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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 201 out of 8,010

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VAERS ID: 1693818 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-09-08
Onset:2021-09-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 3 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Blood gases abnormal, Brain natriuretic peptide increased, Chest discomfort, Dyspnoea, Electrocardiogram ST segment abnormal, Hypercapnia, Hyperhidrosis, Intensive care, Lung infiltration, Mechanical ventilation, Sinus tachycardia, Troponin increased
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Lactic acidosis (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: omeprazole, pravochol, duoneb, carafate, ativan, bipap, O2 2lpm
Current Illness: None acute.
Preexisting Conditions: COPD/Emphysema with chronic hypoxemic respiratory failure, OSA, Barrett''s esophagus, hypercholesterolemia, obesity
Allergies: NKDA
Diagnostic Lab Data: CTA with no central PE. Patchy bilateral infiltrates. Elevated troponin and BNP. Sinus tachycardia with ST changes on EKG. ABG with worsening hypercarbia. Echo ordered with serial troponin.
CDC Split Type:

Write-up: Near immediate shortness of breath that progressively worsened over the following 3 days with unrelenting chest tightness leading to presentation to ED with subsequent hospital admission and ICU transfer immediately after admit. Diaphoretic with elevated troponin, BNP and requiring non-invasive vent support.


VAERS ID: 1693828 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Headache, Neck pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Body aches, sore joints, sore back of neck and headache. Back hurt and fever


VAERS ID: 1693849 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-01
Onset:2021-09-12
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, fish oil
Current Illness: None
Preexisting Conditions: None
Allergies: Eggs (anaphylaxis)
Diagnostic Lab Data: None - have not sought medical attention
CDC Split Type:

Write-up: Heavy menstrual bleeding with large clots. Menstrual cycle occurred per usual cycle time-frame but exceptionally heavy. Similar exceptionally heavy menstrual periods with large clots occurred after 1st and 2nd Pfizer vaccines as well. These heavier menstrual cycles lasted approximately 8-10 days, and my usual cycle lasts approximately 7 days.


VAERS ID: 1693860 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-03
Onset:2021-09-12
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Decreased appetite, Dyspnoea exertional, Fatigue, Feeling hot, Hyperhidrosis, Influenza, Pain, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin Senthroid Vitamin C, D, B12
Current Illness: None
Preexisting Conditions: PCOS
Allergies: N/A
Diagnostic Lab Data: COVID test- 09/12/2021 negative Strep swab- 09/12/2021 negative
CDC Split Type:

Write-up: 9 days after vaccination I felt as if I had the flu. Cold chills, loss of appetite, fever of 100.5, fatigue, body aches, out of breath when up, and stomach cramps. The adverse effects lasted an entire day. I went to doctor thinking it was something. Finally broke the fever that evening sweating and really hot.


VAERS ID: 1694066 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014F21A / 2 - / -

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

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

Write-up: red, swollen (golf ball), swollen lymph nodes


VAERS ID: 1694094 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Immediate post-injection reaction, Impaired work ability, Influenza, Influenza like illness, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tadalafil, Krill Oil, D2, Zinc
Current Illness: None.
Preexisting Conditions: BPH
Allergies: Cafergot
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Severe Site Pain, Soreness in Full Deltoid was immediate. Following that about 3 hours later flu (covid) like symptoms set in. Fever of 102 as of 9/13/21 @ 0600. Fever persisted throughout day. stayed in bed unable to work. Felt like a moderate 24/36 hour flu.


VAERS ID: 1694115 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30130BA / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: on 9/13/21, pain at injection site, fatigue and fever of 100 degrees (experiencing this all day).


VAERS ID: 1694143 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014F21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 7/31/2021 moderna 006D21A vaccine covid 1
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: vomiting, fever, diarrhea, stomach pain, aches


VAERS ID: 1694162 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 - / IM

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

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

Write-up: Severe stomach pain Nausea Vomiting


VAERS ID: 1694172 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Menstruation irregular
SMQs:, Fertility disorders (broad)

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

Write-up: Early menstruation (10 days ahead of schedule)


VAERS ID: 1694178 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Headache, Hyperhidrosis, Pain, Pain in extremity
SMQs:, Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament 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: Paxil
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sore arm, body aches, headache, sweating, weakness 14 hours after shot.


