National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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 196 out of 4,799

Result pages: prev   97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295   next


VAERS ID: 1394982 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / UNK LA / IM

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

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

Write-up: After 1 week of first dose of moderna vaccine, patient experienced breakthrough bleeding and on and off spotting through out until she received the 2nd dose 28 days after.


VAERS ID: 1395003 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-06-03
Onset:2021-06-04
   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 EW0180 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Oligomenorrhoea
SMQs:, Fertility 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Longer than an 8 day menstrual cycle. At first I didn?t think this was weird but it turns out that many of my women friends are experiencing longer periods, and friends who went through menopause a long time ago are having hot flashes like menopause again. I know of about 6 people now. So that?s when I thought my daughters extra long menstrual cycle could be an adverse event.


VAERS ID: 1395022 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-04
   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 EW0187 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chills, Dyspnoea, Electrocardiogram, Enzyme level test, Fatigue, Myocarditis, Pyrexia, X-ray
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: 24 hours: Acute Myopericarditis, Difficulty breathing, Heavy chest Within hours: Fever, Severe Chills, extreme fatigue


VAERS ID: 1395035 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, Induration, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, multi vitamin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red patch on my arm. Arm pain for a few days but now it is just red and feels hard


VAERS ID: 1395061 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain
SMQs:

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

Write-up: Rolling body aches and pain throughout body, subsiding after two days.


VAERS ID: 1395096 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: School       Purchased by: ?
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: faint feeling, fever
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: seasonal allergies
Diagnostic Lab Data: none yet.
CDC Split Type:

Write-up: Within two hours of receiving the vaccine, the patient developed a rash on his chest and abdomen. It moved to his back. This rash was small raised bumps and were itchy. 24 hours later, it looks more like hives on his abdomen. The bumpy rash stayed consistent, and the hives went away until a few days later a very red and inflamed rash developed on his neck, eyes, chin, cheeks, forehead. this has stayed consistent and the hives-like rash is back on his abdomen.


VAERS ID: 1395129 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions:
Allergies: no known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mother indicated that patient was 12 years of age. The patient was actually 11 years and 11 months. She was 6 days shy of her 12th birthday, so not a recommended product as of yet. The patient did not experience any adverse effects to our knowledge and is scheduled for the second dose in the series as recommended. There was no answer when the pharmacy tried to reach the mother.


VAERS ID: 1395153 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness, Blood pressure decreased, Dizziness, Gait disturbance, Heart rate decreased, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Lightheaded, low heart rate, low blood pressure, blacking out with no vision the first hour of the vaccine. Could not walk without being held.


VAERS ID: 1395222 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Diarrhoea, Dyspepsia, Fatigue, Feeling abnormal, Headache, Injection site erythema, Vaccination site induration, Vaccination site rash, Vaccination site swelling
SMQs:, Dementia (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)

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

Write-up: 1. Fatigue, foggy-brain, and slight headache for 2 days following the vaccination, starting a couple hours after the vaccination, worsening the following day, and then slowly receding the second day after the vaccine. 2. A red raised rash with hardening of the underlying tissue just below the site of vaccination on the left upper arm. Approximately 2??x 3??, and it started 6 days after the vaccination. Rim darker than the inside. 3. Digestive griping and diarrhoea 5-6 days after vaccination.


VAERS ID: 1395388 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-21
Onset:2021-06-04
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 111111 / 1 UN / IM

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

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

Write-up: Systemic: Ability to hear is affected, sounds like under water or muffled-Mild, Additional Details: Patient did not receive the first vaccine here, and I did not have all the information.


VAERS ID: 1395389 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-02-08
Onset:2021-06-04
   Days after vaccination:116
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Asymptomatic COVID-19, COVID-19, Encephalopathy, Lacunar infarction, Mental status changes, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Cardiomyopathy (broad), Chronic kidney disease (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 325 MG tablet ALPRAZolam (XANAX) 0.25 MG tablet aspirin 325 MG tablet busPIRone (BUSPAR) 10 MG tablet cyanocobalamin (VITAMIN B-12) 1000 MCG tablet loratadine (CLARITIN) 10 MG tablet losartan (COZAAR) 25 MG tablet ma
Current Illness: None known
Preexisting Conditions: Carcinoma in situ in rectal polyp Dyslipidemia Cerebral infarction (HCC) Aphasia GI bleed HTN (hypertension) Hyperlipidemia Tubulovillous adenoma GAD (generalized anxiety disorder) Stroke-like symptoms Hyponatremia Solar keratosis IFG (impaired fasting glucose) Bilateral carotid artery stenosis Personal history of rectal cancer TIA (transient ischemic attack)
Allergies: Acesulfame Potassium (Swelling), Aspartame (Swelling), Codeine (Hives), Lisinopril (Coughing), Plavix [Clopidogrel] (GI Bleed ), Saccharin (Swelling), Sorbitol( Swelling), Sucralose (Swelling)
Diagnostic Lab Data: COVID-19 test positive on 6/4/2021.
CDC Split Type:

Write-up: Patient presented to emergency department on 6/4/21 with altered mental status. During workup patient was found to be COVID-19 positive. Patient had fever at time of admission which was believed to be caused by COVID-19 infection. She was admitted for lacunar infarct and acute encephalopathy. She was started on dexamethasone for COVID-19 management, but was stopped as there was no major change in disposition with treatment. During the course of the hospital stay, she was deemed asymptomatic for COVID-19 and her symptoms were more likely to be attributed to other causes.


VAERS ID: 1395451 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: dizziness


VAERS ID: 1395720 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-17
Onset:2021-06-04
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Blood test, Computerised tomogram abdomen abnormal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Fish oil & immunity vitamine, vitamin D, & dutasteride
Current Illness: none
Preexisting Conditions: none
Allergies: Penicillin as a child
Diagnostic Lab Data: CT scan, blood drawn
CDC Split Type:

Write-up: On or around 6/4/2021, I started feeling mild/moderate abdominal pain. It would come and go. The abdominal pain increased in duration & intensity over the next few days. It became severe by 6/9/2021. I saw my primary care physician the morning of 6/9/2021. He sent me home with pain meds and made an appointment for an ultrasound the next day. The pain became so severe later that day that I went to the local ER, around 3:30 pm on 6/9/2021. Around 10:30 pm on 6/9/2021, I was diagnosed with appendicitis. I had an emergency appendectomy on the morning of 6/10/2021.


VAERS ID: 1395784 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 2 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dizziness, Fall, Feeling abnormal, Headache, Impaired work ability, Laboratory test, Loss of consciousness, Skin laceration
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), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None mentioned
Preexisting Conditions: Unsure
Allergies: Unknown
Diagnostic Lab Data: "Tests to rule out a concussion".
CDC Split Type:

Write-up: Patient received his shot at 7 AM. He went home (works evening shift), and "felt slight headache around 1:00 PM." He went to work at 3:00 PM and around 8 PM "felt lightheaded and passed out and hit his forehead". A coworker called EMS and they tended to his forehead wound and transported him by ambulance to Hospital. He said that "they started an IV because they thought he was dehydrated?" At the hospital, he said they did "full testing to make sure he didn''t have a concussion". He was released and got home around 10 PM and took Ibuprofen. He said he "felt bad all day Sat. and laid around and rehydrated. He "felt OK by Sunday."


VAERS ID: 1395797 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0023C210 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Headache, Ophthalmological examination, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hearing impairment (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: Phenobarbital 129.6 mg morning Phenobarbital 129.6 night Vimpat 50 mg 2x day Lamictal 250 mg 2x day Levothyroxine 150 mcg daily Fish oil 2000 mg daily my Calcium 1200 mg daily Magnesium 500 mg daily Vitamin D3 125 mcg daily Vitamin B12 5000
Current Illness: None
Preexisting Conditions: Epilepsy, hypothyroidism, pcod
Allergies: Penicillin, sulfa, latex, oranges
Diagnostic Lab Data: Visit to urgent care to have visual exam and verification of Bell''s palsy
CDC Split Type:

Write-up: Bell''s palsy right side from June 4 and continuing. Beaver of 102.1 June 4 for approximately 12 hours, headache continuing from June 3,


VAERS ID: 1395936 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-02-07
Onset:2021-06-04
   Days after vaccination:117
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9269 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arteriogram coronary normal, Back pain, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Myocarditis, Pain in extremity, Palpitations, Troponin increased
SMQs:, Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamins, Omega 3s, Turmeric, probiotics, collagen
Current Illness: none
Preexisting Conditions: none
Allergies: B12 injections
Diagnostic Lab Data: 6/4 - negative EKG, Troponins 6/6 - EKG positive for ST elevation, positive troponin 6/6 Repeat EKG, troponins - still irregular 6/7 Angio gram - ruled out heart attack/blockages 6/7 discharged home with Colchicine.
CDC Split Type:

Write-up: Left arm, back, chest pain, heart palpitations starting on Friday, June 4th. ED visit and testing showed normal EKG, labs. Discharged home. Returned to ER on Sunday, June 6th. EKG showed ST elevation. Transferred to ED. Positive troponin, admitted to hospital with suspected perimyocardits with intent to rule out heart attack.


VAERS ID: 1395994 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-05-24
Onset:2021-06-04
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram abnormal, Dyspnoea, Portal vein thrombosis, Renal pain, Scan with contrast abnormal, Thrombosis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 100mcg Fentenal patch, Levothyroxine,
Current Illness: No
Preexisting Conditions: Hashimoto''s,
Allergies: Penicillin, Aluminum,
Diagnostic Lab Data: CAT scan with Contrast Blood work
CDC Split Type:

Write-up: I had no regular symptoms, but a few days later I sat down in my chair and it felt like someone shot me in the stomach, I took oxycodone, it kept getting worse and I dealt with it for a week. I started getting pain in my kidney and went to the ER because of the pain and the pain level on a scale of 1-10 was a 8-9 at all times. I couldn''t'' breathe and was rushed to the hospital. I have portal vein thrombosis and have three blood clots in my stomach. I tried to figure out what to do to relieve the pain, I couldn''t eat or during and was on IV''s. I was in so much pain to even eat a cracker, they kept me at the hospital. While in the hospital they did a CAT scan to see if it was diverticulitis and found out that I had 3 blood clots, they also did the dye or contrast. I spent days in the hospital and was transferred to the hospitals skilled nursing facility so that they can watch me because of the clots. I was told that the blood clots could burst in the vein.


