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From the 10/15/2021 release of VAERS data:

Found 800,916 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 198 out of 8,010

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VAERS ID: 1737312 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Entire upper arm around injection site red, swollen and painful. Visibly obvious to others. Sought care from clinic


VAERS ID: 1737537 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-03-12
Onset:2021-09-13
   Days after vaccination:185
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026A21A / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Antiphospholipid antibodies negative, Arterial catheterisation, Blood creatinine normal, Blood lactate dehydrogenase increased, Blood potassium increased, C-reactive protein normal, COVID-19, COVID-19 pneumonia, Central venous catheterisation, Chest X-ray abnormal, Complication of device insertion, Distributive shock, Endotracheal intubation, Fibrin D dimer increased, Hypotension, Hypoxia, Inflammatory marker decreased, Leukocytosis, Liver function test increased, Lung opacity, Oesophageal dilation procedure, Paralysis, Pneumonia, Positive airway pressure therapy, Procalcitonin, Prone position, Pulmonary oedema, Respiratory failure, SARS-CoV-2 test positive, Serum ferritin increased, Ultrasound Doppler normal
SMQs:, Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Embolic and thrombotic events, venous (narrow), Gastrointestinal obstruction (narrow), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (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: PMH: Myasthenia gravis, Obesity, GERD, Diverticulosis, DM2, COPD no baseline O2, Depression, cardiomegaly, Fatty liver, OSA, gout, OA, hypothyroidism, carpal tunnel syndrome, CKD1.
Allergies:
Diagnostic Lab Data: COVID-19 PCR+9/13/21
CDC Split Type:

Write-up: 9/26: History of Present Illness PT is a 67 yo female transferred from Moberly on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at Moberly per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at Moberly, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per OSH notes. OSH BLE doppler US negative for clots. No CT done per OSH records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick. 9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.


VAERS ID: 1737557 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth, Lymph node pain, Lymphadenopathy, Pain, Pain of skin, Pyrexia, Rash, Rash macular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

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

Write-up: Shot 9/13 @ 11:30am Fever 10pm 101.5 lasting 24 hours Body aches 9/14 am, skin sensitive to touch Rash on arm below injection site, red, hot to touch and sore Rash on both sides of lower front neck 9/15am, swollen and sore supraclavicular lymph node on right side. 9/16 Rash wrapping around upper arm, splotches on both forearms 9/18 rash resolved, no longer sore to touch


VAERS ID: 1737568 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-11
Onset:2021-09-13
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Culture urine, Genital pain, Ulcer, Urine analysis
SMQs:, Gastrointestinal ulceration (narrow), Sexual dysfunction (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: Concerta, Guanfacine
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain in vulva area that began within 48 hours of vaccine. Urgent Care visit with urine test and swab tests for infection, disease with negative results. Ulcers on Labia were identified and urgent appointment scheduled with OBGYN within 24 hours. Appointment with OBGYN confirmed ulcers on labia with no clear etiology (no changes in person hygiene, no sexual activity, etc). Ulcers were checked again about two weeks later and are close to healed at this point.


VAERS ID: 1737612 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 1815582-07554 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No other illness
Preexisting Conditions: No chronic or long standing health conditions
Allergies: No Allergies to medication
Diagnostic Lab Data: No test were conducted
CDC Split Type:

Write-up: I was nauseated 10 minutes after taking the vaccine, I went home had a headache; had a headache for 1 week. The second day I had severe sweats, rings of sweat under arm pits, around neck, and back. Sweating through out the day and night. It''s 9/27/2021, I''m still sweating excessively. Still experiencing occasional nausea. I reached out to Dr. of the VA; I also shared a picture of the excessive sweating. I have not been treated for this, I stop what I''m doing a lay down until the nausea goes away. I take tylenol; for the headaches. I take extra showers for the excessive sweating.


VAERS ID: 1737787 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-11
Onset:2021-09-13
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Chest pain, Dyspnoea, Hot flush, Hyperhidrosis, Nausea, Pain in extremity, Palpitations, Pyrexia, X-ray
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (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 (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Mitral valve prolapse, anemia
Allergies: IV contrast dye (iodine)
Diagnostic Lab Data: X-ray of heart and lungs (9/15/2021). Blood panel (9/15/2021).
CDC Split Type:

Write-up: Started experiencing chest pains (near the heart), labored breathing, leg pain (both calves), low-grade fever (99.4), hot flashes, heart palpitations, nausea and sweating approximately 4 days post 1 dose of Pfizer.


VAERS ID: 1738599 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Confusional state, Diarrhoea, Fatigue, Headache, Injection site induration, Injection site mass, Injection site nodule, Injection site pain, Nausea, Night sweats, Pyrexia, Vision blurred, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B-12
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Fever, chills, nausea, vomiting, diarrhea, headache, extreme pain at injection site, blurred vision, confusion, exhaustion, night sweats, hard lump at injection site/muscle knot two weeks later. Took anti-nausea medication, ibuprofen, acetaminophen, used ice packs. 48 hours later fever broke.


VAERS ID: 1740080 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-15
Onset:2021-09-13
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059721A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Dizziness, Dysuria, Hyperhidrosis, Myalgia, Pyrexia, Rash macular, Testicular pain, Urticaria, Vaccination site pain, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sexual dysfunction (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: USMODERNATX, INC.MOD20213

Write-up: Testicular pain; Pain with urination; sweating; Hives; Macular rash on his back; Dizziness; vomiting; chills; muscle aches/sores on his arms; fever; severe pain at the injection site; This spontaneous case was reported by an other health care professional and describes the occurrence of TESTICULAR PAIN (Testicular pain), DYSURIA (Pain with urination), HYPERHIDROSIS (sweating), URTICARIA (Hives) and RASH MACULAR (Macular rash on his back) in a 53-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037F21A and 059721A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 15-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 13-Sep-2021, the patient experienced TESTICULAR PAIN (Testicular pain), DYSURIA (Pain with urination), HYPERHIDROSIS (sweating), URTICARIA (Hives), RASH MACULAR (Macular rash on his back), DIZZINESS (Dizziness), VOMITING (vomiting), CHILLS (chills), MYALGIA (muscle aches/sores on his arms), PYREXIA (fever) and VACCINATION SITE PAIN (severe pain at the injection site). At the time of the report, TESTICULAR PAIN (Testicular pain), DYSURIA (Pain with urination), HYPERHIDROSIS (sweating), URTICARIA (Hives), RASH MACULAR (Macular rash on his back), DIZZINESS (Dizziness), VOMITING (vomiting), CHILLS (chills), MYALGIA (muscle aches/sores on his arms), PYREXIA (fever) and VACCINATION SITE PAIN (severe pain at the injection site) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication were reported. No treatment information was provided by the reporter. This case was linked to MOD-2021-324016 (Patient Link).


VAERS ID: 1740174 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-09-11
Onset:2021-09-13
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure decreased, Blood pressure measurement, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (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), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (prior vaccination)
Allergies:
Diagnostic Lab Data: Test Date: 20210913; Test Name: blood pressure; Result Unstructured Data: Test Result:bottomed out
CDC Split Type: USPFIZER INC202101205939

Write-up: Passed out; blood pressure bottomed out; This is a spontaneous report from a contactable consumer (patient). A 53-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: Fc3183), administered in the left arm on 11Sep2021 at 16:00 (at the age of 53-years-old) at dose 1, single for COVID-19 immunisation. Medical history included COVID prior vaccination. No COVID tested post vaccination. Concomitant medications were reported as none; no other vaccine in four weeks and no other medications in two weeks. The patient passed out and blood pressure bottomed out on 13Sep2021 at 05:00. Adverse event resulted in doctor or other healthcare professional office/clinic visit. No treatment was received for the events. The outcome of the events was unknown. Follow-Up (16Sep2021): Follow-up attempts are completed. No further information is expected.


VAERS ID: 1740536 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-31
Onset:2021-09-13
   Days after vaccination:166
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016821A / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, Arthralgia, Body temperature, Chills, Decreased appetite, Fatigue, Headache, Insomnia, Myalgia, Nausea, Pain in extremity, Peripheral swelling, Pollakiuria, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: XANAX; GAS X
Current Illness: Allergy to antibiotic (Cipro, Augmentin); Asthma; Laryngopharyngeal reflux; Lichen sclerosus; Pseudomyxoma peritonei; Sulfonamide allergy; UTI
Preexisting Conditions: Medical History/Concurrent Conditions: Cellulitis
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 102 for 6 hours which reduced to 99
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: could not sleep; loss of taste; urinate a lot for the first 24 hours; loss of sense of smell; my arm swelled up; loss of appetite; pain in arm; headache; fatigue; severe muscle pain; extreme/severe joint pain (On a scale of 9) for 16 hours, deep pain in my joints; fever temperature of 102 for 6 hours which reduced to 99, low grade fever; nausea; chills; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (could not sleep), AGEUSIA (loss of taste), POLLAKIURIA (urinate a lot for the first 24 hours), ANOSMIA (loss of sense of smell) and PERIPHERAL SWELLING (my arm swelled up) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 058E21A, 021C21A and 016821A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Cellulitis from 19-Aug-2021 to 24-Aug-2021. Concurrent medical conditions included Sulfonamide allergy, Allergy to antibiotic (Cipro, Augmentin), Pseudomyxoma peritonei since 28-May-2008, Lichen sclerosus since 22-Nov-2012, Laryngopharyngeal reflux since 10-May-2014, UTI since 05-Nov-1964 and Asthma. Concomitant products included ALPRAZOLAM (XANAX) for Muscle spasm, SIMETICONE (GAS X) for an unknown indication. On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 13-Sep-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 13-Sep-2021, the patient experienced INSOMNIA (could not sleep), AGEUSIA (loss of taste), POLLAKIURIA (urinate a lot for the first 24 hours), ANOSMIA (loss of sense of smell), PERIPHERAL SWELLING (my arm swelled up), DECREASED APPETITE (loss of appetite), PAIN IN EXTREMITY (pain in arm), HEADACHE (headache), FATIGUE (fatigue), MYALGIA (severe muscle pain), ARTHRALGIA (extreme/severe joint pain (On a scale of 9) for 16 hours, deep pain in my joints), PYREXIA (fever temperature of 102 for 6 hours which reduced to 99, low grade fever), NAUSEA (nausea) and CHILLS (chills). The patient was treated with CURCUMA LONGA (TURMERIC [CURCUMA LONGA]) for Pain, at an unspecified dose and frequency and ZINGIBER OFFICINALE (GINGER [ZINGIBER OFFICINALE]) for Headache, at an unspecified dose and frequency. On 17-Sep-2021, INSOMNIA (could not sleep), AGEUSIA (loss of taste), POLLAKIURIA (urinate a lot for the first 24 hours), ANOSMIA (loss of sense of smell), PERIPHERAL SWELLING (my arm swelled up), DECREASED APPETITE (loss of appetite), PAIN IN EXTREMITY (pain in arm), HEADACHE (headache), FATIGUE (fatigue), MYALGIA (severe muscle pain), ARTHRALGIA (extreme/severe joint pain (On a scale of 9) for 16 hours, deep pain in my joints), PYREXIA (fever temperature of 102 for 6 hours which reduced to 99, low grade fever), NAUSEA (nausea) and CHILLS (chills) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 102 (High) 102 for 6 hours which reduced to 99. Patent used treatment medications includes black elderberry for fever and fatigue. Herbal supplements did help to patient. This case was linked to MOD-2021-321288 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 21-Sep-2021: Added Medical history,Added dosage details, concomitant and treatment medication, Added new events and events outcome.


VAERS ID: 1740622 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Dysstasia, Gait disturbance, Inflammation, Loss of personal independence in daily activities, Muscle spasms, Pain in extremity, Posture abnormal
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (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: Hydroxychloroquine, multivitamin, vitamin D, vitamin c and probiotic
Current Illness: N/A
Preexisting Conditions: Rheumatoid Arthritis, Lupus, Connective tissue disease.
Allergies: Hazelnut, Plum, birch pollen
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Severe leg and lower back pain, leg muscle cramping in both legs, inflammation, difficulty standing, walking, sitting and completing everyday task. Treatment prescribed Prednisone for inflammation and then took NSAIDs for another 2 weeks.


VAERS ID: 1740966 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-09-09
Onset:2021-09-13
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001C21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cardiac stress test, Echocardiogram, Electrocardiogram ambulatory, Heart rate increased, Palpitations, Ultrasound scan
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metoprolol,Plavix, Crestor, Lyrica, Multivitamin,
Current Illness: none
Preexisting Conditions: COPD, Coronary Heart disease
Allergies: tape
Diagnostic Lab Data: Heart monitor, Nuclear Stress Tesst, Echo of Heart, Corotid Ultrasound.
CDC Split Type:

Write-up: Heart Palpitations, Pounding heart, fast heartbeat.


VAERS ID: 1741158 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-27
Onset:2021-09-13
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 - / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 2 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Raynauds Disease
Allergies: Bees, penicillin and niacin
Diagnostic Lab Data: 9/17/21 and 9/24/21 dr visits
CDC Split Type:

Write-up: Sore arm, general fatigue at first and 2nd injection. Broke out in first ever Shingles condition on 9/13/21


VAERS ID: 1741485 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-08-26
Onset:2021-09-13
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0127 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Blood test, Chills, Computerised tomogram abdomen abnormal, Diverticulitis, Frequent bowel movements, Large intestine perforation, Pain in extremity, Pyrexia, Urine analysis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal perforation (narrow), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin, baby aspirin
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: Blood work, Urine and a CT abdomen Pelvis all on 9/14/2021
CDC Split Type:

Write-up: Within a day of receiving the first dose, I had fever, chills, leg pains that resolved within 24 hours. However within two weeks, I started experiencing stomach issues and multiple bowel movements per day. Then on 9/14/21 I was admitted to Medical for a seven day stay for moderate sigmoid diverticulitis with perforations.


VAERS ID: 1741707 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood test normal, Chest discomfort, Cough, Electrocardiogram normal, Fatigue, Feeling abnormal, Headache, Influenza like illness, Malaise, SARS-CoV-2 test negative, Sneezing
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Hypersensitivity (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu vaccine multiple dose, my arm gets really swollen and it gets a big red mark and it itches for like 5 days
Other Medications: Levothyroxine; Pravastatin; Estradiol Patch; Metoprolol; Omeprazole; Vitamin C; Vitamin D3; Zinc; Quercetin
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis; Osteoarthritis; Thyroid disease; they are in the process of figuring out if I have Lupus or if I have something else.
Allergies: Penicillin; Clindamycin; Doxycycline; Keflex; Hydroxychloroquine
Diagnostic Lab Data: Blood work- normal EKG- normal
CDC Split Type: vsafe

Write-up: When I got the vaccine, immediately within like 5 minutes I started having a lot of pressure in my chest, it felt like a band going around my chest. They had me sit there for 45 minutes. Everything looked fine. The chest pressure went away in about 30 minutes. I had flu like symptoms for a couple of days. But then I started experiencing a lot of fatigue. About a week and a half later I went to the ER because I had chest discomfort, fatigue, and I was not feeling well. They said my blood work and EKG were fine. They think my autoimmune disease was acting up. On Sunday I started feeling bad. I got tested for Covid and it was negative. They thought it might have been too soon to get tested. They did not see me at my doctor''s office because I had Covid like symptoms even though I tested negative. I have been having coughing, sneezing, fatigue, headaches. I do not have a fever. I had to go to urgent care instead.


