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From the 7/16/2021 release of VAERS data:

Found 479,813 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 189 out of 4,799

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VAERS ID: 1432364 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-20
Onset:2021-06-05
   Days after vaccination:46
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram abdomen, Computerised tomogram thorax, Deep vein thrombosis, Pulmonary embolism, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA 91mg; Albuterol 2 puffs QID; Azelastine HCl 2 puffs/nostril a day; Celecoxib 200mg every other day; Flonase 2 puffs/nostril a day; Ipratropium Bromide 2puffs/nostril bid; Lasix 20mg; Losartan 25mg; Metformin ER 500mg 1 in AM, 2 at night
Current Illness: COVID-19 recovering from January 20, 2021 date of onset; SOB; on 4lpm O2; overall weakness
Preexisting Conditions: COVID-19, long hauler. Atelectasis and scaring rt lower lobe from pre-Covid pneumonia x4
Allergies: Airborn trees; grass; mold; dust
Diagnostic Lab Data: CT scan chest & abdomen, sonogram left leg, many blood tests. Multiple dates throughout hospitalization
CDC Split Type:

Write-up: Large DVT left leg stretching from mid-thigh to mid-calf Many multiple pulmonary emboli Small non-symptomatic saddle block Hospitalized, treated with lovence and subsequently discharged on Xarelto. Expect to be taking Xarelto for at least 3-4 months. Supplemental O2 4lpm 24/7


VAERS ID: 1432878 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Crohn's disease, Feeling abnormal, Heart rate, Heart rate increased, Muscle spasms, Muscle twitching, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal premalignant disorders (narrow), Dyskinesia (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210605; Test Name: heart rate; Result Unstructured Data: Test Result:increased
CDC Split Type: USPFIZER INC2021692937

Write-up: Crohn''s Flare Up; Brain Fog; fever; cramps and major abdominal pain; cramps and major abdominal pain; heart rate increased; neck area twitching and in face; This is a spontaneous report from a contactable consumer (patient). A 48-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 05Jun2021 15:00 (Batch/Lot number was not reported) at the age of 48 years old as dose number unknown, single for COVID-19 immunization. Medical history included ongoing Crohn''s. The patient''s concomitant medications were not reported. The patient previously took fexofenadine (ALLEGRA) and fluoxetine (PROZAC), with known allergies to both. No other vaccine was received in four weeks. No other medications in two weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 05Jun2021 19:00, the patient experienced Crohn''s flare up, brain fog, fever, cramps and major abdominal pain, heart rate increased, and neck area twitching and in face. Adverse events (AE) resulted in doctor or other healthcare professional office/clinic visit. No treatment received for AE. Outcome of events was recovering. Information about batch/lot number has been requested.


VAERS ID: 1433331 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Corneal reflex decreased, Eyelid ptosis, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Corneal disorders (narrow), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)

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

Write-up: Patient came in on 06/28/21 to speak to me (pharmacist), she told me she has been trying to contact someone about reporting her adverse event because she did not know how to do it and she called the place she received her vaccination and they were not helpful at all. Patient received her second dose of Moderna on 06/04, about 6 hrs later she could feel the left side of her face numbing. It looks like she has Bell''s Palsy. She can''t close her eyes, it feels tight, and visually is droopy. She has to manually close her eyes, she has been using eye drops, she can''t blink, and uses an eye mask at night to help prevent dryness. I told her she needs to see her PCP, urgent care, or hospital however she doesn''t have insurance so she doesn''t want to go.


VAERS ID: 1433552 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-28
Onset:2021-06-05
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / UNK LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tenoretic 50, Zocor 40, multi vitamin, fish oil, vitamin D, CoQnol 100
Current Illness: None
Preexisting Conditions: None
Allergies: Azithromycin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Rash broke out on the upper left arm. The rash was approximately 4 to 5 inches. Very, very warm to the touch. Went to Med facility on 6/7/2021. Was prescribed the following meds: 10 mg Loratadine, 500 Cephalexin, 20 mg Prednisone. Apply warm compress. Rash eventually went away by the time meds were done.


VAERS ID: 1433909 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-05-26
Onset:2021-06-05
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 RA / IM

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

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

Write-up: Patient reported that he has developed a painful rash that could be shingles. He has been referred to his PCP for treatment.


VAERS ID: 1435946 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Headache, Hypersensitivity, Nasal congestion, Oropharyngeal discomfort, Pain in extremity, Paraesthesia, Paraesthesia oral, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: nose was congested; throat was scratchy; really bad headache; feeling a lot of fatigue/feeling more tired than he usually is; severe allergic reaction/allergic reaction to the vaccine; fingers tingling; tongue felt abnormally large; bumps on his face, back, chest and stomach; pattient felt very uncomfortable; Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (severe allergic reaction/allergic reaction to the vaccine) in a 19-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 05-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Jun-2021, the patient experienced HYPERSENSITIVITY (severe allergic reaction/allergic reaction to the vaccine) (seriousness criteria medically significant and life threatening), PARAESTHESIA (fingers tingling), PARAESTHESIA ORAL (tongue felt abnormally large), URTICARIA (bumps on his face, back, chest and stomach), FEELING ABNORMAL (pattient felt very uncomfortable) and PAIN IN EXTREMITY (Sore arm). On 18-Jun-2021, the patient experienced NASAL CONGESTION (nose was congested), OROPHARYNGEAL DISCOMFORT (throat was scratchy), HEADACHE (really bad headache) and FATIGUE (feeling a lot of fatigue/feeling more tired than he usually is). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Allergic reaction, at a dose of 1 dosage form; EPINEPHRINE (EPIPEN) for Allergic reaction, at a dose of 1 dosage form and ASPIRIN [ACETYLSALICYLIC ACID] for Adverse event, at a dose of 1 dosage form. On 05-Jun-2021, HYPERSENSITIVITY (severe allergic reaction/allergic reaction to the vaccine), PARAESTHESIA (fingers tingling), PARAESTHESIA ORAL (tongue felt abnormally large), URTICARIA (bumps on his face, back, chest and stomach) and FEELING ABNORMAL (pattient felt very uncomfortable) had resolved. On 07-Jun-2021, PAIN IN EXTREMITY (Sore arm) had resolved. At the time of the report, NASAL CONGESTION (nose was congested), OROPHARYNGEAL DISCOMFORT (throat was scratchy), HEADACHE (really bad headache) and FATIGUE (feeling a lot of fatigue/feeling more tired than he usually is) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use is not provided by the reporter. Reportedly, patient stayed at hospital for one hour until treatment made effect. The patient is thinking whether to take a second dose of moderna or not. 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: 1436987 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-02
Onset:2021-06-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 2 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Hot flush, Hyperhidrosis, Malaise, Myocardial infarction, Nausea, Presyncope
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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: Diabetes; Heart disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021702526

Write-up: shortness of breath; she had 3 different hot flashes with sweating a little bit; mini heart attack; felt like she was going to faint/ faintness; real dizzy headed; broke out profusely with sweat/ sweating real bad/ profusely sweating; nauseated real bad; not feeling good; This is a spontaneous report from a contactable consumer (patient). A 64-years-old female patient received second dose of bnt162b2 ((PFIZER-BIONTECH COVID-19 VACCINE, solution for injection),via an unspecified route of administration, administered in Arm Right on 02Jun2021 (Batch/Lot Number: ER8727; Expiration Date: 31Jul2021) as dose 2, single for covid-19 immunization. Medical history included diabetes and she was a heart patient. She reported that a nurse hit a vein in her arm while giving her flu vaccine 4 or 5 years ago and had to take medicine so that the swelling in her arm would go down. The people had come to her residence to administer the flu vaccine. She had been getting the flu vaccine all her life. Either her doctor or the pharmacy gives her the flu vaccine. There were no additional vaccines administered on same date with the Pfizer vaccine that were considered as suspect. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. She was taking unknown medicines from a long time.The patient previously received first dose of bnt162b2 ((PFIZER-BIONTECH COVID-19 VACCINE, solution for injection),via an unspecified route of administration, administered in Arm Right on 06May2021 (Batch/Lot Number: EP7534; expiry date: 31Jul2021) as dose 1, single for covid-19 immunization. On 02Jun2021, the patient received her second Covid 19 vaccine, she was ok for 10 to 15 minutes after she received the vaccine. On 05Jun2021 she was doing some light cleaning like sweeping and vacuuming and cleaning her bathroom and she broke out profusely with sweat. She reported she sweats anyway. She got through cleaning and took a shower, and she was fine. Later her cousin came to get her for a visit and at her cousin''s house she was laying on his bed and she and her cousin were talking, all of a sudden, she got real dizzy headed, nauseated real bad and she had to sit up on the side of the bed because she felt like she was going to faint on 05Jun2021. She started sweating really bad and her cousin asked her what was wrong, and she said she was not feeling good. She did not have any chest pains. Her cousin walked her into the living room where her other cousin was. The other cousin deals with medicine and stuff because she was a heart patient and had diabetes so that cousin gave her two 325mg Aspirin and some water. About 30-45 minutes later she calmed down and had put a cold bottle of water on her wrist and she had stopped sweating. She was really scared. On 06Jun2021, she woke up and had some slight sweating so she took two more 325mg Aspirin and she and her cousins went to church. She was ok for the rest of the day. Maybe on 09Jun2021 she had an episode of being sweaty a little big but not much. On that day she calmed down, drank some water and sat on the couch. Her cousins took her home on 12Jun2021 and that afternoon she was wearing shorts and a tee shirt, and she had 3 different hot flashes with sweating a little bit and she wiped off her forehead and put the fan on herself. She also had shortness of breath, was nauseated, faintness, and profusely sweating. She reported that before taking shower she had to sit down to cool off for an hour because she does sweat really easily. The adverse event not resulted emergency room and physician office visit. She made an appointment with her doctor on 18Jun2021 to get checked out. Her doctor told her she could have had a mini heart attack on 05Jun2021. She didn''t want to get Covid 19 vaccine, but her doctor talked her into it. She was hoping she didn''t do wrong by taking Covid 19 vaccine because she really wasn''t going to get it. There were no relevant tests reported. The outcome of all the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1437020 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Myocardial necrosis marker, Myocardial necrosis marker increased, Myocarditis, SARS-CoV-2 test
SMQs:, Myocardial infarction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210606; Test Name: Heart enzymes; Result Unstructured Data: Test Result:Elevated; Test Date: 20210606; Test Name: COVID test type post vaccination; Test Result: Negative ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC2021714987

Write-up: Myocarditis; Heart enzymes were elevated; Chest pains; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 13-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0180) via an unspecified route of administration administered in left arm on 04Jun2021 at 09:45 am (at the age of 13-years-old) as dose 2, single for COVID-19 immunization. The patient medical history was none, had no known allergies and had no concomitant medications received within 2 weeks of vaccination. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0179) on 14May2021 at 09:45 am as dose 1 single for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 05Jun2021, the patient experienced chest pains that started Saturday night and admitted to hospital on 06Jun2021. Patient was diagnosed with Myocarditis which was a directly linked to the vaccine and heart enzymes were elevated. The patient underwent lab tests and procedures which included myocardial necrosis marker elevated on 06Jun2021, sars-cov-2 test: negative on 06Jun2021 Nasal Swab post vaccination. The reporter considered the events as serious with seriousness criteria resulted in emergency room/department or urgent care and 4 days in Hospitalization. Therapeutic measures were taken as a result of events with IVIG (Intravenous immunoglobulin). The outcome of events was recovering. No follow-up attempts are needed. No further information is expected


VAERS ID: 1437282 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-01
Onset:2021-06-05
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A-H / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein increased, Chest pain, Fatigue
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: none
Preexisting Conditions: Hypercholesteremia
Allergies: None
Diagnostic Lab Data: HS CRP [H] 3.2 mg/L
CDC Split Type:

Write-up: Chest pain, fatigue


VAERS ID: 1438012 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-03-25
Onset:2021-06-05
   Days after vaccination:72
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Asthenia, Computerised tomogram, Depression, Dizziness, Fall, Feeling abnormal, Ophthalmological examination
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pilocarpine salagen; Myrbetriq; vitamin D; multi vitamin; probiotic; magnesium; Terazosin; Paroxetine; Lorazepam; baby aspirin; Eye drops Restasis one drop in each eye at night and in the morning.
Current Illness: None
Preexisting Conditions: Breast Cancer 3 times, last time was in May 2019, they put me on several different medications to try to prevent it from coming back, many had side effects for me, Anxiety, Depression, High Cholesterol, borderline Osteopenia, sometimes my sugar is up a little bit.
Allergies: Bad reaction to Epinephrine
Diagnostic Lab Data: Eye doctor did all kinds of eye tests- no damage and no concussion, CT scan 06/14/2021 normal
CDC Split Type: vsafe

Write-up: I had the second dose on 3/25/2021. I started one new med on 04/27/2021 Toremifene 16 mg and after that the doctor increase my Crestor from 5 mg a day to 20 mg a day on 05/26/2021. Most of it was brain fog and lack of energy and some depression. Both medicines caused the side effects and the doctor said it was too much of the same thing. I also had a fall on the sidewalk on 06/09/2021, the doctor thought it was because I was dizzy. I tripped on the curve and fell face down my glasses made a little cut below my right eye. The bruise its still there. The next day I went to the eye doctor and they said there was no damage and no concussion. After that my primary doctor told me to go off Crestor for 2 weeks and let her know how I was doing, so I did that and I am doing much better. I have more energy. I still have some brain fog but I think the Toremifene is doing that. But every day I feel much better.