VAERS ID: 1396044 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Indiana  
Vaccinated:2021-03-08
Onset:2021-06-04
   Days after vaccination:88
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Patient was admitted to Hospital on 6/4. Per internal reported event by pharmacist: Patient received the Pfizer vaccine (second shot 3/8) Test positive for COVID - 6/2/21 Received REGEN-COV on 6/4/21 - was then admitted due to O2 stats. Does this need to be reported as MAB related? Admitted to ICU post infusion Patient name


VAERS ID: 1396302 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Vermont  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Heart rate increased, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: convulsive shivering/chills fever up to 102 F Excellerated heart rate, typically resting heart rate approx 75 bpm, during reaction BPM approx. 140, peaking at 190bpm. soreness body aches.


VAERS ID: 1396310 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood sodium decreased, Blood test, Confusional state, Discomfort, Electroencephalogram, Encephalitis, Headache, Intensive care, Lumbar puncture, Magnetic resonance imaging head abnormal, Magnetic resonance imaging heart, Myocarditis, Neurological examination, Pain in extremity, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Flovent, Amoxycillin
Current Illness: Had bullseye rash that was diagnosed as Lyme disease but had no other symptoms
Preexisting Conditions: Mild Asthma
Allergies: Peanuts
Diagnostic Lab Data: Brain MRI - June 5; Lumbar Puncture - June 5; Blood work - June 5-10; Heart MRI - June 9; EEG - June 5-6; EKG, Neurological exams
CDC Split Type:

Write-up: Had 2nd Pfizer vaccine at 5:15pm Thursday June 3. Felt fine that evening, just complained arm was starting to hurt when he went to bed around 11pm. Threw up twice on Friday June 4 at 9:30am & 1:30 pm. Very uncomfortable, bad headache, no energy. Mostly slept from 6pm Friday June 4 to 5am Saturday June 5. Immediately threw up when he woke up Friday. Threw up again about 30 min. later and 4 more times during the day. Still having bad head pain. Started to become confused and say things that didn''t make sense. Went to ER around 4:30pm Saturday June 5. Blood work showed his sodium level was dangerously low. He was immediately given sodium and transported to Hospital ICU. Had brain MRI, lumbar puncture and lots of blood work done. Brain MRI showed signs of encephalitis. Also had myocarditis. Was in hospital until Thur. June 10. Encephalitis and myocarditis seemed to resolve quickly and he was just treated with rest and fluids along with antibiotics in case there was any viral/infectious cause of symptoms. All such tests have been negative to date


VAERS ID: 1396312 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Facial pain, Headache, Hypoaesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, Vitamin C, Ashwagandha, Magnesium, Ginger, Turmeric, Blood pressure medication (unknown name) 10mg once per day, Advair Diskus Inhaler once per day, Albuterol inhaler as needed, Tylenol Arthritis Pain?1300 mg twice a day as neede
Current Illness: None
Preexisting Conditions: Fibromyalgia, Arthritis, Migraines , Hypertension, "Problems with left sciatic nerve"
Allergies: No known allergies
Diagnostic Lab Data: N/A - no medical tests or laboratory results completed at time of submission Patient states that she has a doctor''s office visit scheduled for 6/14/21 at 4:00 p.m. Encouraged patient to complete VAERS report with PCP if any medical tests or laboratory results are obtained.
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine 13 days after receiving her Covid vaccine, the patient stated ?I have been experiencing bad headaches that makes the right side of my face numb and/or painful to the touch. Although I have had headaches in the past, these feel different.? Patient stated that she started noticing these headaches late in the week that followed that administration of the vaccine (beginning on or around 6/4/21) Patient also stated that she began developing stomach aches approximately one week following the vaccine administration (beginning on or around 6/6/21)


VAERS ID: 1396401 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 - / -

Administered by: Public       Purchased by: ?
Symptoms: Chest pain, Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient started to feel dizzy and nauseous 30 minutes after vaccination. Had left sided chest pain. Was taken to ER by EMS.


VAERS ID: 1396422 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Injection site erythema, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: cancer
Preexisting Conditions:
Allergies: cephalosporins/ macrolides/ meperidine/ morphine/ oxycodone/ PCN/ quinolones/ sulfa antibiotics
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reported chest tightness after the vaccine into the night which resolved itself the next morning. Patient reported hives the next morning lasting 5 days. Redness at the site of injection presented itself after 7 days of the vaccine and was still there on 06/13/21


VAERS ID: 1396549 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Fatigue, Feeling abnormal, Haemoptysis, Pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Infective pneumonia (broad)

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

Write-up: As per patient an hour later after she got the shot, she started feeling really tired and went to bed. She was not able to get up till 12pm to 1pm next afternoon. When she woke up she felt chalky feeling in her mouth and spat up blood couple of times. When patient called pharmacy was advised to call PCP. On the follow up call patient informed that doctor advised her to go in if she had those symptoms again. As per patient she didn''t have those symptoms again so didn''t need to go in. Apart from this, patient had more expected side-effects such as backache, local site pain, and tiredness. On the follow up call patient mentioned that she''s feeling lot better and doesn''t have any side-effects at the moment.


VAERS ID: 1396637 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-03-20
Onset:2021-06-04
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Positive COVID-19 PCR test on 6/4/2021 after being fully vaccinated.
CDC Split Type: 2106060022

Write-up: This individual is a COVID-19 vaccine breakthrough case. Individual was symptomatic. Not hospitalized.


VAERS ID: 1396685 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-19
Onset:2021-06-04
   Days after vaccination:77
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6204 / 2 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Anti-cyclic citrullinated peptide antibody negative, Antinuclear antibody negative, Arthralgia, Arthropathy, Differential white blood cell count normal, Episcleritis, Full blood count normal, Limb mass, Mobility decreased, Nodule, Pain, Pain in extremity, Red blood cell sedimentation rate normal, Rheumatoid factor negative
SMQs:, Parkinson-like events (broad), Scleral disorders (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Influenza vaccines not tolerated
Other Medications:
Current Illness:
Preexisting Conditions: Allergies, Allergic asthma, Insomnia
Allergies: Gluten, Soy, Eggs, Dairy, Salmon, Green beans, Tree nuts
Diagnostic Lab Data: June 11: CBC w Diff, Antinuclear Antibiodies, Sed Rate, CCP and anti-CCP, RF, --all normal
CDC Split Type:

Write-up: Episcleritis in left eye in May. Hard nodules formed on multiple finger joints on both hands after sleeping over the course of a week (June 4-11); aching in hands, wrists, shoulders, hips, knees and feet. Lump forming on left wrist (June 13). Joints popping when moving. Unable to move without pain.


VAERS ID: 1396764 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Patient reported swelling of left clavicle, possibly swollen lymph node.


VAERS ID: 1396767 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Extra dose administered, Interchange of vaccine products
SMQs:, Medication errors (narrow)

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

Write-up: When questioned patient denied receiving a COVID vaccination. Patient even completed two consent form and signed, patient even checked had not received another COVID vaccination. Upon entering vaccine information found patient had completed the Moderna vaccination in April 2020 in another state. Patient not responsive to phone call, unsure why patient thought she needed the Pfizer vaccine as well as the Moderna.


VAERS ID: 1396797 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Headache, Malaise, Pain, Pain in extremity, Peripheral swelling, Swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Get very sick from flu shots
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: I do have sensitivities to preservatives on foods and in the flu vaccine.
Diagnostic Lab Data: None but if it continues I will go to a doctor.
CDC Split Type:

Write-up: The day after the second vaccine I got bodyaches and a headache. The next day I had pain in my hands and feet and they felt like they were swollen, but I had no swelling. Over the next week the sensation of swelling continued in my hands and feet and I have severe joint pain and mild swelling in my lower extremities. I have not felt well since.


VAERS ID: 1396808 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chills, Diarrhoea, Dyspnoea, Fatigue, Heart rate increased, Injection site rash, Injection site swelling, Palpitations, Respiratory rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (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), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prevacid 30mg/twice daily Levothyroxine 62.5mcg daily, Diamox 375mg/ 2X daily Hydrocortisone 7.5mg/2Xdaily Advair 230/22 two puffs twice daily Fluticasone Spray Xyzal 2.5mg daily
Current Illness:
Preexisting Conditions: Asthma Cortisol Deficiency GERD Hypothyroidism Pseudotumor Cerebri
Allergies: Augmentin Season Allergies
Diagnostic Lab Data: Blood Work Chest X-Ray PCP
CDC Split Type: vsafe

Write-up: Fifteen hours after the vaccine my son woke up and his respiratory rate was high. It was over 140. I woke him up and he had chills and diarrhea. Because of his Cortisol Deficiency I called his doctor. I was advised to give him 30mg Hydrocortisone and lots of water. His Respiratory and heart rate were high. He was feeling a little short of breath and he had heart palpitations. We went to the ER and they did lots of testing. He had a fever and Sepsis testing. All results were normal and they gave him a Liter of fluids. He was discharged after two hours and his pulse was still high at 105-110. We monitored him and his heart rate was slowing and he started to feel better. His Endocrinologist had him take a double dose of Hydrocortisone the next day. His improvement progressed and by the fourth day the symptoms were gone. He was able to do his normal activities but tired and worn out from the ordeal. One week later he had a slightly elevated heart rate but it resolved quickly. He had had a local reaction in his arm with swelling and a rash after the first vaccine.


VAERS ID: 1397016 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Nausea, headache, body ache, fever


VAERS ID: 1397061 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Pyrexia, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: We did not take her to the ER. Temperatures were 99-102.8 throughout the second day, Heart rate 110-130 just walking to bathroom, Heart rate 90-100 at rest.
CDC Split Type:

Write-up: Starting early morning after vaccine, approximately 15 hours after vaccine, patient developed severe chest pain, shortness of breath, and tachycardia. Her fever was high throughout the day (often 102.8 even after Tylenol and Ibuprofen). I am a physician and my husband is as well, we monitored her heart rate, oxygenation, temperature, and symptoms at home. We called her doctor and asked whether this could be myocarditis and whether we should go to the ER. She felt that we should just have her rest and monitor her vitals. I dosed her with two large doses of Ibuprofen (600 mg twice during the day), and by 6 pm on 6/4 her chest pain started to improve and her fever broke. The severe crushing chest pain lasted about 12 hours.