VAERS ID: 1741900 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-06-07
Onset:2021-09-13
   Days after vaccination:98
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048F21A / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Interchange of vaccine products
SMQs:, Medication errors (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: Effexor 150 mg q am Zofran 4 mg disintegrating tablet q8h as needed Cozaar 100 mg qd
Current Illness: #HTN Now on 50 mg losartan daily. Checks his BP at home. systolics 146-170. Diastolic around 100. Denies EtOH, other drug use. #Knee pain Started 3 days ago. Bilateral Dislocated right patella laterally in 2009 while walking. No precipitating event. Since then it periodically partially shifts laterally. Painful when it displaces. He had xrays in 2009 without fracture. He''s had similar symptoms in the left patella for 2-3 years but never dislocated it. Lateral displacement 5-6 times just in the past few months. He get''s right knee pain walking up stairs. Left knee pain if he twists his knee. Pain resolves within 10-15 minutes of activity. Hasn''t tried NSAIDS.
Preexisting Conditions: #Weight loss He''s been walking a lot. trying to eat healthier, more greens/vegetables. Trying to reduce starchy foods, but he does love mac and cheese. Eats it 2-3 tiems per month. Lately mostly eating meat and vegetables. Cutting back on soda. He drinks 5 per week down from 14. #tinea corporis Completed second course of terbinafine and it has completely resolved.
Allergies: NKA
Diagnostic Lab Data: Resident Specialty: Student Progress Notes Signed Encounter Date: 9/16/2021 Signed Hide copied text Hover for details NURSING BP CHECK PARAMETERS This patient is scheduled for a nursing/pharmacy blood pressure check for elevated blood pressure and to confirm accuracy of home BP cuff. Pt does not have labs to be performed on the day of the blood pressure check. If BP (<140 SBP AND <90 DBP): $gNo changes to home meds. $gPatient may follow up as previously scheduled or 3-4 months. If BP (SBP =$g140 OR =$g90 DBP): Review adherence with home meds. $gIf adherent, Schedule follow up. $gIf non-adherent, review prescribed meds with patient and schedule follow up. Follow up time frame by blood pressures. Use closest follow up. BP Measures Time Frame With Who =$g180 SBP or =$g110 DBP or symptoms of high BP Discuss with provider Provider, possibly ED 160-179 SBP or 100-109 DBP 1-2 weeks Provider 140-159 BP or 90-99 DBP 2-4 weeks Provider or Nursing For patients that are scheduled for BP visit, please advise them to 1)Take their medication as usual on the day of the appointment. 2)Bring their medication bottles 3)If the patient checks their blood pressure at home then advise them to? a)bring their blood pressure machine to confirm its measurements b)a log of their most recent blood pressures measures 4)Call for new or worsening symptoms of high or low blood pressure. NURSING BP CHECK PARAMETERS
CDC Split Type:

Write-up: Patient had previously received the Pfizer vaccine on 6/7/2021. This violates the EUA for both vaccine parameters.


VAERS ID: 1741902 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Joint range of motion decreased, Lymph node pain, Lymphadenopathy, Pain, Skin warm, Swelling, Tenderness, Tremor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: protonix, benzapril, amlodipine, montelukast
Current Illness: hidradenitis; severe; on several antibiotics
Preexisting Conditions: HTN, preDM, hyperlipidemia
Allergies: estrogen and coreg
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Got vaccine in R arm. Within the hour had tremor/shaking of R arm for several minutes. Within one day had swelling and pain in supraclavicular lymph node . Couldn''t move arm /shoulder due to exquisite pain. No rash or fever. Still with pain palpable swelling, tenderness, warmth and pain with ROM of neck.


VAERS ID: 1743684 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Graves'' disease (diagnosed in 2010 and had surgery in 2012); Surgery
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101197504

Write-up: This is a spontaneous report from a contactable consumer (patient). A 55-year-old female patient received bnt162b2 (BNT162B2 reported as PFIZER-BIONTECH COVID19 VACCINE), dose 1 at vaccination age of 55-year-old via an unspecified route of administration in the left arm (reported as upper, bicep of left arm) on 13Sep2021 at 09:20 (Lot Number: FA7485) as dose 1, single for covid-19 immunisation. Medical history included Graves'' disease diagnosed in 2010 and had surgery in 2012. The patient''s concomitant medications were not reported. History of all previous immunization with the Pfizer vaccine considered as suspect or other vaccines administered on same date of the Pfizer Suspect were none. The patient received the vaccine in a pharmacy. On 13Sep2021 at 10:20, the patient experienced tongue swelling started about an hour later. She feels like it has worsened since it feels like her tongue is wanting to go over her teeth. She added that she can feel it when she is talking. She inquired if this is a normal side effect of the vaccine. The patient was advised to consult with healthcare professional which the patient stated that she already called her doctor and is waiting on a call back. As for the treatment, it was mentioned that the patient declines any and she waiting to hear from her doctor. As of the time of this initial report, the adverse event did not result in emergency room visit or physician''s office visit. The outcome of the event was not recovered.


VAERS ID: 1743691 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, Dizziness, Loss of consciousness, Pain, Pyrexia
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), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210913; Test Name: Fever; Result Unstructured Data: Test Result:High; Comments: High fever for over 24 hrs
CDC Split Type: USPFIZER INC202101205826

Write-up: Passed out; Body pains; Very dizzy; High fever for over 24 hrs; This is a spontaneous report from a non-contactable consumer (patient). A 23-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: Unknown, Expiration date: Not reported), via an unspecified route of administration in left arm on 13Sep2021 at 13:00 (at the age of 23-years-old) as dose 2, single for COVID-19 immunization in a pharmacy or drug Store. The patient''s medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiration date were not reported), via an unspecified route of administration, on an unspecified date as dose 1, single for COVID-19 immunization. The patient was not pregnant at the time of vaccination. No other vaccines within 4 weeks prior to COVID vaccination. Prior vaccination, the patient was not diagnosed with COVID-19 and post vaccination, the patient was not tested for COVID-19. The patient was passed out, felt very dizzy, had body pains and high fever for over 24 hrs on 13Sep2021 at 15:45. It was unknown if the patient received treatment for these events. The outcome of the events was not recovered at the time of report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 1743701 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-23
Onset:2021-09-13
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abscess, Myalgia, Pain in extremity, Peripheral swelling, Rash, SARS-CoV-2 antibody test, Skin warm, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN D3; FOLATE; ZINC; B12 [CYANOCOBALAMIN]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210822; Test Name: Covid antibody IgH/IgM; Test Result: Negative ; Comments: Blood test
CDC Split Type: USPFIZER INC202101206380

Write-up: severe swelling and muscle ache in left deltoid; Rash on left deltoid; abscess formation; warm; painful; swollen; severe swelling and muscle ache in left deltoid; This is a spontaneous report from a contactable nurse (Patient). A 41-year-old non pregnant female patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EW0186), via an unspecified route of administration, administered in Arm Left on 23Aug2021 16:00 as dose 1, single and second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EW0186) via an unspecified route of administration, administered in Arm Left on 23Aug2021 16: as dose 2, single for covid-19 immunisation. Medical history included penicillin allergy. Concomitant medication include Vitamin d3, folate, zinc, b12 [CYANOCOBALAMIN]) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with covid prior to vaccination. The patient experienced rash on left deltoid, severe swelling and muscle ache in left deltoid, abscess formation, warm, painful, and swollen on 13Sep2021 15:00. The patient received treatment in response to the events. The patient underwent lab tests and procedures which included Covid antibody IgH/IgM test, Blood test was negative on 22Aug2021. The outcome of the event as not recovered.


VAERS ID: 1744505 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-03-25
Onset:2021-09-13
   Days after vaccination:172
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 345 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 345 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Candida infection, Cough, Fatigue, Headache, Pain, Pyrexia, SARS-CoV-2 test positive, Sinus congestion
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: acid reflux
Preexisting Conditions: auto immune disease called mannose binding lecithin, meaning I have weak lungs, allergy induced asthma
Allergies: allergic to amoxiicillin
Diagnostic Lab Data: 09/16/2021 positive covid result from anytime labs, independence mo
CDC Split Type:

Write-up: just tired from the pfizer in March. I was diagnosed with covid on 09/16/2021, massive headache, sinus congestion, severe cough, body aches, fever now thrush.


VAERS ID: 1744508 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-05
Onset:2021-09-13
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE 3592 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF 2588 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysgeusia, Erythema, Hypoaesthesia oral, Rash, Rash erythematous, Rash macular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: N/A
Preexisting Conditions: None
Allergies: Cinnamon, certain fresh plants, and minor environmental outdoor allergies.
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: First Pfizer dose: A few mins after receiving my first dose, my tongue went numb for a few mins and then healed. 1 week after receiving my first dose of the Pfizer shot, I developed a splotchy skin rash on my right/left arms, belly, and back. I then developed a red itchy scalp that still flares off and on after my second dose. My scalp still remains red and the itchiness flares up at odd times. Mind you, I don''t have and have never had Psoriasis nor any other skin conditions. All of the flaring rashes on my body started right after I received the first dose of Pfizer. Second Pfizer dose: A few mins after, my tongue when numb again for a few mins and healed. After that, the first day was fine. the second day on the second does (9/27), I developed (5) red itchy spots that appear to look like Chicken Pox on my right arm only, and are still there. These (5) red round rash dots flare up every now and then and itch. Again, my scalp is still red from the 1st dose. Lastly on 9/27/2021- I developed a foul chemical after taste when eating food and drinking liquids. The taste is not metal-like, and it''s more of a chemical taste that resembles bitterness. The closest thing that I can compare the taste to is Nail Polish Remover. It''s almost as if I am taking a compound of the vaccine itself. I still have the after-taste and it is day 3 of the second dose.


VAERS ID: 1745081 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-03-23
Onset:2021-09-13
   Days after vaccination:174
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 RA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Abdominal pain lower, Blood test, Computerised tomogram, Diverticulitis, Gastrointestinal inflammation, Magnetic resonance imaging, Tendonitis
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (broad), Tendinopathies and ligament disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: lisinopril 40 mg, hydrochlorzide 25 mg,
Current Illness:
Preexisting Conditions: high blood Pressure
Allergies: Codeine
Diagnostic Lab Data: Blood panel, CT scan, MRI.
CDC Split Type: vsafe

Write-up: I have some sharp lower abdomen pain, My doctor sent me to the ER. They diagnosed with diverticulitis. two days later I had inflamed achilles . I thought it was weird that I have inflamed Achilles and intestines.


VAERS ID: 1745092 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-10
Onset:2021-09-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027B21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Blood creatine phosphokinase, Blood magnesium, Blood thyroid stimulating hormone, C-reactive protein, Cardiac flutter, Chest X-ray, Computerised tomogram head, Dyspnoea, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Fibrin D dimer, Full blood count, International normalised ratio, Metabolic function test, Palpitations, Red blood cell sedimentation rate, SARS-CoV-2 test, Thyroxine free
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tri-Sprintec, Protonix, Citalopram
Current Illness:
Preexisting Conditions: PCOS, Vonwillebrand, Pelvic Congestion Syndrome
Allergies: Cipro, Flagyl, Hydrocodone-Acetaminophen, Penicillamine, Lorabide, Dilaudid
Diagnostic Lab Data: Labs; CBC, CMP, Magnesium, TSH, Free T4, CK, Pt/INR, Sed Rate,C-Reactive Protein, D-Dimer, Covid DI; EKG, Holter Monitor, Chest Xrays, Echo, CT Head
CDC Split Type:

Write-up: Patient received the vaccine on 9/10/21, on 9/13/2021 the patient started experiencing heart flutters, on 9/16/2021 the patient began experiencing shortness of breath, heart palpitations and generalized weakness.


VAERS ID: 1745117 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Lymphadenopathy, Pain, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hctz 12.5 mg daily
Current Illness: none
Preexisting Conditions: HTN, bmi 34, IDA
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: chills and body aches starting a couple hrs after the vaccine. also developed fatigue, "winded" several days later and that are persting. Also had a L swollen lymph node under arm that appeared the next day. mild cough and runny nose which have since resolved.


VAERS ID: 1745176 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-05
Onset:2021-09-13
   Days after vaccination:192
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6206 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abscess drainage, Acute respiratory failure, Alanine aminotransferase normal, Anal abscess, Anion gap, Aspartate aminotransferase increased, Atrial fibrillation, Back pain, Basophil count decreased, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood chloride decreased, Blood creatinine increased, Blood culture, Blood glucose normal, Blood lactic acid decreased, Blood potassium normal, Blood sodium decreased, Blood test, Blood urea increased, Brain natriuretic peptide decreased, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Chest X-ray abnormal, Coagulation factor, Computerised tomogram abdomen, Condition aggravated, Cough, Diarrhoea, Dysuria, Echocardiogram, Eosinophil count decreased, Fibrin D dimer decreased, Flank pain, Glomerular filtration rate decreased, Gout, Haematocrit normal, Haemoglobin normal, Hyperlipidaemia, Hypertension, Hyponatraemia, Immature granulocyte count, Incisional drainage, International normalised ratio decreased, Interstitial lung disease, Lymphocyte count normal, Mean cell volume normal, Monocyte percentage increased, Musculoskeletal pain, Myocardial ischaemia, Neutrophil count, Neutrophil count normal, Oxygen saturation decreased, Pain, Pathology test, Platelet count normal, Positive airway pressure therapy, Proctalgia, Protein total normal, Prothrombin level increased, Pyrexia, QRS axis abnormal, Red blood cell count normal, Red blood cell nucleated morphology, Rhinorrhoea, Sleep apnoea syndrome, Staphylococcus test negative, Tachypnoea, Troponin increased, Type 2 diabetes mellitus, Urine analysis normal, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Dyslipidaemia (narrow), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation (narrow), Acute central respiratory depression (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Lipodystrophy (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Arthritis (narrow), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prior to Admission Medications Outpatient Home Medications Taking? Allopurinol (ZYLOPRIM) 100 mg Oral Tab Takes Regularly Sig: TAKE 1 TABLET ORALLY 1 TIME A DAY AFTER BREAKFAST (gout prevention) Carvedilol (COREG) 25 mg Oral Tab Takes Regul
Current Illness: None
Preexisting Conditions: h/o HTN, HLD, Type II DM, atrial fibrillation on Pradaxa, pericardial effusion, GERD, MCA CVA c/b intracranial hemorrhage (1/5/2019), recently diagnosed with COVID 19 (9/9/21) who presented to the ED secondary to fever and R flank pain
Allergies: Atorvastatin - muscle ache, cramp Pravastatin - Leg cramp
Diagnostic Lab Data: Results for patient as of 9/29/2021 10:59 9/13/2021 19:20 NA: 128 (L) K: 4.1 CL: 93 (L) CO2: 24 BUN: 29 (H) CREAT: 1.58 (H) ANION GAP4 SERPL: 11 GLUC: 111 TROPONIN I: 0.11 (H) LDH: TND ALT: 17 AST: 37 ALKP: 50 TBILI: 0.9 GFR-AFRAM: 52 (L) GFR NONAFR AMER: 45 (L) COMMENT, GLOMERULAR FILTRATION RATE: SEE NOTE ALB: 4.1 CRP, SER QL: 5.4 (H) LACTATE: 1.7 TP: 7.4 WBC: 4.7 RBC''S: 5.08 HGB: 15.2 HCT: 46.0 MCV: 91 RDW, RBC: 12.9 PLT: 159 IMMAT GRANULO % AUTO: 0 NRBC: 0 NEUTROPHILS % AUTO: 64 ANC: 3.0 LYMPHS % AUTO: 22 MONOS % AUTO: 13 EOS % AUTO: 0 BASO''S % AUTO: 0 PT: 16.1 (H) INR: 1.3 D-DIMER: 0.37 BLD CULT RSLT: Final Report...
CDC Split Type:

Write-up: 66 Y male with HTN, hyperlipidemia, CKD bl scr 1.3-1.5, diet controlled DM2, afib on pradaxa, h/o MCA CVA c/b ICH 1/2019, pericardial effusion 2019 attributed to volume overload, improved on f/u TTEs, OSA on CPAP, vaccinated for COVID. Pt had onset of fever, cough on 9/8, tested positive for COVID 9/9. Pt presented to ED 9/13/21 ongoing sx of fevers, cough, body aches, rhinorrhea, diarrhea along with new dysuria and right LBP concerning for additional GU pathology and advised to come to ED for work up. In the ED, temp 100.3 and patient noted to be tachypnic, O2 sat 96-99% on RA. EKG with NSR, poor R wave progression (similar to prior), no significant ST/T changes. Labs significant for Na 128, Cr 1.58, troponin 0.11, and CRP 5.4. UA negative. CXR with diffuse increased interstitial lung markings involving bilateral lower lobe. CT abdomen/pelvis with no discrete renal or ureteric calculus, no hydronephrosis or hydroureter. Pt was admitted for troponin elevation, r/o ACS. COVID treatment was started following day on 9/14 when pt desaturated with ambulation. After admission pt also reported right perianal pain and was found to have R perianal abscess, s/p bedside I&D per general surgery team. Troponin elevation, HTN, hyperlipidemia - trop peaked at 0.14-- $g0.12, no associated CP or ischemic EKG changes. Suspect demand ischemia related to COVID infection -cont PTA coreg, ezetimibe, fish oil -held losartan 9/15 due to slight increase in scr, scr back to baseline 9/16 after encouraged PO intake. On discharge, resumed losartan at half dose 50mg daily. RN to recheck chem 7 on 9/18/21 -held pta hctz due to hyponatremia, cont to hold on DC. If PO intake, Na, scr stable, can be resumed per PCP -Pt already anticoagulated with pradaxa -given multiple risk factors for CAD, consider stress test for further risk stratification once recovered from covid and completed isolation. COVID-19 pneumonia with acute hypoxemic respiratory - Symptom onset on 9/8. COVID positive on 9/9. Last fever on 9/13. Desaturated with ambulation on 9/14, placed on 2 liters O2 and started on treatment with Remdesivir and Decadron. Pt received Remdesivir and decadron for 3 days, stopped on discharge as pt was able to wean off oxygen completely. -cont isolation 20 days from onset of sx, through 9/28, can come off isolation 9/29 if no fever $g24 hrs off antipyretics and other s/sx covid much improved Right low back pain - pt denied dysuria on admission, but report mild R low back pain which improved throughout hospitalization, suspect musculoskeletal pain related to covid infection. As above CT a/p in ED was unremarkable for any acute findings, UA not s/o infection. On day of discharge, pt reported a twinge of pain with urination one time, a repeat UA was checked which remained negative. No further pain with subsequent urinations. Pt was prescribed lidoderm patch tid prn to right low back. Right perianal abscess - after admission pt reported having pain and feeling a bump in R perianal region. Pt was found to have a 1 cm, perianal abscess. Appreciate gsurg consult, s/p bedside I&D 9/14 with 10 mls of pus evacuated. Per General surg recs: -cont wound care /packing bid. Son taught how to do per nursing. Referral also sent for RN to f/u and reinforce packing / dressing change bid -zosyn (9/14-9/16), transitioned to augmentin on DC to complete total 7 day course of abx -sitz baths tid and with each BM, warm compress to area for pain control -Econsult sent to general surgery clinic for f/u with pt after pt completes COVID isolation AKI on CKD - baseline scr 1.3-1.5, scr up to 1.68 9/15. Suspect prerenal with covid infection. No s/sx fluid overload on exam, bnp low on admission. Scr back to baseline with holding losartan and pushing po fluids -on DC, resumed losartan at half home dose 50mg daily, RN to recheck chem 7 on 9/18 -hold hctz for now 1 of 2 bcx 9/13 with coag negative Staph (Staph hominis) - contaminant, no further evaluation indicated. OSA - cont home cpap qhs DM2 - on diet control PTA, minimal fsbg elevation while on decadron treated with SSI in hospital ATRIAL FIBRILLATION, PAROXYSMAL - no acute issues. cont PTA coreg, pradaxa GOUT - no acute issues. Cont pta allopurinol HX OF ISCHEMIC STROKE - no significant residual deficits per pt. -cont PTA pradaxa, ezetimibe, fish oil, antiHTN as above Procedures: Bedside I&D of right perianal abscess Reason for Hospital Admission (Admitting Diagnosis): Troponin elevation due to demand ischemia COVID 19 pneumonia with acute hypoxemic respiratory failure Right perianal abscess Complications: none Consults: General surgery


VAERS ID: 1745187 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Blood test, Cerebrovascular accident, Computerised tomogram, Dizziness, Dysarthria, Feeling abnormal, Gait inability, Hemiplegia, Impaired driving ability, Magnetic resonance imaging
SMQs:, Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 20 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nexium Zyrtek Occovite Advil Celexa Synthroid
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: MRI 09/13/2021 CAT SCAN 09/13/2021 BLOOD WORK 09/13/2021
CDC Split Type:

Write-up: My mother was given the vacine at 1:00 and was told she could leave immediately. She shopped around the store with my younger brother and began to feel funny. SHe then told him he needed to driver her home. She started to feel dizzy, right arm felt funny, speech became slurred. Once she arrived at home, she tried to lay down. She called me at 4pm and she sounded horrible. I was unable to communicate with her as her speech was so impaired. I drove over and found her unable to talk or walk as her whole right side was not working. We rushed to the hospital and was told she had a stroke. She was a perfectly healthy woman. No history of high blood pressure or any leading factors of a stroke. We have now been in the hospital for 17 days as she is having to learn to speak and walk again. She still has no movement in her right hand.


VAERS ID: 1745284 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-09-12
Onset:2021-09-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH DD8448 / 1 LA / SYR

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? 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: Augmentin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heart palpitations since the day after the injection. Happens randomly but several times per day and lasts for about 5 seconds each time.


VAERS ID: 1745460 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, C-reactive protein increased, Chills, Dehydration, Delirium, Differential white blood cell count abnormal, Dysstasia, Fatigue, Haematuria, Leukopenia, Myalgia, Neutrophilia, Platelet count decreased, Pyrexia, Thrombocytopenia
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Myelodysplastic syndrome (broad), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Dehydration (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: Crestor 5 mg po 4x/wk Omeprazole 20 mf po qd Vit D3 2000 mf po qd CoQ10 200 mg pi qd L-Citrullibe 1500 mg pi od
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Thrombocytopenia: 120,000 Elevated CRP: 14 Microscopic Hematuria:2/3 Abnormal differential: Neutrophilia, leukopenia
CDC Split Type:

Write-up: Fever, delirium, chills, severe arthralgias and myalgias, severe fatigue, inability to stand, dehydration


VAERS ID: 1745646 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Immediate post-injection reaction, Muscle tightness, Pain in jaw
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Osteonecrosis (broad), 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: OCP
Current Illness: None
Preexisting Conditions: None
Allergies: Dicloxacillin, doxycycline
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediately after jaw pain and still having jaw pain three weeks later. It?s almost like a jaw tightness. Also shortness of breath which I still have to some extent. No treatment sought.


VAERS ID: 1745923 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-02-25
Onset:2021-09-13
   Days after vaccination:200
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 010A21A / 1 RA / IM

Administered by: Other       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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: gout
Allergies: no
Diagnostic Lab Data: + covid test on 9/13/21
CDC Split Type:

Write-up: Patient was diagnosed with a breakthrough case of covid-19 on 9/13/21 despite getting vaccinated with the covid vaccine on 2/25/21 and 3/25/21.


VAERS ID: 1747523 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-09-12
Onset:2021-09-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Fatigue, Impaired driving ability, Impaired work ability, Presyncope, Pyrexia, Seizure, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Hepatitis is B vaccine 2003 seizure 1-3 hours after vaccination.
Other Medications: Gabapentin, paxil, albuterol, buspar
Current Illness: Sore throat
Preexisting Conditions: Asthma
Allergies: Latex, bananas
Diagnostic Lab Data: None so far.
CDC Split Type:

Write-up: Near syncope 12 minutes after injection. Seizure 2 pm following day. Seizure approximately 9 that night. Fatigue, fever. Called dr the next morning and the nurse said to rest and not to drive or go to work and as long as I was feeling better and improving that it would be ok. Blurry vision x 2 weeks and still not all the way better.


VAERS ID: 1748001 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-12
Onset:2021-09-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Haemorrhage, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101210661

Write-up: Bleeding; Cramping; This is a spontaneous report from a contactable consumer (patient). A 40-year-old non-pregnant female patient received the second dose of BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in the left arm on 12Sep2021 12:00 (batch/lot number was not reported) at the age of 40 years old, as DOSE 2, SINGLE for COVID-19 immunization. The vaccine was administered at a Pharmacy or Drug Store facility type. The patient''s medical history was not reported. Patient had no history of COVID-19 infection prior to vaccination. There were no concomitant medications. Patient did not receive other vaccine in four weeks and other medications in two weeks. The patient previously took aspirin [acetylsalicylic acid] and experienced allergies. The patient previously received the first dose of BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in the left arm on 21Aug2021 11:45 AM (batch/lot number was not reported) at the age of 40 years old, as DOSE 1, SINGLE for COVID-19 immunization. The patient experienced cramping and bleeding which started the next day (on 13Sep2021) after the 2nd shot. It was reported that patient was still bleeding at the time of reporting (day3 post injection). The events resulted in doctor or other healthcare professional office/clinic visit. It was unknown if patient received treatment for the events. The patient has not recovered from the event bleeding. Outcome of the event cramping was unknown. Patient has not tested for COVID-19 post vaccination No follow-up attempts are possible; information about the batch/lot number cannot be obtained. No further information is expected.


VAERS ID: 1749379 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-24
Onset:2021-09-13
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Chest pain, Computerised tomogram abdomen, Dizziness, Dysmenorrhoea, Full blood count, Haematocrit decreased, Haemoglobin decreased, Heavy menstrual bleeding, Ultrasound pelvis
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nexium, Ursodiol, desvenlafaxine, vitamin d 5,000
Current Illness: Liver disease, sarcoidosis
Preexisting Conditions: Liver and sarcoidosis
Allergies: None
Diagnostic Lab Data: Pelvic ultrasound, CBC, Ct of abd
CDC Split Type:

Write-up: Severe abd pain during menstrual cycle, passing blood clots, low H&H, severe dizziness and chst pains


VAERS ID: 1749796 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-03-01
Onset:2021-09-13
   Days after vaccination:196
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016M20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Headache, Influenza A virus test negative, Influenza B virus test, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Sep 13, 2021@16:36:49 FLU A (CEPHEID) NEGATIVE, FLU B (CEPHEID) NEGATIVE, RSV (CEPHEID) NEGATIVE COVID-19 (CEPHEID) POSITIVEA*
CDC Split Type:

Write-up: C/o headache, cough, sneezing off/on x1 wk.


VAERS ID: 1750124 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-09-07
Onset:2021-09-13
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood test normal, COVID-19, Computerised tomogram normal, Decreased appetite, Dyspnoea, Feeling abnormal, Positive airway pressure therapy, Pyrexia, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin, lipitor, lidoderm patch, lopressor, lyrica, requip, senna.
Current Illness: None noted.
Preexisting Conditions: Hyperlipidemia, adrenal hyperplasia, hepatic cyst, atherosclerosis, peripheral vascular disease, aortic stenosis, obesity (BMI 30-34.9), paroxysmal atrial fibrillation, coronary artery disease, history of pulmonary embolism, anemia, restless leg syndrome, hypertension, dysthesia, DM2, arthritis, chronic kidney disease.
Allergies: Watermelon, niacin preparations.
Diagnostic Lab Data: COVID "detected" swab on 09/13/21.
CDC Split Type:

Write-up: Patient admitted to hospital within a week of second COVID vaccine. Patient had second dose of Pfizer on 09/07/21, she came to ED on 09/10/21 for weakness, fever, and vomitting - was not COVID tested at time symptoms were attributed to vaccine side effects. Patient returned 09/11/21 reporting same symptoms, bloodwork and CT unremarkable so she discharged home. She came in again on 09/13/21 reporting she "hadn''t felt right" since her second vaccine and her husband tested positive for COVID. She reports loss of appetite and start of shortness of breath. Patient tested positive for COVID on 09/13/21 and required CPAP support for respiratory needs.


VAERS ID: 1750164 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EC3182 / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Malaise, 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: Vitamin D and C Zyrtec
Current Illness: None
Preexisting Conditions: None
Allergies: No allergy but prescription pain medicine does not agree with me.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Felt nauseas initially and later felt low fever, head and body ache, tiredness for next couple of days. Not feeling completely well for 5 days. Occasional nausea once in awhile. (This occurred with third dose. I did not have a bad reaction with first or second dose).


VAERS ID: 1750210 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-03-11
Onset:2021-09-13
   Days after vaccination:186
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nexplanon
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: COVID-19 RNA, NAAT test on 9/13/2021
CDC Split Type:

Write-up: Contracted COVID-19 on 9/13/21 after complete Moderna vaccination series


VAERS ID: 1751821 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-01
Onset:2021-09-13
   Days after vaccination:165
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, Anxiety, COVID-19, Dyspnoea, Erythema, Nasal congestion, Neck pain, SARS-CoV-2 test, Swelling, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Taste and smell disorders (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: EQUATE [IBUPROFEN]
Current Illness: Anxiety
Preexisting Conditions: Medical History/Concurrent Conditions: Bronchitis; Thyroid disorder NOS
Allergies:
Diagnostic Lab Data: Test Date: 20210913; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: Positive
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: anxiety issues; lose my taste and smell overnight; lose my taste and smell overnight; a little sore when you press where they check your thyroid; COVID-19; stuffed up nose; couldn''t breathe out of it at all, it was just a solid brick; a little bit of wheezing; neck was swollen; red; This spontaneous case was reported by a consumer and describes the occurrence of NASAL CONGESTION (stuffed up nose), DYSPNOEA (couldn''t breathe out of it at all, it was just a solid brick), WHEEZING (a little bit of wheezing), SWELLING (neck was swollen) and ERYTHEMA (red) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Thyroid disorder NOS and Bronchitis. Concurrent medical conditions included Anxiety. Concomitant products included IBUPROFEN (EQUATE [IBUPROFEN]) for Allergy. In April 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In May 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Sep-2021, the patient experienced NASAL CONGESTION (stuffed up nose), DYSPNOEA (couldn''t breathe out of it at all, it was just a solid brick), WHEEZING (a little bit of wheezing), SWELLING (neck was swollen), ERYTHEMA (red), NECK PAIN (a little sore when you press where they check your thyroid) and COVID-19 (COVID-19). On 21-Sep-2021, the patient experienced AGEUSIA (lose my taste and smell overnight) and ANOSMIA (lose my taste and smell overnight). On an unknown date, the patient experienced ANXIETY (anxiety issues). The patient was treated with XYLOMETAZOLINE HYDROCHLORIDE (SUDAFED [XYLOMETAZOLINE HYDROCHLORIDE]) in September 2021 for Adverse event, at a dose of UNK dosage form; LEVOTHYROXINE in September 2021 for Adverse event, at a dose of UNK dosage form and HYDROXYZINE in September 2021 for Adverse event, at a dose of UNK dosage form. At the time of the report, NASAL CONGESTION (stuffed up nose), DYSPNOEA (couldn''t breathe out of it at all, it was just a solid brick), WHEEZING (a little bit of wheezing), SWELLING (neck was swollen), ERYTHEMA (red), ANXIETY (anxiety issues) and NECK PAIN (a little sore when you press where they check your thyroid) had not resolved, COVID-19 (COVID-19) outcome was unknown and AGEUSIA (lose my taste and smell overnight) and ANOSMIA (lose my taste and smell overnight) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Sep-2021, SARS-CoV-2 test: positive (Positive) Positive. Concomitant information was not reported. Most recent FOLLOW-UP information incorporated above includes: On 23-Sep-2021: Follow up received on 23-Sep-21 contains significant information, events not recovered and new events loss of smell and taste reported and they are recovering..; Sender''s Comments: This case concerns a 44 year-old, male with a history of bronchitis , thyroid disease and anxiety, who experienced the unexpected events of COVID19, nasal congestion, dyspnoea, wheezing, swelling, erythema and anxiety. The events occurred approximately 5 month after the first dose and 4 month after the most recent dose (second dose) of mRNA-1273 Moderna vaccine (exact date of vaccination has not been provided). The patient has been exposured to COVID, and tested positive (based on this information and symptoms presented "covid19 was added as event), COVID19 itself added to his medical history of brochitis and anxity could be a potentially confounders The benefit-risk relationship of mRNA-1273 Moderna vaccine in not affected by this report.