VAERS ID: 1438029 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-22
Onset:2021-06-05
   Days after vaccination:75
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Bowel movement irregularity, Costochondritis, Electrocardiogram normal, Illness, Muscle spasms, Pain
SMQs:, Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Polio vaccine as a child. Unknown date, age
Other Medications: Green tea Psyllium Vinegar
Current Illness: No
Preexisting Conditions: None
Allergies: Codeine Dairy
Diagnostic Lab Data: EKG Blood work June 18, 2021 All excellent results.
CDC Split Type:

Write-up: I woke up thinking I had a bad cramp on left side, above the heart. Didn''t go away! Called on call Dr, was told I had costochondritis. No reason could be found. Two weeks later, saw my Dr. Again, no reason found. Just happens is the basic thought. For me, I would like to add, when I received the shot, I felt I HAD TO BE IN RAPPORT with everyone...my husband made the appointment for the shot. I felt "out of choice, no self governance " over my body. I had wanted to wait, until I was ready, perhaps another week or two. Being in rapport hurts the connective tissue. I betrayed myself. I cannot blame the vaccine, only myself for not listening and waiting until I felt 100% capable of handling the vaccine within my body. 13 hours after I had the vaccine, I became ill. My bowels also have been slow to regain their true rhythm. Again I blame me for rejecting the vaccine!!!! I am only reporting this, because I believe a study about connective tissue and rapport, along with the willingness of someone to receive the vaccine would be interesting for someone to study. I ache, still, from the costochondritis. I take that ache as a reminder, and my responsibility to be more at peace with my choices. Thank you for listening, feels good to express myself.


VAERS ID: 1438445 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Chills, Cough, Dyspepsia, Fatigue, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific dysfunction (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: Developed cough 12 hours after shot. Developed severe indigestion, chills, fever, and exhaustion 24 hours after shot. Stomach problem continued and developed hives 3 weeks after.


VAERS ID: 1440611 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-22
Onset:2021-06-05
   Days after vaccination:75
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray abnormal, Chest discomfort, Dyspnoea, Fatigue, Impaired work ability, Laboratory test, Malaise, Migraine, Nausea, Pain, Palpitations, Peripheral swelling, Pneumonia, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, multivitamin, calcium, vitamin D
Current Illness: None
Preexisting Conditions: Thyroid and seasonal allergies, bronchitis once or twice a year for the past 6 years, hypoglycemia
Allergies: Shellfish, Penicillan, Cipro, Bactrim Sulfa Drugs, Iodine
Diagnostic Lab Data: chest xray June 6 Lab Results Pneumonia June 6 and June 10
CDC Split Type:

Write-up: I was sick with both shots for the first two weeks including shortness of breath, nausea, fever, body aches all over, huge migraine. After my second does I then came down with pneumonia June 6 and was in the Urgent care twice in 4 days and almost had to be hospitalized. Two doses of antibiotics, nebulizer and rest. I continue to have trouble breathing and have to take off work frequently because I am so sick still. I missed three weeks of work and am a single mom. I am exhausted and constantly feel pressure in my chest. This week I have started having swelling in my hands and have started having heart palpitations off and on with a feeling of not being able to catch my breath when. that happens.


VAERS ID: 1440674 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-22
Onset:2021-06-05
   Days after vaccination:44
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Angioplasty, Coronary arterial stent insertion, Echocardiogram, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Other ischaemic heart disease (narrow)

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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Truvada
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: angioplasty, stent implant, echo cardiogram
CDC Split Type:

Write-up: Heart attack June 5, 2021. No prior symptoms of heart disease. Per cardiologist he saw no other evidence of significant plaque buildup in other heart arteries, just in hte one that caused the heart attack.


VAERS ID: 1440713 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: New York  
Vaccinated:2021-02-16
Onset:2021-06-05
   Days after vaccination:109
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 010M20A / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Feeling abnormal, Peripheral swelling, SARS-CoV-2 test positive, Swelling, Thrombosis, Ultrasound scan
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: colesevelam 625mg 6 tablets a day Lipitor 20mg once a day Ezetimide 5mg once a day
Current Illness: N/A
Preexisting Conditions:
Allergies: N/A
Diagnostic Lab Data: Ultrasound
CDC Split Type:

Write-up: June 5th got very swollen could not go see a doctor till Monday got a ultrasound that morning to find out he has a blood clot. the leg is still very swollen and has to wear compression socks. After the 7th started to feel bad thought it was allergies got home June 18th and still wasn''t feeling good so went and got a Covid test and it was positive.


VAERS ID: 1440741 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-02-20
Onset:2021-06-05
   Days after vaccination:105
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 LA / UN
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 2 LA / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Muscle strain, Pain
SMQs:, Accidents and injuries (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Pain in Right side. DX Pulled muscle. Muscle relaxer given


VAERS ID: 1440870 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Culture urine negative, Urine analysis, Vaginal ulceration
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: penicillin
Diagnostic Lab Data: urinalysis and urine culture - no abnormalities noted
CDC Split Type:

Write-up: vaginal ulcers 2 days after receiving second dose of covid19 vaccine


VAERS ID: 1441087 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Headache
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, D3, Ginko Biloba, Magnesium, Marshmallow Root, Wellbutrin,
Current Illness: Migraines
Preexisting Conditions: Migraines, Fibromialgia
Allergies: Sulfur, Codeine, Penicillin, Gluten, Rye
Diagnostic Lab Data:
CDC Split Type:

Write-up: headaches, fatigue


VAERS ID: 1442606 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ALTRENO
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021657102

Write-up: Swollen bottom lip (left side only); This is a spontaneous report from a contactable consumer. A 15-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in Arm Left on 04Jun2021 16:30 (Batch/Lot Number: EW0178) as 2ND DOSE, SINGLE for covid-19 immunisation. The patient''s medical history was not reported. The patient received first dose of vaccine BNT162B2 on 14May2021 (at 15 years) for COVID-19 immunization (product=COVID 19, brand=Pfizer, lot number=EW0182, administration time=16:00 PM, dose number=1, vaccine location=Left arm). Concomitant medications included tretinoin (ALTRENO) taken for an unspecified indication, start and stop date were not reported. On 05Jun2021 21:45, the patient experienced swollen bottom lip (left side only). Therapeutic measures were taken as a result of swollen bottom lip (left side only) AE treatment: Benadryl (after call to dr). The outcome of the event was unknown. Prior to vaccination the patient was not diagnosed with COVID-19. Since the vaccination the patient has not been tested for COVID-19. Batch/lot number already provided


VAERS ID: 1443106 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-28
Onset:2021-06-05
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 1 LA / IM

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

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

Write-up: Patient started experiencing a bubbly rash on her arm within a couple days of vaccination, she presented at the pharmacy for her second dose and the rash was still large and visible. She did not let us know until she came in for her second dose. She explained it was itchy and had not tried anything as of yet to treat. I advised her to use hydrocortisone cream to help treat and if it did not go away to contact the MD on Monday (past the weekend)


VAERS ID: 1443396 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins, calcium-magnesium supplements, evening primrose oil supplements
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: Dairy, soy, gluten.
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1. Severe headache - treated with ibuprofen - did not go away with treatment. Severe headache has persisted on-and-off (between 1-5x per day) since first dose. 2. Dizziness - no treatment. Dizziness has persisted on-and-off (between 1-5x per day) since first dose.


VAERS ID: 1443480 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027B21A / 2 RA / IM

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

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

Write-up: The vaccine was given to a 16 year old. Moderna is for 18 years and older.


VAERS ID: 1443603 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-14
Onset:2021-06-05
   Days after vaccination:52
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 2 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood cholesterol increased, Computerised tomogram normal, Supraventricular tachycardia, Transient global amnesia
SMQs:, Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Supraventricular tachyarrhythmias (narrow), Lipodystrophy (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: HCTZ
Current Illness: unknown
Preexisting Conditions: HTN
Allergies: Sulfa
Diagnostic Lab Data: CT- WNL. Elevated cholesterol and run of SVT during stay.
CDC Split Type:

Write-up: Presented to the ED on 06/05/2021. Dx''d with Global Transient Amnesia


VAERS ID: 1443644 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Injection site reaction, Neuralgia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, Vitamin B6, Vitamin B12, Albuterol
Current Illness:
Preexisting Conditions: Fibromyalgia
Allergies: Oxycodone, Morphine, Polysorbate, Vancoomycin, Triptans, Quinolones, Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient called pharmacy to report that adverse reactions, still hasn''t gone away from the Jansen shot they recived on 6/3. They reported having nerve pain from the shot area up to the neck, It is sharp and burns. It has not subbsided since the injection. They had some swelling after the shot, but but has gone down. Patient will follow up with dr.


VAERS ID: 1443672 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-08
Onset:2021-06-05
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038121A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging, Monoplegia, Muscular weakness, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Tendinopathies and ligament disorders (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? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lexapro Gabapentin esomeprazole carbamepizine naproxen tylenol . sumatriptan as needed
Current Illness: none
Preexisting Conditions: anxiety depression migraines
Allergies: none
Diagnostic Lab Data: Mri CT Lumbar Puncture
CDC Split Type:

Write-up: Leg pain and numbness and paralysis and leg fatigue


VAERS ID: 1443928 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-01-07
Onset:2021-06-05
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1283 / 2 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Breast cancer female, Invasive lobular breast carcinoma
SMQs:, Breast malignant tumours (narrow), Non-haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: fluticasone, azelastine both nasal sprays, estradiol 1mg qd, prometrium 100mg qd
Current Illness: none
Preexisting Conditions: exercise induced asthma, menopause, quit smoking ''99 20 pk yrs
Allergies: none
Diagnostic Lab Data: see above
CDC Split Type:

Write-up: New diagnosis breast cancer diagnosed 6/24/2021. Triple negative Invasive Mammary Carcinoma with pleomorphic lobular features


VAERS ID: 1446087 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-08
Onset:2021-06-05
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EC00183 / 2 RA / SC

Administered by: Public       Purchased by: ?
Symptoms: Asthenopia, Bell's palsy, Blood test, Computerised tomogram, Electrocardiogram, Eyelid ptosis, Hypoaesthesia, Lacrimation increased
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Corneal disorders (broad), Hearing impairment (broad), Lacrimal disorders (narrow), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)

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

Write-up: For several days, I had numbness on the left side of my face, left eyelid drooping and corner of left side of mouth. Also very teary and strained eyes. Went to ER, thought it was a stroke, was diagnosed as Bells Palsy. Treated with steroid and artificial tears for eyes. Disappeared in 4 days.