VAERS ID: 1397224 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac dysfunction, Chest pain, Echocardiogram abnormal, Magnetic resonance imaging heart, Troponin increased
SMQs:, Cardiac failure (broad), Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Cardiac MRI Echocardiogram
CDC Split Type:

Write-up: Chest pain, elevated troponin levels, decreased cardiac function


VAERS ID: 1398515 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Hyperhidrosis, Paraesthesia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: moderate to severe fainting spell; tingling in legs and hands; profuse sweating; chills; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (moderate to severe fainting spell) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 03-Jun-2021 at 2:10 PM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Jun-2021, the patient experienced PARAESTHESIA (tingling in legs and hands), HYPERHIDROSIS (profuse sweating) and CHILLS (chills). On 04-Jun-2021 at 12:15 PM, the patient experienced SYNCOPE (moderate to severe fainting spell) (seriousness criterion medically significant). On 04-Jun-2021, SYNCOPE (moderate to severe fainting spell), HYPERHIDROSIS (profuse sweating) and CHILLS (chills) had resolved. At the time of the report, PARAESTHESIA (tingling in legs and hands) outcome was unknown. It was reported the patient did not go to ER but did consider calling an ambulance if the initial part of the spell did not pass within another 30 minutes. No treatment and concomitant medication information reported. 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: 1398579 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-05-01
Onset:2021-06-04
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: INFLUENZA, Start Date Format: 602, Start Date: 2019, Comment: Went back in 2019, last year in January, they said she had influenza and sent her home.
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: Test for Covid 19; Result Unstructured Data: Test Result:Positive; Comments: positive for Covid-19
CDC Split Type: USPFIZER INC2021670857

Write-up: Light-headed/Dizzy; Fatigue; tested positive for Covid-19; tested positive for Covid-19; This is a spontaneous report from a contactable consumer or other non hcp. A 58-year-old female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE solution for injection, Batch/Lot Number: EW0172, Expiry date: unknown), via an unspecified route of administration on 01May2021 as 2nd dose, single dose for covid-19 immunisation. Patient historical vaccine included received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE solution for injection, Batch/Lot Number: ER8731), via left upper arm in the muscle on 10Apr2021 as 1st dose, single dose for covid-19 immunisation. Patient medical history included influenza from 2019 to an unknown date went back in 2019, last year in January, they said she had influenza and sent her home and the patient''s concomitant medications were not reported. The patient experienced tested positive for covid-19 on 04Jun2021, light-headed on an unspecified date, dizzy on an unspecified date, fatigue on an unspecified date. The patient underwent lab tests and procedures which included sars-cov-2 test it was positive on 04Jun2021 positive for Covid-19. Outcome of the event was unknown. Follow-up attempts are needed. Further information is requested.


VAERS ID: 1398756 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal X-ray, Abdominal pain, Blood test, Electrocardiogram, Ultrasound abdomen, Vaginal haemorrhage
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins Omegas Probiotics Vitamin D3 Digestive enzymes
Current Illness: None
Preexisting Conditions: Was 7 weeks postpartum at time of vaccine and breastfeeding so still recovering from childbirth
Allergies: None
Diagnostic Lab Data: 6/10/21-6/11/21 ER visit for severe abdominal pain. ER did EKG, bloodwork, abdominal x ray, abdominal ultrasound, could not find any explanation to the pain
CDC Split Type:

Write-up: Started heavy vaginal bleeding and severe abdominal pain within 6 hours of receiving vaccine. Bleeding continued for 6 days. Abdominal pain at time of report has not fully resolved.


VAERS ID: 1398788 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-23
Onset:2021-06-04
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017B21A / 1 UN / IM

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

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

Write-up: Breakthrough COVID-19 (symptomatic) diagnosed on June 4/2021


VAERS ID: 1398926 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest discomfort, Heart rate increased, Palpitations, Restlessness, Scan, X-ray
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Iron supplements B6/b12/multivitamin
Current Illness: No
Preexisting Conditions: Gastric bypass One kidney -born that way no issues Sinus surgery-sinus issues
Allergies: Septra
Diagnostic Lab Data: X rays/ blood tests and some other scans
CDC Split Type:

Write-up: 15 minutes in I felt something shoot across my chest and my heart started racing. Drove home and heart felt like it was going to explode and couldn?t relax, felt like someone sitting on my chest. Went to the ER around 6:30-7pm same day as shot heart rate was in the 130s and climbing and blood pressure was 178/100. Given a few different meds to bring down. Prescribed medication and to see a cardiologist.


VAERS ID: 1399012 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-18
Onset:2021-06-04
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / IM

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

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

Write-up: Prolonged and heavier menses: My menstrual cycle started June 4, 2021. Normally, it is of light flow and lasts almost seven days or less. This time my flow was moderate progressing to heavy compared to my normal flow and it lasted 11 days. This had never happened to me. I did not have any additional stressors, life changing events or health issues that would affect my cycle. I don?t use any form of oral contraceptives. I did experience a headache for two days mid cycle but it?s not uncommon for me to have a headache sometimes during menses. I took Advil 200mg for it one time.


VAERS ID: 1399051 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PFIZER EW0178 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure measurement, Blood test, Chest X-ray, Chest discomfort, Chest pain, Electrocardiogram
SMQs:, Anaphylactic reaction (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 04 June 2021: ECG, pulse oximeter, blood pressure, Chest X-ray, blood work
CDC Split Type:

Write-up: Around 1am the morning following the initial vaccine dose, patient woke with chest pain. Patient took Advil and the pain had subsided by 3am. Patient called primary care physician morning of 04 June 2021 and primary care physician recommended patient visit local ER so he did. Day of 04 June 2021, patient continued to have pressure in the chest area but no pain. Feeling of chest pressure resolved by 05 June 2021.


VAERS ID: 1399087 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-10
Onset:2021-06-04
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Biopsy, Eczema, Full blood count abnormal, Inflammation, Neutrophil count increased, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (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: alendronate clopidogrel lisinopril tolterodine donepezil meloxicam
Current Illness: none
Preexisting Conditions: chronic back and knee pain, HTN, mild cognitive impairment
Allergies: None
Diagnostic Lab Data: Biopsy done 6/8/21 showed "Spongiotic dermatitis with mixed inflammation: The degree of neutrophilic inflammation is somewhat unusual, but the overall findings are most suggestive of either an eczematous dermatitis or possibly an irritant or allergic contact dermatitis." Her CBC showed elevated neutrophils.
CDC Split Type:

Write-up: Erythrodermic rash of the torso and extremities. Not responsive to prednisone and hydroxyzine after a week of high dose burst.


VAERS ID: 1399106 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abnormal sensation in eye, Injection site discolouration, Injection site erythema, Injection site pain, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

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

Write-up: Severe pain at site of injection. Large red area formed and is now purple. Eye sight seems to have gotten worse. Feels like glue is on my eyes.


VAERS ID: 1399383 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW019H / 1 LA / IM

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

Write-up: Adverse Effect: Guest had an episode of dizziness and passing out per report. Treatment: Guest lowered the floor, ice pack applied to back of the neck: EMS assessed - juice offered accepted. VSS. Outcomes: Guest provided 45 monitoring time, mother with guest. Guest stable and released by EMS to mother''s Care.


VAERS ID: 1399451 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-06-02
Onset:2021-06-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia
SMQs:, Taste and smell disorders (narrow)

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

Write-up: i lost my sense of taste for 5 days after the vaccine


VAERS ID: 1400287 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Pallor
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

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

Write-up: DIZZINESS, LIGHTHEADED, PALE, ICE PACK, WATER


VAERS ID: 1400328 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-28
Onset:2021-06-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamotrigine, Zoloft, Lactaid
Current Illness:
Preexisting Conditions: Asthma, Costochondritis
Allergies: Augmentin, Lactose intolerant
Diagnostic Lab Data:
CDC Split Type:

Write-up: Symptoms consistent with pericarditis. Sharp pressure exclusively at the breast bone that increases with deep breathing. Sensation of wearing clothing that is too tight. Symptoms occur sporadically but can last anywhere from 30 min-2hrs. Although there is a history of Costochondritis, pain associated with Costochondritis is isolated to the left side of the upper abdomen.


VAERS ID: 1400378 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Dizziness, Fall, Fatigue, Feeling cold, Loss of consciousness, Sluggishness
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), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: Pt had COVID Vax (Moderna) on June 3rd. On June 4th passed out while sitting down became lightheaded and fell over, felt cold and shivering was alone has never had this happen before. no injuries felt tired and sluggish the rest of the day next day felt ok.


VAERS ID: 1400427 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-23
Onset:2021-06-04
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia
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: Irbesartan 75 mg once a day.
Current Illness: none.
Preexisting Conditions: Essential hypertension. Infrequent migraine.
Allergies: Amlodipine--causes severe heartburn. Beta blocker--contraindicated due to existing sinus bradycardia. Hydrochlorothiazide--photodermatitis. Lisinopril--causes persistent cough.
Diagnostic Lab Data: No tests done to date.
CDC Split Type:

Write-up: Developed left sided numbness involving entire body 10-11 days after first Pfizer vaccine. This is persistent and has not improved since.


VAERS ID: 1400877 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis, Myalgia, Neurological eyelid disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: Strongly advised patient to seek medical help, patient stated would consider but will most likely not seek help.
CDC Split Type:

Write-up: On 6/4, started having muscle ache when she woke up. On 6/5, states has bell''s palsy (side of face is pulled down, cannot squint right side)


VAERS ID: 1400879 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-02
Onset:2021-06-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 2 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Injection site lymphadenopathy, Injection site rash, Injection site reaction
SMQs:, Hypersensitivity (narrow)

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

Write-up: Upon arrival for second dose of Moderna Covid19 vaccine patient reported a rash at injection site that appeared one week after injection (injection date was 6/2/21), the rash went away after a few days. She was told by the immunizing pharmacy to report back if this occurred again. Patient called 6/4 (2 days after her second vaccine) to report a rash at injection site and a swollen/painful lymph node in the armpit of the injected arm.