VAERS ID: 1752018 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-09-12
Onset:2021-09-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301358A / 2 LA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy (known allergies Penicillin)
Allergies:
Diagnostic Lab Data: Test Name: fever; Result Unstructured Data: Test Result:Slightly elevated
CDC Split Type: USPFIZER INC202101197321

Write-up: Headache; Slightly elevated fever; This is a spontaneous report from a contactable consumer. A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: 301358A), via intramuscular route of administration, administered in Arm Left on 12Sep2021 17:15 as dose 2, single for COVID-19 immunization (at the age of 17-year-old). The patient medical history included known allergies to Penicillin. Concomitant medications included Ibuprofen (ADVIL (IBUPROFEN)). Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EW0198), via an unspecified route of administration on 18Aug2021 (at the age of 17-year-old) as dose 1, single for COVID-19 immunization. It was stated that, patient did not receive any other vaccine in four weeks prior COVID vaccine. The concomitant medication (Patient took other medications in two weeks) include Advil. Patient was not diagnosed with COVID-19 prior to vaccination, and not been tested for COVID-19 since the vaccination. On 13Sep2021 07:00, the patient experienced headache and slightly elevated fever. The patient underwent lab tests and procedures which included fever: slightly elevated on an unspecified date. No therapeutic measures were taken as a result of events. The outcome of the events was recovering. Follow-up attempts are completed. No further information is expected


VAERS ID: 1752041 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD3183 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Asthma, Body temperature, Chills, Dizziness, Dyspnoea, Headache, Hyperhidrosis, Hypersomnia, Insomnia, Myalgia, Nasopharyngitis, Pyrexia, Sluggishness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CELEXA [CELECOXIB]; MORPHINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: ADHD (Attention deficit hyperactivity disorder); Asthma; Blood pressure high; Chronic pain; COVID-19; Depression; Hypothyroidism; Sulfonamide allergy (Allergies: Sulfa drugs)
Allergies:
Diagnostic Lab Data: Test Date: 20210913; Test Name: Temperature; Result Unstructured Data: Test Result:100; Comments: fever 100
CDC Split Type: USPFIZER INC202101219461

Write-up: Asthma but have never had an attack like that; Feeling extremely weak; Sluggish; Sleepy/I kept waking up gasping for air but I could not wake enough to move; Dizzy; Headache; Felt as though I had a cold; Severe muscle and joint pain; Severe muscle and joint pain; Trouble breathing; Could not sleep at all; Fever 100; Severe chills; Sweat; Still no energy; This is a spontaneous report from a contactable consumer (patient). A 49-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in arm left on 13Sep2021 15:30 (at the age of 49 years old) (Batch/Lot Number: FD3183) as single dose for COVID-19 immunization. Patient was not pregnant at the time of vaccination. Medical history included asthma, low thyroid, chronic pain, high blood pressure, depression, ADHD (Attention deficit hyperactivity disorder), Allergies: Sulfa drugs. Prior to vaccination, the patient was diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included celecoxib (CELEXA); morphine. The patient previously received the first dose of BNT162B2 (Lot Number: FD8448) in left arm on 30Aug2021 18:30 (at the age of 48 years old) for COVID-19 immunization. On 13Sep2021, within the first 2 hours patient started feeling extremely weak, sluggish, sleepy, dizzy, headache, felt as though she had a cold. Within 8 hours severe muscle and joint pain, headache, trouble breathing, could not sleep at all, fever 100, severe chills and sweat. What scared her the most was on the 15th at 6:30 am she kept waking up gasping for air but she could not wake enough to move. She has her asthma but have never had an attack like that. It felt as though she had been drugged. She finally tried to roll so she would fall off the bed. It did help when she hit the floor to wake enough to grab her inhaler. If she had not had one by her bed she truly do not believe she would be here. After that attack she slowly started feeling better. By that night she was feeling better. Still no energy. Treatment received for the event asthmatic attack, no treatment received for the other events. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovered in Sep2021.


VAERS ID: 1753037 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-07
Onset:2021-09-13
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Burning sensation, Headache, Influenza like illness, Neck pain, Pain, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (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: None
Current Illness: None
Preexisting Conditions: Only Mold allergy
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Burning sensation in the back of the head along with headaches on and off for over 3 weeks. Sore neck that irradiates to left arm and all the way to middle back on and off for 3 weeks. Flu like symptoms the day after the vaccine was received


VAERS ID: 1753998 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / SYR

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

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

Write-up: tinnitus


VAERS ID: 1754359 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-03-19
Onset:2021-09-13
   Days after vaccination:178
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040A21A / 2 LA / 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Breakthrough COVID infection following full vaccination.


VAERS ID: 1755837 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Vaccination site induration, Vaccination site pruritus, Vaccination site rash, Vaccination site reaction, Vaccination site warmth
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: USMODERNATX, INC.MOD20213

Write-up: COVID arm; injection site hot to the touch; injection site really hard; big round red rash on her injection arm; injection arm itches crazy; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (COVID arm), VACCINATION SITE WARMTH (injection site hot to the touch), VACCINATION SITE INDURATION (injection site really hard), VACCINATION SITE RASH (big round red rash on her injection arm) and VACCINATION SITE PRURITUS (injection arm itches crazy) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 13-Sep-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Sep-2021, the patient experienced VACCINATION SITE REACTION (COVID arm), VACCINATION SITE WARMTH (injection site hot to the touch), VACCINATION SITE INDURATION (injection site really hard), VACCINATION SITE RASH (big round red rash on her injection arm) and VACCINATION SITE PRURITUS (injection arm itches crazy). At the time of the report, VACCINATION SITE REACTION (COVID arm) had not resolved and VACCINATION SITE WARMTH (injection site hot to the touch), VACCINATION SITE INDURATION (injection site really hard), VACCINATION SITE RASH (big round red rash on her injection arm) and VACCINATION SITE PRURITUS (injection arm itches crazy) outcome was unknown. No concomitant medications were provided. The patient received both doses of the Moderna COVID-19 vaccine. The patient developed what is called COVID arm. It happened after the second dose and still has it. It was a big round red rash on injection arm that itches crazy, was hot to the touch and really hard. The red mark appeared almost immediately after the second dose. No treatment medications were provided.


VAERS ID: 1756072 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-10
Onset:2021-09-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0809 / 1 LA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Irritable bowel syndrome
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101234354

Write-up: hives; This is a spontaneous report from a contactable pharmacist. A 24-year-old female patient received bnt162b2 (BNT162B2), dose 1 intramuscular, administered in Deltoid Left on 10Sep2021 (at the age of 24-years-old) (Batch/Lot Number: FD0809) as DOSE 1, 0.3 ML SINGLE for covid-19 immunisation. Medical history included irritable bowel syndrome. The patient''s concomitant medications were not reported. On 13Sep2021, the patient experienced hives (medically significant). The Hives were noticed to be first experienced on the torso on Monday 13Sep2021. The Xifaxan was started on 17Sep2021. On an unspecified date, irritable bowel syndrome disorder. The outcome of the events was unknown.; Sender''s Comments: Based on the temporal relation, the association between the event of Urticaria and the suspect product of BNT162B2 cannot be completely ruled out. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1756481 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939902 / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Cellulitis, Chills, Dizziness, Erythema, Gait disturbance, Headache, Hypersensitivity, Pain, Pain in extremity, Peripheral swelling, Sensation of foreign body, Tenderness, Vertigo
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: protonix, topamax
Current Illness: Migraines, acid reflux
Preexisting Conditions: none
Allergies: sulfa, morphine sulfate, iodine, shellfish
Diagnostic Lab Data: none
CDC Split Type:

Write-up: within the first hour dizziness, headache, feeling like something was stock in throat when trying to eat. progressed to all over body pain, aches, chills then severe pain in right arm. arm began swelling to double size. Then it became red and painful to the touch. Patient was seen in clinic and diagnosed with delayed hypersensitivity reaction and given steroid and benadryl and oral antibiotic c was also given for cellulitis and shot of rocephin. Then a few days later developed severe vertigo and difficulty walking. Patient was given oral medications for vertigo but they are ineffective .


VAERS ID: 1756498 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-09-09
Onset:2021-09-13
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blindness, Burning sensation, Chest X-ray, Ocular discomfort, Ophthalmological examination abnormal, Pain, Pruritus, Retinal scar, Uveitis
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Glaucoma (broad), Optic nerve disorders (broad), Corneal disorders (broad), Retinal disorders (narrow), Ocular infections (broad), Hypersensitivity (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? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid Suboxone
Current Illness: I am being worked up for suspected thyroid problem.
Preexisting Conditions: None
Allergies: no allergies
Diagnostic Lab Data: lab tests pending. chest xray
CDC Split Type:

Write-up: I had a sudden onset of general irritation leading to pain, itching, burning, feeling of my eyes ballooning and significant loss of vision to both of my eyes. I do not wear glasses and have no other eye conditions. I made an urgent appointment and went to the eye doctor on 9/16/21. He prescribed me Predisolone eye drops to be used every 2 hours. The Dr was a Optometrist and made me an appointment with an Opthalmologist for the next day 9/17/21. Dr diagnosed me with significant loss of vision, scar tissue in my right eye and acute uveitis of both eyes, prescribed dialating eye drops, continue prednisolone eye drops cyclopentolate and made me an an urgent appointment with Glaucoma Specialist. She has referred me to a retina specialist with my appointment 10/14/21.


VAERS ID: 1757024 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cough, Dizziness, Dyspnoea, Nasopharyngitis, Pain, Pyrexia, Somnolence
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: started with feeling dizzy then feeling sleepy, cold and difficulty in breathing after that the fever started with extreme body pain the fever continued for 9 straight hours next day had a fever for 2 hours and the body pain continued with the headaches, coughing and the breathing problems after 4 days the fever was gone but the body pain and the breathing was still affected now it has been 2 weeks since i got vaccinated and my body still hurts and i have problems with breathing after talking for a while, walking fast, screaming or even just cleaning my room for like 5 mins.


VAERS ID: 1757128 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-02
Onset:2021-09-13
   Days after vaccination:195
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chest discomfort, Dyspnoea, Oxygen saturation decreased
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamin; Vitamin B12; Vitamin D3; Synthroid; Oxybutynin
Current Illness: Chest pressure; cough; fever; nausea
Preexisting Conditions: Sleep apnea; hypothyroidism; headaches; shortness of breath
Allergies: Bees; Letrozole; Nickel
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospital course: A 76-year-old female patient with history of multiple medical problems was vaccinated for COVID-19. She recently diagnosed with COVID-19 infection 9 days prior to presentation. She went to the emergency room because of worsening shortness of breath and chest pressure. Evaluation in the emergency room unremarkable (except for low oxygen with patient requiring 2 L of oxygen per nasal cannula). Upon admittance, she was placed on aggressive pulmonary toilet, bronchodilators, dexamethasone and antibiotics. She showed remarkable improvement and considered appropriate for discharge. She will follow-up with primary medical doctor in 7 to 14 days. She will return to emergency room for recurrent or worsening symptoms.


VAERS ID: 1757156 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-09-10
Onset:2021-09-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Neck pain, Oropharyngeal pain, Productive cough
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Arthritis (broad), Infective pneumonia (broad)

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

Write-up: Constant headache. Sore throat with phlegm. General tiredness and fatigue. Neck pains.


VAERS ID: 1757256 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-09-12
Onset:2021-09-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 1 LA / IM

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

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

Write-up: Patient came to pharmacy today complaining of soreness in her left arm after getting the shot. She states this has been going on for weeks after the shot.


VAERS ID: 1757274 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-09-11
Onset:2021-09-13
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 AR / SYR

Administered by: Military       Purchased by: ?
Symptoms: Axillary pain, Breast tenderness, Chills, Headache, Muscular weakness, Pain, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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? Yes
Hospitalized? No
Previous Vaccinations: Muscle pain, sore throat, runny nose
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: No medical tests were performed
CDC Split Type:

Write-up: I started having fever, chills and muscle weakness within 24 hours of receiving the vaccine. For the next few days, these symptoms persisted. When the symptoms subsided (although not completely gone) around 9/15, I started getting headaches. One or more a day for the next few days. On 9/20/21, I began having dull, right breast tenderness and right armpit pain. That persisted for a week and then on 9/27, I noticed I had a rash on my back and noticed that it had been in a line around my armpit and to the right breast. Wherever there was a rash, there was intermittent shooting pain. This is the symptom state I have now. Shooting pain that persists throughout the day and a rash.


VAERS ID: 1757437 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myocarditis, Palpitations, Retinal haemorrhage, Vitreous detachment, Vitreous floaters
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (broad), Cardiomyopathy (broad), Retinal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None on the past penicillin.
Diagnostic Lab Data: My Myocarditis after informing primary care physician said it was normal of heart pounding feeling and chest so myocarditis normal so he didn?t Offer tests. Tests were done on eye and both eye specialists have results. I only feel better from myocarditis but active symptoms for eye issue
CDC Split Type:

Write-up: 9/13 Myocarditis started 1 hour after moderate and lasted a week but contacted Primary Physician on Friday 9/17 of symptoms . He said it was normal so no need for any tests per the office. On 9/26 eye developed eye floaters and went to Ophthalmologist. After examination he said I had Posterier Vitreous Detachment. I went to another specialist and he said I had some retinal bleeding and said maybe retinal tear or detachment soon.