VAERS ID: 1446165 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: No adverse event, Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: No adverse effects from vaccine - Vaccine was potentially frozen upon receipt from manufacturer, then thawed prior to administration.


VAERS ID: 1446168 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: No adverse event, 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: No adverse effects from vaccine - Vaccine was placed in freezer upon receipt from manufacturer, then thawed prior to administration.


VAERS ID: 1446231 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Junel FE -20 mg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I went to the ER the day after the shot. I was told that my adverse reaction was something that they had been seeing and to follow up in three days with my regular physician if it continues.
CDC Split Type:

Write-up: It Started with numbness and tingling in left hand and foot the afternoon after getting 1st shot. My left hand is no longer tingling/ numb, but my left foot continues to be tingling/numb.


VAERS ID: 1446370 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Blood test, Echocardiogram, Electrocardiogram, Myocarditis, X-ray
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Mild scoliosis
Allergies: None
Diagnostic Lab Data: All tests conducted on June 6 at hospital including blood tests, X-ray, ECG, and Echo tests. Follow up appointment on June 15 included additional ECG and Echo tests.
CDC Split Type:

Write-up: Received at ER at 2 am on June 6, 2021, then transferred to another ER at 9 am on June 6, 2021. Released from hospital at 4 pm that day with diagnosis of myocarditis.


VAERS ID: 1446499 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Delaware  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 1 LA / IM

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

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

Write-up: Error: Patient Too Young for Vaccine Administered-


VAERS ID: 1446587 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-06-02
Onset:2021-06-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Dizzy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hearing loss and Tinnitus on both ears 6/10
CDC Split Type:

Write-up: Hearing loss and Tinnitus on both ears on the 3 day after the shot. Loud humming, buzzing, cricket sounds and ringing 24/7 Never have it before the vaccine Prednisone was given by ENT but so far no improvement.


VAERS ID: 1449417 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-06-05
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Poor quality product administered, 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: USJNJFOC20210702560

Write-up: VACCINE STORED 40 F TO 41.8 F RANGE FOR 4 DAYS; PUNCTURED VIAL USED AFTER 4 DAYS; This spontaneous report received from a pharmacist concerned a 69 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 05-JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 05-JUN-2021, the subject experienced vaccine stored 40 f to 41.8 f range for 4 days. On 05-JUN-2021, the subject experienced punctured vial used after 4 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the vaccine stored 40 f to 41.8 f range for 4 days and punctured vial used after 4 days was not reported. This report was non-serious.


VAERS ID: 1450025 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-25
Onset:2021-06-05
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Cardiomyopathy, Catheterisation cardiac abnormal, Echocardiogram abnormal, Ejection fraction, Left ventricular end-diastolic pressure increased, Mitral valve incompetence, Pulmonary embolism, Pulmonary hypertension
SMQs:, Embolic and thrombotic events, venous (narrow), Pulmonary hypertension (narrow), Cardiomyopathy (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: COPD ?
Preexisting Conditions: COPD ? Active Tobacco use
Allergies: None
Diagnostic Lab Data: Echocardiogram July 4th = EF 10%, severe pulmonary hypertension, mild MR Heart Cath July 2021= 1. Nonobstructive coronaries, 2. Elevated LVEDP CTA =1. Positive left lower lobe subsegmental artery pulmonary embolus
CDC Split Type:

Write-up: Severe cardiomyopathy with EF 10% and some calculations showing 7% Subsegmental pulmonary embolus


VAERS ID: 1450565 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-14
Onset:2021-06-05
   Days after vaccination:52
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A/032B21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood lactate dehydrogenase increased, Discomfort, Fatigue, Herpes zoster, Pain, Rash
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: LYMErix Vaccine 1999, arthritis in neck, attempted chiropractic treatments with no relief, resolved in ~4 months, Patient Age wa
Other Medications: Lisinopril, Multi-vitamins, CoQ10, Fish Oils, Glucosamine Sulfate, Tumeric, Vit D3,A,K1&K2, Astazanthin, Digestive Enzymes, Probiotics-multi-strain, NACX,ALA, Honokiol, Berberine
Current Illness: None
Preexisting Conditions: High Blood Pressure- controlled with Lisinopril, 40mg/day, since 12/2020, Lymphoma-Diffuse Large B-Cell- with Peritoneal Tumor-treated with R-CHOP and Radiation in 2009
Allergies: Brazil nuts
Diagnostic Lab Data: 6/1/2021 - LDH (Lactose Dehyrdogenase) level was 270 (range 119-226) Albumin- in high range- 2 Panels showed 4.7 and 4.9 g/dl (range3.8-4.8 g/dl) Alkaline Phosphatase - typically in low range- Panels showed 48 and 46 IU/L (range 48-121 IU/L)
CDC Split Type:

Write-up: 6/5/2021- Outbreak of Shingles on lower left back, above waist. Preceded by 2 days of fatigue. Outbreak of rash, approx, 2"-3 "singular patch, lasted approx 2.5 to 3 weeks, and then resolved. Pain and discomfort managed by Hydrocoritsone cream 1%


VAERS ID: 1450717 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood bilirubin decreased, Blood magnesium normal, Blood phosphorus normal, Blood thyroid stimulating hormone normal, C-reactive protein increased, Chest X-ray normal, Chest pain, Dyspnoea, Echocardiogram, Echocardiogram normal, Fibrin D dimer normal, Metabolic function test normal, Red blood cell count increased, Red blood cell sedimentation rate increased, Respiratory viral panel, SARS-CoV-2 test negative, Troponin normal, Urine analysis normal
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: BMI 99%ile Ambylopia
Allergies: none known
Diagnostic Lab Data: 6/5/21: ESR 37 6/5/21: CRP 1.4 6/8/21: ESR 29 6/15/21: ESR 24 6/21: Surface echocardiogram 2. The right coronary artery arises just leftward of the intercoronary commissure, slightly high on the left coronary sinus. The takeoff is nearly parallel to the aortic root (possible small intramural course). The left coronary artery arises normally. No evidence of dilation or aneurysm is evident. 3. Normal left ventricular size and systolic function without hypertrophy. 4. Normal right ventricular size and qualitatively normal systolic function without hypertrophy. 6/23/21: ESR 36 6/23/21: Total bilirubin 0.1 6/23/21: RBC 6.06 Normal test results: 6/5/21: Respiratory viral panel, D-Dimer, Troponin, TSH, Magnesium, Phosphorus, Comprehensive metabolic panel, Chest X-ray and Ultrasound of Heart in ED 6/8/21: Troponin, CRP 6/15/21: Troponin 6/21: EKG 6/23/21: CRP, Urinalysis, Chest X-ray multiple negative COVID PCR tests
CDC Split Type:

Write-up: Patient developed sudden onset shortness of breath and chest pain 1.5 days after his second COVID vaccine. He has had persistent shortness of breath and chest pain since then for 1 month despite ibuprofen.


VAERS ID: 1450918 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-15
Onset:2021-06-05
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Extrasystoles, Headache, Neck pain, Pain, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Arthritis (broad), Hypokalaemia (broad)

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

Write-up: Sporadic Racing heartbeat, still since June 5 second shot. Also, heart seems to skip beats - have to cough to bring it back in rhythm. Not been to doctor yet. Shooting pain up the back of my neck to crown of head, frequent within first week of 2nd vaccination, rare but still occurring. Headaches- never had headaches before.


VAERS ID: 1452575 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-29
Onset:2021-06-05
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

Administered by: Pharmacy       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: Loratadine 10mg once daily, Nortryptaline 20mg once daily, testosterone cypionate 150mg once every 2 weeks, Emgality 200mg once monthly, Vitamin D3 2000 IU daily.
Current Illness: None
Preexisting Conditions: Migraine, hypotestosteronism,
Allergies: Food Allergies: Barley, Almonds, Blueberries, Egg Yolks, Sesame, Hazelnut
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Recurring pain in right leg and top of right foot after sitting or lying down, subsiding within 5 minutes.


VAERS ID: 1453717 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Electroencephalogram, Tremor, Urine analysis
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Blood and Urine Analysis; Result Unstructured Data: Test Result:unknown; Test Name: CT Scan; Result Unstructured Data: Test Result:unknown; Test Name: EEG; Result Unstructured Data: Test Result:unkown; Test Name: Urine Analysis; Result Unstructured Data: Test Result:unknown
CDC Split Type: USPFIZER INC2021690855

Write-up: Violent involuntary twitching / shaking of left arm, then right arm, then Neck and Head; This is a Spontaneous case report a contactable consumer(patient). A 17-years-old non pregnant female patient received second dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EW0196), via an unspecified route of administration on 05Jun2021 at 18:30 into left arm as a single dose for COVID-19 immunization (at the age of 17 years). The patient medical history and concomitant medications were not reported. The historical vaccine includes the patient received first dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EW0172), via an unspecified route of administration on 04May2021 at 19:00 pm into left arm as a single dose for COVID-19 immunization. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19.On 05Jun2021 at 20:30, patient had Violent involuntary twitching / shaking of left arm, then right arm, then Neck and Head. The patient underwent lab tests and procedures which included blood test, computerised tomogram, electroencephalogram, urine analysis was unknown on an unspecified date. The patient was visited to Emergency room/department or urgent care for the events. The patient had received Benadryl as a treatment for the adverse event. The outcome of the events was recovering.


VAERS ID: 1454223 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0LS0 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Amnesia, Blepharospasm, Chest pain, Computerised tomogram normal, Confusional state, Disturbance in attention, Drooling, Eye disorder, Eyelid ptosis, Fatigue, Headache, Injection site pain, Magnetic resonance imaging normal, Mobility decreased, Muscle spasms, Muscle twitching, Nausea, Pain, Pain in extremity, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: generic Zyrtec
Current Illness:
Preexisting Conditions: asthma, fibromyalgia, arthritis spinal degeneration
Allergies: amoxicillin, latex, Bactrim, iodine contrast
Diagnostic Lab Data: MRI, CT both came back normal
CDC Split Type: vsafe

Write-up: Within 5 minutes I had uncontrollable spasms, I can''t control my eyes, extreme fatigue, loss of memory and time. Sharp shooting pains from injection site to all the tips of my fingers across my chest up to my skull. I have a lot generalized pain on my left side. now that a month has gone by it my left side gets worse, a drool, my left eye droops and shakes. My whole face and arm will be paralyzed. I get facial ticks. I have overwhelming fatigue and confusion. I have chest pain. I can''t read at all, and I can''t process what I hear at times. I have nausea and vomiting.


VAERS ID: 1454326 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Feeling of body temperature change, Influenza like illness, Pain, Pain in extremity, Peripheral swelling, Skin discolouration, Thrombosis, Ultrasound scan abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: ON JUNE 14TH, 2021 I HAD AN ULTRASOUND DONE ON MY LEFT LEG. THEY LOCATED MULTIPLIE BLOOD CLOTS.
CDC Split Type:

Write-up: I WOKE UP SATURDAY MORNING WITH FLU LIKE SYMPTOMS (FREEZING ONE MOMENT THEN BURNING UP THE NEXT). THAT WENT ON UNTIL MONDAY AFTERNOON. SATURDAY MORNING I ALSO NOTICED MY LEFT LEG WAS SWOLLEN AND HAD A BLUEISH/REDDISH COLOR AND WAS THROBBING. FROM TIME TO TIME i WOULD EXPERIENCE A SHARP PAIN BEHIND MY KNEE AND THIGH. AFTER A WEEK THE SYMPTOMS DID NOT GO AWAY SO I WENT TO THE DOCTOR. HE ORDERED AN ULTRASOUND ON MY LEG. THAT SAME DAY I HAD THE ULTRASOUND WHERE THEY FOUND MULTIPLE BLOOD CLOTS IN MY LEFT LEG. DOCTOR IMMEDIATELY PUT ME ON ELIQUIS. THE DOSE FOR THE FIRST 2 WEEKS WAS 10MG TWICE A DAY (10 MG MORNING AROUND 8AM AND 10 MG AROUND 8 PM). AFTER 14 DAYS HE REDUCED MY DOSE TO 5 MG AM AND 5 MG PM.


