient received within 2 weeks of vaccination. The patient received the first dose of 12Apr2021 BNT162B2 for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks. On 02May2021, around 24 hours after receiving the second shot of COVID vaccine the patient fainted due to fever and low blood pressure. The patient required emergency room/department or urgent care. The patient did not receive treatment for the events. The patient was not diagnosed with COVID-19 and since the vaccination the patient has not been tested for COVID-19. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1320195 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-21
Onset:2021-05-02
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pain in extremity, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (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:
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 INC2021493664

Write-up: Hives all over her body; Rash all over her body; Pain in arm; This is a spontaneous report from a Pfizer-Sponsored program from a contactable consumer (patient). A 52-year-old female patient received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech), via an unspecified route of administration in deltoid left, on 21Apr2021 (Lot Number: EW0172), as single dose, for COVID-19 immunisation. Medical history was none. No history of allergies or autoimmune disease. Concomitant medications were not reported. The patient experienced hives all over her body (medically significant) on 02May2021 with outcome of not recovered, rash all over her body (medically significant) on 02May2021 with outcome of not recovered, pain in arm (non-serious) on 02May2021 with outcome of unknown. Therapeutic measures were taken as a result of hives all over her body and rash all over her body and included treatment with antihistamine, Benadryl. Follow-up attempts are needed. Further information is expected.


VAERS ID: 1320276 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, Heart rate, Heart rate increased, Influenza like illness, Malaise, Nasal congestion, Nasal discomfort, Oxygen saturation, Oxygen saturation decreased, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hypertension (verbatim: Hypertension); Tachycardia (verbatim: Tachycardia)
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: Heart rate; Result Unstructured Data: Test Result:140; Comments: Super elevated; Test Date: 20210502; Test Name: oxygen levels; Result Unstructured Data: Test Result:80; Comments: really low; Test Date: 20210502; Test Name: covid-19 positive; Test Result: Positive
CDC Split Type: USPFIZER INC2021503746

Write-up: flu-like symptoms; oxygen saturation is low; having difficulty breathing; experiencing a rapid heart rate/ had tachycardia, fast heart beat; being tested for Covid 19; complaining of feeling unwell since receiving the first dose of the Pfizer Covid vaccine; his nose was very stuffy; needed to blow his nose like 100 times; This is a spontaneous report from a contactable consumer (patient''s daughter). A 72-years-old male patient (reporter''s father) received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date was not reported), via an unspecified route of administration, administered in arm on 01May2021 (at the age of 72-years-old) as a single dose for covid-19 immunization. Medical history included hypertension, tachycardia. The patient''s concomitant medications were not reported. On 02May2021, the patient was complaining of feeling unwell since receiving the first dose of the Covid vaccine. Caller states father has been having flu-like symptoms. His oxygen saturation was low and he was having difficulty breathing. He was experiencing a rapid heart rate and currently was being tested for Covid 19, he was having chest ray done, and blood work. his heart rate was like 140 and then his oxygen would go down to 80. Caller states she didn''t know if Pfizer has ever heard of symptoms like that. Caller states she just wanted to know what was going on, he''s in the hospital now. The patient had tachycardia, fast heart beat. Caller states he is 72 years old, he was just laying down and felt his heart really bad, they used a monitor and his heart rate was 140, it was super elevated. Caller states they used the oxygen thing that they put on his finger and the oxygen levels were 80 so it was really low. Caller states he was completely fine, he never went out of the house, he was completely fine, normal. Caller states he does have hypertension though and he drinks medicine for that but she doesn''t know which medicine it is. Caller states the first day they applied the vaccine, he felt good. Caller states the second day, he didn''t feel good, had flu-like symptoms, his nose was very stuffy, he needed to blow his nose almost 100 times, he was not feeling well at all. Caller states her mom had to take him to the hospital. Reporter enquired if my father could take the second dose since he had this reaction and got answer that should not get COVID-19 Vaccine if you had a severe allergic reaction after a previous dose of this vaccine and had a severe allergic reaction to any ingredient of this vaccine. The patient was taking Pfizer Covid vaccine because he wants to be protected. Caller verifies the patient is continuing to have all symptoms reported still. Caller states he was super healthy and he just went there and took the vaccine and he never goes out, so she doesn''t know. Caller reports all of patient''s symptoms reported have worsened. Caller verifies it was an injection in his arm, but doesn''t know which arm. Caller also unsure of dosage given. Caller states they were like no only Pfizer, so he waited so long for Pfizer and finally when he applied to Pfizer and got it, he was so happy and so now he''s so sad because he feels bad. Caller requesting to be transferred to the medical staff at this time. Caller states she doesn''t have time to finish the report for her father or herself because her lunch break is almost over. The patient underwent lab tests and procedures on 02May2021 which included heart rate: 140- super elevated , oxygen saturation: 80 -really low , covid-19 positive: positive .The seriousness of the event was considered as serious hospitalisation by reporter. Outcome of the events was not recovered. Follow up attempts are needed. information about lot/batch number cannot be obtained.


VAERS ID: 1320344 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-25
Onset:2021-05-02
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal discomfort
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021513746

Write-up: Said her son startedexperiencing symptoms like cold,congestion, headache and scratchy throat on 05/02/2021and her son tested positive today05/05/2021.; Cold; Headache; Scratchy throat; Congestion; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer reported for a male patient with unspecified age that he received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) on 25Apr2021 at 1st dose, single for covid-19 immunisation. Patient''s medical history and concomitant medications were not reported. The consumer was calling on behalf of her son, got the first dose of the vaccine on 25Apr2021, and the second dose is scheduled 16May2021 (correct dosing schedule). Consumer said her son started experiencing symptoms like cold, congestion, headache and scratchy throat on 02May2021 and her son tested positive today 05May2021. Consumer wanted to know if we recommend getting her son''s second dose as scheduled. Were any unaddressed medical questions referred or forwarded to Medical Information; Yes. The outcome of events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.


VAERS ID: 1320369 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Florida  
Vaccinated:2021-01-01
Onset:2021-05-02
   Days after vaccination:121
Submitted: 0000-00-00
Entered: 2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Public       Purchased by: ?
Symptoms: Antibody test negative, Body temperature, Oxygen saturation, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 antibody test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRISTIQ; LAMICTAL; SIMVASTATIN
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: body temperature; Result Unstructured Data: Test Result:103; Test Date: 20210502; Test Name: body temperature; Result Unstructured Data: Test Result:104; Test Date: 20210502; Test Name: Oxygen saturation; Result Unstructured Data: Test Result:84; Test Date: 20210502; Test Name: Oxygen saturation; Result Unstructured Data: Test Result:82; Test Date: 20210503; Test Name: COVID-19 antibody test; Test Result: Negative
CDC Split Type: USPFIZER INC2021522752

Write-up: fever of 103/104; Oxigen level of 82 / 84; No antibodies against COVID-19; This is a spontaneous report from a contactable consumer (patient). A male patient of an unspecified age received the 2nd dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech), via an unspecified route of administration in arm right, in Jan2021, at single dose, for COVID-19 immunisation. Patient had no known allergies or other medical history. The patient was not diagnosed with COVID-19 prior to vaccination. Concomitant medications included desvenlafaxine succinate (PRISTIQ), lamotrigine (LAMICTAL), simvastatin (unknown manufacturer). The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Previously the patient received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech) for COVID-19 immunisation on unknown date in right arm. The patient experienced fever of 103/104 (caused hospitalization, life threatening) on 02May2021 at 08:00 AM with outcome of unknown, oxygen level of 82 / 84 (caused hospitalization, life threatening) on 02May2021 at 08:00 AM with outcome of unknown, no antibodies against COVID-19 (life threatening) on 03May2021 with outcome of unknown. The events pyrexia and oxygen saturation decreased required physician office visit and emergency room visit. Therapeutic measures were taken as a result of pyrexia and oxygen saturation decreased and included treatment with oxygen, antibiotics, fluids. After 8 hours the patient was sent to the ICU. The patient underwent lab tests and procedures which included body temperature: 103 on 02May2021, body temperature: 104 on 02May2021, oxygen saturation: 84 on 02May2021, oxygen saturation: 82 on 02May2021, COVID-19 antibody test: negative on 03May2021. The information on the lot/batch number has been requested.