VAERS ID: 1694181 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-02-24
Onset:2021-09-12
   Days after vaccination:200
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Moderna on 1/29 and 2/24. Positive on 9/12


VAERS ID: 1694195 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-04
Onset:2021-09-12
   Days after vaccination:192
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Moderna on 2/4 and 3/4. Positive on 9/12


VAERS ID: 1694196 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Eye pain, Headache, Lip swelling, Pain
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Glaucoma (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: Wellbutrin 150mg
Current Illness: none
Preexisting Conditions: Raynaud''s Disease
Allergies: Lysol, Clorox
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe Lip swelling, body aches, cough, headache, eye pain


VAERS ID: 1694202 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2020-04-23
Onset:2021-09-12
   Days after vaccination:507
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pfizer on 4/3 and 4/23. Positive on 9/12


VAERS ID: 1694210 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-05-04
Onset:2021-09-12
   Days after vaccination:131
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Pfizer on 4/13 and 5/4. Positive on 8/31


VAERS ID: 1694277 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-01-22
Onset:2021-09-12
   Days after vaccination:233
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Work       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: 9/12/21 Home COVID test.
CDC Split Type:

Write-up: Breakthrough COVID


VAERS ID: 1694293 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Headache, Injection site pain, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ritalin, Lorazapan, Zyrtech
Current Illness: None.
Preexisting Conditions: ADHD
Allergies: Amoxicillan
Diagnostic Lab Data: None as of yet.
CDC Split Type:

Write-up: Pain at injection site one hour after vaccine, bad headache, pain in arms and legs, 102 degree fever, periodic stomach cramps.


VAERS ID: 1694346 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Facial pain, Headache, Nasal congestion, Rhinorrhoea, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Hypersensitivity (broad)

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

Write-up: My throat feels like it is closing up, headaches, my face is achy, runny nose, congestion


VAERS ID: 1694360 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-08
Onset:2021-09-12
   Days after vaccination:157
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient swabbed at our offsite testing location. Please contact primary care provider, Dr. for further questions.
Current Illness: Patient swabbed at our offsite testing location. Please contact primary care provider, Dr. for further questions.
Preexisting Conditions: Patient swabbed at our offsite testing location. Please contact primary care provider, Dr. further questions.
Allergies: Patient swabbed at our offsite testing location. Please contact primary care provider, Dr. for further questions.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient vaccinated for and then tested positive for COVID-19


VAERS ID: 1694371 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-29
Onset:2021-09-12
   Days after vaccination:167
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014M20A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient swabbed at our offsite testing location. Please contact primary care provider, for further questions.
Current Illness: Patient swabbed at our offsite testing location. Please contact primary care provider, for further questions.
Preexisting Conditions: Patient swabbed at our offsite testing location. Please contact primary care provider, for further questions.
Allergies: Patient swabbed at our offsite testing location. Please contact primary care provider, for further questions.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient vaccinated and then tested positive for COVID-19


VAERS ID: 1694391 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthritis, Asthenia, Condition aggravated, Hypoaesthesia, Impaired work ability, Injection site erythema, Injection site induration, Injection site pain, Muscle swelling, Myalgia, Pain, Pain in extremity, Pruritus, Tendonitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (narrow), Tendinopathies and ligament disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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: Turmeric Vitamin
Current Illness:
Preexisting Conditions: Juvenile Arthritis and Tendinitis
Allergies: Unknown
Diagnostic Lab Data: None Virtual Meeting Completed Still experiencing adverse events
CDC Split Type:

Write-up: 9/11 adverse effects number one numbness in right fingers and hand, injections burned going in and confined to burn for an 1 1/2-2 hours, pain shooting from hand to shoulder in injected arm. Later in the afternoon I became very itchy all over my body! Took Benadryl to aide in itchiness it helped. Injection side is red and hard circular area around injection site. 9/12 number two during the overnight early morning 2am my neck muscles the traps on the neck began to hurt and I became unable to tune my head without experiencing pain and discomfort. Later that early morning around 5am all the areas that my arthritis and tendinitis are located on my body flared up all at the same time and continues till today 9/13. Unable to take any arthritis medication as it is a blood thinner the pain continues and is very uncomfortable. Weakness follows in my joins with muscle sourness and swelling in these areas (ankles, knees, right hip and Right wrist) the pain subsides at times but comes back with shots of pain periodically. Injection site redness subsided but still red dot at injection site the area is still is hard around it but less harder then the first day. Virtual meeting completed with a doctor at the hospital I work at. Unable to work due to side effects from vaccination at this time. Unable to perform tasks as join pain and muscular pain continues.