VAERS ID: 1454374 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Found a swelling under the left arm pit, no lumps in the breast. denies redness, streaks or warmth to the touch. had vaccine in that arm on 6/5/2021


VAERS ID: 1454837 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 UN / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cholecalciferol 50mcg CAPS Oral capsule mupirocin 2% topical ointment
Current Illness: None
Preexisting Conditions: None
Allergies: none known
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chest pain which stared a few days after receiving 2nd dose vaccine and has persisted with activity. EKG was normal without any ST segment changes. Echocardiogram is normal. Will consider exercise stress test in 3 months


VAERS ID: 1454847 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Influenza like illness, Migraine, Pain in extremity, Peripheral swelling, Rash, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Flu
Other Medications: No
Current Illness: No
Preexisting Conditions: Asthma, reflux, migraines, anxiety, depression, allergies
Allergies: Flu vaccaine, cortizon, tylenol, cipro
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: Right after the shot. I got light headed and dizzy. My arm was sore. I was fatigue. My arm had swell and I had broken out in hives and rash. I had migraine. Flu symptoms


VAERS ID: 1455094 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Headache, Illness, Nausea, Oropharyngeal pain, Pain in extremity, Pyrexia, Taste disorder
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Got taste in mouth after I left the place and went Home I got flash of red in neck and face . Headache. Nauseated. Arm hurt a lot next day. Headache wouldn?t go away. Day offer shot I got sick. Fever, sore throat.


VAERS ID: 1457434 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-22
Onset:2021-06-05
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0122 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Migraine, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (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: Tylenol
Current Illness:
Preexisting Conditions: Celiac Disease Heart Murmur Thyroid Problems Chronic Kidney Disease
Allergies: Mushrooms
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I started with a stiff neck and a migraine headache. I received Tylenol for the migraine. I went to the ER for the symptoms (Medical Center). They told me that they could not give me anything for the stiff neck. I was unable to move my neck for several days. I did try an Icey hot for the stiff neck. The stiff neck still bothers me today as well. I am worried about blood clots.


VAERS ID: 1457583 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH RE0168 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Axillary mass, Hypoaesthesia, Muscular weakness, Peripheral swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Pt. describes swelling in arm with lumps around axilla and mid upper ark States fourth and fifth fingers on left had are numb and weak.


VAERS ID: 1458356 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Chest pain, Chills, Dizziness, Fatigue, Headache, Hypersomnia, Lymphadenopathy, Myalgia, Pyrexia, Rash, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Gotta lie down during most inoculations. Always. Induce slowly, and the lest acceptable; otherwise, I''ll probably faint, despite
Other Medications: Aspirin/acetaminophen on occasion.
Current Illness: Cushing''s. In recovery. 18 months since transsphenoidal surgery.
Preexisting Conditions: Cushing''s. In recovery. 18 months since transsphenoidal surgery.
Allergies: Codeine, Zolpidem, Citalopram, Diazepam, Epinephrine
Diagnostic Lab Data: Vitals recovered after 1.5 hours after 2nd vaccine. Heavy/prolonged sleep after both.
CDC Split Type:

Write-up: Fever, fatigue, headache, muscle pain, chills, joint pain, swollen lymph nodes, persistent stomach pain, chest pain, dizzy, faint, spreading rash from upper back, upper arms, neck & face. COVID arm on 1st vaccine for 16 days. 2nd vaccine: No COVID arm, but...all of the above + faint within 1st hour, then again on the following Friday... on the floor.


VAERS ID: 1459830 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-01-22
Onset:2021-06-05
   Days after vaccination:134
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Gait inability, Inflammation, Laboratory test
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin, Pantoprazole, Ambien, Singulair, Albuterol, Trazadone, Elmiron, Gabapentin, Estradiol, Citalopram
Current Illness: Depression, Asthma, Chronic Back Pain, Menopause, GERD, Ulcerative Colitis
Preexisting Conditions: Same as above
Allergies: Sulfa, Shellfish, Fish, Walnuts, Percocet
Diagnostic Lab Data: Extensive lab work
CDC Split Type:

Write-up: I had the first vaccine 12/29/20 Pfizer EL0140, second vaccine 1/22/2021 EL3246 The first signs appeared the first part of June, extensice inflammation, unable to walk.


VAERS ID: 1459925 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ELU0185 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Feeling hot, Rash, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Errin, multivitamin
Current Illness: no
Preexisting Conditions: thyroid nodule, allergies
Allergies: Mushroom allergy, weeds, oak, cat/dog, cockroaches
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 2 hours after vaccination started with rash on the right side of cheek and neck. Then started with hot sensation all over the upper body and difficulty breathing. Worsening of post nasal drainage. She have herself an epi-pen injection. Continued to have difficulty breathing and went to the ER for evaluation.


VAERS ID: 1461477 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-18
Onset:2021-06-05
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Menstruation delayed
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad)

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

Write-up: After receiving the first dose, I missed my period for the first time in 27 years. I started 20 days late and then my period lasted 2 weeks extremely heavy and not normal. I then only went 1 week and have started another heavy period.


VAERS ID: 1461864 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-01-25
Onset:2021-06-05
   Days after vaccination:131
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9262 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood test, Computerised tomogram, Pulmonary embolism, Surgery, X-ray
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: JARDIANCE LEVIMIR OZEMPIC VITAMIN D MEGA RED
Current Illness:
Preexisting Conditions: DIABETES
Allergies:
Diagnostic Lab Data: 6-7-21 CT SCAN XRAY BLOOD TESTS
CDC Split Type:

Write-up: SADDLE PE IN BOTH LUNGS ELIQUIS-HEPARIN-TPA SURGERY TO BUST UP CLOTS


VAERS ID: 1461888 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-06-02
Onset:2021-06-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 00SC21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Anaemia, Blood iron decreased, Blood test, Heavy menstrual bleeding
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: synthroid
Current Illness: none
Preexisting Conditions: none
Allergies: no
Diagnostic Lab Data: My pcp tested my iron levels and they were very low. I have doubled my iron supplementation.
CDC Split Type:

Write-up: I had my period when getting the second shot. Instead of ending in two or three days after the time of the vaccination, my period continued for another two and a half weeks. The blood flow was unusually heavy, clotted, and dark. I became anemic as a result of this excessive blood loss and am still trying to rebuild my energy through iron supplements. (I will never take a Moderna shot again!!!)


VAERS ID: 1462093 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 RA / IM

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

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

Write-up: Patient''s guardian, provided inaccurate information regarding patients date of birth. The date of birth provided on the consent form, and subsequent identity verification steps, was 08/12/2008. The correct date of birth was actually 08/12/2009 making patient only 11 years old, and an ineligible candidate for the Pfizer covid-19 vaccine. Patient received her first dose 05/15/2021 and the second dose on 06/05/2021. No adverse effects were reported to my knowledge.


VAERS ID: 1462161 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: The injection site was swollen and sore for four days. I had a bad headache and a slight fever for four days. I had frequent headaches for a month after my second shot.


VAERS ID: 1463267 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness, Feeling hot, Muscle rigidity, Mydriasis, Nervousness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021785703

Write-up: Pupils dilated and he couldn''t see.; Pupils dilated and he couldn''t see.; shaky; rigid; and was very hot to touch; This is a spontaneous report from a non-contactable consumer (patient). A 15-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot Number: EW0202), dose 1 via an unspecified route of administration, administered in Arm Left on 05Jun2021 (at the age of 15-years-old) as dose 1, single for COVID-19 immunization. No medical history was reported. Patient had no known allergy. Other medical history was none. No concomitant medication was reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Patient did not receive any other medication within 2 weeks prior to the COVID vaccine. The patient had not been tested for COVID-19 nor before neither since the vaccination. Facility where the most recent COVID-19 vaccine was administered at Pharmacy or Drug Store. The patient experienced pupils dilated and could not see, shaky, rigid, and was very hot to touch on 05Jun2021. This was within a few minutes of receiving the vaccine and lasted about 20-30 minutes. Seriousness criteria was reported as no. As AE treatment, Pharmacist used cold compresses and gave him juice. The outcome of the events were recovered on 2021. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1463769 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-06-05
   Days after vaccination:58
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Atrial septal defect, COVID-19, Cerebral artery occlusion, Cerebrovascular accident, Chills, Fatigue, Headache, SARS-CoV-2 test positive, Thrombectomy
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Congenital, familial and genetic disorders (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Xarelto
Current Illness: antiphospholipid syndrome
Preexisting Conditions: antiphospholipid syndrome
Allergies: None reported
Diagnostic Lab Data:
CDC Split Type:

Write-up: 6/5/2021 Positive PCR for COVID-19 and onset of chills, fatigue, headache (had a previous COVID-19 positive PCR 1/14/2021) 6/5/2021 Acute R MCA ischemic stroke 2/2 M1 occlusion s/p thrombectomy (HCC) PFO (patent foramen ovale) 6/12/2021 Discharged to inpatient rehabilitation


VAERS ID: 1464015 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-20
Onset:2021-06-05
   Days after vaccination:46
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041B21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (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: multi vitamins, biotin, b-12 & Goli apple cider vinager gummies
Current Illness: Sinus issues
Preexisting Conditions: Sinus issues
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Continual left shoulder joint pain.... after shot normal pain and swelling after shot but still get continual shoulder pain.


VAERS ID: 1464029 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Disturbance in attention, Dizziness, Dyspnoea, Dysstasia, Fatigue, Nausea, Pain, Sleep disorder, Somnolence
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: Within 20 minutes of receiving the vaccine, I was experiencing extreme shortness of breath, my entire body hurt and I was dizzy to the point that I could not stand up without holding onto something. Since the injection, I have felt nauseous everyday, I cannot concentrate, I become fatigued just standing up. It''s been almost six weeks since the injection & I still do not feel right. I fall asleep whenever I sit down and I''ve fallen asleep while driving.


VAERS ID: 1464084 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-03-27
Onset:2021-06-05
   Days after vaccination:70
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 8B21A / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Retinal artery occlusion, Thrombosis, Ultrasound scan
SMQs:, Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Carved lol tab 25mg Clonidine hydrochloride tab 0.2mg Chlorthalidone tab 25mg Lisinopril tab 40mg Allopurinol tab 300mg Clopidogrel tab 75mg Rosuvastatin 20 mg Fenofibrate 134mg
Current Illness: None
Preexisting Conditions: Pad
Allergies: None
Diagnostic Lab Data: Many sonagrams and blood flow tests
CDC Split Type:

Write-up: Micro sized blood clots causing strokes in rt eye


VAERS ID: 1464217 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Deafness
SMQs:, Hearing impairment (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: Synthroid 137
Current Illness: None.
Preexisting Conditions: Macular degeneration and retinis pigmentosa. Thyroid condition.
Allergies: None.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Hearing loss began several days after vaccine. Approximately 10 days after vaccine hearing loss became severe. Approximately 20 days after vaccine hearing began to restore. It is about 80 % restored now.