VAERS ID: 1320374 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-05-02
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Appendicitis, SARS-CoV-2 test negative
SMQs:, COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Splenomegaly
Allergies:
Diagnostic Lab Data: Test Date: 20210506; Test Name: covid test; Test Result: Negative
CDC Split Type: USPFIZER INC2021523854

Write-up: APPENDICITIS DIAGNOSED 5/6/21 WITH ONSET OF SYMPTOMS 5/2/21; This is a spontaneous report from a contactable consumer (patient). A 32-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 09Apr2021 at the age of 32-years-old (Batch/Lot Number: EN6207) as 2ND DOSE, SINGLE for covid-19 immunisation. Medical history included splenomegaly from an unknown date. Patient did not have known allergies. There were no concomitant medications. The patient previously received first dose BNT162B2 administered in Arm Left on 22Mar2021 at the age of 32-years-old (Batch/Lot Number: EP7534) for covid-19 immunisation. 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. The patient experienced appendicitis diagnosed 06May2021 with onset of symptoms 02May2021. The event was reported as serious due to hospitalization (days for hospitalization was 1 day), life threatening. It resulted in Emergency room/department or urgent care. Treatment received for the adverse event included laparoscopic appendectomy. The patient underwent lab tests and procedures which included sars-cov-2 test negative: negative on 06May2021. The outcome of the event was resolving. Information about batch no/lot no cannot be obtained.


VAERS ID: 1320377 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-04-17
Onset:2021-05-02
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Hypoaesthesia oral
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MELOXICAM; MULTIVITAMINS [VITAMINS NOS]
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 INC2021525273

Write-up: Face was paralyzed/Bells palsy; Tongue felt fat and my lips numb; This is a spontaneous report from a contactable consumer (Patient, self-reported). A 59-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: ER8736), dose 1 via an unspecified route of administration, administered in Arm Right on 17Apr2021 10:30AM, as 1ST DOSE, SINGLE for covid-19 immunization. Patient did not have medical history and no known allergy. Concomitant medication''s included meloxicam and Multivitamins. Patient did not receive other vaccine in four weeks of vaccination. Patient was not diagnosed with COVID-19, prior vaccination. Patient has not been tested for COVID-19, post vaccination. On 02May2021, (reportedly patient stated that, 8 days after the vaccination), his tongue felt fat, and had lips numb. 2 days later symptoms spread. By Wednesday 05May2021 his face was paralyzed. He went to my physician the next morning and was told he have Bell''s palsy. Patient states that, my face may never be normal again. AE resulted in Doctor or other healthcare professional office/clinic visit, Disability or permanent damage. Therapeutic measures were taken as a result of adverse events as prednisone 20 mg twice a day. Outcome of the events was not recovered.


VAERS ID: 1322179 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-26
Onset:2021-05-02
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Apnoea, Bruxism, Computerised tomogram head, Dysphagia, Dysphemia, Eyelid function disorder, Gait disturbance, Hemiplegia, Hypoaesthesia, Magnetic resonance imaging head, Magnetic resonance imaging neck, Magnetic resonance imaging spinal, Mobility decreased, Muscle spasms, Peroneal nerve palsy, Seizure, Spinal X-ray, Thrombophlebitis superficial
SMQs:, Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Thrombophlebitis (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Topamax, gabapentin, caffeine, valacyclovir, b12, vitamin D3, melatonin
Current Illness: N/A
Preexisting Conditions: Ehlers Danlos Syndrome with comorbid conditions, chronic shingles
Allergies: soy, fish, penicillin, Bactrim, chlorhexidine, iodine
Diagnostic Lab Data: MRI''s of brain, cervical and lumbar spine, CT of brain and x-ray of cervical spine
CDC Split Type:

Write-up: Lost feeling on right side of body, have minimal feeling in left leg. I''ve developed non epileptic seizures. Developed a superficial blood clot in my right arm. Muscles spasms so bad that my jaw/eyes clenches and I''m unable to swallow my spit. Occasionally I have apnea from the spasming. I cannot walk unassisted due to right side partial paralysis. I have developed a stutter. I cannot lift my right arm above my head nor can i pick up the right leg. I''ve developed foot drop of both feet.


VAERS ID: 1322581 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Illness
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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210526182

Write-up: SICK; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 02-MAY-2021 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 02-MAY-2021, the subject experienced sick. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sick on 08-MAY-2021. This report was non-serious. This case, from the same reporter is linked to 20210527035.


VAERS ID: 1323749 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-23
Onset:2021-05-02
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Influenza A virus test negative, Influenza B virus test, Legionella test, Metabolic function test, Myalgia, Pain, Pleural effusion, Pyrexia, Respiratory failure, SARS-CoV-2 test positive, Streptococcus test negative, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (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), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen 650mg BID albuterol MDI or med neb QID allopurinol 100mg QD clopidogrel 75mg QD fluticasone propionate/salmeterol 500-50mg 1 puff BID furosemide 20mg daily montelukast 10mg daily pravastatin 80mg daily prednisone 30mg QD x3, 2
Current Illness: 4/22/21 Pt was seen by his pulmonologist for a COPD flare and was treated with Augmentin prednisone taper. On 4/29, daughter-in-law called pulmonologist reporting that pt was having fever to 102.7, malaise, anorexia with a known COVID exposure. Pulmonologist urged family to have pt tested so he could be treated with mAB. Pt felt better on 4/30 and declined testing.
Preexisting Conditions: severe COPD (chronic steroids and oxygen) chronic respiratory failure-pt on 6L NC continuously CAD gout HTN hyperlipidemia benign prostatic hypertrophy
Allergies: adenosine amlodipine-atorvastatin ASA codeine iodinated contrast
Diagnostic Lab Data: 5/2/21 NP swab positive for SARS CoV-2, negative influenza A/B urine legionella and strep pneumo antigens negative BMP -normal CXR Suboptimal positioning.;Low lung volumes with bronchovascular crowding.; Strandy bibasilar atelectasis or pneumonia. Small pleural effusions
CDC Split Type:

Write-up: 5/2/21 Pt was hospitalized for 2 days for COVID is a 89 y.o. male patient of , MD with history of steroid and oxygen dependent COPD with chronic hypoxic respiratory failure on 6 L, coronary artery disease, gout, hypertension, hyperlipidemia, BPH, and recent exacerbation of his COPD who presents with fevers, body aches, generalized weakness for 5 days found to have COVID-19 infection Acute on chronic hypoxic respiratory failure Due to COVID-19 infection. On home requirement of 6L NC. Expect he may have a milder course given vaccinated status (though not fully vaccinated until 5/7/21). Update 05/4/2021 Patient stated that he feels that he is back to his baseline Currently on 6 L nasal cannula oxygen His sats was~98 %t rest, with no evidence of respiratory distress Covid-19 Virus Infection Date of onset of symptoms: 4/28/21, Symptoms present on admission: fevers, myalgias, dyspnea, weakness Date of covid positive test: 5/2/21 Vaccination status: vaccinated on 4/1 and 4/23/21 but had exposure on 4/22/21 Imaging: CXR with low lung volumes with bronchovascular crowing and strandy bibasilar pneumonia with small pleural effusions Oxygen requirements on admission: 6L Current oxygen requirements: 6L Medical therapy: Received x3 doses of remdesivir while in the hospital, will complete total 10 days of dexamethasone treatment Consultants following: pulmonary Anticipated special isolation end date: 5/8/21 Generalized weakness Due to above issues -PT/OT consults COPD with chronic hypoxic respiratory failure GOLD grade 3, group D, follows with Dr. as an outpatient and recently completed a course of prednisone taper and augmentin on 5/1/21.Chronically declines PFTs in the past. He is on chronic prednisone at 5mg daily and uses 4-6L NC continuously at home. Pneumovax 2010, prevnar 2015. -Continue home spiriva, symbicort, singulair, and albuterol MDI 4x daily -ST consulted, recommended chopped/NDD 3, thin liquids -Discharge home to complete total 10 days of dexamethasone -Can restart his home prednisone afterwards


VAERS ID: 1323885 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-03-26
Onset:2021-05-02
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins B12 and D3
Current Illness: none
Preexisting Conditions: none
Allergies: n/a
Diagnostic Lab Data: Bloodwork done may 11, pending results
CDC Split Type:

Write-up: Spontaneous, unexplained bruising on several parts of my body.


VAERS ID: 1325874 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Illness
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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210527035

Write-up: SON WAS VERY SICK FOR 2 DAYS; This spontaneous report received from a parent via a company representative concerned a 20 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 02-MAY-2021 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 02-MAY-2021, the subject experienced son was very sick for 2 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from son was very sick for 2 days on 05-MAY-2021. This report was non-serious. This case, from the same reporter is linked to 20210526182.


VAERS ID: 1326144 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Burning sensation, Pain in extremity
SMQs:, Peripheral neuropathy (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Clotting disorder; Immune system disorder; Vascular disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021493956

Write-up: Legs were hot to touch and hurt to walk on.; Legs were hot to touch and hurt to walk on.; This is a spontaneous report from a non-contactable consumer (patient). An adult male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date not provided), via an unspecified route of administration on 30Apr2021 as 2ND DOSE, SINGLE for covid-19 immunisation. The patient''s medical history included vascular, Clotting, and Immune disease. The patient''s concomitant medications were not reported. The patient historical vaccine includes bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) first dose on an unknown date for covid-19 immunisation. On 02May2021, the patient experienced Legs were hot to touch and hurt to walk on. The events caused physician office visit and hospitalization. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1326488 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-23
Onset:2021-05-02
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / UNK - / IM

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

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

Write-up: May 3, 2021, received a call from healthcare provider where the vaccine was given by healthcare provider. COVID 19 Prescreening Form Completed and Vaccine given 4/23/2021. Patient waited 15 minutes post vaccination no reaction. Her family also received a vaccine. Daughter and Son-In Law. Received a call that patient had died on 5/2/2021. Presented to healthcare facility for chest pain according to healthcare provider.


VAERS ID: 1326568 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-27
Onset:2021-05-02
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous
SMQs:, Termination of pregnancy and risk of abortion (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: we have no information about gestational age or if patient sought treatment for miscarriage. we have no information about miscarriage other than verbal report
CDC Split Type:

Write-up: patient came in 5/18/21 for her second dose that informed me that she miscarried 5 days after receiving her first dose of the Pfizer vaccine on 4/27/21.


VAERS ID: 1326675 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-24
Onset:2021-05-02
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cerebrovascular accident, Dysarthria
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: Eliquis Methotrexate Cartia Prednisone Gabapentin Nexium Folic Acid Doxipen Buprenorphrine Advil
Current Illness: Rheumatoid Arthritis COPD
Preexisting Conditions: COPD
Allergies: Tramadal Codeine
Diagnostic Lab Data: CT scan MRI
CDC Split Type:

Write-up: exhibited symptoms of a stroke numbness,slurred speech


VAERS ID: 1327087 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 2 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Myocardial infarction, Myocarditis
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: He had chest pains and could not breath after 48 hours, rushed to the ER. Stayed in the hospital for 4 days. He had a heart attack and was diagnosed with acute idiopathic myocarditis.


VAERS ID: 1327298 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-26
Onset:2021-05-02
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest X-ray, Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea, Electrocardiogram, Heart rate increased, Laboratory test, Pulmonary embolism, Ultrasound Doppler abnormal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid 112, Liothyronine 5 mcg, Atorvastatin 10 mg, Fish Oil 1290 mg, and Calcium Citrate with Vitamin D
Current Illness: None
Preexisting Conditions: Thyroid cancer
Allergies: None known
Diagnostic Lab Data: 5/02/21: EKG, Lab work, CT of Chest, Ultrasound od legs, Chest X-ray, etc.
CDC Split Type:

Write-up: Recall right knee pain about 10 days after injection. Have had previous knee surgery years ago and discounted it. Then on morning of 5/02 had two episodes of severe shortness of breath with elevated, resting heart rate (high 130 beats per minute) per Fitbit. Went to Emergency Room at 1 PM and was diagnosed with two large, bilateral pulmonary embolisms and two DVTs in right leg. Transferred to another Hospital as this hospital did not have a Pulmonologist on site for the weekend. Admitted ICU at about 6 PM.


VAERS ID: 1328532 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-29
Onset:2021-05-02
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Echocardiogram, Facial pain, Ultrasound scan
SMQs:, Glaucoma (broad), Hearing impairment (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: Albuterol Sulfate HFA 108MCG 2 puffs as needed, Albuterol SU/Ipratr 2.5mg 1 in nebulizer 4-5 times a day, Escitalopram 10MG 1 a day, Mometasone Furoate 220mcg 2 puffs every 12 hours, Serevent Diskus 50mcg 1 dose every 12 hours, Docusate So
Current Illness:
Preexisting Conditions: COPD, Obesity
Allergies:
Diagnostic Lab Data: 5/4 CAT SCAN, ECHO, BLOOD WORK, ULTRASOUNDS
CDC Split Type:

Write-up: 5/2/21 BAD PAIN IN FACE, 5/4/21 WENT TO ER AND WAS DIAGNOSED WITH BELL''S PALSY


VAERS ID: 1328979 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-27
Onset:2021-05-02
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047B21A / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Heavy exposure to ultraviolet light, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: lisinopril, tylenol, low doze aspirin
Current Illness: none
Preexisting Conditions: none
Allergies: amoxicillin antibiotic
Diagnostic Lab Data: no medical test but was prescribed Triamcinolone acetonide 0.1% topical cream to apply. The rashes are slowly disappearing after medicine was applied.
CDC Split Type:

Write-up: I developed rashes on both of my arms and lower neck area. I was out in the sun the day before (May 1st) for about 3 hours and did not use sun screen. I normally do not get rashes on my skin even if I got sun burned. This was the first time I got rashes after being in the sun for a couple hours. It did not disappear for 2 weeks until I was prescribed and applied the medicine. It may be coincidental that I got my covid-19 shot a few days earlier when this happened, but I just want to report just in case others reported the same situation.