VAERS ID: 1757567 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-12
Onset:2021-09-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Balance disorder, Disturbance in attention, Dizziness, Headache, Hyperhidrosis, Pain in extremity, Peripheral swelling, Rash, Scan, Tremor, Ultrasound Doppler, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: iron fusion
Other Medications: Zoloft Hydroxichrolene
Current Illness:
Preexisting Conditions: Lupus Sjrogen Disease heart papilations, low blood pressure chronic lung disease hypoglycemia suspisious throyid vision airpaire left eye anemia
Allergies: codeine
Diagnostic Lab Data: went to doctor to check symptoms as well as doppler test to see if there was blood clot went to neurologist will be getting brain scan
CDC Split Type:

Write-up: severe pain in right arm, threw up, headache dizzy shakes, sweats, rash and swelling on both legs difficult to concentrate balance is off


VAERS ID: 1758727 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-02-05
Onset:2021-09-13
   Days after vaccination:220
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Adenovirus test, Anticoagulant therapy, Bordetella test negative, COVID-19, Chest X-ray abnormal, Chlamydia test negative, Chondrocalcinosis, Coronavirus test negative, Cystitis, Enterovirus test negative, Exostosis, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Injury, Intensive care, Interstitial lung disease, Joint effusion, Joint space narrowing, Mycoplasma test negative, Neurological symptom, Osteoarthritis, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive, Soft tissue swelling, Vascular calcification, Viral test negative, X-ray limb abnormal
SMQs:, Angioedema (broad), Interstitial lung disease (narrow), Accidents and injuries (narrow), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Arthritis (narrow), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: aspirin 81 mg tablet atorvastatin (LIPITOR) 80 mg tablet carvediloL (COREG) 12.5 mg tablet clopidogreL (PLAVIX) 75 mg tablet cyanocobalamin (vitamin B-12) 1,000 mcg tablet ferrous gluconate (FERGON) 324 mg (38 mg iron) tablet finaster
Current Illness:
Preexisting Conditions: Essential hypertension Dyspnea Solitary pulmonary nodule COPD with chronic bronchitis Sleep disorder Obesity Gastroesophageal reflux disease without esophagitis Left bundle branch block Other hyperlipidemia Disorder of autonomic nervous system Atherosclerotic heart disease of native coronary artery with angina pectoris History of tobacco abuse Non-ST elevation MI Acute on chronic kidney failure COVID-19 virus infection Coronary artery disease Anemia Status post fall
Allergies: NKA
Diagnostic Lab Data: 09/13/21 1750 Respiratory virus detection panel Collected: 09/13/21 1650 | Final result | Specimen: Swab from Nasopharynx Adenovirus Not Detected Mycoplasma pneumoniae Not Detected Chlamydophila pneumoniae Not Detected Parainfluenza Not Detected COVID-19 SARS-CoV-2 Overall Result Detected Critical Enterovirus/Rhinovirus Not Detected Coronavirus Not Detected Respiratory Syncytial Virus Not Detected Influenza A Not Detected Bordetella pertussis Not Detected Influenza B Not Detected Bordetella parapertussis Not Detected Metapneumovirus Not Detected Procedure Component Value Ref Range Date/Time X-ray knee right 4+ views with patella [3302782936] Resulted: 09/13/21 1836 Order Status: Completed Updated: 09/13/21 1836 Narrative: XR KNEE RIGHT 4 OR MORE VIEWS WITH PATELLA IMPRESSION: 1. Soft tissue swelling with small knee effusion. 2. No acute fracture seen. 3. Mild osteoarthritis and chondrocalcinosis changes of the knee. END OF IMPRESSION: INDICATION: trauma. TECHNIQUE: AP, oblique, tunnel, sunrise and lateral views of the right knee. COMPARISON: None FINDINGS: There is mild medial joint space narrowing. Soft tissue swelling is seen in the anterior and medial knee. Minimal marginal osteophyte formation is present. Chondrocalcinosis is noted. No fracture or dislocation seen. There is a small knee effusion. Vascular calcifications are present. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. X-ray knee left 4+ views with patella [3302782937] Resulted: 09/13/21 1830 Order Status: Completed Updated: 09/13/21 1830 Narrative: XR KNEE LEFT 4 OR MORE VIEWS WITH PATELLA IMPRESSION: 1. No acute osseous injury seen. 2. Osteoarthritis changes of the knee. 3. Chondrocalcinosis. 4. Soft tissue swelling and small knee effusion. END OF IMPRESSION: INDICATION: trauma. TECHNIQUE: AP, oblique, tunnel, sunrise and lateral views of the left knee. COMPARISON: None FINDINGS: Mild soft tissue swelling is noted at the anterior and medial knee. Chondrocalcinosis is present. No fracture or dislocation seen. There is a small knee effusion. There is mild medial joint space narrowing. Marginal osteophyte formation is noted. Alignment is near anatomical. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. X-ray chest 1 view [3302779474] Resulted: 09/13/21 1819 Order Status: Completed Updated: 09/13/21 1819 Narrative: XR CHEST 1 VW IMPRESSION: 1. Mild bilateral interstitial prominence of uncertain acuity. Consider pulmonary edema versus interstitial lung disease. No acute consolidation seen. END OF IMPRESSION: INDICATION: Stroke symptoms. TECHNIQUE: Portable view(s) of the chest are provided. COMPARISON: 8/20/2020 FINDINGS: The lungs are adequately inflated. There is no effusion, consolidation or pneumothorax identified. Mild diffuse interstitial prominence is noted bilaterally. The cardiac silhouette, pulmonary vasculature and bony thorax are within normal limits for age.
CDC Split Type:

Write-up: 9/13/2021 - 9/20/2021 (7 days) Last attending ? Treatment team Acute cystitis without hematuria Principal problem * (Principal) Acute cystitis without hematuria Yes Non-ST elevation MI (NSTEMI) Yes Acute on chronic kidney failure Yes COVID-19 virus infection Yes Generalized weakness Yes Coronary artery disease Yes Anemia Yes Status post fall Not Applicable Medical Problems Plan: 84-year-old gentleman presents with multiple''s complaints and he has non-ST elevation MI, acute on chronic kidney failure COVID-19 infection with hypoxemia and generalized weakness. At this point he is going to be admitted, I will give him IV heparin aspirin beta blockers and nitrates. We will cycle his troponins and he will be seen by cardiology. Cardiologist was informed from emergency room and since there are no beds available in the surrounding hospitals he will be kept here. I will hold off on his statin and check patient''s CPK. If CPK is acceptable we will continue statin. At the same time urine will be cultured and patient be on Rocephin. For the Covid patient will be supplied with oxygen, will put home on dexamethasone. Until kidney function improves remdesivir is not indicated. Will give cautious IV hydration especially with underlying MI. I reviewed his records in February his EF was normal. Will continue IV fluid and monitor kidney function. I discussed patient''s CODE STATUS with him given with all this medical active issues. He wants to be full code. Eventually PT OT for placement. Note, patient''s knee x-rays are not read by radiologist. Grossly there not showing any fracture. If there is any issues orthopedic services should be involved. VTE prophylaxis: IV heparin Full Code


VAERS ID: 1758766 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-20
Onset:2021-09-13
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Echocardiogram, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Myopericarditis. Pt had chest pain was seen at the hospital. Had echocardiogram which showed normal EF, Myopericarditis. Was sent home with Colchicine and Ibuprofen but had not picked it 5 days later when he came for follow-up. Pt was feeling well at follow-up. Was told to pick up meds and also was referred to Cardiologist.


VAERS ID: 1758978 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-03
Onset:2021-09-13
   Days after vaccination:194
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Adenovirus test, Angiogram pulmonary abnormal, Arteriosclerosis coronary artery, Blood creatinine increased, Blood culture negative, Blood glucose normal, Blood potassium, Blood sodium decreased, Blood urea abnormal, Bordetella test negative, Brain natriuretic peptide normal, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Chlamydia test negative, Chronic obstructive pulmonary disease, Condition aggravated, Coronavirus test negative, Cough, Dyspnoea, Electrocardiogram normal, Enterovirus test negative, Full blood count, Glomerular filtration rate abnormal, Haemoglobin decreased, Human metapneumovirus test, Human rhinovirus test, Hypoxia, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Interstitial lung disease, Laboratory test normal, Lung consolidation, Lung infiltration, Lung opacity, Myalgia, Mycoplasma test negative, Pneumonia, Procalcitonin, Pulmonary fibrosis, Pyrexia, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive, Scan with contrast abnormal, Sepsis, Troponin normal, Viral test negative, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Sepsis (narrow), 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? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler apixaban (ELIQUIS) 2.5 mg tablet aspirin 81 mg tablet atorvastatin (LIPITOR) 40 mg tablet budesonide-formoteroL (SYMBICORT) 80-4.5 mcg/actuation inhaler (Expired) citalopram (
Current Illness:
Preexisting Conditions: Nervous Hearing loss Respiratory Lung nodule Pulmonary emphysema, unspecified emphysema type COPD (chronic obstructive pulmonary disease) with acute bronchitis Right lower lobe pneumonia Circulatory Essential hypertension Peripheral vascular disease Musculoskeletal Osteoarthritis Tick bite, initial encounter Endocrine/Metabolic Hypothyroidism Mixed hyperlipidemia Other Episode of recurrent major depressive disorder Bereavement Steroid-induced psychosis with complication
Allergies: PrednisoneAnxiety Zosyn [Piperacillin-tazobactam]Shortness of breath / Dyspnea
Diagnostic Lab Data: 09/18/21 1315 Respiratory virus detection panel Collected: 09/18/21 1201 | Final result | Specimen: Swab from Nasopharynx Adenovirus Not Detected Mycoplasma pneumoniae Not Detected Chlamydophila pneumoniae Not Detected Parainfluenza Not Detected COVID-19 SARS-CoV-2 Overall Result Detected Critical Enterovirus/Rhinovirus Not Detected Coronavirus Not Detected Respiratory Syncytial Virus Not Detected Influenza A Not Detected Bordetella pertussis Not Detected Influenza B Not Detected Bordetella parapertussis Not Detected Metapneumovirus Not Detected 09/13/21 2139 Respiratory virus detection panel Collected: 09/13/21 1835 | Final result | Specimen: Swab from Nasopharynx Adenovirus Not Detected Mycoplasma pneumoniae Not Detected Chlamydophila pneumoniae Not Detected Parainfluenza Not Detected COVID-19 SARS-CoV-2 Overall Result Detected Critical Enterovirus/Rhinovirus Not Detected Coronavirus Not Detected Respiratory Syncytial Virus Not Detected Influenza A Not Detected Bordetella pertussis Not Detected Influenza B Not Detected Bordetella parapertussis Not Detected Metapneumovirus Not Detected Procedure Component Value Ref Range Date/Time X-ray chest 1 view - Portable Resulted: 09/13/21 1948 Order Status: Completed Updated: 09/13/21 1948 Narrative: XR CHEST 1 VW PORT IMPRESSION: 1. No acute cardiopulmonary abnormality. 2. Chronic changes of the chest. END OF IMPRESSION: INDICATION: SOB, fever. TECHNIQUE: Portable view(s) of the chest are provided. COMPARISON: 8/13/2021 FINDINGS: EKG leads overlie the chest. The lungs are adequately inflated. Mild chronic pulmonary parenchymal scarring is noted. There is no effusion, consolidation or pneumothorax identified. The cardiac silhouette, pulmonary vasculature and bony thorax are within normal limits for age. CT angiogram chest pulmonary embolism with and without contrast Resulted: 09/18/21 1136 Order Status: Completed Updated: 09/18/21 1136 Narrative: CTA CHEST PULMONARY EMBOLISM W WO CONTRAST IMPRESSION: 1. No evidence of pulmonary embolus. 2. Diffuse interstitial infiltrate as well as patchy areas of consolidation in right lower lobe, probably representing pneumonia. There are also mild increased interstitial markings in left lung base. These findings are new compared to previous CT chest dated 7/26/2021. 3. In addition, there is a persistent 8 mm nodular density in the right lung apex. This is of uncertain etiology. It has somewhat spiculated margins. It is similar in size compared to chest CT dated 7/26/2021. Cannot rule out neoplastic process. Consider PET/CT for further evaluation to rule out malignancy. END OF IMPRESSION: INDICATION: Covid positive. Probable pneumonia. Elevated D-dimer. , Patient, 82 years, Male TECHNIQUE: After the uneventful administration of IV contrast, contiguous axial slices were obtained throughout the pulmonary arteries. Coronal and sagittal reformatted images were obtained. Images were obtained CONTRAST: 100mL of IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION administered INTRAVENOUS. Up-to-date CT equipment and radiation dose reduction techniques were employed. CTDIvol: 6.8 - 15.8 mGy. DLP: 600 mGy-cm. COMPARISON: None FINDINGS: There is adequate contrast opacification of the pulmonary arterial system. Examination of the main and segmental bilateral pulmonary arteries demonstrates no evidence of filling defects . The aorta and great vessels are unremarkable. There is no pericardial effusion. No lymphadenopathy is appreciated. There is fairly severe diffuse increased interstitial markings throughout the right lower lobe. There are also some small scattered areas of consolidative changes in the right lower lobe as well. This is probably due to pneumonia. There are also mild increased interstitial markings in the left lung base. In addition, there is a persistent 8 mm nodular density in the right lung apex. This is of uncertain etiology. It has somewhat spiculated margins. It is similar in size compared to chest CT dated 7/26/2021. Cannot rule out neoplastic process. Consider PET/CT for further evaluation to rule out malignancy. There are no acute osseous abnormalities. There is no pleural effusion or pneumothorax. Coronary artery calcifications noted This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. X-ray chest 1 view, Portable Resulted: 09/18/21 0915 Order Status: Completed Updated: 09/18/21 0915 Narrative: XR CHEST 1 VW ,9/18/2021 8:55 AM IMPRESSION: There is some new moderate interstitial infiltrate in the right lung base. This is probably due to pneumonia. The lungs are emphysematous in appearance END OF IMPRESSION: INDICATION: Suspected sepsis Suspected sepsis. Covid 19 positive ,patient, 82 years, Male TECHNIQUE: Portable AP view of the chest. COMPARISON: 9/13/2021 FINDINGS: The heart is normal in size. There is some new moderate interstitial infiltrate in the right lung base. The lungs are emphysematous in appearance. No pleural effusion. There is no pneumothorax.
CDC Split Type:

Write-up: ED to Hosp-Admission Discharged 9/13/2021 - 9/16/2021 (3 days) Hospital CRNP Last attending ? Treatment team Shortness of breath Medical Problems Hospital Problems POA Essential hypertension Yes Hypothyroidism Yes Mixed hyperlipidemia Yes Peripheral vascular disease Yes Stage 3b chronic kidney disease Yes Pulmonary emphysema, unspecified emphysema type Yes COPD (chronic obstructive pulmonary disease) with acute bronchitis Yes Medical Problems Problem List Resolved POA Resolved Problems * (Principal) Shortness of breath 9/16/2021 Yes HPI: Patient is an 82 y.o. male patient of Dr. with past medical history of COPD secondary to emphysema, HLD, HTN, CKD-II, PVD (L iliac and b/l SFA), and hypothyroidism. He presents today with complaints of shortness of breath. It has been increasingly worse. He was admitted recently with COPD exacerbation. Vaccinated for COVID-19. He had been feeling quite well, but woke up today with myalgias and difficulties breathing. Mild cough, no pleuritic chest pain at this time, no vomiting, no diarrhea at this time. No sick contacts noted per him. Low grade temp of 100.5. Creatinine only slightly elevated, troponin normal, XR normal, BNP normal, labs otherwise unremarkable. EKG appropriate. Hospital Course: Patient was admitted to general MedSurg observation. For a brief period of time he did need supplemental oxygen at 2 L via nasal cannula. By the afternoon of 9/14/2021, he no longer needed supplemental oxygen. At time of discharge, his O2 sat was 96% on room air. Additionally, labs were followed. At time of discharge, blood cultures continue to be negative. On admission, procalcitonin was 0.09; it did continue to decrease and on 9/16/2021 it was 0.07. CBC was monitored; WBC continued to be within normal range; hemoglobin on day of discharge was 12.9 (was 13.1 on admission). Chemistries were also monitored. On admission, sodium was 132; on discharge sodium had improved to 134. Potassium continued to be at goal throughout his stay. Creatinine, BUN and EGFR were also improved at time of discharge and at goal. Glucose was minimally elevated at 112 on day of discharge. Of note, CRP on day of admission was 11.8 and on 9/15/2021 it was 8.4. Again, patient continued to improve over the course of his stay. When he was admitted he was prescribed Decadron 6 mg daily. That was continued at time of discharge for a complete 10-day course (he had 3 daily Decadron while in the hospital and prescription was for #7). He was also prescribed a 30-day course of Eliquis as a prophylaxis for any type of coagulation. He is to continue the Plavix as prescribed. No other medications were changed. Patient is alert, oriented, stable, and answering all questions appropriately. He is able to make his own decisions. He is able to perform his own ADLs. At this time, he is in agreement with the plan and feels comfortable to be discharged home. He is aware that if symptoms return, he is to return to the ER. He was advised and self quarantining as well as wearing mask when he is within 6 feet of other people including in the car on the way home. ED to Hosp-Admission Discharged 9/18/2021 - 9/22/2021 (4 days) Hospital MD Last attending ? Treatment team Right lower lobe pneumonia Hospital Problems POA * (Principal) Right lower lobe pneumonia Yes Essential hypertension Yes Bereavement Not Applicable Pulmonary emphysema, unspecified emphysema type Yes COPD (chronic obstructive pulmonary disease) with acute bronchitis Yes Steroid-induced psychosis with complication Unknown Episode of recurrent major depressive disorder Yes 1 right lower lobe pneumonia: Patient is completing his course of antibiotics at this time. His procalcitonin level has decreased to 0.08. He has had a good response to treatment. He is positive for COVID-19, but is not currently being treated with steroids or remdesivir. He is not requiring any oxygen. Felt safe to go home with his son. Patient needs observation with his son due to his mental health issues. #2 depression/anxiety/bereavement: Patient has had a history of steroid-induced psychosis. We should use steroids in the future with caution. I have also discussed directly with Dr. the plan. We discussed with his son the plan. Patient will go home with the son. They do have home health already set up through Home Care it #3 hypertension blood pressure under fair control during hospitalization. Continue to monitor on current medication #4 COPD: toilet. Stable. Does have some wheezing on examination today. Should have follow-up outpatient Hospital Course HPI: Patient is an 82-year-old male with past medical history of COPD/coronary artery disease/hypertension/dyslipidemia who comes to the emergency room related to difficulty breathing. He was just admitted to the hospital recently for Covid pneumonia and was discharged on Decadron. He presented to the emergency room for trouble breathing. Was found to be hypoxemic in the emergency room with an oxygen saturation of 87% on room air. At the time of his evaluation he was on 2 L of oxygen and seem to be saturating well. Complained of a dry nonproductive cough. There was some concern about steroid-induced psychosis. Patient has had a lot of depression and anxiety issues, which were exacerbated by recent loss of his wife and steroid medication Hospital Course: #1 pneumonia: Patient had an x-ray which showed right lower lobe pneumonia. Patient was started on IV antibiotics. Was given IV Levaquin initially and switched to oral Levaquin. Was also given IV Decadron but this was discontinued because of the concern about steroid-induced psychosis. Patient''s initial D-dimer was elevated at 0.97. Initial white count was normal at 9.7. CRP was initially elevated at 220.8. Procalcitonin was elevated at 0.53. Patient was monitored during his hospitalization. His procalcitonin level decreased gradually 2.33 on 9/19/2021 and subsequently to 0.08 on the day of discharge. CRP also improved from 220.8 down to 30.5. Patient was switched to oral Levaquin. Was monitored closely. Was not requiring oxygen. Was felt safe for discharge to home with outpatient pulmonary toilet as written previous. Remains on Spiriva and Symbicort. Does have nebulizer treatments at home. #2 depression/psychosis/bereavement: Patient did have a lot of problems with stress and anxiety. Dr. evaluated patient during the hospitalization. Patient was on Risperdal as an outpatient. Low-dose Celexa was provided to the patient. Was felt that the patient really needed to be at home with observation. Will be going home to live with his son and further outpatient follow-up with Dr. Did not require Ativan during his hospitalization