VAERS ID: 1464432 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Brain natriuretic peptide normal, C-reactive protein increased, Cardiac telemetry, Chest X-ray, Chest pain, Chills, Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram repolarisation abnormality, Fatigue, Magnetic resonance imaging heart, Myocardial oedema, Myocarditis, Nausea, Pericarditis, Troponin increased, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (narrow), Conduction defects (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Troponin trend (6/7/2021-6/10/2021): 11, 654 -- $g 12,397 -- $g 13, 376 -- $g 20, 104 -- $g 13, 126 -- $g 7, 835 -- $g 12, 913 -- $g 10, 733 -- $g 8, 710 -- $g 5, 574 CRP (6/9-6/10/21): 23.5--13.8 BNP: 29 EKG 6/7/2021: Normal Sinus rhythm with diffuse ST-elevation CMRI 6/9/2021: Myocardial edema seen which involves the interventricular septum, mid and apical anterior left ventricular wall regions, most likely consistent with myocarditis. Epicardial enhancement on LGE imaging in mid and apical left ventricular free wall and apical interventricular septum consistent with myopericarditis (non-ischemic distribution) ECHO 6/8/2021: Normal LV. NO pericardial effusion.
CDC Split Type:

Write-up: Patient admitted fur to chest pain and dyspnea and found to have myopericarditis after 2nd dose of COVID-19 Pzifer vaccine. Vaccine was administered at pharmacy. First dose received on 5/15/2021, second dose on 6/5/2021. Fatigue and chills started a few hours after second dose and then developed shortness of breath, nausea, emesis and 8/10 midsternal chest pain. Presented to an urgent care facility where CXR and EKG were obtained. EKG showed early repolarizations. Labs were obtained at a local ED and showed elevated troponins, initially 11k and then to 20k and peaked there. BNP was within normal limits. Subsequent EKG showed diffuse ST-segment elevations concerning for acute pericarditis. No prior infections or symptoms like this previously. He was given colchicine at outside facility prior to transfer. At hospital he was continued on ibuprofen and monitored with telemetry and had ECHO and cardiac MRI. Latter was consistent with myopericarditis. ECHO showed normal function. He received PPI while on NSAIDs. His symptoms resolved and he was discharged to home on 6/10/2021 with activity restrictions and plan to follow-up with peds cardiology. Of note, there was an error submitting the initial VAERS report for this patient during the admission, therefore, this delayed report is being submitted.


VAERS ID: 1464480 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-05
Onset:2021-06-05
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Amenorrhoea
SMQs:, Fertility disorders (broad)

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

Write-up: Periods have stopped.


VAERS ID: 1465772 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-18
Onset:2021-06-05
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Chills, Herpes zoster, Pain in extremity, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? No
Previous Vaccinations:
Other Medications: Hydrolyzed Pam 25 MG as needed, Citalopram HBR 20 MG x1, Divalproex Sod ER 250 MG x2, Zolpidem Tartrate 10 MG x1, Dextroamp-Amphetamin 15 MG x2, Tylenol
Current Illness: None
Preexisting Conditions: Mental health
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 2 hours after vaccine I had a fever, chills, and upset stomach. Arm was in extreme pain. This lasted 3 days. About maybe 5 days later got a rash on my hip. Didn''t think much of it. The rash came and went in different parts of my body. Went to urgent care on 6/5/21. I was given a steroid cream went home and proceeded to use that on my rash I would use it it would go away and a day or two later it will come back in a different spot. So I ended up doing a phone visit with on 6/9/21. He gave me another steroid cream which did the same thing the first one did. Had a second appointment with same doctor and he prescribed Permethrin. I knew that was the wrong diagnosis but I use the cream anyways but no results of making me better. Nothing was taken away this rash so I went back to Urgent Care on 07/05/2021. I sat with the doctor and we went through everything we could possibly imagine. I have been a creature of habit my entire life I do not eat new foods I do not change anything in my lifestyle I am osidea so I''ve always repeated the same things for over 30 years nothing new introduced to me I got the flu shot yearly so I assumed this would be okay this is the only thing new that has been in my body so the doctor had concluded that I probably had shingles due to the covid vaccine I am taking the antibiotics and still have the extreme rash I''m almost done with antibiotics and if I still have it I''m going to the emergency room and that''s all I have for now


VAERS ID: 1465780 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blister, Cellulitis, Feeling abnormal, Headache, Herpes zoster, Impaired work ability, Induration, Joint swelling, Laboratory test, Neuralgia, Pain, Pain in extremity, Peripheral swelling, Pyrexia, Rash, Skin warm, Skin weeping, Sleep disorder, Somnolence, Swelling
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), 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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: levothyroxine, oxycodone, linsinopril,
Current Illness: none
Preexisting Conditions: neutropenia, arthritis, back and neck pain
Allergies: penicillan
Diagnostic Lab Data: lab work
CDC Split Type:

Write-up: 5 hours after getting vaccine my left ankle developed a rash. I felt achy and slight headache. The next day the rash had spread up and began to swell. I also had a low fever,99.9 degrees. On Monday my leg and foot were swollen and very pain and warm. I got in to see my Dr. He wasn''t sure what it''s cause was. He put me on antibiotics. That night when my boyfriend got home he couldn''t wake me up. I had a fever of 103, so he called an ambulance and I went to the hospital. They found no blood clots. I was admitted for IV antibiotics and pain meds. I was released Wednesday afternoon. I have severe swelling of my leg and foot. I got blisters and oozing spots on the back of my leg. I am still in a lot of pain and have shingles that I believe was brought on by covid shot. I couldn''t work. I have nerve pain that shoots up my leg. I have no energy to do anything. One Dr. said it could be from shot others said it was cellulitis.I still am having major problems with pain and nerve pain. I just don''t feel good. I can''t sleep at night because of pain. I was on antibiotics for 3 weeks. The swelling is down but my ankle where the rash was is still hard and very, very painful.


VAERS ID: 1466689 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-05
Onset:2021-06-05
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Axillary web syndrome, Blood test, Computerised tomogram, Hypoaesthesia, Pain in extremity, Ultrasound scan
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin 80 mg carvedilol 3.25 mg. Clopidogrel 75 mg. Ezetimbe 10 mg. Lisinopril 20 mg.
Current Illness: None
Preexisting Conditions: Heart Disease
Allergies: None
Diagnostic Lab Data: Left arm and shoulder ultrasound left shoulder ct scan blood work two trips to Er one trip to urgent car three visits to Doctors office
CDC Split Type:

Write-up: Axillary cording right and left arm pain left face numbness left and right chest and shoulder pay


VAERS ID: 1466700 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-11
Onset:2021-06-05
   Days after vaccination:86
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Cough, Dry mouth, Dysphagia, Fatigue, Hypoaesthesia, Inflammation, Joint lock, Malaise, Muscular weakness, Nocturia, Pain, Paraesthesia, Thirst, Vitreous floaters, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Retinal disorders (narrow), 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: Wellbutrin, Amolodipine, Lexapro, Adderral
Current Illness: n/a
Preexisting Conditions: hypertension, sleep apnea, depression, anxiety, ADHD, history of osteodegenerative osteoarthritis, history of joint replacement (R hip, 1995).
Allergies: Diflucan, ACE-inhibitors
Diagnostic Lab Data: Two fasting blood tests at 79
CDC Split Type:

Write-up: Adverse Events Starting in June 2021, patient experienced continuing severe nerve numbness, tingling pain, and weakness in the Right arm, neck, back, and shoulders. Patient is so experiencing finger and joints locking, severe inflammation, muscular weakness. Patient is experiencing floaters in her eyes, frequent nighttime urination, general malaise, fatigue, vomiting, and pain. Insatiable thirst and dry mouth. Also, Patient is experiencing trouble swallowing while eating. Also, a lingering cough.


VAERS ID: 1466708 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: PT ADVISED THAT HE VOMITTED FROM HIS LAST COVID19 VACCINE. PT HAD THE SAME REACTION WITH THE 2ND DOSE FROM THE PFIZER COVID 19 VACCINE. PT VOMITED X 2.


VAERS ID: 1466751 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 22277DK / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: Pt. Dizzy and sweating called emts checked vitals and released.


VAERS ID: 1466908 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-03-30
Onset:2021-06-05
   Days after vaccination:67
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003B21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Anticoagulant therapy, Aortic occlusion, Computerised tomogram abdomen, Computerised tomogram abnormal, Iliac artery occlusion, Laboratory test, Nausea, Scan with contrast abnormal, Vomiting, Weight decreased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Embolic and thrombotic events, arterial (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Takes no home medications
Current Illness: unknown
Preexisting Conditions: none
Allergies: No known allergies
Diagnostic Lab Data: CT of abdomen/Pelvis with contrast. Lab studies including chemistries, hematologies, coagulation studies
CDC Split Type:

Write-up: Patient presented to Clinic with nausea and vomiting that had been going on since June 5. 30lb wt loss. Work up in the clinic included a CT scan that showed infrarenal abd aortic occlusion and common and iliac artery occlusion with reconstitution at the level of the external iliac arteries. Patient was started on heparin and shipped to a higher level of care.


VAERS ID: 1467757 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bursitis, Limb discomfort, Musculoskeletal discomfort, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: not known
Current Illness: Not Known
Preexisting Conditions: Not KNown
Allergies: NKDA
Diagnostic Lab Data: Not Known
CDC Split Type:

Write-up: Per patient initially the first couple of days he experienced normal superficial discomfort in the arm and shoulder-but then on June 5th he began to feel the pain deeper in the arm. The pain continued to persist and according to him it was a level 10. He did go to the physician''s office to get examined and per patient, MD stated it was bursitis and it would take time to heal. I did speak with him on 7/12/21 and he mentioned the pain is gradually getting better.


VAERS ID: 1467967 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Mass
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: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: We have not done any.
CDC Split Type:

Write-up: A little ball at the level of the left shoulder.


VAERS ID: 1468216 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure diastolic increased, Blood pressure increased, Chest pain, Dizziness, Feeling hot, Headache, Impaired work ability, Malaise
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Chlorpheniramine Maleate 4 mg 1x/day
Current Illness: None
Preexisting Conditions: Heart murmur
Allergies: Allergic to White Hickory tree and dust mites
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approx 2 hrs after being vaccinated on 6/5, I felt somewhat unwell. I checked my VS. My temp, SPO2, HR seemed to be WNL. My BP was somewhat higher than usual 141/96mmHg as I have no history of HTN and was not on any medication except for antihistamine for my allergies. I continued to monitor it throughout the rest of the day and it was gradually going up with the highest reading of 156/105mmHg that night with dizziness whether sitting or lying down. The dizziness/headache and high diastolic continued on for almost 3.5 weeks everyday with warm sensation on chest area around the heart on day 7 and day 8 from being vaccinated which I started taking garlic extract 1000mg on day 7 with the hopes of bring my bp down as I have no medication with me. I could not go back to working out as I was working out 3x/wk from 30 to 60mins prior to being vaccinated with my last workout day on 6/4. I was giving myself a week to let my body recuperate when my BP was not improving I scheduled an appointment with my primary. At week 5 close to 6 week after being vaccinated, I only experience intermittent dizziness when my diastolic is higher than 10, able to tolerate more activities without unreasonable BP elevation with some random chest pain which is not activity or time specific as it happens briefly whether sitting, lying or walking.


VAERS ID: 1470185 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-18
Onset:2021-06-05
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032M20A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, COVID-19, Chest pain, Pneumonia, SARS-CoV-2 test positive
SMQs:, Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None known
Preexisting Conditions: None known
Allergies: No known drug allergies
Diagnostic Lab Data: COVID-19 Positive on 6/5/2021.
CDC Split Type:

Write-up: Presented to emergency department on 6/5/2021 with chest pain. He was found to be COVID-19 positive at that time and was treated for pneumonia. During admission, he was found to be in atrial fibrillation and possible myopericarditis. Patient improved clinically and was discharged to home on 6/14/2021.