VAERS ID: 1329444 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-16
Onset:2021-05-02
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 1 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, SARS-CoV-2 test
SMQs:, Hearing impairment (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN D [VITAMIN D NOS]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy; Seizure (Seizure disorder-7 years no seizure, 5 years no medication)
Allergies:
Diagnostic Lab Data: Test Date: 20210503; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Pending
CDC Split Type: USPFIZER INC2021494793

Write-up: developed Bell''s Palsy on the right side of my face; This is a spontaneous report from a contactable consumer (patient) This 44-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) (Batch/Lot Number: EW0164), dose 1, via an unspecified route of administration in the left arm on 16Apr2021 at 14:00 (at the age of 44-years-old) as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included seizure from an unknown date and unknown if ongoing (Seizure disorder-7 years no seizure, 5 years no medication) and penicillin allergy from an unknown date and unknown if ongoing. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included vitamin d [vitamin d nos] (VITAMIN D [VITAMIN D NOS]) taken for an unspecified indication, start and stop date were not reported. The patient previously took erythromycin [erythromycin estolate] and experienced hypersensitivity. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 02May2021 at 14:00, the patient developed Bell''s palsy on the right said of her face. The event resulted in an emergency room/department or urgent care visit. The patient underwent lab tests and procedures which included sars-cov-2 test (nasal swab) (03May2021): pending results. Therapeutic measures taken included unspecified steroids and unspecified anti-viral medications. Clinical outcome of the event developed Bell''s palsy was not resolved.


VAERS ID: 1329457 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-29
Onset:2021-05-02
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH E000167 / 2 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Blood test, Chest X-ray, Chest pain, Echocardiogram, Electrocardiogram, Pain in extremity, Pericarditis, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications: MULTIVITAMIN [VITAMINS NOS]; ACETAMINOPHEN
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: bloodwork; Result Unstructured Data: Test Result:an elevated white blood count; Test Date: 20210502; Test Name: chest X-ray; Result Unstructured Data: Test Result:unknown results; Test Date: 20210502; Test Name: echocardiogram; Result Unstructured Data: Test Result:unknown results; Comments: diagnosis upon discharge: acute chest pain and acute pericarditis; Test Date: 20210502; Test Name: EKG; Result Unstructured Data: Test Result:unknown results; Comments: diagnosis upon discharge: acute chest pain and acute pericarditis
CDC Split Type: USPFIZER INC2021496265

Write-up: back was hurting; acute chest pain; elevated white blood count; acute pericarditis; Arm pain; This is a spontaneous report from a contactable other health professional (parent). A 16-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 2 intramuscular, administered in Arm Left on 29Apr2021 15:30 at the age of 16 years old (Lot Number: E000167) as 2nd dose, single for covid-19 immunisation. The patient had no medical history, no known allergies. Concomitant medications received within 2 weeks of vaccination included vitamins nos (MULTIVITAMIN [VITAMINS NOS]), acetaminophen. The patient previously received the first dose of bnt162b2 (lot number: EN6208) intramuscular in Arm left on 07Apr2021 13:00 at the age of 16 years old for covid-19 immunisation. Facility where the most recent COVID-19 vaccine was administered was Other. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced Arm pain the first few days after receiving vaccine (2021). Then last night (02May2021), at 03:00 he came to his parent''s room and said his back was hurting. His parent gave him one Advil. He tried to go back to sleep but came back an hour later saying it felt like his heart was being squeezed. The doctor on call recommended they go to the ER. At the ER, they performed 2 EKGs, bloodwork, chest X-ray and an echocardiogram on 02May2021. His diagnosis upon discharge: acute chest pain and acute pericarditis on 02May2021. His bloodwork showed an elevated white blood count on 02May2021. They were to follow up with the pediatric cardiologist later this week. This events happened three days after his receiving his 2nd Covid vaccine shot. The adverse events result in Emergency room department or urgent care. Treatment received for the adverse events included Two EKGs, bloodwork, chest X-ray and echocardiogram. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hadn''t been tested for COVID-19. The outcome of the events was recovering.; Sender''s Comments: The causal relationship between BNT162B2 and the events cannot be excluded as the information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1329462 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Diarrhoea, Headache, Insomnia, Loss of consciousness, Myalgia, Nausea, Pain, Pain of skin
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL; PAXIL [PAROXETINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021497508

Write-up: skin pain; Nausea; Unable to sleep; Stomach pain; Diarrhea; Passed out from pain; Very extreme joint, muscle, organ, skin pain in every cell of body; 40 hours later, joints are still nearly unbearably sore; Very extreme joint, muscle, organ, skin pain in every cell of body; Headache; This is a spontaneous report from a contactable consumer (patient) A 28-years-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration, administered in Arm Right on 02May2021 (reported as at 15:30 ) (Batch/Lot Number: Unknown) as 2ND DOSE, SINGLE for covid-19 immunization. The patient had no known medical history or allergies. Historical Vaccine includes 1st Dose of bnt162b2 on 11Apr2021 at 15:30 in right arm. Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL), paroxetine hydrochloride (PAXIL [PAROXETINE HYDROCHLORIDE]). No other vaccines were given within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. On 02May2021 at 02:00 the patient experienced passed out from pain, very extreme joint, muscle, organ, skin pain in every cell of body, 40 hours later, joints are still nearly unbearably sore, headache, skin pain, nausea, unable to sleep, stomach pain, diarrhea. Therapeutic measures were taken as a result of very extreme joint, muscle, organ, skin pain in every cell of body, headache. The clinical course was reported as follows Very extreme joint, muscle, organ, skin pain in every cell of body. Passed out from pain, Headache, Nausea. Pain only became slightly tolerable after taking 400 mg of both ibuprofen and acetaminophen nearly every 4 hours for the first 32 hours. Unable to sleep. Stomach pain. Diarrhea. 40 hours later, joints are still nearly unbearably sore. Continued stomach pain and diarrhea. The clinical outcome of the events was reported as recovering. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.


VAERS ID: 1329490 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Michigan  
Vaccinated:2021-01-25
Onset:2021-05-02
   Days after vaccination:97
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 LA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: 20210502; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Positive
CDC Split Type: USPFIZER INC2021499304

Write-up: Tested positive for COVID; Tested positive for COVID; This is a spontaneous report from a contactable Nurse. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), intramuscular, administered in left arm on 25Jan2021 08:00 (Batch/Lot Number: EL3248) as 1st dose, single, and intramuscular, administered in left arm on 15Feb2021 08:00 (Batch/Lot Number: EL3248) as 2nd dose, single for COVID-19 immunization. Medical history and concomitant medications were not reported. It was unknown if the patient received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient experienced tested positive for COVID on 02May2021. Symptoms began a couple days prior with congestion and loss sense of taste/smell. The adverse event resulted in doctor or healthcare professional office/clinic visit. Since the vaccination, the patient has been tested for COVID-19 via Nasal Swab on 02May2021 with positive result. The outcome of the event was recovering/resolving.; Sender''s Comments: The reported Tested positive for COVID-19 after immunization is considered vaccination failure of BNT162B2, and the Company cannot completely exclude the possible causality between the reported event and BNT162B2 administration.