VAERS ID: 1694395 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Injection site reaction, Injection site swelling, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Moderna COVID-19 Vaccine EUA- Red raised itchy bump at the injection site.


VAERS ID: 1694396 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 AR / SYR

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Hallucination, Headache, Nausea, Pain, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

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

Write-up: Pt woke up at approx 1:00 am on 09/13/2021 with uncontrollable shaking, severe body aches, severe headache. Administered Tylenol and put her back to bed. She woke up at approx 8:00 am on Sunday, 09/12/2021 with hallucinations and headache. Administered Tylenol and gave her cold water. It took approx 10 mins for her to become lucid again. For the rest of the day, headache and fatigue were main symptoms and were manageable. At approx 10:00 pm on 09/12/2021, she complained of nausea. On Monday, 09/13/2021, patient seems to have returned to baseline. Tylenol was administered, prophylactically.


VAERS ID: 1694398 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNTHROID; LIPITOR; Folic Acid; Probiotics
Current Illness: Thyroid; Gastritis
Preexisting Conditions:
Allergies: Latex
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Swelling and redness for several days in the vaccine area causing severe pain in the area. Itchy rash in several areas of the body.


VAERS ID: 1694412 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain, Pyrexia, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 50mg Pristiq Calcitriol Calcium carbonate Lithothyronine Xyzal
Current Illness: Papillary Thyroid cancer
Preexisting Conditions: Papillary thyroid cancer
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe body aching, pain level 8, fever of 100.7, diarrhea and severe nausea, headache, chills and shaking


VAERS ID: 1694458 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-09
Onset:2021-09-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Hypoaesthesia, Hypoaesthesia oral
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Stroke, right sided numbness of lips, arm, and leg


VAERS ID: 1694470 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Chest discomfort, Neck pain, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Chest tightness, neck pain, shooting sharp pains down arm, full arm swelled and veins dilated.


VAERS ID: 1694508 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020F21A / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Injection site erythema, Injection site pruritus, Injection site warmth
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo Loestrin (Birth Control), Canasa, Lialda (generic), daily vitamin, turmeric, CLA (vitamin), Fish Oil
Current Illness: None
Preexisting Conditions: Ulcerative Colitis
Allergies: Penicillin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Large red, itchy, and hot red circle below the injection site- developed two days after vaccine. 9/12/21 9/13/21- itchiness increased, still hot and same size red circle. Difficulty breathing.


VAERS ID: 1694527 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017E21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Lip swelling, Neck pain, Pain in extremity, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 30 hours after the Vaccine I woke up and noticed my top lip swollen, red and warm to the touch. My left arm, and neck was hurting as well.


VAERS ID: 1694578 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-01-18
Onset:2021-09-12
   Days after vaccination:237
Submitted: 0000-00-00
Entered: 2021-09-13
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 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: SARS coV2 PCR positive 09/13/2021
CDC Split Type:

Write-up: Received Pfizer covid vaccination 12/28/20 and 1/18/21. Fully vaccinated and diagnosed Covid (+) 09/13/2021


VAERS ID: 1694609 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-01-15
Onset:2021-09-12
   Days after vaccination:240
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 2 LA / IM

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

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

Write-up: Sudden and severe vertigo when getting out of bed. Improved throughout day except when bending over. Continues at a mild level 2 days later


VAERS ID: 1694611 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30/30 BA / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE-RECOVERED FROM COVID 1 WEEK PRIOR W/O MED INTERVENTION
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: SITE SORENES; BUT OF CONCERN IS SMALL RED HIVES ON BOTH PALM OF HANDS FROM PINKY FINGER DOWN TOWARDS WRIST


VAERS ID: 1694646 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: New York  
Vaccinated:2021-09-09
Onset:2021-09-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chest pain, Electrocardiogram normal, 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), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Presented with acute chest pain and diagnosed with COVID-19 Vaccine adjacent myocarditis. Elevated high sensitivity troponin to 447. Normal EKG. Treated with around the clock motrin. Symptoms resolved ~ 1 day after admission. The symptoms started 3 days after administration of the vaccine.


VAERS ID: 1694734 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-26
Onset:2021-09-12
   Days after vaccination:170
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 2 LA / IM

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

Write-up: Hospitalization for COVID-19.