VAERS ID: 1401454 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Vermont  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, Brain natriuretic peptide increased, Bronchitis, C-reactive protein increased, Computerised tomogram thorax abnormal, Condition aggravated, Cough, Dizziness, Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer increased, Palpitations, Pulmonary oedema, SARS-CoV-2 test negative, Troponin, Upper respiratory tract infection, White blood cell count increased
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No medications
Current Illness: Patient began experiencing upper respiratory tract infection symptoms approximately three days prior to receiving second dose of moderna COVID 19 vaccine on 6/4/21, this illness lasted approximately until 6/12/21 when his URI symptoms seemed to resolve. However he had persistent shortness of breath, lightheadedness, and palpitations starting around 6/12-6/13 which ultimately brought him to the emergency department on 6/15/21.
Preexisting Conditions: Described palpitations through adolescence into adulthood, but never formally diagnosed with anything. No other past medical history to date.
Allergies: No allergies to medications
Diagnostic Lab Data: Initial lab work and tests upon presentation notable for EKG with AFIB and rates in 160-200s. D Dimer 4829, troponin 0.059, CT angio of the chest demonstrating pulmonary edema. CRP 19.1, BNP 7500, WBC 13.27. COVID 19 PCR test negative. Further work up still pending.
CDC Split Type:

Write-up: Patient received second dose of Moderna COVID 19 vaccine on 6/4/21. During this same time, patient also had URI diagnosed as bronchitis at an urgent care and provided albuterol inhaler. Cough and URI symptoms subsided on approximately 6/12/21 but developed SOB, lightheadedness, and palpitations thereafter prompting presentation to ED on 6/15/21. Patient was started on digoxin, heparin, and furosemide by cardiology team. Work up in progress.


VAERS ID: 1401709 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049B214 / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Anaphylactic shock, Pharyngeal swelling, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Anaphylactic Shock about 1 hour post vaccination; Hives all over the body; Swollen Throat; Itching all over the body; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ANAPHYLACTIC SHOCK (Anaphylactic Shock about 1 hour post vaccination) in a 22-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 049B214) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 04-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Jun-2021, the patient experienced URTICARIA (Hives all over the body), PHARYNGEAL SWELLING (Swollen Throat) and PRURITUS (Itching all over the body). On 04-Jun-2021 at 1:00 PM, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced ANAPHYLACTIC SHOCK (Anaphylactic Shock about 1 hour post vaccination) (seriousness criteria hospitalization and medically significant). The patient was treated with EPINEPHRINE (EPIPEN) on 04-Jun-2021 for Anaphylactic shock, at a dose of 2 dosage form and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) on 04-Jun-2021 for Hives, at a dose of 25 milligram every six hours. At the time of the report, ANAPHYLACTIC SHOCK (Anaphylactic Shock about 1 hour post vaccination) and PHARYNGEAL SWELLING (Swollen Throat) outcome was unknown and URTICARIA (Hives all over the body) and PRURITUS (Itching all over the body) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. It was reported that as of 07 JUN 2021, the patient still had hives and itchiness. Company comment: Based on the current available information and temporal association between the use of the product and the start date of these 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 these events, a causal relationship cannot be excluded.


VAERS ID: 1402126 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-26
Onset:2021-06-04
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 6022C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Breast enlargement, Breast tenderness
SMQs:, Lipodystrophy (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: OTC: Gabapentin, Imuran, Cardizem CD, Baby ASA, Flexeril, Ropinerol, Vit B Complex, Vit D, Levothyroxine, Colace, Senna PRN: Ambein, Xanax, Norco, LCtaid, Doxylamine Succunate
Current Illness: See below
Preexisting Conditions: MCTD, jupus, RA, OA, Raymauds, Hypothyroidism, Bone Marrow Suppression, Thrombocytopenia, Metatarsalgia, Plantar Fasciitis, PGAD, POD, s/p vol shoulder surgeries, s/p R TKR, s/p partial hysterectomy
Allergies: Cymbalta, Lyrica, Zofran, Morphine, Benadryl, Topamax, Tetracycline, Tiazidine, Bactroban
Diagnostic Lab Data: Due to see doctor on the 26th. Did not feel that this was a life threatening event that my appointment needed to be changed. Tests to be determined by physician on 6/26/2021.
CDC Split Type:

Write-up: 9 days s/p 2nd vaccine, in the arm that received the vaccine, noted the left breast was twice the size of the right breast. No redness, tenderness, not nipple discharge. The left axcilla soft, nontender, no palpable lymph nodes noted. 10 days s/p 2nd vaccine, left breast, still enlarged, then tender to palpation. Injection site is fine. No fevers, chills, nor sweats. Warm compressed applied to left axcilla, keeping left arm in motion, continuing to try to support the left breast.


VAERS ID: 1402139 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-28
Onset:2021-06-04
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047A21A / 2 RA / IM

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

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: aspirin 81 mg tablet atorvastatin (LIPITOR) 20 mg tablet blood sugar diagnostic (ONETOUCH ULTRA BLUE TEST STRIP) strip carvediloL (COREG) 6.25 mg tablet cyclobenzaprine (FLEXERIL) 5 mg tablet diclofenac sodium (VOLTAREN GEL) 1 % gel glipiZI
Current Illness: None
Preexisting Conditions: Nervous Cervical radiculopathy Shoulder joint pain Respiratory Obstructive sleep apnea Acute bronchitis due to 2019 novel coronavirus Circulatory Essential hypertension Sinus tachycardia Digestive Severe obesity (BMI 35.0-39.9) with comorbidity (CMS/HCC) Other constipation Vitamin D deficiency Genitourinary Irregular menstruation Musculoskeletal Costochondritis Osteoarthritis of glenohumeral joint, left Loose body in joint of shoulder region Primary localized osteoarthrosis of shoulder region Sagittal band rupture at metacarpophalangeal joint, initial encounter Endocrine/Metabolic Pure hypercholesterolemia Uncontrolled type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin (CMS/HCC) Other Recurrent major depressive disorder, in partial remission (CMS/HCC) Noncompliance with medications Other specified eating disorder Preop cardiovascular exam Vivid dream PTSD (post-traumatic stress disorder) Adjustment disorder with mixed anxiety and depressed mood History of endometrial ablation
Allergies: HydrochlorothiazideMyalgia / Muscle Pain
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fatigue


VAERS ID: 1402231 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-19
Onset:2021-06-04
   Days after vaccination:77
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Epistaxis, Haemoglobin decreased
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (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: nose bleed, decrease in hemoglobin by 0.7 in 1 day 6/4 Nose bleed, 6/8 another nosebleed, hgb dropped from 12.8 to 12.1 in 1 day, needed TXA to stop the nosebleed in the clinic, sent home with Afrin, hold aspirin due to bleeding


VAERS ID: 1402430 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-05-18
Onset:2021-06-04
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: clonazepam 1 mg, buproprion 150 mg BID, dexamthasone 2 mg BID, metoprolol succinate 25 mg, rosuvastatin 40 mg
Current Illness:
Preexisting Conditions: HTN, HLD, osteoarthritis, degenerative joint disease
Allergies: bactrim
Diagnostic Lab Data:
CDC Split Type:

Write-up: NSTEMI went to cardiac cath and received stent in LAD. Started on prasugrel 10 mg daily, lisinopril 2.5 mg daily, and aspirin 81 mg daily discharged home


VAERS ID: 1402610 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-02
Onset:2021-06-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Vertigo
SMQs:, Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Had food poisoning that began on 04-14-2021 and was symptomatic for two weeks afterward. My first COVID-19 vaccine was on 5/13/2021 and only symptom from that was a slightly sore arm at injection site. The reaction I''m reporting followed the second vaccination I received on 6-2-2021 in which I had vertigo.
Preexisting Conditions: None.
Allergies: Topical vitamin E
Diagnostic Lab Data:
CDC Split Type:

Write-up: Just as I was going to get into bed to sleep on the night of 06-04-2021, I experienced vertigo. I found one position I could be in that gave me relief, but any movement of my head beyond that one position resulted in severe vertigo. It was severe all day on 6-5-2021. My doctor on call advised me to take Claritin and Dramamine during the day and Benadryl at night. I did not take the Benadryl and did not seem to get any relief from the Claritin and Dramamine. Late in the day, I tried an exercise for vertigo and could not complete the exercise because it exacerbated the vertigo to a point I thought I would pass out had I continued. On 6-6-2021, symptoms were lessening and I was able to get back on my feet but could not fully function without vertigo. On 6-7-2021 I felt fairly normal and resumed all my regular activities without incident..


VAERS ID: 1402669 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-27
Onset:2021-06-04
   Days after vaccination:69
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041L20A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Myocardial strain, Pulmonary embolism, Scan with contrast abnormal, Thrombophlebitis superficial, Ultrasound Doppler abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, loratadine, losartan, magnesium oxide, melatonin, meloxicam, omeprazole
Current Illness: none
Preexisting Conditions: GERD, hypertension, osteoarthritis
Allergies: Shellfish (anaphylaxis), tetracycline (angioedema)
Diagnostic Lab Data: 6/9/2021: Ultrasound Venous Duplex Lower extremity R: IMPRESSION: Right lower extremity deep vein thrombosis involving the proximal femoral vein through to the posterior tibial veins. Associated superficial thrombophlebitis involving the proximal to mid lesser saphenous vein. 6/9/2021 CT chest with IV contrast: Significant bilateral pulmonary emboli involving the distal main pulmonary arteries, both lower lobar pulmonary arteries and segmental branches, the left upper lobe are pulmonary artery, and the origins of the right middle lobar and right upper lobe are pulmonary arteries. No pulmonary infarct. There is slight convexity of the intraventricular septum towards the left, suggesting right heart strain.
CDC Split Type:

Write-up: Acute bilateral pulmonary embolus and right lower extremity DVT. No typical risk factors such as recent trauma or surgery and no personal history of DVT/PE. Received Moderna COVID-19 vaccination series in February and March of this year.


VAERS ID: 1402798 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Headache, Chills, Nausea


VAERS ID: 1403278 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 LA / IM

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

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

Write-up: PALPITATIONS AND SHORTNESS OF BREATH, PT WILL SEEK TREATMENT AT LOCAL WALK IN CLINIC FOR EVALUATION.