VAERS ID: 1759020 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-06-28
Onset:2021-09-13
   Days after vaccination:77
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 RA / IM

Administered by: Public       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:
CDC Split Type:

Write-up: Tested Positive for Covid


VAERS ID: 1759053 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2020-12-23
Onset:2021-09-13
   Days after vaccination:264
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030L20A / 2 LA / IM

Administered by: Public       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:
CDC Split Type:

Write-up: Tested Positive for Covid


VAERS ID: 1759111 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-05
Onset:2021-09-13
   Days after vaccination:161
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Adenovirus test, Asymptomatic COVID-19, Bordetella test negative, COVID-19, COVID-19 pneumonia, Chlamydia test negative, Chronic kidney disease, Condition aggravated, Coronavirus test negative, Dental caries, Enterovirus test negative, Essential hypertension, Exposure to SARS-CoV-2, Haematopoietic neoplasm, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Malignant lymphoid neoplasm, Mycoplasma test negative, Pulmonary embolism, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Embolic and thrombotic events, venous (narrow), Hypertension (narrow), Chronic kidney disease (narrow), Malignant lymphomas (narrow), Haematological malignant tumours (narrow), Haematological tumours of unspecified malignancy (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Outpatient Medications acetaminophen (TYLENOL) 325 mg tablet apixaban (ELIQUIS) 5 mg tablet aspirin 81 mg tablet cholecalciferol, vitamin D3, (VITAMIN D3) 25 mcg (1,000 unit) capsule (Expired) cyanocobalamin 1,000 mcg oral tablet furo
Current Illness:
Preexisting Conditions: Non-Hospital Preop cardiovascular exam Actinic keratosis Dyslipidemia Prediabetes B-cell lymphoma (CMS/HCC) Adenomatous polyp of colon Arthritis At risk for falls Benign liver cyst Degeneration of intervertebral disc of lumbar region Diverticulosis Eczema Gynecomastia, male History of non-Hodgkin''s lymphoma History of lymphadenopathy History of hearing problem Lymphadenopathy Pancreas, cyst, true Malignant tumor of prostate (CMS/HCC) Hypokalemia Hypomagnesemia On antineoplastic chemotherapy Neoplasm of uncertain behavior of skin Chronic gout of left ankle Elevated brain natriuretic peptide (BNP) level Dyspnea on exertion Nonischemic cardiomyopathy (CMS/HCC) Abnormal nuclear cardiac imaging test Basal cell carcinoma of skin Hydronephrosis Incomplete emptying of bladder Malignant lymphoma of lymph nodes (CMS/HCC) Malignant melanoma (CMS/HCC) Squamous cell carcinoma Neoplasm of uncertain behavior of kidney Peripheral vascular disease (CMS/HCC) Squamous cell carcinoma in situ of skin Urethral stricture Parent refuses immunizations Vitamin D insufficiency Incidental pulmonary nodule, greater than or equal to 8mm Mild intermittent asthma Peripheral sensory neuropathy due to type 2 diabetes mellitus (CMS/HCC) Hearing loss of right ear due to cerumen impaction Mass of right side of neck Postnasal drip Non-traumatic rhabdomyolysis Rhabdomyolysis AKI (acute kidney injury) (CMS/HCC) SIRS (systemic inflammatory response syndrome) (CMS/HCC) Dental abscess
Allergies: LisinoprilCoughing Imdur [Isosorbide Mononitrate] LosartanDizziness / Lightheaded
Diagnostic Lab Data: Pneumonia due to COVID-19 virus 10/3/2021 - Present New Results - Lab Updated Procedure 10/02/21 1604 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 10/02/21 1500 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result Detected Critical 10/02/21 1604 COVID-19 PCR - Communal Living / SNF Placement (Asymptomatic) Collected: 10/02/21 1500 | Final result | Specimen: Swab from Nasopharynx 09/13/21 1402 Respiratory virus detection panel Collected: 09/13/21 1217 | Final result | Specimen: Swab from Nasopharynx Adenovirus Not Detected Mycoplasma pneumoniae Not Detected Chlamydophila pneumoniae Not Detected Parainfluenza Not Detected COVID-19 SARS-CoV-2 Overall Result Detected Critical Enterovirus/Rhinovirus Not Detected Coronavirus Not Detected Respiratory Syncytial Virus Not Detected Influenza A Not Detected Bordetella pertussis Not Detected Influenza B Not Detected Bordetella parapertussis Not Detected Metapneumovirus Not Detected
CDC Split Type:

Write-up: Admission Current 10/3/2021 - present (1 day) medical facility Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Hospital Problem List Benign hypertension with CKD (chronic kidney disease) stage III (CMS/HCC) Chronic kidney disease, stage 3 (CMS/HCC) Malignant neoplasm of lymphoid, hematopoietic, and related tissue (CMS/HCC) Caries involving multiple surfaces of tooth Acute pulmonary embolism without acute cor pulmonale (CMS/HCC) Pneumonia due to COVID-19 virus


VAERS ID: 1759133 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-18
Onset:2021-09-13
   Days after vaccination:207
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abnormal loss of weight, Acute coronary syndrome, Akinesia, Anticoagulant therapy, Aortic arteriosclerosis, Aortic valve incompetence, Asymptomatic COVID-19, COVID-19, Calcinosis, Cardiac perfusion defect, Cardiac septal hypertrophy, Cardiac stress test abnormal, Cardiac ventriculogram, Cardiomegaly, Catheterisation cardiac abnormal, Chest X-ray abnormal, Chest pain, Chronic obstructive pulmonary disease, Condition aggravated, Coronary artery disease, Coronary artery occlusion, Dyskinesia, Dysphagia, Dyspnoea, Dyspnoea exertional, Echocardiogram, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Gastritis, Hyperaemia, Hypertension, Injection site pain, Left ventricular dysfunction, Mitral valve incompetence, Mobility decreased, Myocardial ischaemia, Nausea, Nothing by mouth order, Odynophagia, Oesophagitis, Oesophagram, Osteoarthritis, Pain, Positive airway pressure therapy, Positron emission tomogram, SARS-CoV-2 test positive, Scan myocardial perfusion, Scan with contrast abnormal, Sinus rhythm, Sleep apnoea syndrome, Subclavian artery occlusion, Tenderness, Tendon disorder, Tricuspid valve incompetence, Troponin increased, Ulcer, Ventricular dyssynchrony, Ventricular extrasystoles, Ventricular internal diameter, Wall motion score index abnormal, X-ray, X-ray limb abnormal
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Ventricular tachyarrhythmias (narrow), Embolic and thrombotic events, arterial (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Dyskinesia (narrow), Parkinson-like events (narrow), Gastrointestinal ulceration (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (narrow), Other ischaemic heart disease (narrow), Osteonecrosis (broad), Arthritis (narrow), Respiratory failure (broad), Tendinopathies and ligament disorders (narrow), Infective pneumonia (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler amLODIPine (NORVASC) 10 mg tablet aspirin 81 mg tablet atorvastatin (LIPITOR) 40 mg tablet calcium carbonate (TUMS) 500 mg (200 mg calcium) chewable tablet CALCIUM CARBONATE/V
Current Illness:
Preexisting Conditions: Nervous Carpal tunnel syndrome Lower back pain Substernal chest pain Odynophagia Chest pain Other chest pain Coronary artery disease involving native coronary artery of native heart with angina pectoris Respiratory Chronic obstructive pulmonary disease Obstructive sleep apnea SOB (shortness of breath) Circulatory Benign essential hypertension Bruit of right carotid artery Heart murmur, systolic Systolic CHF, acute Digestive GERD without esophagitis Genitourinary Nephrolithiasis Musculoskeletal Leg swelling Osteoporosis Idiopathic urticaria Endocrine/Metabolic Hyperlipidemia, unspecified hyperlipidemia type Impaired fasting glucose Hypokalemia Other Depression Advance care planning
Allergies: FluoxetineNausea Only HydrochlorothiazideOther (document details in comments) Lisinopril-hydrochlorothiazideOther (document details in comments)
Diagnostic Lab Data: Updated Procedure 09/13/21 1400 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 09/13/21 1233 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result Detected Critical 09/13/21 1400 COVID-19 PCR - Asymptomatic screening for admission Collected: 09/13/21 1233 | Final result | Specimen: Swab from Nasopharynx Procedure Component Value Ref Range Date/Time Cardiac catheterization Resulted: 09/18/21 0935 Order Status: Completed Updated: 09/24/21 1731 Narrative: Clinical History: 77 yo female who presented with chest pain and SOB and had a mild troponin elevation. Nuclear stress testing revealed a large perfusion defect in the LAD territory. Access: right radial initially; however the right subclavian artery was found to be occluded. As such access was gained in the right femoral artery using ultrasound guidance and micropuncture. LHC findings: Left Ventriculogram: Extensive apical wall motion abnormality, EF 30-35%. LMT: normal LAD: Occluded at its ostium. Epicardial collaterals from the RCA are noted. LCx: Large, dominant vessel with mild irregularities but no significant disease RCA: Nondominant vessel without significant disease Impression: 1. Akinetic/dyskinetic paex with moderate LV dysfunction. 2. Ostial CTO of the LAD without other significant disease. 3. Recommend cardiac MRI to assess extent of LAD territory viability. Continue GDMT and plan for follow up with interventional cardiology as an outpatient. PET CT myocardial perfusion with Regadenoson Resulted: 09/15/21 1644 Order Status: Completed Updated: 09/15/21 1650 Narrative: NUCLEAR CARDIOLOGY PET/CT STRESS TEST Please refer to separately reported ECG report from the same day regarding ECG and hemodynamic findings. PROTOCOL: Patient was injection with 25.1 mCi of Rubidium 82 at rest. Resting images were obtained 10 minutes later. Patient received 0.4 mg Regadenoson after which 25.3 mCi of Rubidium 82 was administered. Repeat imges were obtained 10 minutes later. CT attenuation correction images were obtained for rest/stress perfusion interpretation, due to underlying subdiaphragmatic attenuation and uninterpretable for extracardiac structures. RESULTS: Images demonstrated a large perfusion defect that involves the anterior septum anterior wall and apex. The rest images demonstrate near complete redistribution. Gated PET: Demonstrated a post-stress LV ejection fraction of 22%, end-systolic volume (ESV) of 119 mL. Quantitative HYPEREMIC Myocardial Blood Flow (MBF) and Myocardial Flow Reserve (MFR): Quality good Global MBF (mL/min/g)/MFR: 1.16/1.11 IMPRESSIONS: 1. The cardiac PET/CT images are markedly abnormal. There is a large area of ischemia involving the anterior wall anteroseptum and apex. Additionally there is an abnormally low myocardial flow reserve value of findings consistent with multivessel coronary disease. A high risk scan X-ray shoulder left 2+ views Resulted: 09/14/21 2033 Order Status: Completed Updated: 09/14/21 2033 Narrative: XR SHOULDER 2 OR MORE VW LEFT IMPRESSION: There is small soft tissue calcification adjacent to the greater tuberosity of humeral head suggest calcified supraspinatus tendinopathy. END OF IMPRESSION: INDICATION: pain, difficult with movement, tenderness.. Left shoulder pain. TECHNIQUE: AP and Y view projections of the left shoulder were acquired. COMPARISON: None available. FINDINGS: The bones are normally aligned. No fracture or significant bony lesion is identified. There is small soft tissue calcification adjacent to the greater tuberosity of humeral head suggest calcified supraspinatus tendinopathy. Mild degenerative arthritis of left AC joint. The soft tissues appear unremarkable. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. Transthoracic echo (TTE) limited Resulted: 09/14/21 1609 Order Status: Completed Updated: 09/14/21 1613 LVIDd 5.30 3.7 - 5.6 cm LVIDs 3.90 2 - 3.8 cm IVSd 1.30 0.6 - 1.1 cm LVPWd 1.00 0.6 - 1.1 cm LADs 4.40 1.9 - 4 cm TR max PG 33.80 mmHg TR max vel 290.50 cm/sec Narrative: FINALIZED REPORT TWO-DIMENSIONAL ECHOCARDIOGRAPHIC FINDINGS LEFT VENTRICLE: Normal LV size with mild basal septal hypertrophy. No regional wall motion abnormalities. Dyssynchronous contraction pattern RIGHT VENTRICLE: Normal size and function AORTIC VALVE: Sclerotic trileaflet with mild regurgitation MITRAL VALVE: Mild regurgitation TRICUSPID VALVE: Mild regurgitation PULMONIC VALVE: Normal LEFT ATRIUM: Normal size RIGHT ATRIUM: Normal size INTERATRIAL SEPTUM: No evidence of shunt by color Doppler AORTIC ROOT: Normal size PERICARDIUM: No effusion IVC: Normal size with normal collapse AORTIC ARCH: Not well seen COLOR AND SPECTRAL DOPPLER: Doppler evidence decreased LV compliance. PA systolic pressure in range of 40 mmHg. FINAL IMPRESSIONS: This is a technically very limited study with poor acoustic windows and poor endocardial border definition. Definity was utilized. Normal LV size with mild basal septal hypertrophy. Dyssynchronous contraction pattern. EF in the range of 55% Normal RV size and function Aortic sclerosis with mild regurgitation Mild mitral gravitation Mild tricuspid regurgitation Doppler evidence decreased LV compliance PA systolic pressure in the range of 40 mmHg FL ESOPHAGRAM DOUBLE CONTRAST Resulted: 09/14/21 1505 Order Status: Completed Updated: 09/14/21 1505 Narrative: FL ESOPHAGRAM DOUBLE CONTRAST IMPRESSION: Unremarkable double contrast esophagram. Limited evaluation due to patient''s nausea and physical limitations. END OF IMPRESSION: INDICATION: Dysphagia. SUPERVISION: Personal with doctor in attendance. TECHNIQUE: Barium and an effervescent agent were administered to the patient. Fluoroscopy and plain film evaluation were performed. FLUOROSCOPY TIME: 0.3 minutes COMPARISON: None available. FINDINGS: Normal swallowing was observed. No aspiration was identified. The esophagus has a normal contour and peristalsis. Contrast flows into the stomach without delay. There is no evidence of esophageal mucosal abnormality, focal stricture or obstruction. Negative for hiatal hernia. Examination was terminated early due to patient''s physical limitations and nausea. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. X-ray chest 1 view Resulted: 09/13/21 1134 Order Status: Completed Updated: 09/13/21 1134 Narrative: XR CHEST 1 VW IMPRESSION: No acute cardiopulmonary abnormality. Moderate to marked cardiomegaly. Fullness in the right hilum likely related to prominent vasculature. END OF IMPRESSION: INDICATION: Chest pain Chest pain. TECHNIQUE: AP portable chest. COMPARISON: 2/10/2020 FINDINGS: Moderate to marked cardiomegaly. There is fullness within the right hilum likely reflecting prominent pulmonary vasculature as seen on prior studies. There is no pneumothorax or pleural effusion. No focal consolidation. No acute bony abnormalities.
CDC Split Type:

Write-up: ED to Hosp-Admission Discharged 9/13/2021 - 9/18/2021 (5 days) Last attending ? Treatment team Odynophagia Principal problem Chief Complaint Patient presents with ? Chest Pain Asymptomatic Covid infection -Patient could have contracted Covid from visiting her husband in the hospital for the past several days however this is unclear -Has received 2 vaccines in the past -Patient denies any fever, shortness of breath or cough, satting mid 90s on room air -- $g currently no indication to start treatment for Covid infection -Supportive care -Incentive spirometry Substernal chest pain -Most likely related to possible esophageal/gastric inflammation or ulcer versus ACS -Troponin 0.04, continue to trend, -EKG 9/13: Sinus rhythm, occasional PVCs, supraventricular premature complex -Stress test pending -Echo pending given cardiomegaly noted on chest x-ray -Patient without any active chest pain on admission therefore heparin drip not initiated -Continue home aspirin and statin -Monitor on telemetry, EKG. Odynophagia Unintentional weight loss -GI consulted, spoke to doctor 9/13, recommending esophagram which they have ordered -PPI IV for now -Hold home Pepcid as it is not working per patient -N.p.o. for esophagram COPD -Stable -Became very emotional after she found out she had Covid and she was visiting her patient who is currently admitted to hospital and is concerned he may contract Covid from her as she did get some on his cheek several times in the past several days -Patient received inhaler treatment which resolved her dyspnea which was only because she became very emotional, she denies any shortness of breath in the past 1 to 2 weeks, occasionally has dyspnea on heavy exertion -Continue home inhalers OSA -Nightly CPAP Hypertension -Continue home amlodipine, losartan o Nutrition: N.p.o. o VTE prophylaxis: Heparin o Full Code Updated patient''s daughter at bedside 9/13, she agreed with above plan. Patient is an 77 y.o. female with history of COPD, hypertension, prediabetes, sleep apnea on CPAP, presents to hospital 9/13 with complaint of substernal chest pain burning in nature worse after eating meal however also states it radiates to left arm occasionally and started approximately 3 days ago. Also states 5 to 7 pound weight loss in the past month. Denied any lightheadedness or dizziness, palpitations or shortness of breath, confusion or headache. Denied abdominal pain, nausea or vomiting, dysuria or hematuria. Denied fever, cough or myalgia. Has never had a EGD. Denies NSAID use. Had a C-scope many years back. Denies any melena or hematochezia or hemoptysis or hematemesis. On admission patient is alert and oriented x3. Sitting calmly upright in her bed in no acute distress. Daughter at bedside. Denies any active chest pain during my evaluation. On admission setting 94 to 95% on room air, afebrile, heart rate 94, blood pressure 142/103.


VAERS ID: 1759393 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-09-12
Onset:2021-09-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cystitis, Heavy menstrual bleeding, Menstrual disorder, Urine analysis abnormal
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: Flu Vaccine. I had Optic Neuritis.
Other Medications: Multi-vitamin Probiotic Vitamin C Zinc
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin
Diagnostic Lab Data: Positive Urine Dip test for bacteria.
CDC Split Type:

Write-up: My menstrual cycle was affected. My period was extremely heavy for 3 extra days with excessive bleeding,. This has never happened. Then I got a bladder infection which was documented by my primary physician. Waiting to see what it does to my next cycle.


VAERS ID: 1759499 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Unknown  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.


VAERS ID: 1759515 (history)  
Form: Version 2.0  
Age: 99.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-12
Onset:2021-09-13
   Days after vaccination:185
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 116M0A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 1 LA / IM

Administered by: Public       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:
CDC Split Type:

Write-up: Tested Positive for Covid


VAERS ID: 1759589 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-20
Onset:2021-09-13
   Days after vaccination:116
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 - / -

Administered by: Work       Purchased by: ?
Symptoms: Adenovirus test, Adrenal insufficiency, COVID-19, Chronic obstructive pulmonary disease, Depression, Mycoplasma test negative, Pulmonary embolism, Respiratory viral panel
SMQs:, Embolic and thrombotic events, venous (narrow), Depression (excl suicide and self injury) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL ARTHRITIS ORAL)albuterol sulfate
Current Illness:
Preexisting Conditions: Non-Hospital Benign essential hypertension Hyperactivity of bladder Hematuria Bone disorder Peptic ulcer Current
Allergies: Allergies CodeineNausea and VomitingErythromycin BaseNausea
Diagnostic Lab Data: 09/13/21 1958 Respiratory virus detection panel Collected: 09/13/21 1721 | Final result | Specimen: Swab from Nasopharynx Adenovirus Not Detected Mycoplasma pneumoniae Not Detect
CDC Split Type:

Write-up: ED to Hosp-Admission Discharged 9/13/2021 - 9/17/2021 Last attending o Treatment team COPD exacerbation Medical Problems Hospital Problems POA * (Principal) COPD exacerbation Yes Depression Yes Benign essential hypertension Yes Adrenal insufficiency Yes Pulmonary embolism related to COVID-19 infection COVID-19 infection. Presenting Problem/History of Present Illness/Reason for Admission COPD exacerbation [J44.1] COVID-19 [U07.1] COPD exacerbation Adrenal insufficiency Smoker Pulmonary embolism associated with Covid Hospital Course Patient was admitted on 13 September I saw her i


VAERS ID: 1759611 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: New York  
Vaccinated:2021-09-12
Onset:2021-09-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Feeling abnormal, Hyperhidrosis, Injection site pain, Insomnia, Pain, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (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: angioplasty
Preexisting Conditions: high cholestera l 50%blockage
Allergies: iodine
Diagnostic Lab Data:
CDC Split Type:

Write-up: shakes sweats severe pain in injected arm felt pusling and still have pain and pusling foggy cant sleep


VAERS ID: 1759834 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diplopia, Visual field defect
SMQs:, Noninfectious encephalitis (broad), Optic nerve disorders (broad), Retinal disorders (broad), Ocular motility disorders (broad), Hypoglycaemia (broad)

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

Write-up: Patient reported double vision, then loss of field of vision which lasted 8-10 hours. Event started within 12 hours of vaccine administration. Vision returned to normal following episode.


VAERS ID: 1760454 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-08-27
Onset:2021-09-13
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test, Colitis, Computerised tomogram, Diarrhoea, Vomiting, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine, folic acid, levothyroxin, licenspril, metoprolol, omeprozol, spiralnotone, sulphasalizine, atorvostatin, preservision, probiotic, prenatal vitamin, stool softener.
Current Illness: None
Preexisting Conditions: Low blood count
Allergies: Phenagrin, Demerol.
Diagnostic Lab Data: Ct scan was clear, blood draw showed elevated white cell count.
CDC Split Type:

Write-up: Severe ongoing stomach pain, vomiting, diarrhea. Visted ER, ct scan, blood draw. Diagnosed Colitis, prescribed antibiotics and pain medication.


VAERS ID: 1761346 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-09-09
Onset:2021-09-13
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Blood test, Cardiac murmur, Chest X-ray normal, Chest pain, Electrocardiogram normal, Exercise tolerance decreased, Heart rate abnormal, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: After injection pt noticed fatigue during workouts. Pt reports ''aggressive heart beat'' during workouts which is new for him. He reports symptoms for past couple weeks after receiving initial COVID vaccine dose. Chest pain comes and goes intermittently throughout the day. Pain during exertion (working out). Pt had CXR, EKG and blood draw. He was also told he has heart murmur. EKG with sinus rhythm (normal).


VAERS ID: 1761618 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.


VAERS ID: 1761631 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.


VAERS ID: 1761637 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.


VAERS ID: 1761674 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.


VAERS ID: 1761698 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.


VAERS ID: 1761708 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Expired product administered
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.


VAERS ID: 1761712 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: sertraline
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Approx 48 hours of headaches, chills, muscle aches, fatigue, low grade fever


VAERS ID: 1762173 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / 3 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Condition aggravated, Cough, Extra dose administered, Fatigue, Pain
SMQs:, Anaphylactic reaction (broad), 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: Moderna Covid shot 3/25/21 - fever and body aches lasting 24 hours
Other Medications: none
Current Illness: none
Preexisting Conditions: Immune igM deficiency seasonal allergies
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Started with fever 99+, body aches, fatigue less than 8 hours after shot with symptoms lasting over 36 hours . Also started coughing about 10 hours after shot. Dry continuous cough still going on 3 weeks past the vaccine.


VAERS ID: 1762353 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Anxiety, Chills, Electrocardiogram, Feeling of body temperature change, Headache, Hypoaesthesia, Muscle spasms, Palpitations, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sexual dysfunction (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: EKG on 9/14/21
CDC Split Type:

Write-up: 11pm on 9/13/21: Severe Headache, fever of 100.3, heart palpitations, feeling of hot and then cold, chills, severe anxiety.. 9/23/21 around 8 pm: numbness, tingling, light muscle spasms in hands and feet. These symptoms are on-going as of 10/5/21


VAERS ID: 1763672 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-01
Onset:2021-09-13
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Menstruation irregular, Muscle spasms, Nausea, Pain, Thrombosis
SMQs:, Acute pancreatitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Fertility disorders (broad)

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

Write-up: Extreme fatigue Caused period to begin weeks early. Extreme clots. Cramps similar to labor cramps. Extremely painful, nausea


VAERS ID: 1763951 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-08-28
Onset:2021-09-13
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Facial paralysis, Fine motor skill dysfunction, Guillain-Barre syndrome, Lumbar puncture abnormal, Magnetic resonance imaging
SMQs:, Peripheral neuropathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Demyelination (narrow), Hearing impairment (broad), Immune-mediated/autoimmune disorders (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: protonix, vitamin D
Current Illness: none
Preexisting Conditions: none
Allergies: codiene
Diagnostic Lab Data: I had CT scans, MRI''s 9-13 thru 9 -18-2021. Diagnosed with Guillian-Barre after results of lumbar puncture by Dr. on 10/5/2021.
CDC Split Type:

Write-up: I received the vaccine on Aug 28th, 2021. I awoke on the morning on September 13th, 2021 with right side facial paralysis and was immediately taken to ER. I had a stroke work up and was admitted. On September 16th my loss of motor skills had spread to include my right leg.


VAERS ID: 1764037 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014F21A / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Dysstasia, Fatigue, Gait disturbance, Muscle strain, Pain, Pain in extremity, Vaccination complication
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: COUMADIN; ASPIRIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hip replacement (11 years ago)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: I tired very easily; I could not STAND, I couldn''t walk on myown; I had an extreme sprain or strain to the muscles in my body; excruciating pain in joints of right sides/It was localized in her knees/She felt that there was a chemical that reacted with her joints.; At night, her whole right side was affected.; She could barely walk; The pain was on bottom side of her right leg/Sore arm; pain is horrible; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (At night, her whole right side was affected.), GAIT DISTURBANCE (She could barely walk), PAIN IN EXTREMITY (The pain was on bottom side of her right leg/Sore arm), PAIN (pain is horrible) and DYSSTASIA (I could not STAND, I couldn''t walk on myown) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Hip replacement (11 years ago). Concurrent medical conditions included Cane user. Concomitant products included WARFARIN SODIUM (COUMADIN) and ACETYLSALICYLIC ACID (ASPIRIN) for an unknown indication. On 13-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 ml. On 13-Sep-2021, the patient experienced VACCINATION COMPLICATION (At night, her whole right side was affected.), GAIT DISTURBANCE (She could barely walk), PAIN IN EXTREMITY (The pain was on bottom side of her right leg/Sore arm), PAIN (pain is horrible) and ARTHRALGIA (excruciating pain in joints of right sides/It was localized in her knees/She felt that there was a chemical that reacted with her joints.). On 14-Sep-2021, the patient experienced DYSSTASIA (I could not STAND, I couldn''t walk on myown) and MUSCLE STRAIN (I had an extreme sprain or strain to the muscles in my body). On an unknown date, the patient experienced FATIGUE (I tired very easily). The patient was treated with PARACETAMOL (TYLENOL) for Pain, at an unspecified dose and frequency. At the time of the report, VACCINATION COMPLICATION (At night, her whole right side was affected.), GAIT DISTURBANCE (She could barely walk), PAIN IN EXTREMITY (The pain was on bottom side of her right leg/Sore arm), PAIN (pain is horrible), DYSSTASIA (I could not STAND, I couldn''t walk on myown), MUSCLE STRAIN (I had an extreme sprain or strain to the muscles in my body), ARTHRALGIA (excruciating pain in joints of right sides/It was localized in her knees/She felt that there was a chemical that reacted with her joints.) and FATIGUE (I tired very easily) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications taken were cholesterol medicine and BP medicine. The pain was horrible that patient was not going to get 2nd dose. Patient reported after 15 to 20 minutes after taking vaccine passed by with no indication of results from Vaccine. The day went well, had erranded to run and that night in bed was when she had a bit of a sore arm; and had pain in her joints on the right side of her body. The next day she could not stand, was in excruciating pain on the right side of the body from hip down to ankles. This was not pain like in muscle pain, but more like a chemical pain that felt like she had an extreme sprain or strain to the muscles in body. She tried exercising at the gym one day; that didn''t do any good but made it worse because the Gym Instructor had to help her to the car even with cane use. Patient did not have a fever, but did begin taking Tylenol for this pain. This pain was worse than hip pain before I had a hip replacement 11 years ago. She could not walk on own, She used a cane to help support her body. She had have never experienced such pain before. Patient also stated that pain procedure was not a normal pain that she had ever experienced. On 28/Sep/2021 she walked without a cane; however, she tired very easily and then have to either sit or lay down or use a cane for support. Most recent FOLLOW-UP information incorporated above includes: On 28-Sep-2021: significant follow up appended : New Events (Dysstasia, muscle strain, fatigue) were added. The Verbatim ''the pain was on bottom side of her right leg'' was subsumed with ''sore arm''. Procedure (hip replacement) added. Clinical course added in I-narrative. Corresponding fields and narrative updated accordingly.