VAERS ID: 1694780 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-01-31
Onset:2021-09-12
   Days after vaccination:224
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Atypical pneumonia, Chest X-ray abnormal, Diarrhoea, Haemoglobin decreased, Melaena
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Coronary artery disease status post CABG, atrial fibrillation status post ablation, CHG, HTN, Hypothyroidism.
Allergies: Sulfa (Sulfonamide Antibiotics), Diazepam, hyprocodone, oxycodone, hydralazine, diphenhydramine, cefdinir
Diagnostic Lab Data: 9/12/2021 CXR multifocal atypical pneumonia. Hgb 9.0 (baseline)
CDC Split Type:

Write-up: ongoing hospitalization began 9/12/2021 with complaints of dark tarry stools, diarrhea, generalized weakness.


VAERS ID: 1694786 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blood test, Chest pain, Dyspnoea, Electrocardiogram, Neck pain, Paraesthesia, X-ray
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, B12
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: X-Ray, blood test, EKG. Told this was a "normal" reaction to the vaccine by the healthcare provider 9/13/2021.
CDC Split Type:

Write-up: General neck and shoulder pain, and tingling sensation down left leg. Woke up 2nd morning at 2:45 am (9/13/2021) after the shot with shortness of breath and chest pains.


VAERS ID: 1694809 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-01-20
Onset:2021-09-12
   Days after vaccination:235
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 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? 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 9/12/21 after being fully vaccinated.


VAERS ID: 1694876 (history)  
Form: Version 2.0  
Age: 90.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-11
Onset:2021-09-12
   Days after vaccination:93
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 RA / IM

Administered by: Private       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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: CKD, TIA, stroke, Type 2 diabetes, HTN
Allergies: cefuroxime, clarithromycin, ibuprofen, penicillin, pneumovax 23. pregabalin, vibramycin
Diagnostic Lab Data: positive covid
CDC Split Type:

Write-up: Patient admitted to hospital with positive covid test. Breakthrough case


VAERS ID: 1694884 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-08-09
Onset:2021-09-12
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax abnormal, Pulmonary embolism, Scan with contrast abnormal
SMQs:, Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin hydrochlorothiazide lisinopril potassium chloride furosemide
Current Illness: None
Preexisting Conditions: COPD DM Type II HTN morbid obesity tobacco dependence
Allergies: No known allergies to medications, foods, or products.
Diagnostic Lab Data: Pulmonary emboli confirmed by CT of chest with IV contrast 9/12/21
CDC Split Type:

Write-up: 5 weeks post injection #1 patient presents with a pulmonary embolism. Second dose was not received at 3 weeks.


VAERS ID: 1694888 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050E21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Chills, Decreased appetite, Headache, Hyperhidrosis, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro 15mg Pre-natal vitamin Vitamin D 5000 IU
Current Illness: N/A
Preexisting Conditions: Anxiety/Depression Vitamin D deficiency Seasonal allergies
Allergies: NKDA
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Sore arm Began around 1:30 PM. Around 8:45 PM: Began to feel fever kick in. Temp initially 100.4. Extreme chills. Extreme back pain and joint pain. Took 1000mg of Tylenol. Fell asleep. Around 1:30 AM woke up to fever like symptoms returning and extreme headache. Took 800mg of Ibuprofen. Woke up around 6:00 AM and had extremely sweaty back.. felt as though fever had broke, but still had headache. Took another 1000mg of Tylenol. Woke up around 8:30 feeling pretty good. Minimal appetite day after shot.


VAERS ID: 1694923 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2589 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

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

Write-up: Patient c/o itching in the throat s/p vaccination. Patient given Benadryl 25mg po as ordered PRN and symptoms resolved.


VAERS ID: 1694951 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-21
Onset:2021-09-12
   Days after vaccination:234
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032L20A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 2 - / -

Administered by: Public       Purchased by: ?
Symptoms: Ageusia, Anosmia, Headache, Pain, SARS-CoV-2 test
SMQs:, Taste and smell disorders (narrow), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE, CITALOPRAM
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: SARS COVID-19 MOLECULAR (PNMC) NP SWAB
CDC Split Type:

Write-up: 9/12/21: STARTED WITH HEADACHES, THEN BODY ACHES. THISMORNING SHE COULD NOT SMELL OR TASTE HER COFFEE. HAD TEMP SINCE LAST NIGHT