VAERS ID: 1403508 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Loss of consciousness, Syncope
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), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: not sure which one but pt''s parent explained pt has fainted post vaccination before
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt fainted shortly after vaccination (within 5 minutes). Pt regained consciousness within few seconds. Pt lied down with feet higher on a chair. Pt was monitored for 30 minutes and recovered fully.


VAERS ID: 1403614 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-12
Onset:2021-06-04
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Pain in extremity, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I was diagnosed with a blood clot ( Deep Vein Thrombosis) in my left leg after the event of my vaccine. No family history and clean bill of health. Am now on Eliquis blood thinners to ease the pain and reduce my blood clot. Seeing a hematologist in a few days


VAERS ID: 1403695 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 3 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Extra dose administered, No adverse event
SMQs:, Medication errors (narrow)

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

Write-up: On 6/4/2021 patient received her third dose of the COVID 19 vaccine. Per phone conversation with the patient, patient arrived to vaccine clinic with a written letter by physician requesting to receive an additional dose. Patient received first dose 3/20/2021 and second dose 4/10/2021. Vaccine is currently only approved for a two dose series. Patient denied any unexpected or prolonged side effects.


VAERS ID: 1404003 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-26
Onset:2021-06-04
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Insomnia, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

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

Write-up: I''m experiencing extreme fatigue where I will take involuntary naps during the day and sleeping more than 8 hours a night. Normally I struggle with not sleeping enough and am not sure if it''s directly related to the vaccine but I wanted to give the data in case it was.


VAERS ID: 1404794 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Chest discomfort, Electrocardiogram normal, Musculoskeletal stiffness, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: No known allergies
Diagnostic Lab Data: 6/15 follow up with pediatrician - EKG normal. No further side effects after 6/5.
CDC Split Type:

Write-up: Fever 18 hours after second dose injection. Stiff neck, tightness in chest approx. 30 hours after second dose injection.


VAERS ID: 1405860 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-06-04
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / -

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: Nasal Swab; Test Result: Positive
CDC Split Type: USPFIZER INC2021651512

Write-up: Allowance of covid vaccination that resulted in adverse lasting side effects. Developed breasts. Ongoing issues.; Test: Nasal Swab Result: Positive; Test: Nasal Swab Result: Positive; This is a spontaneous report from a contactable consumer (patient). This 18-year-old non-pregnant female patient received bnt162b2, via an unspecified route of administration, administered in arm right on an unspecified date (Batch/Lot number was not reported) as unknown, single for covid-19 immunisation. Medical history included allergy/known allergies: yes. The patient''s concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Allowance of covid vaccination that resulted in adverse lasting side effects. Developed breasts. Ongoing issues. Developed breasts resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event), Disability or permanent damage. Hospitalization for 10 days. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. Covid test post vaccination: covid test type post vaccination was Nasal Swab on 04Jun2021, result was positive. Treatment of event was unknown. The event outcome was not recovered. Information on Lot/Batch number has been requested.


VAERS ID: 1405864 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021655093

Write-up: swelling; join pain; This is a spontaneous report from a contactable consumer (Patient). A 70-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 01Jun2021 as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced swelling and join pain on 04Jun2021. It was reported that patient received first dose of the vaccine on 01Jun2021 and today is the first day she experienced the AE. She also stated that she experienced joint pain. Caller wanted to know if the swelling AE that she experienced would be a contraindication in getting the 2nd dose of the Pfizer BioNTech Covid-19 Vaccine and it was reported that Caller wanted to know if it would be fine for her to take aspirin or aleve after getting the Pfizer BioNTech Covid-19 Vaccine. The outcome of events was unknown.


VAERS ID: 1405866 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure measurement, Body temperature increased, Chest discomfort, Circumstance or information capable of leading to medication error, Confusional state, Ear discomfort, Erythema, Feeling hot, Rash
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AMLODIPINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Elevated blood pressure reading without diagnosis of hypertension (she was diagnosed with elevated blood pressure in February or March this year.)
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: elevated blood pressure; Result Unstructured Data: Test Result:148/90 mmHg; Test Date: 2021; Test Name: elevated temperature; Result Unstructured Data: Test Result:100.2 Fahrenheit
CDC Split Type: USPFIZER INC2021655777

Write-up: When I went to get the vaccine, it was already drawn from the vial. The vial placed on the table was Moderna. I am not sure which vaccine I received; confused; a slightly elevated temperature which went from 99. to 100.2; Her ears were also red/Her ears are burning red; her whole face is red, ears are red, neck is starting to get red and front of chest is red; chest was purple; She felt hot; a rash all over her body/rash around the head and chest/She got a huge rash on her face, neck, and chest, forehead, cheeks, and nose; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 52-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0217, Expiration date: unknown) via an unspecified route of administration, administered in right arm on 04Jun2021 around 15:30 or 15:45 pm (age at vaccination was 52 years) as 1st dose, single dose for COVID-19 immunization. The patient medical history included elevated blood pressure. The caller stated that she was diagnosed with elevated blood pressure in February or March this year. Stated her blood pressures was 138 or 140''s or something like that. 148/90 or over 88. Sometimes it was 139. Concomitant medications included amlodipine with dose 5 mg 1x/day via oral route for elevated blood pressure. The patient took the Pfizer COVID vaccine because everyone required it. The patient experienced a rash all over her body and wanted to know if that was vaccine side effect or she needs to contact her HCP. On PRD 04Jun2021, it was reported that the caller wanted to know the expiry date and confirm the product under the lot number provided. She received the response stating that confirmed the product was a Pfizer COVID-19 vaccine. They also provided the expiration date: 30Sep2021. The caller had gone to the pharmacy to receive a COVID-19 vaccine. All her friends had received the Pfizer COVID-19 vaccine. Moderna caused many side effects. Her doctor also said it''s belter she gets the Pfizer COVID-19 vaccine because she had elevated blood pressure. When she went to get the vaccine, it was already drawn from the vial. The vial placed on the table was Moderna. She was not sure which vaccine she received. The lady who gave her the vaccine told her it was the Pfizer COVID-19 vaccine. She can''t trust them because the vaccine was not drawn from the vial in front of her. She had called the pharmacy three times already. They have been giving her different information each time. First, they said they don''t have the Pfizer COVID-19 vaccine and then they said they do. She asked that why doesn''t Pfizer create a policy to ensure that the vaccine should be drawn from the vial in front of the patient. She was not sure what they gave. They may be made her part of a study. She was very confused. There were two syringes filled in. She was not sure which vaccine did she receive. The caller reported rash around the head and chest right after receiving the vaccine. She also noticed few minutes post vaccination a slightly elevated temperature which went from 99. to 100.2. Her ears were also red. She received the response stating that they cannot verify which vaccine she had received as they had not witnessed the administration. Fever and rash had been reported with the Pfizer COVID-19 vaccine. The reaction could occur anywhere from minutes to a few days post vaccination. A reaction such as ears turning red has not been listed as side effect in the prescribing information. They didn''t have the list of all the possible side effects associated with the vaccine. The asked her to speak to her HCP if the symptoms persist or didn''t go away. Informed caller to contact someone at the pharmacy and report the event. Pfizer cannot control the policy and procedure of the pharmacy. It''s best to report to ensure they don''t repeat such mistakes again. On PRD 04Jun2021, it was reported that the caller called about the Pfizer vaccine EW0217. Caller stated she just got the vaccine at and the pharmacy refused to let her see the vial it was drawn out of. The guy had a bottle that said Moderna and wouldn''t let her go to the back. When she asked to see the Pfizer covid vaccine vial they told her they threw it out. She asked that why was the pharmacy refusing to let her see what they were giving her. She stated she honestly thought they did something but told her that they drew it in the back. She asked how she was supposed to know she got the Pfizer covid vaccine. She was told she was to get her second dose in 4 weeks, and the caller questioned 4 weeks stating the Pfizer second dose should be 3 weeks after first dose. Then stated getting the second dose 4 weeks after first dose was for Moderna, not Pfizer. She just got the vaccine. She reported her whole face was red, ears were red, neck started to get red and had a huge rash on the front of her chest. She got a huge rash on her face, neck, and chest, forehead, cheeks, and nose, it was all red. She didn''t know if it was going to get worse. Her ears were burning red. Received vaccine half hour ago about 2:45. Her card did not say anything about the date of when she should get the second dose. She did not receive any treatment as it just happened half hour ago. She stated her ears were burning and were purple, red. She had never had purple ears before. The caller wanted to know if that was normal and whether she should go to her doctor''s office because it was Friday. There was a Product complaint. The description of complaint included the caller received COVID-19 Vaccine Lot# EW0217. Caller was concerned she did not receive the Pfizer COVID vaccine. Vaccine facility refused to show her the vial stating it was discarded. Product strength and count size dispensed was not provided. No sample of the product was available to be returned as the vial was discarded. Packaging sealed and intact was not provided. On PRD 04Jun2021, it was reported that the caller just received the Pfizer Covid-19 Vaccine. She had a huge rash on her head and chest. Her ears are red. The caller had really called because she didn''t like the way of administering the vaccine. The caller saw a Moderna vial on the table where she was vaccinated. She wanted to see the vial to the vaccine that she received. Did not produce the vial. The caller was concerned that she may have received the Moderna vaccine instead of the Pfizer. The agent also referred caller to the state department of health because they are the ones who distributed the vaccine. The caller stated that she was really not sure if she got the Pfizer vaccine. She believed it was the Moderna or whatever was in that syringe. There were 2 syringes. She didn''t know what she was given. When she went to get the vaccine, she walked up to get the paper that had the vaccine information on it. She told them that was not what she wanted. She wanted the vaccine Pfizer made. She told them to provide her with Pfizer''s information. She told him to use her right arm. She wanted to see the vial they drew the vaccine from because she saw a Moderna vial on top of the table half filled in. Someone at the pharmacy told the caller they drew up the vaccine in the back. He told the caller she had to trust him. The caller went to the back and asked the lady where the vial was, she drew the vaccine from. The caller stated they did not have the vial they drew her vaccine from but used another vial to show her how the vaccine looks. Caller was told this was the Moderna. They drew it and threw it away. Caller stated how was she supposed to know what they gave her. She simply asked could she see the vial the vaccine was in. The caller stated they gave the vaccine, and she walked out. Caller stated that the pharmacy could have given her a quadruple dose. She didn''t see the lady. The lady could have put a random number on there. The caller stated that her ears got really red. Her chest was purple. It was kind of strange. She felt hot. When she got in the car, she looked really red. For the first 5 minutes, it looked like something was growing on her arm. Her face was red. She had to drink water to calm down. The caller confirmed that she told the previous Pfizer safety agent that she had the reaction. The safety agent told her that she should call Medical Information. The caller asked if the side effects were normal whether they really gave her a vaccine. She measured her temperature. Right now, the temperature was 99.3 at 4:15. 3 minutes later it was 99.2. Now it''s 100.2. Her head was just hot after an hour and a half. When she checked her forehead it was 99.4. The caller stated shouldn''t they have a blue top on the Pfizer vial. He showed her a small vial. He told her it was from the same lot. He asked the lady. The lady drew up the vaccine but said she didn''t have it. The lady put the vial in the sharps box. The caller called last week, and they only had Moderna vaccines at that time. Her friend said Pfizer was better and it has less side effects. Caller stated her vaccination card does not say when she has to come back for her second dose. The lady told her to come back in 28 days. Caller knew that they come back in 28 days for the Moderna vaccine. The Pfizer vaccine was 21 days. Caller confirmed she received the first dose of the Pfizer Covid-19 Vaccine today around 2:30 or 2:45. Caller stated that Pfizer provides for guidelines. As a patient, she should see what vial the vaccine was drawn from. She has blood pressure and weight issues. Caller stated she took Amlodipine for blood pressure. Caller stated she hopeed they didn''t give her a different kind of vaccine and she turned into a mutant or something. On PRD 04Jun2021, it was reported that the caller was concerned that she might not have been administered the Pfizer COVID 19 vaccine that she had requested. There was a Moderna vial on the table and they couldn''t produce the Pfizer vial that my dose came from. She had an adverse reaction to the Pfizer COVID 19 vaccine. She had a huge rash on her face and chest, her ears were red. I received the shot at Walgreens and there was a Moderna vial on the table. She was not sure they gave her Pfizer or if they gave her some kind of experimental drug. They couldn''t produce the Pfizer vial that her dose came from. The vaccine card that they gave her said Pfizer on it, but she didn''t know that they were from her vial. She took high blood pressure medication. The outcome of the events was unknown. Follow up#01 (04Jun2021), Follow up#02 (04Jun2021), Follow up#03 (04Jun2021) andcFollow up#04 (04Jun2021): New information received from a contactable consumer (patient) reported for herself included: Updated the lot number (EW0217), details regarding the adverse events, concomitant medication (Amlodipine), medical history (elevated blood pressure) and details of product complaint.