VAERS ID: 1329494 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-28
Onset:2021-05-02
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Electrocardiogram, Magnetic resonance imaging head
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: Medical History/Concurrent Conditions: Arthritis; Fibromyalgia (Diagnosed over 20 years ago.); Hashimoto''s thyroiditis (Diagnosed over 20 years ago.); Overweight
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: EKG; Result Unstructured Data: Test Result:negative; Test Date: 20210502; Test Name: MRI of head; Result Unstructured Data: Test Result:negative
CDC Split Type: USPFIZER INC2021499863

Write-up: Bell''s palsy; This is a spontaneous report from a contactable consumer, the patient. A 61-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), intramuscular in the left arm on 28Apr2021 at 13:30-13:40 (at the age of 61-years-old) as a single dose for COVID-19 immunisation. Medical history included Hashimoto''s thyroiditis and fibromyalgia, both diagnosed over 20 years ago, overweight, and arthritis. Concomitant medications were not reported, but the patient did state she took something for arthritis and thyroid for years prior to the vaccination. There were no prior vaccinations within 4 weeks of the vaccine. On 02May2021, at 15:30-16:00, the patient was diagnosed with Bell''s Palsy. She went to the emergency room on 02May2021, where they performed an EKG & MRI of the head to make sure it was not a stroke, which were all negative. The patient was not admitted to the hospital. She tried to speak slow because her words were slurred. The patient was not treated for the event. The clinical outcome of Bell''s Palsy was not resolved. Information on lot number has been requested.


VAERS ID: 1329537 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-17
Onset:2021-05-02
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Postmenopausal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to plants (none. Had an adverse reaction to Aloe many years ago.); Menopause
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021515349

Write-up: I have post menopausal bleeding.; This is a spontaneous report from a non-contactable consumer (patient). A 53-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: ER8733, expiry date not reported), via an unspecified route of administration, administered in left arm on 17Apr2021 as first dose, single for covid-19 immunisation. Medical history included patient had an adverse reaction to aloe many years ago and have not had her period in 2 years. The patient''s concomitant medications were not reported. The first dose of was administered in a doctor''s office/urgent care. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient had no other medications the patient received within 2 weeks of vaccination. The patient had no covid prior to vaccination. Patient had post menopausal bleeding on 02May2021. Patient have not had her period in 2 years and have started a very heavy flow period. Patient have contacted her doctor and have a pelvic ultra sound scheduled. The event resulted in doctor or other healthcare professional office/clinic visit. It was unknown if treatment was received in response to the event. Since the vaccination, the patient has not been tested for COVID-19. Patient was not pregnant at the time of the vaccination and of the report. The event post menopausal bleeding was not recovered. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1330467 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Echocardiogram, Ischaemic stroke, Magnetic resonance imaging
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol, Zyrtec, voltarn gel, vitamin D, allegra, ketotifen, rifaximin
Current Illness: n/a
Preexisting Conditions: MCAS, asthma, undifferentiated connective tissue disease
Allergies: cats, corn, cromolyn, dogs, iodine, nuts, orange, peanuts, soy, walnuts
Diagnostic Lab Data: had MRI, CT, TTE at hospital on 05/02-05/03,
CDC Split Type:

Write-up: patient experienced ischemic stroke next day


VAERS ID: 1330875 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: PATIENT RECEIVED VACCINE 7 HOURS AFTER THE VIAL WAS FIRST PUNCTURED


VAERS ID: 1332694 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-29
Onset:2021-05-02
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cellulitis, Condition aggravated, Erythema, Infection, Neuralgia, Skin swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LO LOESTRIN FE; OMEPRAZOLE; MAGNESIUM CITRATE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to antibiotic; Constipation chronic; Gastrooesophageal reflux disease; Irritable bowel syndrome; Sulfonamide allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021501954

Write-up: cellulitis; infection; pain seemed to spread to my inner elbow area / It was intense pain; pain seemed to spread to my inner elbow area / It was intense pain; skin became red; skin became red and swollen; This is a spontaneous report from a contactable consumer, the patient. A 48-year-old non-pregnant female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: EW0172), via an unspecified route of administration in the left arm on 29Apr2021 at 09:00 (at the age of 48-years-old) as a single dose for COVID-19 immunisation. Medical history included irritable bowel syndrome (IBS), chronic constipation, silent reflux, allergies to several antibiotics and sulfa. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included ethinylestradiol/ferrous fumarate/norethisterone acetate (LO LOESTRIN), omeprazole, magnesium citrate. The patient previously took doxycycline, clarithromycin (MACROBID), and erythromycin and experienced allergies to all. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) on 07Apr2021 (at the age of 48-years-old) for COVID-19 immunisation and experienced pain (like nerve pain) on the interior side of the upper arm that went from the elbow up to almost the underarm area about 10 days after the first shot (there was nothing visible, just pain). The patient did not receive any other vaccines within 4 weeks of the vaccination. At the time of the second vaccination, the patient still had ongoing pain (like nerve pain) on the interior side of the upper arm that went from the elbow up to almost the underarm area, which she experienced 10 days after the first vaccination on 17Apr2021. On 02May2021, after the second vaccination, the pain seemed to spread to the inner elbow area, and it was intense pain. The skin became red and swollen and in that one location. The patient visited the doctor on 03May2021, and he was not sure if it was cellulitis or another type of infection, and prescribed antibiotics, cefdinir. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of cellulitis, infection, "pain seemed to spread to my inner elbow area / It was intense pain", skin became red and swollen was not resolved.


VAERS ID: 1332714 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-24
Onset:2021-05-02
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Appendicitis, Computerised tomogram, Urine analysis, White blood cell count
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, 1 days
   Extended hospital stay? 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: 20210502; Test Name: CAT scan; Result Unstructured Data: Test Result:Positive for Appendicitis; Test Date: 20210502; Test Name: Urine test; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210502; Test Name: Blood test; WBC; Result Unstructured Data: Test Result:22.03; Comments: units per microliter
CDC Split Type: USPFIZER INC2021504007

Write-up: She was diagnosed with appendicitis; This is a spontaneous report received from a contactable consumer (parent; patient''s mother). A 19-year-old female patient (daughter) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 24Apr2021 at 11:00 (at the age of 19 years old) (Lot Number: ER8736, unknown expiration) as 1st dose, single for COVID-19 immunization. Medical history and concomitant medication reported as none. One week after the vaccine dose, the patient went to the ED with pain and vomiting on 02May2021. She was diagnosed with appendicitis after running some tests on 02May2021 and had her appendix has been removed on the same day she was admitted. The reporter asked if there was any further information about more patients getting appendicitis after the Pfizer vaccine and if the patient should get the second shot. One of her daughter''s friends knew someone else who got the shot and got appendicitis, so the reporter wanted to know if it was a common side effect or coincidence. The reporter has no identifying information about her daughter''s friend who knew someone that got the shot and had appendicitis. No additional vaccines administered on same date of the Pfizer suspect. They knew from the blood test something was wrong, the patient''s WBC results were too high on 02May2021. The regular range was between 4.31-10.16 but the result was 22.03 units per microliter, she was not sure what the units mean. The patient''s urine test results (unknown results) were not explained to the reporter and the CAT scan confirmed positive for appendicitis on 02May2021. No prior vaccinations within 4 weeks. The patient was recuperating from it with no more complications. The events require emergency room visit. The patient was recovering from the events. The events were assessed as serious (hospitalization from 02May2021 to 03May2021) Information on lot/batch number was available. Additional information has been requested.