VAERS ID: 1764113 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / UNK - / -

Administered by: Unknown       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: This spontaneous case reported by an other healthcare professional, describes the occurrence of administered expired product (used expired vaccine) in a 52-year-old patient, of an unknown gender, who received mRNA-1273 (Moderna COVID-19 vaccine, batch/lot# 006C21A) for COVID-19 immunization. No medical history reported. On Sep 13, 2021, patient received a dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On Sep 13, 2021, patient administered expired product (used expired vaccine). On Sep 13, 2021, administered expired product (used expired vaccine) resolved. The reporter did not provide any causality assessments, concomitant medication or treatment information. The vaccine was administered after 3 days from time from first puncture. Most recent follow-up information incorporated: On Sep 28, 2021: Follow-up received contained relevant information. The vaccine was administered after 3 days from time from first puncture added in narrative.


VAERS ID: 1764114 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / UNK - / OT

Administered by: Unknown       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: Expired vaccine used; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine used) in a 54-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006C21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Sep-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine used). On 13-Sep-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine used) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were provided by the reporter. Treatment information was not provided. It was reported that the patient took the vaccine on 13Sep2021 after 6 days from first puncture. Most recent FOLLOW-UP information incorporated above includes: On 28-Sep-2021: Follow up received on 29 Sep 2021 contains no new information.


VAERS ID: 1764750 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-10
Onset:2021-09-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram, Lethargy, X-ray
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: I had blood test, xray and heart ECG
CDC Split Type:

Write-up: on second day i felt lethargic, next day I woke up with feeling like weight was sitting on my chest. days following I had difficult time breathing, shortness of breath, sharp pain in my chest . When I exert energy I get winded. Its been a month and I have not gotten better or worse.


VAERS ID: 1765090 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2020-12-23
Onset:2021-09-13
   Days after vaccination:264
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / N/A UN / SYR

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

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

Write-up: COVID 19


VAERS ID: 1765142 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-03-03
Onset:2021-09-13
   Days after vaccination:194
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM6201 / 1 UN / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 2 UN / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: COVID 19


VAERS ID: 1765172 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-09-08
Onset:2021-09-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / N/A UN / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: COVID 19


VAERS ID: 1765186 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Kentucky  
Vaccinated:0000-00-00
Onset:2021-09-13
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / UNK UN / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: COVID 19 PATIENT STATED HE DOESNT HAVE CARD, OR KNOW WHEN HE HAD VACC


VAERS ID: 1765381 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-08
Onset:2021-09-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Coagulopathy, Haemoglobin decreased, Post procedural haemorrhage, Surgery
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bupropion, Cyclobenzaprine, Hydrocodone/Acetamin, Amphetamine Salts
Current Illness: None
Preexisting Conditions: Back & Neck Surgery... pain
Allergies: Ancef Eggplant & Peach Skin Adhesive
Diagnostic Lab Data: Surgery September 13, outpatient. September 13 & 14th excessive bleeding, admitted to hospital on the 14th and stayed through the evening of the 16th.
CDC Split Type:

Write-up: Not sure if it has anything to do with the shot??? I had surgery on September 13, 2021 and had excessive bleeding, to the point that I was admitted to the hospital for 3 days. My blood would not clot and slow down. My hemoglobin dropped to 7.1


VAERS ID: 1765395 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-03-12
Onset:2021-09-13
   Days after vaccination:185
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / 2 - / -

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

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

Write-up: Pt was hospitalized with Covid 19


VAERS ID: 1765521 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-31
Onset:2021-09-13
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blindness, Blood test, Computerised tomogram, Diplopia, Echocardiogram, Eye disorder, Headache, Inflammation, Lumbar puncture, Magnetic resonance imaging, Tolosa-Hunt syndrome
SMQs:, Glaucoma (broad), Optic nerve disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Ocular motility disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid tabs., rosuvastatin, omerprazole, nabumetone, 2 consentyx pens, calcium citrate, mulitiple vitamin
Current Illness: None
Preexisting Conditions: Psoriatic arthritis
Allergies: penicillin
Diagnostic Lab Data: 9/27 MRI, CT Scan, bloodwork 9/28 MRI Ct Scan, bloodwork, spinal tap, echocardiogram 3 & 6th cranial nerve inflammation
CDC Split Type:

Write-up: Double vision, severe headache, frozen left eye, loss in vision in left eye. Injected on 8/31/2021 on 9/13/2021 experienced symptoms. Went to ophthalmologist on 9/20/21 and admitted to hospital on 9/27/2021. After 2 MRI''s, 2 CT scans, blood work, echocardiogram and spinal tap was diagnosed with Tolosa-Hunt syndrome. Was told this is a very rare syndrome.


VAERS ID: 1766321 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-07-28
Onset:2021-09-13
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Alcohol use, Aspartate aminotransferase increased, Bacterial test, Basophil percentage, Bilirubin urine present, Blood albumin normal, Blood alkaline phosphatase increased, Blood bilirubin increased, Blood calcium normal, Blood chloride normal, Blood cholesterol increased, Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood potassium decreased, Blood sodium normal, Blood triglycerides normal, Blood urea decreased, Blood urine present, Carbon dioxide decreased, Chest pain, Chromaturia, Cough, Deep vein thrombosis, Drug abuse, Dyspnoea, Eosinophil percentage, Fibrin D dimer, Flank pain, Glomerular filtration rate normal, Glucose urine absent, Glycosylated haemoglobin normal, Granulocyte percentage, Haematocrit decreased, Haemoglobin, High density lipoprotein decreased, Immature granulocyte count, Investigation abnormal, Lipase increased, Low density lipoprotein increased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin decreased, Mean cell volume decreased, Mean platelet volume normal, Monocyte percentage, N-terminal prohormone brain natriuretic peptide, Nitrite urine absent, Pain, Platelet count increased, Pleuritic pain, Pregnancy test urine negative, Protein total increased, Protein urine present, Pulmonary embolism, Red blood cell count decreased, Red blood cells urine positive, Red cell distribution width increased, SARS-CoV-2 test negative, Specific gravity urine normal, Troponin I normal, Urinary sediment, Urinary sediment present, Urine abnormality, Urine ketone body present, Urine leukocyte esterase positive, Urobilinogen urine, Very low density lipoprotein normal, White blood cell count normal, White blood cells urine positive, pH urine normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Dyslipidaemia (narrow), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Drug abuse and dependence (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Lipodystrophy (broad), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Hypokalaemia (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: depression, alcohol abuse, microcytic anemia, obesity
Allergies: chlorhexidine
Diagnostic Lab Data: 9/14/21 TODAY''S LABS: _COVID-19(Abbott ID NOW) (NEGATIVE) HGBA1C (5.8) WBC (5.67) GRAN%, AUTO (77.0) LY%, AUTO (13.8) MO%, AUTO (5.3) EOS%, AUTO (3.0) BASO%, AUTO (0.5) IG% (0.4) RBC (4.19) HEMOGLOBIN (7.8) HEMATOCRIT (28.9) MCV (69.0) MCH (18.6) MCHC (27.0) RDW (20.0) PLATELET COUNT (459) MPV (8.6) GLUCOSE (86) UREA NITROGEN (3) _CREATININE,SER/PLS(CKD-EPI) (0.7) _EST GFR(CKD-EPI) (117.91) SODIUM-BLOOD(SERUM) (140) POTASSIUM (3.4) CHLORIDE (106) CO2 (20.0) CALCIUM (9.0) PROTEIN,TOTAL (8.8) ALBUMIN (4.2) ALTV (63) AST (105) ALKALINE PHOSPHATASE (151) BILIRUBIN, TOTAL (1.2) CHOLESTEROL (227) TRIGLYCERIDE (95.00) HDL (53.00) LDL CHOLESTEROL (143.59) VLDL CHOLESTEROL (19.0) LIPASE (398.0) MAGNESIUM (1.70) cTNI 2 (QUANTITATIVE) (0.012) Di Dimer (0.93) URINE PREGNANCY (ICON) TEST (NEGATIVE) URINE COLOR (YELLOW) URINE CLARITY (CLOUDY) URINE GLUCOSE (100 mg/dL [1/10 g/dL(%)]) URINE BILIRUBIN (SMALL) URINE KETONES (40) SPECIFIC GRAVITY (1.020) URINE PH (7.0) URINE PROTEIN (DIPSTICK) (TRACE) URINE UROBILINOGEN (4.0) URINE NITRITE (NEGATIVE) URINE BLOOD (TRACE) URINE LEUKOCYTE ESTERASE (SMALL) SEDXAM (DONE) URINE WBC (6-10) URINE RBC (1-5) URINE EPITH CELLS (TNTC) URINE BACTERIA (FEW) URINE MUCUS (1+) AMORPHOUS SEDIMENT (OCC) NTBNP (37.0)
CDC Split Type:

Write-up: 9/13/21: 28 yo f pmh cocaine/lower gi bleed with h/o anemia presents with right flank pain and chest pain since this morning. Denies preceding trauma, right flank pain is pleuritic in nature and worsened by rotation. Minimal cough and reports sob. No hempotysis, no leg swelling, no ocps, no h/o dvt/pe, no recent surgery. No nausea/vomiting/dysuria, lmp within the last month. Also bilateral chest pain, dull, non-radiating, unprovoked, no exacerbating/alleviating factors. Reports recent etoh use today, meth use days previous. Denies saddle anesthesia, urinary retention or le numbness/weakness. DX: PE - admitted # PE: Hestia +; PESI low risk. -Given LMWH 1mg /kg @ 130 am. -apap for pain -no right heart strain -at this time think unprovoked dvt (no ocps, no recent surgery, no trauma, no h/o hypercoagulable state)


VAERS ID: 1767419 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-02
Onset:2021-09-13
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210913; Test Name: COVID; Test Result: Positive
CDC Split Type: USPFIZER INC202101240847

Write-up: tested positive for COVID; This is a spontaneous report from Pfizer sponsored program. A contactable consumer (patient) reported that a 61-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot number was not reported), via an unspecified route of administration on 02Sep2021 as single for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient received her first dose of Pfizer COVID 19 Vaccine on 02Sep2021. The patient tested positive for COVID on Monday, 13Sep2021. She did receive the antibody infusion. Her second vaccine was scheduled on 23Sep2021, on her tenth day of isolation. Patient was asking if there are any recommendation on proceeding with the second vaccine after being diagnosed with COVID. She stated that she tested positive for COVID on 13Sep2021. Patient stated since she''s had COVID, it will be her 10 days quarantine on 23Sep2021. Therapeutic measures were taken as a result of the event. The outcome of the event was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.


VAERS ID: 1767576 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-01-20
Onset:2021-09-13
   Days after vaccination:236
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Pain in arm
Allergies:
Diagnostic Lab Data: Test Date: 20210913; Test Name: COVID-19 Test; Test Result: Positive ; Comments: result on 15Sep2021
CDC Split Type: USPFIZER INC202101267168

Write-up: positive COVID-19 test with symptoms; positive COVID-19 test with symptoms; This is a spontaneous report from contactable consumer (patient''s parent). A 34-years-old male patient of received at the age of 33-years-old second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in arm on 20Jan2021 (Batch/Lot number was not reported) as dose 2, single, and first dose via an unspecified route of administration, administered in arm three weeks before the second on Dec2020 (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. The patient received the doses probably in the morning, but can''t guarantee. The route was reported as arm, but unknown which arm. First dose was the side he sleeps on, second dose was the opposite arm. Medical history included arm soreness from an unknown date and unknown if ongoing. There were no concomitant medications. The patient tested positive for COVID-19. Had the Pfizer COVID-19 Vaccines. He was an Athletic Trainer. Patient started feeling bad on 10Sep2021-11Sep2021. Didn''t do a rapid COVID test, did the extensive test. Test was done by his work. Is employed with Health System. Employer had patient come in on Monday for a COVID test and was confirmed he was positive. Went for the COVID-19 test on Monday, 13Sep2021, results came back positive on Wednesday, 15Sep2021. Went back to work on 22Sep2021. Patient is feeling fine. COVID-19 Vaccine saved him from being in the hospital. The patient received his COVID-19 test at a hospital facility, but it was done outside. Did not have to see a doctor. The patient had heavy contact with unvaccinated people because of his job. Before he got COVID-19 tested, patient thought he had a cold. Patient used an antihistamine and Tylenol. Then patient lost smell and taste. At the time of reporting the patient was good and back and to work. Only felt bad for a day or two. The outcome of event was resolved on an unspecified date in Sep2021. The lot number for BNT162b2 was not provided and will be requested during follow up.


VAERS ID: 1768025 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-08
Onset:2021-09-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Gait disturbance, Joint swelling, Muscular weakness, Musculoskeletal stiffness, Peripheral swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Escitalopram 10mg, zyrtec
Current Illness: none
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data: Went to primary care doctor 10/7/21 and ordered blood tests. Will follow up after results
CDC Split Type:

Write-up: Left knee area swollen, weakness in leg - difficulty walking down steps. Stiffness after prolonged sitting and feet swelling by end of day


VAERS ID: 1768091 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-13
Onset:2021-09-13
   Days after vaccination:123
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039121A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Melatonin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None yet, if issue persists an appointment will be scheduled. No history or previous experience of this condition. Symptoms match myocarditis, testing is put off due to cost of medical care.
CDC Split Type:

Write-up: Chronic chest pain near heart


VAERS ID: 1768238 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-09-11
Onset:2021-09-13
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301308A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone normal, Computerised tomogram head, Condition aggravated, Dizziness, Full blood count normal, Metabolic function test, Vertigo, Vertigo positional
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: CBC, TSH, and BMP. All within normal limits. Head CT scheduled for 10/15.
CDC Split Type:

Write-up: New onset dizziness. Vertigo mimicking the vertigo experienced during acute COVID 19 infection. Vertigo is unrelenting in nature but waxes and wanes throughout the day. Worse with change in position, worse with exercise. Began 48 hrs following 2nd dose of the Pfizer COVID 19. Vertigo has now been present for 26 days,


VAERS ID: 1768255 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-12
Onset:2021-09-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Dysmenorrhoea, Ear discomfort, Headache, Heavy menstrual bleeding, Migraine, Tic
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dyskinesia (broad), Dystonia (broad)

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

Write-up: Nonstop, heavy menstrual bleeding. Ongoing. Severe cramping. Nonstop headaches that sometimes turn to migraines. (Never had a headache in my life.) Tic. Popping ears constantly and involuntarily.


VAERS ID: 1768348 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-10
Onset:2021-09-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040C21A / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Decreased appetite, Myalgia, Pyrexia, Skin reaction, Vaccination site rash, Vaccination site reaction, Vaccination site warmth
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Azathioprine, allopurinol, mesalamine, xyzal, Centrum Women''s Multivitamin
Current Illness: Ulcerative colitis, polycystic ovary syndrome
Preexisting Conditions: Ulcerative colitis, polycystic ovary syndrome
Allergies: Mushrooms, cashews
Diagnostic Lab Data:
CDC Split Type:

Write-up: Delayed hypersensitivity skin reaction - began 3 days after vaccination, resolved 6 days after vaccination. Associated with hot, red rash at vaccination site that spread around the deltoid region. Treated with Benadryl and doxycycline as a precaution against cellulitis, as the rash resembled cellulitis. Fever - began ~10 hours after vaccination, continued until the AM 3 days after vaccination. Greatest temperature ~39C. Treated with Tylenol. Resolved on the third day without Tylenol use. Associated with chills, muscle aches, and anorexia.


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