VAERS ID: 1405871 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO191 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea, Headache, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ELIQUIS
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arrhythmia; COVID-19
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021658014

Write-up: Severe headaches never get headaches; Whole body aches; Fever; Diarrhea; This is a spontaneous report received from a contactable consumer or other non hcp(patient). A 66-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EWO191) via an unspecified route of administration in Arm Left on 04Jun2021 at 10:30 AM (66-years-old age at vaccination) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included Heart arithmia from an unknown date and unknown if ongoing, covid-19 from Jan2021 to an unknown date. Concomitant medications included apixaban (ELIQUIS) taken for an unspecified indication, start and stop date were not reported. Patient had no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. On 04Jun2021 at 13:00, the patient experienced severe headaches never get headaches, whole body aches, fever and diarrhoea. I had covid in january and felt like I have it all over again. Treatment was received for the events. I called Dr and got advise on meds to take. The events was reported as non serious. The outcome of the events was reported as not recovered. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1405879 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone, Dyspnoea, Inflammation, Joint swelling, Musculoskeletal discomfort, Musculoskeletal stiffness, Oedema peripheral, Pain, Pain in extremity, Peripheral swelling, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AMLODIPIN (BESILAT) DEXCEL; METFORMIN; ATENOLOL; OLMESARTAN; CINNARIZINE; VALIUM
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Blood pressure high; Diabetes; Vertigo
Allergies:
Diagnostic Lab Data: Test Date: 20210422; Test Name: TSH; Result Unstructured Data: Test Result:Unknown
CDC Split Type: USPFIZER INC2021664021

Write-up: My whole thighs is hurting; I couldn''t move my arm for 2 days, it was stiff I couldn''t move my hand; Joint discomfort and inflammation; Joint discomfort and inflammation; Even inhaling, exhaling is not comfortable; Whole right side where I got the shot from my neck to my ankle is swollen, my back, my arm, my neck, my thighs everything is swollen and it hurts extremely; Whole right side where I got the shot from my neck to my ankle is swollen, my back, my arm, my neck, my thighs everything is swollen and it hurts extremely; Whole right side where I got the shot from my neck to my ankle is swollen, my back, my arm, my neck, my thighs everything is swollen and it hurts extremely; Whole right side where I got the shot from my neck to my ankle is swollen, my back, my arm, my neck, my thighs everything is swollen and it hurts extremely; Whole right side where I got the shot from my neck to my ankle is swollen, my back, my arm, my neck, my thighs everything is swollen and it hurts extremely; This is a spontaneous report from a contactable consumer (patient). A 41-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: EW0179), via an unspecified route of administration on 03Jun2021 (at the age of 41-year-old) at single dose for COVID-19 immunization. The patient medical history included blood pressure high, asthma, diabetes and vertigo. The patient concomitant medications included amlodipine besilate (AMLODIPIN (BESILAT) DEXCEL) taken for blood pressure high, metformin taken for diabetes, atenolol, olmesartan taken for blood pressure, cinnarizine taken for vertigo and diazepam (VALIUM). Patient did not receive any other vaccine prior to Covid vaccine. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EW0162), via an unspecified route of administration, administered at arm right on 13May2021 (at the age of 41-year-old) as single dose for COVID-19 immunization. The patient experienced my whole thighs is hurting, I couldn''t move my arm for 2 days, it was stiff I couldn''t move my hand, joint discomfort and inflammation on an unspecified date. On 04Jun2021, the patient had whole right side where I got the shot from my neck to my ankle is swollen, my back, my arm, my neck, my thighs everything is swollen and it hurts extremely, even inhaling, exhaling is not comfortable. Patient stated, I think I am having some kind of reaction with the shot (COVID-19 vaccine) because my whole entire body from my knee up to my neck is swollen. My whole right side where I got the shot from my neck to my ankle is swollen, my back, my arm, my neck, my thighs everything is swollen and it hurts extremely. Even inhaling, exhaling is not comfortable. Patient further stated, the next day the middle of the day almost every day my right arm started swelling up and next day my neck started swelling up. My whole thighs was hurting and was swollen. When I take vaccine I dont take any other medication, so I am not sure what is actually causing any problems. I havent taken anything else other than Tylenol. So, first time I didnt take anything I just took Tylenol but my arm swell up the same day. I couldn''t move my arm for 2 days, it was stiff I couldn''t move my hand. I put some heating pad and ice pad like stuff on it and about on the third day it started to get better but then 2 days after that I woke up swollen and I couldnt move. This was freaking me out. Under my arm and all the way down I don''t think it should swell up like that and it is on whole body. The patient underwent lab tests and procedures which included TSH was unknown on 22Apr2021. The patient received Tylenol as a treatment medication for relief joint discomfort and inflammation. Outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1405941 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Migraine, Neck pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021671136

Write-up: also been experiencing a migraine which doesn''t seem to be going away/ Intractable migraine, pain in his head; pain in his head and neck; Fever; chills; This is a spontaneous report from a contactable consumer (patient''s mother). A 16-years-old male patient received second dose of bt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0181), via an unspecified route of administration, administered in deltoid left on 04Jun2021 at 10:25 (at the age of 16-years-old) as single dose for COVID-19 immunization. The patient did not had ant medical history. The patient''s concomitant medications were not reported. The patient previously received the first dose of bt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0182), administered in left deltoid muscle on 14May2021 as single dose for COVID-19 immunization. The patient did not receive any other vaccine within four weeks prior to the first administration date of the suspect vaccine. The patient did not administer any additional vaccines on same date of the Pfizer suspect. On 04Jun2021 at 18:25 (within 8 hours of being administered the second dose of Pfizer Covid-19 Vaccine), the patient experienced fever and chills. On 05Jun2021 at 20:00, the patient been experiencing a migraine which doesn''t seem to be going away/ intractable migraine, pain in his head, and pain in his neck. The patient received treatment for the fever and chills which included Tylenol. The patient was also treated for the migraine and pain in his head and neck. Duration of the fever and chills was about 36 hours, after which patient recovered completely. The consumer explained that the fever and chills were the normal, expected side effect. The intractable migraine, pain in head and neck was persistent. The patient did not require a visit to emergency room or physician office but they were waiting to hear back from his doctor. The patient was not hospitalized and did not underwent relevant tests. The consumer wanted to know if that was normal and how long she should expect the headache to last. The outcome of the events fever and chills was resolved on 06Jun2021, and migraine and pain in his head and neck was not resolved.


VAERS ID: 1405983 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Headache, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Protein allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021673100

Write-up: headaches with dizziness; headaches with dizziness; felt feverish; itchiness we''re I got my 2nd shot; Diarrhea; stomachache; This is a spontaneous report from a contactable consumer (patient). A 17-year-old non-pregnant female patient received bnt162b2 (BNT162B2), dose 2 (Age at vaccination: 16 years) via an unspecified route of administration, administered in Arm Right on 03Jun2021 12:00 (Batch/Lot Number: EW0179 and Expiry date:Unknown) as 2ND DOSE, SINGLE for Covid-19 immunization. Medical history included allergy of big amounts of biotin. The patient concomitant medications was not reported. Historical vaccination included previously the patient received bnt162b2 (BNT162B2), dose 1 (Age at vaccination (years): 16) via an unspecified route of administration, administered in Arm Right on 13May2021 12:30 PM (Batch/Lot Number: EW0179 and Expiry date:Unknown) as 1st DOSE, SINGLE for Covid-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 04Jun2021, after second dose, first day diarrhea and stomachache. On 05Jun2021 (2nd day) she felt feverish but was not too bad and also itchiness where she got her 2nd shot. On 06Jun2021,(on the 3-4 day) the patient had headaches with dizziness .The patient did not received treatment for the events. The outcome of the events was resolved on an unspecified date in 2021. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1406699 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Woke up with several stomach pain, diarrhea, headache, muscle aches and tiredness.