VAERS ID: 1332741 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Work       Purchased by: ?
Symptoms: Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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 INC2021507755

Write-up: temporary facial paralysis; This is a spontaneous report from a non-contactable consumer (patient). A 41-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on 30Apr2021 14:00 (Batch/Lot number was not reported) (at the age of 41 years old) as unknown (dose number), single for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. No other vaccine in four weeks. On 02May2021, the patient experienced temporary facial paralysis. There was no treatment for the event. No COVID prior vaccination and patient had not been tested for COVID post vaccination. The outcome of the event was recovered on unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1332836 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-16
Onset:2021-05-02
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pneumonitis, Pulmonary thrombosis, SARS-CoV-2 test
SMQs:, Interstitial lung disease (narrow), Embolic and thrombotic events, venous (narrow), Eosinophilic pneumonia (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LOSARTAN; ATORVASTATIN; OMEPRAZOLE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood cholesterol abnormal; Blood pressure abnormal; Indigestion
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: covid test; Test Result: Negative ; Comments: Nasal swab
CDC Split Type: USPFIZER INC2021541002

Write-up: blood clots in both lungs along with lung inflammation; blood clots in both lungs along with lung inflammation; This is a spontaneous report from a contactable consumer (patient). A 59-year-old male patient received the second dose (reported as dose 1) of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: ER2613), via an unspecified route of administration, administered in the right arm on 16Apr2021 at 08:45 AM as single dose for COVID-19 immunisation. Medical history included cholestoral, blood pressure, indigestion. No known allergies. No covid prior vaccination. Concomitant medications included losartan, avoristatin, omezrapole. The patient previously took the first dose (reported as dose 2) of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: ER2613), via an unspecified route of administration, administered in the left arm on 22Mar2021 at 08:45 AM as single dose for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 02May2021 at 16:00, patient experienced blood clots in both lungs along with lung inflammation. Events caused a call to the emergency responders and a 2-day hospital stay from 02May2021 to 04May2021. Events resulted in Emergency room/department or urgent care, hospitalization, life threatening illness (immediate risk of death from the event). Lab data included covid test on 02May2021 was negative (Nasal swab). Lots treatment received for the events. The outcome of events was resolved with sequel on unspecified date.


VAERS ID: 1333681 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-04-22
Onset:2021-05-02
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Blood potassium normal, Blood sodium normal, Blood triglycerides normal, Haematocrit increased, Haemoglobin increased, Imaging procedure abnormal, Neutrophil count normal, Pancreatic injury, Pancreatitis acute, Platelet count normal, White blood cell count increased
SMQs:, Acute pancreatitis (narrow), Neuroleptic malignant syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: Tetanus, unknown reaction
Other Medications: ? OTC antacids
Current Illness: none
Preexisting Conditions: esophageal reflux
Allergies: Penicillins; Tetanus vaccine
Diagnostic Lab Data: Recent Labs Lab 05/02/21 0815 WBC 10.5* HGB 18.1* HCT 53.2* PLT 289 Recent Labs Lab 05/02/21 0815 NEUTROPHILS 72.2 Recent Labs Lab 05/02/21 0815 05/03/21 0733 NA 142 138 K 4.0 4
CDC Split Type:

Write-up: Admit date: 5/2/2021 Age: 50 y.o. Discharge date: 5/4/2021 Discharged Condition: good Disposition: Home Principal Diagnosis: Acute pancreatitis without infection or necrosis Other Active Diagnoses: Present on Admission: o Acute pancreatitis without infection or necrosis Issues to be Addressed Post Discharge: 1. Referral to GI to review episode of pancreatitis, isolated episode with quick recovery, to review need for further evaluation 2. Follow-up with PCP for discharge follow-up


VAERS ID: 1333699 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test abnormal, Chest pain, Computerised tomogram abnormal, Dyspnoea, Echocardiogram, Electrocardiogram normal, Fibrin D dimer increased, Musculoskeletal chest pain, Painful respiration, Pulmonary embolism, Ultrasound Doppler
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D birth control pills
Current Illness: No
Preexisting Conditions: No
Allergies: Shellfish
Diagnostic Lab Data: EKG Monday may 3 CT scan Monday May 3 D dimer Monday may 3 Heart Echo Tuesday May 4 Leg ultrasound for DVT. Tuesday May 4 Bloodwork Monday may 3 Bloodwork tuesday may 4
CDC Split Type:

Write-up: 2 days after vaccination (Sunday May 2) I began to feel slightly chest pain when I would breath on the upper left chest shooting downward to the bottom breast rib area. Every time I would take a deep breath I would feel the pain. Called loyola hotline to discuss and state worries I had. Pain continued the next day. Went to the loyola urgent care center Monday at about noon. Took EKG test there and everything seemed fine however they did mention my birth control and possible side effects. So they sent me to thenhospotal for more test. Sent me to the ER. From the ER took several test and blood work. Another eck as well as D-dimer test, lots of blood work and a CT scan. Later that night I was told I had a pulmanary embolism (blood clot in my lung) and I needed to stay overnight. They continued to take addt. Exams the next day and.more blood for test. Took a heart echo since pains were happening on my left side. As well as ultrasound on my leg to check for DVT and if more blood clots exist.. Addt. Test done that Tuesday, then was discharged Tuesday at about 5pm.


VAERS ID: 1334149 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Gait disturbance, Headache, Hypoaesthesia, Muscular weakness, Nausea, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

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

Write-up: Patient started experiencing numbness and tingling on her right side and then all over on Sunday evening 5/2/21. It affected her gait and the numbness and tingling in her legs caused her to have to catch herself and hold on to something to keep from falling. She described that her legs felt weak for a few seconds when walking. This sensation gradually decreased in intensity and duration. When I saw her at 5 pm on 5/3, she had normal gait and only felt the numbness and tingling very briefly. Her exam including her neuro exam was normal on 5/3 when I saw her. The sensation of numbness and tingling completely resolved by 5/4. She also experienced HA, nausea and fatigue, but did not have syncope, dizziness or fevers.


VAERS ID: 1334789 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Diarrhoea, Dyspnoea, Headache, Hypoaesthesia, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), 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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210536348

Write-up: COLIC ABDOMINAL PAIN; LIQUID STOOLS; NUMBNESS SENSATION IN THE LEFT ARM; HEADACHE; DIFFICULTY BREATHING; PAIN IN ARM; This spontaneous report received from a patient concerned a 28 year old female. 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: Unknown) dose was not reported, administered on 02-MAY-2021 for prophylactic vaccination. The batch number was not reported. The Company was unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 02-MAY-2021, the subject experienced pain in arm. On 15-MAY-2021, the subject experienced difficulty breathing. On an unspecified date, the subject experienced colic abdominal pain, liquid stools, numbness sensation in the left arm, and headache. The action taken with covid-19 vaccine was not applicable. The patient recovered from difficulty breathing, and the outcome of pain in arm, colic abdominal pain, liquid stools, headache and numbness sensation in the left arm was not reported. This report was non-serious.