VAERS ID: 1470208 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Blood test, Condition aggravated, Diarrhoea, Malaise, Pyrexia, Vision blurred, Vitreous floaters
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: hepatitis b vaccine 10 years ago and experienced confusion for a few days.
Other Medications: I take Meclizine, vitamin C and B, Coq 10, multi vitamin, migravent
Current Illness: none
Preexisting Conditions: Barakat syndrome and Menieres
Allergies: I have gluten intolerance and sulfa
Diagnostic Lab Data: On July 10, 2021 I went to see Dr. and he ran blood test which I have not received my results back yet. The day of my blood test I had to take a potassium pill because my potassium was low.
CDC Split Type:

Write-up: On June 5, 2021 I started to feel sick and I have diarrhea and I woke up in the night with a fever for 3 days and after a few days the fever subsided and I continued to feel weaker and weaker. On July 2, 2021 I went to my eye Dr., because I was having floaters and blurred vision. Which actually happened after my first dose and after my second dose it got worse. Dr. stated I should follow up with my regular doctor. I followed up with my PCP Dr., on July 8, 2021 and they told me to walk in the morning on July 9th, 2021, because they did not have any available appointments On July 9, 2021 I went to see Dr. and he ordered me a blood test for July 10, 2019, because I didn''t fast the night before and I have not received my results back yet. However, Dr. pitched me and stated that I was dehydrated. The day of my blood test I had to take a potassium pill because my potassium was low. I am still waiting on the blood test result.


VAERS ID: 1474325 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-01-01
Onset:2021-06-05
   Days after vaccination:155
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea, Myalgia, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Advise, Zyrtec, Lisinopril, MVI
Current Illness:
Preexisting Conditions: Asthma, OSA, HTN
Allergies: None
Diagnostic Lab Data: COVID PCR - Positive on June 9
CDC Split Type:

Write-up: On June 4, 2021 I developed fever, myalgias, Shortness of breath and cough. A few days later I lost my sense of smell and taste. I got a COVID PCR test which resulted in a positive result. Thereupon I quarantined for 2 weeks in accordance with the CDC and my employer. I also received banvanivimab. Within 7 days my symptoms were mostly resolved. I did not require hospitalization or other interventions.


VAERS ID: 1475657 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-13
Onset:2021-06-05
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA O27C21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Obesity
Allergies: Mold
Diagnostic Lab Data: I don''t know.
CDC Split Type:

Write-up: Blood clot on left leg from knee to the groin area. Never had problems before, not 1 person in my family ever had this , not long trips , ground or Arial.


VAERS ID: 1376664 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / UNK LA / IM

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

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

Write-up: Hives all over the body.


VAERS ID: 1394865 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0221-CC09 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Chest discomfort, Chills, Decreased appetite, Dizziness, Dyspnoea, Fatigue, Migraine, Nausea, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Migraine, fever, chills 24hr after inject. 24hr- current, symptoms include nausea, vomiting, light headed, shortness of breath, dizziness, fatigue, pain in abdomen, loss of appetite, tight chest.


VAERS ID: 1406235 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:2021-06-05
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? 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: ITJNJFOC20210626364

Write-up: 5 MINUTES AFTER THE INOCULATION OF THE JANSSEN VACCINE FAINTED WITH LOSS OF CONSCIOUSNESS; 5 MINUTES AFTER THE INOCULATION OF THE JANSSEN VACCINE SUDDENLY EXPERIENCED A STRONG DIZZINESS; This spontaneous report received from a consumer via a Regulatory Authority [EMEA EVHUMAN NLP, IT-MINISAL02-740170] concerned a 38 year old male. The patient''s weight was 68 kilograms, and height was 170 centimeters. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: XD985 expiry: Unknown) dose was not reported, 1 total, administered on 05-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 05-JUN-2021, 5 minutes after the inoculation of the Janssen vaccine the patient suddenly experienced a strong dizziness and fainted with loss of consciousness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered with sequelae from 5 minutes after the inoculation of the Janssen vaccine the patient suddenly experienced a strong dizziness and fainted with loss of consciousness.This report was serious (Life Threatening).; Reporter''s Comments: Allergy to gramineaes and dust; Sender''s Comments: 20210626364- covid-19 vaccine ad26.cov2.s- 5 minutes after the inoculation of the Janssen vaccine the patient suddenly experienced a strong dizziness and fainted with loss of consciousness. 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: 1411624 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Headache, Pain in extremity, SARS-CoV-2 test
SMQs:, Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data: Test Date: 20210605; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021682072

Write-up: Weakness; Pain in arm; Headache; This is a spontaneous from two contactable consumer downloaded from the Regulatory Authority. Regulatory authority report number GB-MHRA-WEBCOVID-202106062059574020-W6J7H with Safety Report Unique Identifier GB-MHRA-ADR 25427821. An 18-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 05Jun2021 (at the age of 18-year-old) at single dose for COVID-19 immunisation. Relevant medical history included suppressed lactation. Patient has not had symptoms associated with COVID-19. Patient is not enrolled in clinical trial. Patient is not pregnant. Patient is not currently breastfeeding. Patient has not tested positive for COVID-19 since having the vaccine. Concomitant medications were not reported. On 05Jun2021 the patient experienced weakness, pain in arm and headache. All the events were serious as medically significant. The patient underwent lab tests and procedures which included SARS-CoV-2 test: negative on 05Jun2021 (No - Negative COVID-19 test). Weakness and pain in arm were not resolved, headache resolved on an unspecified date. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.


VAERS ID: 1413644 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002332 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Adverse drug reaction, Dizziness, Dyspnoea, Fatigue, Headache, Nausea, Pyrexia, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative ; Result Unstructured Data: No - Negative COVID-19 test
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Nausea; High temperature; Head ache; Exhaustion; Breathing difficulties; Dizziness; Drug side effect; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 08-Jun-2021 and was forwarded to Moderna on 08-Jun-2021. This regulatory authority case was reported by a consumer and describes the occurrence of DYSPNOEA (Breathing difficulties), DIZZINESS (Dizziness), ADVERSE DRUG REACTION (Drug side effect), NAUSEA (Nausea), PYREXIA (High temperature), HEADACHE (Head ache) and FATIGUE (Exhaustion) in an 18-year-old male patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002332) for COVID-19 vaccination. No Medical History information was reported. On 04-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 05-Jun-2021, the patient experienced ADVERSE DRUG REACTION (Drug side effect) (seriousness criterion medically significant). On an unknown date, the patient experienced DYSPNOEA (Breathing difficulties) (seriousness criterion medically significant), DIZZINESS (Dizziness) (seriousness criterion medically significant), NAUSEA (Nausea) (seriousness criterion medically significant), PYREXIA (High temperature) (seriousness criterion medically significant), HEADACHE (Head ache) (seriousness criterion medically significant) and FATIGUE (Exhaustion) (seriousness criterion medically significant). At the time of the report, DYSPNOEA (Breathing difficulties), DIZZINESS (Dizziness), NAUSEA (Nausea), PYREXIA (High temperature), HEADACHE (Head ache) and FATIGUE (Exhaustion) outcome was unknown and ADVERSE DRUG REACTION (Drug side effect) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: no - negative covid-19 test (Negative) No - Negative COVID-19 test. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. Concomitant product use was provided by the reporter as Heart burn medications. Treatment information was provided as Antibiotics. Patient has not tested positive for COVID-19 since having the vaccine. 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: 1416117 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW3143 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Haemorrhage in pregnancy, Maternal exposure during pregnancy, Morning sickness, Pain in extremity, Scan
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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: FOLIC ACID; IRON; PARACETAMOL; VITAMIN D 3; ANTI-D IMMUNOGLOBULIN
Current Illness: Pregnancy
Preexisting Conditions: Medical History/Concurrent Conditions: Anaemia of pregnancy; Asthma (mildly asthmatic and take a reliever inhaler when needed.); Folic acid supplementation; Hay fever (quite bad hayfever but given pregnancy can''t currently take meds.); Hemorrhage in pregnancy (Bleed at 10wks, scan all fine, no cause identified); Migraine; Migraine without aura (sometimes get migraines without aura.); Miscarriage (miscarried the first at 6 weeks); Rhesus negative
Allergies:
Diagnostic Lab Data: Test Name: scan; Result Unstructured Data: Test Result:all fine; Comments: at 8wks; Test Name: scan; Result Unstructured Data: Test Result:all fine; Comments: at 10wks; Test Name: scan; Result Unstructured Data: Test Result:both fine; Comments: at 12wks; Test Name: scan; Result Unstructured Data: Test Result:both fine; Comments: at 14wks; Test Name: scan; Result Unstructured Data: Test Result:all is fine; Comments: at 16 wks+5
CDC Split Type: GBPFIZER INC2021657570

Write-up: morning sickness; very light spotting and a scan at 16 wks+5; Patient was exposed to the vaccine Second-trimester; Pain in arm; This is a solicited report from the Regulatory Agency from a contactable consumer (patient). The regulatory authority report number is GB-MHRA-YCVM-202106021701206250-RPDYV, Safety Report Unique Identifier GB-MHRA-ADR 25426259. A 33-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, at the age of 33-years-old, on 05Jun2021 (Lot Number: EW3143) as single dose for COVID-19 immunisation. Medical history included ongoing pregnancy. Patient had mildly asthmatic and took a reliever inhaler when needed. The patient also got quite bad hay fever but given pregnancy can''t currently take meds, sometimes got migraines without aura, folic acid supplementation, anaemia of pregnancy, migraine, rhesus negative, bled during pregnancy (Bleed at 10wks, scan all fine, no cause identified), miscarried the first at 6 weeks in Nov2020. Concomitant medications included folic acid taken for vitamin supplementation and pregnancy from 01Sep2020 to an unspecified stop date; iron taken for anaemia of pregnancy from 20Apr2021 to an unspecified stop date; paracetamol taken for migraine from 28May2021 to 28May2021; colecalciferol (VITAMIN D 3) taken for pregnancy from 01Sep2020 to an unspecified stop date; anti-d immunoglobulin taken for rhesus negative and bled during pregnancy from 11Jun2021 to an unspecified stop date. The patient reported she became pregnant while taking bnt162b2. The patient was 15 weeks pregnant at the onset of the event. The patient was due to deliver on 23Nov2021. The patient had pain in arm on 05Jun2021, morning sickness and very light spotting and a scan at 16 wks+5 on an unspecified date. The events were reported as serious (medically significant). The patient stated this is her second pregnancy, she miscarried the first at 6 weeks (Nov2020). Currently all is well, but ''morning'' sickness is evil. Patient was exposed to the vaccine second-trimester (13-28 weeks). Details of scans or investigations: Some spotting at 8wks, scan all fine. Bleed at 10wks, scan all fine, no cause identified. Dating scan at 12wks and reassurance scan at 14wks - both fine. Have since had 1 instance of very light spotting and a scan at 16 wks+5, all is fine. The outcome of the event pain in arm was recovered on 08Jun2021. The outcome of the other events was unknown. Patient has not tested positive for COVID-19 since having the vaccine. Patient does not think vaccination had an adverse effect on any aspect of the pregnancy. The reporter''s assessment of the causal relationship of the events with the suspect product was not provided at the time of this report. Since no determination has been received, the case is managed based on the company causality assessment. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: There is reasonable possibility that the reported event pain in extremity is related to BNT162B2 based on known safety profile of suspect product. The events morning sickness is likely due to the pregnancy while cause of spotting has been unidentified prior to vaccination. Both events are unrelated to BNT162B2. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1418839 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache, Influenza, Influenza like illness, Irritability, Pain in extremity, Pyrexia, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FERROUS FUMARATE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Ferritin low; Headache; Lactation decreased; Tiredness
Allergies:
Diagnostic Lab Data: Test Date: 20201011; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021664069