VAERS ID: 1407067 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-27
Onset:2021-06-04
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Injection site erythema, Injection site indentation, Injection site oedema, Nodule, Pyrexia, Skin mass
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: losartan 50mg daily, atorvastatin 40mg daily, Amlodipine 10 mg daily, Carvedilol 25 mg BID, Gabapentin 300 mg BID, Xeralto 20 mg daily.
Current Illness: Atrial fibrilation, SVT, cardiomyopathy, neuropathy, hyperlipidemia, HTN, pacemaker.
Preexisting Conditions: Atrial fibrilation, SVT, cardiomyopathy, neuropathy, hyperlipidemia, HTN, pacemaker.
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Left arm edema a week after the vaccine, with induration and erythema, he was treated on 6/9/21 with Augmentin 875/125mg BID x 7days, then she started to have erythematous painful nodules in the arms, legs and abdomen, multiple joint pain, generalized weakness and suggestive fever.


VAERS ID: 1407189 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-05-27
Onset:2021-06-04
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain, Blood glucose abnormal, Chest pain, Dizziness, Exposure during pregnancy, Headache, Peripheral swelling, Protein urine present, Stillbirth
SMQs:, Acute renal failure (broad), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? Yes
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 vitimen, Operazole, cepalexin,Tyelenol,
Current Illness: Hep c Hypertension Asthma UTI Bladder infection
Preexisting Conditions: Kidney stones UTI Hep c
Allergies: Sulfa, bactrim, gentmuzine, tramodol
Diagnostic Lab Data: 3 HR glucose test
CDC Split Type:

Write-up: Positive glucose test Protein in urine Swollen feet and hands Headaches Abdominal pain Dizziness Chest pain Baby was 3lbs 2.9 oz 29 weeks pregnant baby stillbirth Positive glucose test 6/4 6/7 3hour glucose test 2hr was high protein in urine


VAERS ID: 1407542 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-03-18
Onset:2021-06-04
   Days after vaccination:78
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / SYR

Administered by: Unknown       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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vit D3, CoQ-10, Turmeric, fish oil
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Woke up one morning with a slight rash on several areas of my body. Neck, side of torso, shoulder, and chest. First believed to be chigger bites or poison ivy/oak because I work and play around both. But it did not look like the chigger bites or poison ivy/oak I had previously experienced. This was a single red spot up to several red spots on areas not usually affected by chiggers or poison ivy/oak. I used OTC creams to treat. Then, I saw a couple of doctors discussing the side effects of the C-19 vaccine. They mentioned Shingles as one side effect. So I researched Shingles and because of the odd red spots and the areas, mianlhy neck and side of torso, I am thinking this was a very slight infection of Shingles.


VAERS ID: 1407553 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling hot, Pain, Pruritus, Pyrexia, Skin discolouration, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Hot, swollen, sore, itchy, black and blue, fever


VAERS ID: 1407622 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-06-02
Onset:2021-06-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Angiogram cerebral abnormal, Cerebral venous thrombosis, Jugular vein thrombosis, Platelet count increased, Platelet factor 4 increased, Thrombocytopenia, Transverse sinus thrombosis
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: metformin 1000mg qD atorvastatin 40mg qD amlodipine 5mg qD
Current Illness: None
Preexisting Conditions: Diabetes Hypertension Hyperlipidemia
Allergies: ACE inhibitor -- $g angioedema
Diagnostic Lab Data: PF4 antibody w/ 2.239 OD Platelets 67 from normal baseline CT angio of head showing thrombosis of left transverse sinus, left sigmoid sinus, and left internal jugular vein
CDC Split Type:

Write-up: VITT: cerebral venous thrombosis and thrombocytopenia with positive PF4 antibody and no heparin exposure. Symptom onset on 6/4/21 which was 2 days after 2nd dose moderna vaccine (6/2/21) and diagnosed on 6/17/21. Started on bivalrudin. Clinically stable.


VAERS ID: 1407704 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-10
Onset:2021-06-04
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NA / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Cough, Electrocardiogram abnormal, Fatigue
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Clindamycin lotion, adapalene-benzoyl peroxide
Current Illness: None
Preexisting Conditions: Acne
Allergies: Bee pollen
Diagnostic Lab Data: ECG 6/4/21
CDC Split Type:

Write-up: When he got up to use restroom his symptoms were very mild, though when he woke up the symptoms persisted for ~ 1 week. Does not recall any illnesses, but mother felt that patient seemed a little more fatigued ~ 1 week prior. Went to ER 6/4/21 with tightness in his chest worse with deep breathing, cough, laughing, worse laying down and better sitting upright. Got Pfizer COVID19 vaccine 4/10/21, which is ~ 8 weeks prior to symptoms starting. ECG showing diffuse ST elevation concerning for pericarditis. Troponin was negative, chest x-ray was negative. He was given the instructions to take ibuprofen for 1-2 weeks and just stopped the ibuprofen yesterday. His symptoms resolved after 4 days of using ibuprofen.


VAERS ID: 1407743 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Atypical pneumonia, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Elderberry
Current Illness: None
Preexisting Conditions: Asthma - chronic cough
Allergies: Penicillin Latex Perfumes Non-hypoalergenic laundry detergent Fabric softener
Diagnostic Lab Data: I don''t have health insurance or the money to get lab tests done. I went to a homeopathic doctor who helped me with my symptoms.
CDC Split Type:

Write-up: After shot I became very weak. All my joints hurt, even the joints in my fingers. I had a fever of 101 for 2 days. As those symptoms reduced, I came down with walking pneumonia &a rash has broken out on my stomach (rash is still active 2 weeks after shot)


VAERS ID: 1407787 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-14
Onset:2021-06-04
   Days after vaccination:51
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21A / 2 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Full blood count, Laboratory test abnormal, Metabolic function test, Platelet count decreased, Purpura, Thrombotic thrombocytopenic purpura
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Embolic and thrombotic events, arterial (narrow), Renovascular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Loratadine, Aceaminophen, Naproxen, Tums. Yasmin
Current Illness: Chest Pain, Headache, Shortness of Breath.
Preexisting Conditions: No long standing health conditions identified.
Allergies: NKA,NKDA
Diagnostic Lab Data: 04JUN2021 CBC,CMP
CDC Split Type:

Write-up: Patient was seen at hospital on 04JUN2021 for a Purpuric Rash at and was refereed to Medical Center on 04JUN2021 time 1704, upon arrival to the patients labs were collected. Lab results confirmed Thrombotic Thrombocytopenic Purpura due to platelet count of four. Patient has been hospitalized since that date receiving treatment.


VAERS ID: 1407822 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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: Vitamin B and D, Multivitamin, Tramadol, Tylenol, Inhaler
Current Illness: N/A
Preexisting Conditions: Fibromyalgia and arthrithis
Allergies: Lortab, penicillin, sulfa, trees, seasonal allergy, lobster, pet dander, cockroach.
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: The following evening pt started itching on LA and found band aide still intact from the vaccine given the previous day. A quarter size redness and swelling at the site of injection with itching was noticed for 3 days. On fourth day almost gone. After nine days the swelling and itchiness re-appeared on LA. Today there is a rectangle shape dull purplish red area with slight edema and no itching.


VAERS ID: 1407924 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Chest X-ray normal, Chest discomfort, Discomfort, Dyspnoea, Electrocardiogram normal, Hypertension, Muscular weakness, Tension
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Cardiomyopathy (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: Chest Xray EKG
CDC Split Type: vsafe

Write-up: Right after the vaccination, within 10 minutes I started to feel pressure in my left arm down to my wrist. I also felt weakness in both legs. I went home and symptoms lingered and remained for over a week. Muscle weakness will come and go . I was driving in my car and I felt anxious and my chest very heavy and difficulty breathing. I stopped the car and was fortunate to be parked next to a fire department. They put me in an ambulance and checked my blood pressure which was high. They monitored me until my bp went down to the normal range and they allowed me to go home. For the next 6 days, I felt a constant pressure in my arm . I went to Urgent Care to seek care for the pressure on my arm. They did chest x ray and EKG- everything came back normal and to follow up with PCP. I have an appt to see my PCP. Currently I still have pressure/tension originating from left armpit to underneath arm all the way to wrist.


VAERS ID: 1408195 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Amnesia, Chills, Diarrhoea, Hallucination, Oropharyngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xarelto 15mg once daily Effexor 300 mg once daily
Current Illness: Blood disorder. Factor 5 Ladin Fibromyalgia
Preexisting Conditions: Factor 5 Ladin Stage 3 colon cancer in remission (2013) Asthma Fibromyalgia past history of DVT 2017 Past history PE 2015
Allergies: Keflex Penicillin
Diagnostic Lab Data: Patient went to Emergency Room on 6/14/2021.
CDC Split Type:

Write-up: Patienr reports low fever, chills, sore throat and diarrhea onset approximately 5:00 PM on 6/3/2021 lasting approximately 2 days. States watery diarrhea 3 or more times daily since 6/3/2021. Patient states hallucinations began on approximately 6/5/2021. States multiple episodes occurring most days. Reports memory loss as well.


VAERS ID: 1408201 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-01
Onset:2021-06-04
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-vitamin supplement, curcumin, magnesium citrate
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: No tests, confirmation by doctor with discussion of symptoms and pictures
CDC Split Type:

Write-up: Shingles has developed on the right half of the torso from the navel to the spine.


VAERS ID: 1409491 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-06-04
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Eye pruritus, Vision blurred
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210629788

Write-up: EXTREMELY ITCHY EYES; BLURRED VISION; This spontaneous report received from a patient concerned a 60 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 04-JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 04-JUN-2021, the subject experienced extremely itchy eyes. On 04-JUN-2021, the subject experienced blurred vision. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from extremely itchy eyes, and blurred vision. This report was non-serious.