VAERS ID: 1334817 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Cerebrovascular accident, Diarrhoea, Dizziness, Eye disorder, Fatigue, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), 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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: RECLAST; LATUDA
Current Illness: Common variable immunodeficiency; Osteoporosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: stroke; feeling exhausted; problems with her eye after the stroke; threw up everything/ vomiting; fever; diarrhea; no energy; dizzy; nauseous; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (stroke) in a 39-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Osteoporosis and Common variable immunodeficiency. Concomitant products included ZOLEDRONIC ACID (RECLAST) for Osteoporosis, LURASIDONE HYDROCHLORIDE (LATUDA) for an unknown indication. On 02-May-2021 at 10:20 AM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-May-2021, the patient experienced DIZZINESS (dizzy) and NAUSEA (nauseous). On 03-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (stroke) (seriousness criteria hospitalization and medically significant), DIARRHOEA (diarrhea), ASTHENIA (no energy), VOMITING (threw up everything/ vomiting) and PYREXIA (fever). On 04-May-2021, the patient experienced EYE DISORDER (problems with her eye after the stroke). On 07-May-2021, the patient experienced FATIGUE (feeling exhausted). The patient was hospitalized from 03-May-2021 to 04-May-2021 due to CEREBROVASCULAR ACCIDENT. At the time of the report, CEREBROVASCULAR ACCIDENT (stroke), DIARRHOEA (diarrhea), ASTHENIA (no energy) and VOMITING (threw up everything/ vomiting) outcome was unknown and DIZZINESS (dizzy), EYE DISORDER (problems with her eye after the stroke), NAUSEA (nauseous), PYREXIA (fever) and FATIGUE (feeling exhausted) had not resolved. Patient gets Immunoglobin infusion for autoimmune disease Common variable immunodeficiency (CVID). At the hospital patient was treated with intravenous medication, blood thinners and she took Ibuprofen. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the mRNA-1273 in response to the events was not applicable. Company Comment : Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This case was linked to MOD-2021-106750 (Patient Link).; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1340329 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-05-02
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 1 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, SARS-CoV-2 test, Troponin, Troponin increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hospitalization (Vaccine received during existing hospitalization)
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: Covid covid test type post vaccination= Nasal Swab; Test Result: Negative ; Test Date: 20210502; Test Name: Elevated troponin; Result Unstructured Data: Test Result:Elevated
CDC Split Type: USPFIZER INC2021508963

Write-up: Acute chest pain; Elevated troponin 16; This is spontaneous report received from a contactable Healthcare professional. A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscularly on 08Apr2021 13:15 (Batch/Lot Number: EW0151) (at 17-year-old) as first dose, single in arm left for COVID-19 immunisation. Other unspecified Pfizer vaccine was received via an unspecified route of administration on 08Apr2021 (Batch/Lot Number: EW0170) as second dose, single in arm. Medical history included ongoing hospitalization (Vaccine received during existing hospitalization). The patient''s other concomitant medications were not reported. No other vaccines within 4 weeks prior to the COVID vaccine. Other medications received within 2 weeks of vaccination was reported as unknown. On 02May2021 04:00 AM, the patient experienced acute chest pain and elevated troponin 16, he was admitted to hospital. It''s reported AE resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization). Prior to vaccination, the patient was not diagnosed with COVID-19. On 02May2021, PCR Nasal Swab was performed and showed negative. Ketorolac tromethamine (TORADOL) and ibuprofen (MOTRIN) were received as treatment. Duration of hospitalization was 4 (discharged on 06May2021). The outcome of the event was resolved in May2021.; Sender''s Comments: Based on the strong temporal relation, the association between chest pan, troponin increased and vaccine administration cannot be completely ruled out with the information available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1340452 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-28
Onset:2021-05-02
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Dyspnoea, Insomnia, Near death experience, Somnolence
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Schizophrenia
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021524568

Write-up: Feels like about to die; Feel drowsy/sleepiness/could not stay awake; Feels like wind trying to take breath; hard to go to sleep; feeling in her stomach like it is coming down; This is a spontaneous report from a contactable consumer (patient). A 36-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration, on 28Apr2021 (at the age of 36-years-old) as a single dose for COVID-19 immunisation. Medical history included schizophrenia. Concomitant medications included unspecified schizophrenia medication. The patient experienced feels like about to die, feel drowsy/sleepiness/could not stay awake, feels like wind trying to take, hard to go to sleep, and feeling in her stomach like it is coming down on 02May2021. The clinical course was reported as follows: The patient reported that she has been drinking lots of water and doodling because doodling flushes it out. She felt like when sleeping and it is hard to go to sleep because it feels like something is trying to take her breath. The patient reported that the drowsiness started on the fourth day after she received the first dose of the vaccine on 28Apr2021. Ever since the 4th day, the drowsiness has been off and on. The patient reported that when it is going to flush out, she has a feeling in her stomach like it is coming down and she drinks a lot of water. She reported that she will feel drowsy and sleepiness like she cannot stay awake. The patient felt it more when she is laying down for a nap. She had to stop taking her unspecified schizophrenic medication because it was making her drowsier. She felt like she was about to die and has never felt like that before. She did not feel comfortable taking the second dose of the vaccination as she did not want to feel worse than how she was feeling at time of call on 06May2021. The clinical outcome of feels like about to die, feel drowsy/sleepiness/could not stay awake, feels like wind trying to take, hard to go to sleep, and feeling in her stomach like it is coming down was not recovered. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.


VAERS ID: 1340497 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-02
Onset:2021-05-02
   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 EWQ0171 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: SARS-CoV-2 test, Seizure, Vomiting
SMQs:, Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MICARDIS
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210503; Test Name: covid test, Blood test; Test Result: Negative
CDC Split Type: USPFIZER INC2021549815

Write-up: seizures; Vomiting; This is a spontaneous report from a contactable consumer (patient). A 63-year-old female patient received BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE), second dose via an unspecified route of administration, administered in left arm at the age of 63-year-old on 02May2021 (Lot Number: EWQ0171) as single dose for covid-19 immunisation. Medical history reported as no. There was no known allergies. Concomitant medication included telmisartan (MICARDIS) from 2021 (received within 2 weeks of vaccination). The patient previously took first dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in right arm on 11Apr2021 (Lot Number: ER8729) as single dose for covid-19 immunisation. The patient experienced vomiting and 3 episodes of severe seizures after 9 hours of last vaccine dose on 02May2021. The patient was taking to the hospital emergency room and ICU for treatment. The patient reported the case as non-serious. The patient didn''t receive any other vaccines within 4 weeks prior to the COVID vaccine. The was not pregnancy at time of vaccination. Prior to vaccination, the patient wasn''t diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient underwent lab tests and procedures which included covid test(Blood test): negative on 03May2021. Therapeutic measures were taken as a result of the events. The outcome of the events was recovered in May2021.