Write-up: flu like symptoms; Headache; Irritable; Flu symptoms; Slight temperature; Painful arm; Tiredness; This is a spontaneous report from a contactable consumer received from the Regulatory Agency (RA). The regulatory authority report number is GB-MHRA-WEBCOVID-202106061613060710-GCSKE. An 18-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (batch/lot number: not known) via an unspecified route of administration on 05Jun2021 (18-year-old at vaccination) at a single dose for COVID-19 immunisation. Medical history included lactation decreased and headache. The patient also experienced regular headaches and tiredness due to having low ferritin levels. Suspected to be Coeliac or have IBS or IBD or Chronhs. Tests still ongoing to decide. Patient had not had symptoms associated with COVID-19. Patient was not enrolled in clinical trial. Patient was not pregnant. Patient was not currently breastfeeding. Concomitant medications included ferrous fumarate taken for ferritin low from 01May2020. The patient experienced flu like symptoms on an unspecified date, painful arm and tiredness both on 05Jun2021, headache, irritable, flu symptoms and slight temperature all on 06Jun2021. Sore and painful arm a started a few hours after having the vaccine. Woke up the next day feeling very tired, with a headache, very irritable and still with a sore arm. Developed a slight temperature mid afternoon and experiencing flu like symptoms. Sore arm was still persisting as well as all other symptoms so took paracetamol and had been resting but still feels ''under the whether.'' The patient underwent lab tests and procedures which included COVID-19 virus test: no - negative covid-19 test on 11Oct2020. Patient had not tested positive for COVID-19 since having the vaccine. The report was reported as serious with seriousness criteria of medically significant. The outcome of all events was resolving. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1437913 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821288 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood calcium normal, Blood creatine phosphokinase normal, Blood potassium normal, C-reactive protein normal, Discomfort, Electromyogram normal, Hypoaesthesia, Joint range of motion decreased, Laboratory test normal, Limb discomfort, Nerve conduction studies normal, Neuropathy peripheral, Paraesthesia, Rheumatoid factor, Vitamin B12 normal
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Studies conducted June 9, 2021: Serum potassium, serum calcium, Cpk, C-reactive protein, Vitamin B12, rheumatoid factor, hematic biometrics. All within normal ranges. Medical diagnosis: June 16, 2021 Incipient Neuropathy. Treatment: CMP Forte core, every 8 hours for one month. Studies conducted June 17, 2021: Electromyography and Driving Velocity of Pelvic Limbs. Results normal.
CDC Split Type:

Write-up: 24 hours after the vaccine application I experienced a numbing sensation in my left foot. As the day passed the numbness and tingling extended to both feet. 400mg of Ibuprofen was administered every 8 hours. 48 hours after vaccination the symptoms presented not only in both feet but also in the calves. Heaviness and tingling. The discomfort continued for a week. For which indicated studies for blood and visiting medical internist. Some days it presented difficult to move both legs and tickling fingers of hands. For now medical treatment has continued for a month.


VAERS ID: 1438838 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW3143 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Investigation, Maternal exposure during pregnancy, Pain in extremity, SARS-CoV-2 test
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Tendinopathies and ligament disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FOLIC ACID
Current Illness: Pregnancy (Estimated due date: 20211005)
Preexisting Conditions: Medical History/Concurrent Conditions: Folic acid supplementation
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: scans or investigations; Result Unstructured Data: Test Result:22 weeks, had all scans and all perfect; Test Date: 20210602; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021710098

Write-up: Painful arm; Maternal Exposure During Pregnancy; This is a solicited report from the contactable consumer. This is a report received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-YCVM-202106051914407950-3DZYE, Safety Report Unique Identifier GB-MHRA-ADR 25469516. A 32-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 05Jun2021 at age of 32-year-old (Lot Number: EW3143) at single dose for COVID-19 immunization. Medical history included ongoing pregnancy and estimated due date is 05Oct2021, folic acid supplementation from an unknown date and unknown if ongoing. There was no pregnancy symptoms for previous pregnancies at the time of the report. Patient did not have symptoms associated with COVID-19. Patient is not enrolled in clinical trial. Patient is not currently breastfeeding. Concomitant medication included folic acid taken for vitamin supplementation, start and stop date were not reported. The patient experienced maternal exposure during pregnancy/22 weeks and painful arm on 05Jun2021. The report was serious for being medical significant. Patient did not think vaccination had an adverse effect on any aspect of the pregnancy. The patient underwent lab tests and procedures which included COVID-19 virus test: no-negative COVID-19 test on 02Jun2021, scans or investigations: 22 weeks, had all scans and all perfect in Jun2021. The patient had not been tested positive for COVID-19 since having the vaccine. The painful arm was resolved on 08Jun2021. The reporter''s assessment of the causal relationship of the events with the suspect product was not provided at the time of this report. Since no determination has been received, the case is managed based on the company causality assessment. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: The causal association was assessed as possibly related to BNT162B2 based on known drug safety profile and temporal association.


VAERS ID: 1445206 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Investigation, Maternal exposure during pregnancy, SARS-CoV-2 test
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FOLIC ACID; ASPIRIN [ACETYLSALICYLIC ACID]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Suspected COVID-19 (Unsure when symptoms started Unsure when symptoms stopped)
Allergies:
Diagnostic Lab Data: Test Name: scans or investigations; Result Unstructured Data: Test Result:No issues; Test Date: 20201001; Test Name: COVID-19 virus test; Test Result: Positive ; Comments: Yes - Positive COVID-19 test
CDC Split Type: GBPFIZER INC2021737816

Write-up: Maternal exposure during pregnancy; Fatigue; This is a solicited report from a regulatory authority from a contactable other HCP. This is a report received from a regulatory authority (RA). Regulatory authority report number is GB-MHRA-YCVM-202106191926268990-VSYDA, Safety Report Unique Identifier GB-MHRA-ADR 25504874. A 33-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 04Jun2021 at single dose for COVID-19 immunisation. Medical history included suspected covid-19 (Unsure when symptoms started; Unsure when symptoms stopped). Patient is not enrolled in clinical trial Patient is not currently breastfeeding. Concomitant medications included pertussis vaccine (Whooping cough vaccine) in May2021 (10 days before covid vaccine) for immunisation, folic acid taken for Folic acid supplementation; aspirin [acetylsalicylic acid]. The patient experienced maternal exposure during pregnancy on an unspecified date, fatigue on 05Jun2021. Report was reported as medical significant. The patient became pregnant while taking BNT162B2. Pregnant with twins (29 weeks at time of vaccine). The patient was due to deliver on 19Aug2021. The patient underwent lab tests and procedures which included COVID-19 virus test: positive on 01Oct2020, investigation: no issues on unknown date. The outcome of event fatigue was recovered on 06Jun2021. The reporter''s assessment of the causal relationship of the event the suspect product was not product at the time of this report. Since no determination has been received, the case is managed based on the company causality assessment. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender''s Comments: A contributory role of the suspect drug cannot be excluded for event fatigue based on temporal association and known drug profile. The patient''s concurrent pregnancy may provide an alternate explanation. This case will be reassessed upon receipt of additional information. 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: 1445300 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC2336 / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Epilepsy
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Generalised convulsive seizures following immunisation (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Autism
Allergies:
Diagnostic Lab Data:
CDC Split Type: ITPFIZER INC2021730223

Write-up: Vaccination performed in the morning of 05Jun2021. In the afternoon of the same day the mother reported a probable epileptic seizure. Asthenia; Vaccination performed in the morning of 05Jun2021. In the afternoon of the same day the mother reported a probable epileptic seizure. Asthenia; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority (RA), regulatory authority number IT-MINISAL02-742413.A 15-years-old male patient received bnt162b2 (COMIRNATY), dose 1 intramuscular on 05Jun2021 11:40 (Batch/Lot Number: FC2336) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included Autism. The patient''s concomitant medications were not reported. At 18:00 hours of the same day, the mother reported the onset of a probable epileptic seizure characterized by deviation of the labial rhyme and eyelid hyperactivity lasting about 30 seconds, followed by a state of drowsiness. The seizure, resolved spontaneously, reappeared the next day at 10:00 am with the same modalities. At the present moment, asthenia persists. He does not report hyperpyrexia or other symptoms. The reporter reports that no other episodes of epilepsy have occurred besides those reported. The patient underwent a neuropsychiatric examination that did not reveal any issues. The patient was not taking medications at the time of vaccination and was not placed on any medication. He remains under observation by the specialist with scheduled follow-up visits. Outcome of events was recovering. Reporter''s comments: At 18:00 hours of the same day, the mother reported the onset of a probable epileptic seizure characterized by deviation of the labial rhyme and eyelid hyperactivity lasting about 30 seconds, followed by a state of drowsiness. The seizure, resolved spontaneously, reappeared the next day at 10:00 am with the same modalities. At the present moment, asthenia persists. He does not report hyperpyrexia or other symptoms. No follow-up attempts possible. No further information expected.; Reporter''s Comments: At 18:00 hours of the same day, the mother reported the onset of a probable epileptic seizure characterized by deviation of the labial rhyme and eyelid hyperactivity lasting about 30 seconds, followed by a state of drowsiness. The seizure, resolved spontaneously, reappeared the next day at 10:00 am with the same modalities. At the present moment, asthenia persists. He does not report hyperpyrexia or other symptoms.


VAERS ID: 1447835 (history)  
Form: Version 2.0  
Age: 1.67  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Exposure via breast milk, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Neonatal exposures via breast milk (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: 20210615; Test Name: temperature; Result Unstructured Data: Test Result:high temperature ($g38.5)
CDC Split Type: GBPFIZER INC2021753384

Write-up: Fever/a high temperature ($g38.5); I''m breastfeeding my 20 month old daughter; This is a spontaneous report from a contactable consumer (mother reporting for her breastfeed daughter). This was the first report out of 2 reports. This report received from the Regulatory Authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202106161211070840-LQXSY. Safety Report Unique Identifier: GB-MHRA-ADR 25484035. This is a baby case (a 20-month-old female patient). A patient''s mother received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and expiration date were not reported), on 05Jun2021 as first dose, single for COVID-19 immunisation. The mother was breastfeeding her 20 month old daughter (patient). The patient''s medical history and concomitant medications were not reported. Patient did not test positive for COVID-19 since having the vaccine. Not sure this was related at all but wanted to report that 10 days after her vaccination (15Jun2021), she raised a high temperature ($g38.5). The patient experienced fever on 15Jun2021. The outcome of event fever was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender''s Comments: Linked Report(s) : GB-PFIZER INC-2021736349 Mother case


VAERS ID: 1455707 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY5456 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Maternal exposure timing unspecified, Night sweats, Palpitations, Pyrexia, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy
Preexisting Conditions: Comments: Patient has not had symptoms associated with COVID-19 Patient is not enrolled in clinical trial
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative
CDC Split Type: GBPFIZER INC2021765769