VAERS ID: 1409777 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-06-04
Onset:2021-06-04
   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 ER8735 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AMLODIPINE BESILATE; ATORVASTATIN; PANTOPRAZOLE 40
Current Illness: Acid reflux (oesophageal) (Verbatim: Acid reflux diagnosed at the end of Feb2021 or beginning of Mar2021.); Blood pressure high (Verbatim: High blood pressure diagnosed at the end of Feb2021 or beginning of Mar2021.); Chronic kidney disease stage 3 (Verbatim: Stage 3 chronic kidney disease); High cholesterol (Verbatim: High cholesterol diagnosed at the end of Feb2021 or beginning of Mar2021.)
Preexisting Conditions: Medical History/Concurrent Conditions: Immune system disorder NOS; Kidney disorder; Pneumonia
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021702465

Write-up: very tired; headache; Arm was very sore; This is a spontaneous report from a contactable consumer (patient). A 64-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8735), via an unspecified route of administration, administered in arm left in the morning on 04Jun2021 as a single dose for COVID-19 immunisation. Medical history included stage 3 chronic kidney disease from May2021 and was ongoing; High blood pressure diagnosed at the end of Feb2021 or beginning of Mar2021 and was ongoing; High cholesterol diagnosed at the end of Feb2021 or beginning of Mar2021 and was ongoing; Acid reflux from unspecified date in 2021 was ongoing and acid reflux diagnosed at the end of Feb2021 or beginning of Mar2021; pneumonia from on an unknown date in Jan2021. He reported that he was in the hospital the first week of Jan2021, on 07Jan2021 or 08Jan2021 the time, he didn''t know that it shut down his immune system and his kidneys took a bigger hit than they already had, and he had pneumonia. He reported that he was in the hospital for a good 8 or 9 days and shortly after he was discharged and after that he started the medications for blood pressure, cholesterol, and acid reflux. He reported that the biggest thing was that he had to wait until his doctor cleared him to get the Covid-19 vaccine as he has some other medical issues and once his doctor said to get the Covid-19 vaccine, he got it. Concomitant medications included amlodipine besilate (Film-coated tablet) taken 10 mg once daily for blood pressure from 2021 and ongoing; atorvastatin taken 20mg once daily for Cholesterol abnormal from 2021 and was ongoing; pantoprazole sodium sesquihydrate (PANTOPRAZOLE 40) taken 40mg once daily for acid reflux from an unspecified start date and was ongoing. The patient''s arm was very sore on 04Jun2021. The patient was very tired on 05Jun2021 and had headache on 05Jun2021. The outcome of the events was recovered on an unknown date in Jun2021. Follow up activities has been raised.


VAERS ID: 1409941 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Chills, Electrocardiogram, Fibrin D dimer, Full blood count, Myocardial necrosis marker, Nausea, Pain, Palpitations
SMQs:, Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lithium, olanzapine, zyrtec, Lexapro, singulair
Current Illness: None
Preexisting Conditions: Asthma, mild Depression Anxiety SVT, single post-op episode
Allergies: Minocycline
Diagnostic Lab Data: 6/5/2021 Hospital Ecg x2, ddime, ct chest, xray chest, cardiac enzymes, cbc
CDC Split Type:

Write-up: Initial symptoms at 12hr post-vaccine typical chills & aches & nausea.; duration 6 hr. At 24hr mark, chest pains started with palpitations. Worse with exertion. Subsided and returned. Sought treatment at 48hr post-vaccine. Clear ekg, chest xray, and chest ct. Aspirin 325mg calmed the symptoms.


VAERS ID: 1409967 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Hyperhidrosis, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: DIZZY, SWEATY, FINGERS TINGLING


VAERS ID: 1410027 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-04
Onset:2021-06-04
   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 EN6208 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: 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: N/a
Current Illness: NONE
Preexisting Conditions: Elevated LDL Cholesterol Level Overweight
Allergies: N/a
Diagnostic Lab Data: none
CDC Split Type:

Write-up: PATIENT WAS GIVEN A VACCINE THAT WAS OUTSIDE OF THE ALLOWABLE TIMEFRAME OF A RECONSTIUTED VACCINES. WHICH MAY HAVE AFFECTED THE EFFICACY. PATIETN WAS INFORMED , INCEDNT REPORTS WERE SUBMITTED. PATIENT VOICED UNDERSTANDING. WILL RETURN ON 6/18/2021 TO REPEATED DOSE 2 VACCINE.


VAERS ID: 1410044 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-04
Onset:2021-06-04
   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 EN6208 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Expired product administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ergocalciferol 1,250 mcg taken by mouth once daily Vitamin D 2000 to 4000 units daily
Current Illness: none
Preexisting Conditions: Vitamin D deficiency Pre-Diabetes Low Serum vitamin B12 Thrombocytopenia
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: PATIENT WAS GIVEN A VACCINE THAT WAS OUTSIDE OF THE ALLOWABLE TIMEFRAME OF A RECONSTIUTED VACCINES. WHICH MAY HAVE AFFECTED THE EFFICACY. PATIETN WAS INFORMED , INCEDNT REPORTS WERE SUBMITTED. PATIENT VOICED UNDERSTANDING. WILL RETURN ON 6/18/2021 TO REPEATED DOSE 2 VACCINE.


VAERS ID: 1410052 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-04
Onset:2021-06-04
   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 EN6208 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Expired product administered
SMQs:, Medication errors (narrow)

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

Write-up: PATIENT WAS GIVEN A VACCINE THAT WAS OUTSIDE OF THE ALLOWABLE TIMEFRAME OF A RECONSTIUTED VACCINES. WHICH MAY HAVE AFFECTED THE EFFICACY. PATIETN WAS INFORMED , INCEDNT REPORTS WERE SUBMITTED. PATIENT VOICED UNDERSTANDING,BUT HAS DECIDED TO HOLD OFF ON GETTING DOSE 2 REDONE, READ AN ARTICLE ABOUT HEART INFLAMMATION IN YOUNG MEN AND WOULD LIKE TO THINK ABOUT IT.


VAERS ID: 1410167 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH RW0180 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Dyspnoea, Fatigue, Headache, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Burpropion HCL XL 300mg, Desvenlafaxine Succnt ER 150mg
Current Illness:
Preexisting Conditions:
Allergies: demerol, dilaudid
Diagnostic Lab Data: Chest X-Ray, blood test (lab results were not given to me) 6/4/2021
CDC Split Type:

Write-up: Fever, severe shortness of air, fatigue, chest pain, headache


VAERS ID: 1410258 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-04
Onset:2021-06-04
   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 GW0180 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ecitalopran 10mg once a day, Vitamin D
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: yes inflammation around her heart 6/6/201
CDC Split Type:

Write-up: Same day as the shot she was having chest pains, hard time sleeping


VAERS ID: 1410260 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-17
Onset:2021-06-04
   Days after vaccination:48
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Chest pain, Dyspnoea, Hypoaesthesia, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: - Chest pain after 1.5 months from the second shot - Left arm numbness - Shortness of breadth - Hard to stay asleep - Lack of energy


VAERS ID: 1410316 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-24
Onset:2021-06-04
   Days after vaccination:100
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Biopsy endometrium, Heavy menstrual bleeding, Postmenopausal haemorrhage, Ultrasound abdomen, Ultrasound scan vagina
SMQs:, 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: Armour Thyroid, Labetalol, Escitolopram, Amlodopine
Current Illness: No
Preexisting Conditions:
Allergies: no
Diagnostic Lab Data: Endrometrial Biopsy Trans Abdominal Ultrasound Trans Vaginal Ultrasound
CDC Split Type:

Write-up: Heavy post-menopausal bleeding


VAERS ID: 1410431 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-25
Onset:2021-06-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / UNK RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Alopecia, Stress
SMQs:

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

Write-up: 10 days after the first shot of Pfizer Covid-19 vaccine, around June 4th 2021, patient started to notice accelerated hair loss. A few days later, she noted a bald patch on the right side of her head, behind her ear. Today (June 18) hair loss continues and hair seems to be thinning out. She is stressed out. Not sure what to do and would like some guidance before we get the second shot. Multiple people on VAERS have reported accelerated hair loss post second shot. Patient had developed Pneumonia last year when she had been diagnosed with covid-19 (around April-May 2020)


VAERS ID: 1411316 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Fatigue, Hypoaesthesia, Immediate post-injection reaction, Injection site erythema, Injection site swelling, Myalgia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), 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: Novolog, clonazepan
Current Illness:
Preexisting Conditions: Type 1 diabetic
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediately after vaccine was administered, entire arm went numb and tingled. Lasted for 2 hours. Days following had random minor muscle aches, weakness, and tingling (fingers), in forearm, palm; arm feels very tired. On day 9, arm began to ache continuously, felt very weak, swelling and redness at site, and tingling in hand and last two fingers.


VAERS ID: 1411750 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-28
Onset:2021-06-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
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: WENT TO HOSPITAL 1 WEEK LAER AFTER FIRST DOSE D/T HEART PALPITATION


VAERS ID: 1412052 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Fatigue, Heart rate increased, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: fainting after flu shot
Other Medications: Melatonin
Current Illness: None
Preexisting Conditions: Mild asthma; constipation
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Fatigue starting approx. 12 hours after second pfizer covid vaccine shot and lasting 24 hours; reduced appetite; fever from approx 24 hours after shot (maybe sooner) until approx. 36 hours after shot. Highest recorded temp was 102.2 at approx. 30 hours after shot. Fatigue interfered with daily activities from 12 hours after shot to 36 hours after shot. Mild soreness in arm where shot was given. Pulse and blood oxygen were checked each time temp was taken (approx 3 times between 24 and 36 hours after shot) and were within normal ranges each time; although pulse was on the higher end of the normal range for a 12 year old boy. Quick recover starting 36 hours after shot, when temp reduced to approx. 100. Appetite returned at this time. Fever was gone by 48 hours after shot and all other side effect seemed to have subsided by this point. No mediation was taken by the vaccine recipient. Vaccine recipient was offered usual foods and he consumed milk and water in smaller amounts than usual but also more frequently than usual to stay hydrated.


Result pages: prev   97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=196&PERPAGE=100&ESORT=ONSET-DATE&REVERSESORT=ON&VAX=COVID19&DIED=No


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166