VAERS ID: 1341174 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-22
Onset:2021-05-02
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Epistaxis, Immunoglobulin therapy, Mouth haemorrhage, Petechiae, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 1. Tamsulosin (Flomax) - BPH 2. Occasional Osteo Bi-Flex Regular Strength - Joint Soreness
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood Draw on 5-3-21 showed platelet count on ER entry at 2 (2,000), Blood Draw on 5-13-21
CDC Split Type:

Write-up: Sun, 5-2-21, Petechiae appears on my lower feet, ankles, and lower legs/shins. Random bruises appearing without contact/bump. Mon, 5-3-21, Petechiae now appearing on my hands, forearms. Petechiae spots beginning to appear on my face. Nose and mouth bleeding. Went to hospital ER on 5-3-21. Rec''d IGIV (2 days), and Decadron (Steroid) 40mg daily (5 days). Discharged from Hospital after 5 days on 5-7-21, with platelet count at 58 (58,000). - Follow-up blood draw post-discharge on 5-13-21 showed platelet level back down to 1 (1,000). Directed to hospital by hematologist office, re-admitted on 5-13-21. Rec''d IGIV (3 days) and IV Solumedrol (Steroid), and Oral Steroid (2 days). Discharged again from Hospital after 2nd 5-day hospital stay.


VAERS ID: 1342228 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-29
Onset:2021-05-02
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Men?s Vitafusion Multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin, Tylenol and raw tomatoes
Diagnostic Lab Data: Went to ER. Saw Dr. Only received diagnosis from examination. No laboratory tests were given.
CDC Split Type:

Write-up: Bell?s Palsy - facial paralysis on left side Prednisone and valacyclovir Has improved but not fully recovered. Still paralyzed. Have been told will take up to six months to heal.


VAERS ID: 1342376 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Disturbance in attention, Fatigue, Feeling abnormal, Injection site pain, Neck pain, Pain, Pain in extremity
SMQs:, Dementia (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prescription medications: Amlodipine Besylate, Cymbalta, Allopurinol, Finasteride. Nutritional Supplements: Zinc, Vitamin D, NACS, Alpha Lipoic Acid, Larch Tree Arabinogalactan.
Current Illness: Trigeminal Neuralgia (since 2009)
Preexisting Conditions: Trigeminal Neuralgia (since 2009) Congenital Cervical and Spinal Stenosis
Allergies: Dark chocolate, onions, iodine, sporins.
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Pain in the vaccination area began about 18 hours after injection. It has not abated in 3 weeks. General body aches - mostly in feet and in upper right arm, shoulder, and neck area (C1-down to mid-shoulder), fogginess of thought, and overall tiredness and lack of sharpness since about 2-3 days post injection.


VAERS ID: 1342957 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737-1121 / 1 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Cardiac murmur, Chest X-ray normal, Chest discomfort, Differential white blood cell count, Echocardiogram, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Fatigue, Full blood count, Metabolic function test, Troponin normal, Urine analysis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Arrhythmia related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: May 3: Chest xray-no acute findings. CBD with automated differntial, comp metabolic panel, urine macroscopic, troponin all in standard range. May 11: ECG 12 lead: consider biatrial enlargement, ST elevation suggests acute pericarditis. May 21: Transthoracic Echo with Doppler and Color Flow complete--dont have results yet.
CDC Split Type:

Write-up: The day after 2nd shot I was tired and was feeling chest pressure. Pressure lasted about 10 days and continues on and off. BP went up to 180/101 and remained high. went to urgent care, then primary physician. he heard heart murmur (never had before) and sent me to cardiologist. Prescribed BP meds.


VAERS ID: 1343316 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chest discomfort, Chills, Dyspnoea, Heart rate increased, Pyrexia, Tremor
SMQs:, Anaphylactic reaction (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), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (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: Amla, Rhodiola, Ashwagandha & shatarvi supplement; vitamin D, vitamin b-12
Current Illness: None
Preexisting Conditions: None
Allergies: Pineapple
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Went to sleep feeling feverish with chills, then woke up around 1am/2am shaking. My chest felt very tight and I was breathless. I put my fitness watch on to see my heart beat because I was feeling as breathless as after a very long run. My resting heart rate was jumping between 170-180 bpm. It subsided after roughly 15 minutes but my chest did remain tight.


VAERS ID: 1343318 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-24
Onset:2021-05-02
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWOLBL / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiomegaly, Gait disturbance, Hypertension, Laboratory test, Palpitations
SMQs:, Cardiac failure (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: All the tests checked out alright, except the x-rays showed a slightly enlarged heart and higher blood pressure.
CDC Split Type:

Write-up: About a week after receiving the 1st Pfizer Covid vaccine, I started experiencing heart palpitations and difficulty walking up stairs and/or hills. I visited the ER the following day because I did not have a doctor nearby. I was referred to a local doctor, who I visited May 6, 2021. He dismissed the notion that anything was caused by the vaccine and put me on a low dose (5mg) blood pressure medicine and a 81mg aspirin. Around 3-4 days after visiting the doctor, I started to feel normal again. Since then I have felt 100% and back to healthy eating and exercise routine. Nothing like this has happened to me before, and it was an abnormal situation. I have not received any other vaccines in many years.


VAERS ID: 1343628 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-30
Onset:2021-05-02
   Days after vaccination:2
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: Private       Purchased by: ?
Symptoms: C-reactive protein increased, Chest pain, Coxsackie virus test negative, Cytomegalovirus test negative, Electrocardiogram T wave inversion, Electrocardiogram abnormal, Epstein-Barr virus test negative, Troponin I increased
SMQs:, Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: ECG was notable only for T-wave inversions in the lateral leads that resolved on follow-up ECG. CRP was 129 mg/L, and troponin-I was 2,447 pg/mL. Troponin-I peaked at 2,518 pg/mL. EBV, CMV, and coxsackie serologies were all negative
CDC Split Type:

Write-up: chest pain 4 days after receiving his second dose of the Pfizer vaccine.


VAERS ID: 1343716 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-21
Onset:2021-05-02
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 2 LA / IM

Administered by: Unknown       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, 4 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 and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.


VAERS ID: 1343728 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-28
Onset:2021-05-02
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Gait inability, Gout, Laryngitis, Mobility decreased, Pain, Pain in extremity
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: herniated discs in lower back
Allergies: none
Diagnostic Lab Data: The patient said they did a "basic workup" everyday.
CDC Split Type:

Write-up: Within 2 hours of dose he experienced severe leg pain and by evening had a severe case of what he thought was laryngitis. Leg pain continued to get worse until Friday and he couldn''t get out of bed. Patient went to ER on Sunday morning because the pain was so severe he couldn''t walk. The pain was in his knees, lower legs, ankles, and feet. The ER doctor sent him to hospital to be admitted. The patient was in hospital for 6 days. The patient was given pain meds and a rheumatologist was called in and she diagnosed him with gout. they treated him with 4 doses of Anakinra. That medication helped. The patient currently is in pain if he is walking around pain level between a 5-8. The pain is less if he remains seated. He experiences the most discomfort when standing from a seated position mostly in his knees.


VAERS ID: 1343838 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-23
Onset:2021-05-02
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046A21A / 2 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Subarachnoid haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 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 and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was subarachnoid hemorrhage.


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