Write-up: night sweats; chills; fever; tiredness; continuous headache; Palpitations/heart pounding; Exposure during pregnancy; This is a spontaneous report from a contactable consumer received from a regulatory authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202106221339222030-QMCCG, Safety Report Unique Identifier is GB-MHRA-ADR 25520534. A 20-year-old pregnant female patient received first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; Lot Number: EY5456), via an unspecified route of administration on 05Jun2021 (at the age of 20-years) as single dose for COVID-19 immunisation. Medical history included ongoing pregnancy. Patient has not had symptoms associated with COVID-19. Patient is not enrolled in clinical trial. The patient''s concomitant medications were not reported. The patient experienced night sweats, chills, fever, tiredness, and continuous headache; all on unspecified dates. The patient also experienced palpitations/heart pounding on 12Jun2021. These events were considered serious, medically significant. Adverse reaction did not occur as a result of an exposure during pregnancy. The patient had negative COVID-19 virus test on unspecified date. The outcome of palpitations/heart pounding was not recovered, while for the other events was unknown. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1461569 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-21
Onset:2021-06-05
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Abortion spontaneous, Amniotic cavity infection, Antibody test, Blood pressure measurement, Body temperature, C-reactive protein increased, Coagulation test, Foetal death, HIV test, HTLV-1 test, HTLV-2 test, Haemoglobin, Heart rate, Hepatitis B virus test, Hepatitis C virus test, Histology, Investigation, Maternal exposure during pregnancy, Microbiology test, Platelet count increased, Ultrasound scan, White blood cell disorder
SMQs:, Haematopoietic leukopenia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), 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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: In vitro fertilization
Allergies:
Diagnostic Lab Data: Test Name: anti-beta 2 GPI antibodies; Result Unstructured Data: Test Result:negative; Test Name: Anti-erythrocytic antibodies; Result Unstructured Data: Test Result:negative; Test Date: 20210606; Test Name: Blood pressure; Result Unstructured Data: Test Result:normal; Test Date: 20210606; Test Name: Body temperature; Result Unstructured Data: Test Result:normal; Test Name: coagulation assessment; Result Unstructured Data: Test Result:normal; Test Name: CRP; Result Unstructured Data: Test Result:27 mg/l; Test Name: hemoglobin; Result Unstructured Data: Test Result:9.7 g/dl; Test Date: 20210606; Test Name: heart rate; Result Unstructured Data: Test Result:Normal; Test Name: Hepatitis B; Result Unstructured Data: Test Result:serology negative; Test Name: Hepatitis C; Result Unstructured Data: Test Result:serology negative; Test Name: anatomopathological examination; Result Unstructured Data: Test Result:no abnormality on fetopathological examination; Comments: of the deceased twin; Test Name: Pathological examinations of the 2 placentas; Result Unstructured Data: Test Result:presence of stage 2 chorioamnionitis; Comments: with stage 3 funniculitis for the deceased twin, less intense chorioamnionitis without funniculitis for the other twin; Test Name: HIV; Result Unstructured Data: Test Result:serology negative; Test Name: HTLV 1; Result Unstructured Data: Test Result:serology negative; Test Name: HTLV 2; Result Unstructured Data: Test Result:serology negative; Test Name: Anti-cardiolipid; Result Unstructured Data: Test Result:negative; Test Name: Foetopathological examination; Result Unstructured Data: Test Result:normal; Comments: male fetus, macerated, without apparent or visceral malformation detected, no dysmorphia of the face or extremities; Test Name: Bacteriology on the placenta; Result Unstructured Data: Test Result:rare leukocytes, direct negative examination; Comments: sterile culture; Test Name: Platelets; Result Unstructured Data: Test Result:254 g/l; Test Name: USG; Result Unstructured Data: Test Result:normal; Test Date: 20210521; Test Name: USG; Result Unstructured Data: Test Result:normal; Comments: 10% weight discrepancy between the 2 fetuses, which is not an anomaly in the context of twin pregnancy; Test Date: 20210606; Test Name: USG; Result Unstructured Data: Test Result:fetal death in utero of one of the 2 twins; Test Name: leukocytes; Result Unstructured Data: Test Result:10 g/l
CDC Split Type: FRPFIZER INC2021770452

Write-up: Foetal death in utero; Maternal Exposure During Pregnancy, third trimester ; Miscarriage; Chorioamnionitis; This is a spontaneous report from a contactable physician downloaded from the regulatory authority-WEB [FR-AFSSAPS-TS20212485], Safety Report Unique Identifier [FR-AFSSAPS-2021078733]. A 38-year-old pregnant female patient received bnt162b2 (COMIRNATY), intramuscular on 21May2021 (Lot number: unknown) as dose 1, single for COVID-19 immunization. Medical history included in vitro fertilization. The patient''s concomitant medications were not reported. The patient previously took magnesium. The patient experienced foetal death in utero (hospitalization on unspecified date) on 06Jun2021, and miscarriage on 05Jun2021; both events resulted in emergency room visit. This mother reported her last menstrual period was on 08Nov2020 (as reported). The mother reported she became pregnant while taking bnt162b2 (Maternal Exposure During Pregnancy, third trimester). The mother was 28 weeks pregnant at the onset of the event. Course of events as follows: The patient who started a pregnancy on 22Nov2020 by in vitro fertilization (as reported). Twin chorionic, bi-amniotic twin pregnancy. Normal clinical and ultrasound course on unspecified date. Last ultrasound on 21May2021: normal. 10% weight discrepancy between the 2 fetuses, which is not an anomaly in the context of twin pregnancy. Last obstetric consultation (27May2021) normal. Emergency consultation on Saturday 05Jun2021 in the evening (D15 post-vaccine) for premature rupture of the membranes, spontaneous, without associated sign: frank rupture, clear liquid, no fever, no contraction, no other symptom. On ultrasound on 06Jun2021, fetal death in utero of one of the 2 twins (dating back several days, because signs of maceration and anamnios), good vitality of the other twin. The mother had not noticed any particular symptoms and felt her babies moving (difficulty assessing due to twin pregnancy?) On 06Jun2021, Normal blood pressure and heart rate, no fever (normal body temperature), no proteinuria. Start of amoxicillin (will not be not continued after birth). A few hours after admission, onset of contractions. Birth by cesarean on 06Jun2021 at 9:11 a.m., under cover of 2 g of cefazoline, of the first baby, alive, male, weighing 1.34 kg with normal pH then 1 minute later of the second baby, deceased, weighing 1.16 kg, with clear signs of maceration. Obstetricians noted that each child''s umbilical cords were very large and very swollen. For the living baby, however, the fluid was clear and no other peculiarities were observed. Baby hospitalized for prematurity, no infectious problem. Bacteriology on the placenta: rare leukocytes, direct negative examination, sterile culture. Biological assessment in the mother on unspecified date: CRP at 27 mg/L, normal coagulation assessment, hemoglobin 9.7 g/dL, platelets 254 G/L, leukocytes 10 G/L (but pregnancy). Sterile ECBU and vaginal sample. Hepatitis B, C, HIV, HTLV 1 and 2 serology negative, parvovirus and toxoplasmosis in favor of an old infection. Anti-cardiolipid and anti-beta 2 GPI antibodies negative. Anti-erythrocytic antibodies negative. Foetopathological examination: normal (male fetus, macerated, without apparent or visceral malformation detected, no dysmorphia of the face or extremities). No malformative cause identified likely to explain this MFIU. Pathological examinations of the 2 placentas: histological appearance in accordance with the term, presence of stage 2 chorioamnionitis with stage 3 funniculitis for the deceased twin, less intense chorioamnionitis without funniculitis for the other twin. In total, fetal death in utero of one of 2 twins in a twin chorionic, bi-amniotic twin pregnancy, discovered at 30 weeks on D15 of a first dose of Comirnaty, after premature rupture of the frank membranes of clear liquid, without fever or contraction. Aspect of maceration of the deceased twin suggesting a death dating back several days. Premature delivery in the following hours by Caesarean section of a live male child hospitalized for prematurity and of the deceased child. Chorioamnionitis for the 2 twins (stage 2 with stage 3 funniculitis for the deceased twin, less intense for the other) on anatomopathological examination of the placentas, no abnormality on fetopathological examination of the deceased twin. The outcome of the event foetal death in utero was resolved with sequel and the outcome of the remaining events was unknown. No follow-up attempts are possible; information on batch/lot number cannot be obtained. No further information is expected.


VAERS ID: 1466496 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Discouragement, Headache, Influenza, Pain, Pyrexia, SARS-CoV-2 test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Depression (excl suicide and self injury) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin
Current Illness:
Preexisting Conditions: Diabetes Mellitus
Allergies: penicillin
Diagnostic Lab Data: Covid 19 - negative ( 10 2021)
CDC Split Type:

Write-up: flu (the worst I have ever had) headache discouragement body ache


VAERS ID: 1175666 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-04
Onset:2021-06-04
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER 8.737 / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fish oil, calcium, over 50 multivitamin, trulicity, escitalopram, wellbutrin, levothyroxine, metformin, lisinipril, atorvastatin, glipizide, loratidine
Current Illness: None
Preexisting Conditions: Diabetes 2, Morbidly obese, Depressive Disorder
Allergies: Penecillin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: No treatment other than waiting it out. Faver 101.7, muscle aches, joint aches, site pain, headache, fatigue


VAERS ID: 1373126 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-28
Onset:2021-06-04
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Medical marijuana Meloxicam Magnezium Multi vitamin Vitamin b
Current Illness: None
Preexisting Conditions: Chronic cough Asthma Neuropathy Spinal senois
Allergies: Gabapentin Cats Seasonal allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Around midnight u noticed I was scratching my arm in the same area that my shot was...its raised like a but bite and warm to the touch. I actually took a pic and outlined it in case it was something else. Very itchy.


VAERS ID: 1373377 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-22
Onset:2021-06-04
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH LA EW 1073 / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Bursitis, Fatigue, Injection site pain, Loss of personal independence in daily activities, Movement disorder, Muscular weakness, Pain, Pain in extremity, Panic attack
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Suspected bursitis with prolonged arm pain and weakness 2 weeks after first Pfizer dose. On the day of vaccination, I had a panic attack and nearly blacked out after vaccination, something that had never happened to me after a vaccination. Once the pain started a few hours after vaccination, it significantly increased. I experienced excruciating pain in my left arm like I had never felt after any other vaccination. Complete inability to move my arm without pain; the pain persisted even with zero movement whatsoever. Within the first 12 hours the pain spread to my entire left shoulder, and within 24 hours the pain spread to my neck, and general upper left quadrant of my body to the point where inhaling deeply would cause chest pain on my left side. This extreme pain persisted for about 3-4 days. After about the 5th day, my left arm still felt different and weaker than my right arm but little pain remained. After the 7th day, pain started back up whenever I tried to use my arm in any way. The days went on and the pain and arm weakness is not passing. It is minor pains, aches, and occasional throbbing compared to those first few days after vaccination but chronic pain nonetheless. My left arm continues to feel weak and I have a concentrated area of pain directly where the vaccination site was, it''s as if I could still feel exactly where the needle went through my body. My arm feels okay pain-wise upon waking most days but I am unable to do anything as simple as chopping vegetables or washing dishes without feeling pain for the rest of the day. I am unable to even wear a backpack for more than 10 minutes without my left shoulder hurting and feeling fatigued.


VAERS ID: 1373941 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-13
Onset:2021-06-04
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: flu shot for influenza age approx 45 years old
Other Medications:
Current Illness:
Preexisting Conditions: fibroid uterine tumor
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: my right hand, index finger is in pain. when I bend my finger my knuckle area is in pain. now my right hand is swollen in index finger area. and pain in my right arm


VAERS ID: 1373943 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Lymphadenopathy, Pain in extremity
SMQs:, 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: N/A
Current Illness: None
Preexisting Conditions: Sleep apnea
Allergies: Turkey meat
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Somewhat sore arm and protruding swollen lymph node on left collarbone.


VAERS ID: 1373945 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site induration
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: Rituxan Amlodipine Prednisone Metformin Zyrtec Vitamin D CoQ10 B12
Current Illness: N/A
Preexisting Conditions: Rheumatoid Arthritis Type 2 Diabetes High Blood Pressure Fibromyalgia
Allergies: Bactrim Levaquin Lisinopril
Diagnostic Lab Data:
CDC Split Type:

Write-up: Covid Arm; Hard, red, itchy area around the vaccine shot site.


VAERS ID: 1374010 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Condition aggravated, Dizziness, Fatigue, Injection site pain, Injection site swelling, Insomnia, Mobility decreased, Musculoskeletal stiffness, Myalgia, Pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu, associated flu symptoms
Other Medications: Anti-depressant, adderall, flexerol, seroquil, Xanax, multi-vitamin, beauty supplement(hair skin nails), collagen multi supplement, turmeric supplement, iron supplement, folic acid supplement
Current Illness: None
Preexisting Conditions: Rheumatoid Arthritis, raynauds, anemia (thought to be connective tissue disease) folliculitis (chronic staph)
Allergies: Slightly lactose intolerant
Diagnostic Lab Data:
CDC Split Type:

Write-up: Injection site: sharp pain, swelling, stiffness Left arm: (injection site symptoms), shooting muscle pain from fingertips to occipital, very limited mobility in arm, wrist, shoulder, neck, sleeplessness, fatigue, dizziness, Overall joint, muscle, tissue related pain due to previously identified chronic diagnose are exacerbated/intensified to the point of interference with expected daily activity


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