VAERS ID: 1694964 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Fatigue, Injection site pain, Pain
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tri esterilla; Levothyroxine; Daily vitamin; Elderberry; Probiotic; Zinc
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extreme fatigue, fever, extreme body aches, tightness in chest, sore arm at injection site


VAERS ID: 1694983 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Unknown  
Location: Minnesota  
Vaccinated:2021-02-28
Onset:2021-09-12
   Days after vaccination:196
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chest discomfort, Cough, Facial discomfort, Headache, Nasal congestion, Rhinorrhoea, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (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: CBD TINCTURE, OXYCODONE, VITAL IQ
Current Illness: NONE
Preexisting Conditions: BACK PAIN
Allergies: NONE
Diagnostic Lab Data: SARS COVID-19 MOLECULAR NP- POSITIVE
CDC Split Type:

Write-up: 9/12/2021: BAD HEADACHE, CHEST CONGESTION, STUFFINESS, COUGH, NOSE DRIPS, LOTS OF PRESSURE IN HER FACE


VAERS ID: 1694990 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-11
Onset:2021-09-12
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Electroencephalogram, Loss of consciousness, Lumbar puncture, Magnetic resonance imaging, Neurological examination, Positron emission tomogram, Seizure, Single photon emission computerised tomogram
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: All tests on May 11, 2021- Neurological exam Blood tests Lumbar puncture EEG, MRI, CT scan, PET, SPECT
CDC Split Type:

Write-up: Seizures and loss of consciousness


VAERS ID: 1695247 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Oral herpes
SMQs:, Oropharyngeal infections (narrow), Opportunistic infections (broad)

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

Write-up: Day 2 after receiving the vaccine, patient developed a small lump, size of a pea, on her right lower lip. Day 3 the lump was the size of a grape, swollen and painful. After seeing her primary care doctor (on day 3) she was diagnosed with a cold sore on her right lower lip; however, prior to the vaccine the patient has never had a cold sore before. We believe this to be a direct result of the vaccine.


VAERS ID: 1695266 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-08
Onset:2021-09-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Disorientation, Dyskinesia, Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dyskinesia (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamotrogine and Ethosuximide
Current Illness: No
Preexisting Conditions: Epilepsy (Absence seizures)
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fainting, passing out, in and out of consciousness. Disorientated. Body jerking.


VAERS ID: 1695464 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: New York  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 1 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Headache, Pyrexia, Respiratory tract congestion
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Chills, fever, headache congestion, weak


VAERS ID: 1695485 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Condition aggravated, Impaired work ability, Lyme disease, Migraine
SMQs:, Arthritis (broad)

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

Write-up: Two days following the first dose of the vaccine I experienced a fairly bad Lyme Disease flare up. While I already experience joint pain due to Lyme, it was greatly intensified after the vaccine, causing me to have to take off work. I?ve also been experiencing a persistent migraine starting two days after receiving the first dose and continuing into today (3 days after vaccination). This migraine is causing random, extremely painful ?stabs? in the left side of my head.


VAERS ID: 1695495 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007D21A / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, 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? 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: 2 days following injection, developed swelling and redness at injection site


VAERS ID: 1695505 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

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

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

Write-up: Skin rash all over the body


VAERS ID: 1695510 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Asthenia, Bacterial test, Basophil count normal, Basophil percentage, Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood calcium increased, Blood chloride normal, Blood creatine phosphokinase decreased, Blood creatinine normal, Blood glucose normal, Blood lactate dehydrogenase normal, Blood potassium normal, Blood sodium normal, Blood urea decreased, Blood urine absent, C-reactive protein normal, Carbon dioxide increased, Chromaturia, Crystal urine absent, Eosinophil count normal, Eosinophil percentage, Fungal test negative, Glomerular filtration rate normal, Glucose urine absent, Haematocrit normal, Haemoglobin normal, Immunoglobulins, International normalised ratio normal, Lipase urine, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal, Monocyte percentage, Muscular weakness, Neutrophil count normal, Neutrophil percentage, Nitrite urine absent, Parasite urine test negative, Platelet count normal, Protein total normal, Protein urine absent, Prothrombin time prolonged, Red blood cell count normal, Red blood cell sedimentation rate normal, Red blood cells urine negative, Red cell distribution width normal, SARS-CoV-2 test negative, Specific gravity urine normal, Urinary casts absent, Urinary sediment, Urine abnormality, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count normal, White blood cells urine negative, pH urine normal
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Liver-related coagulation and bleeding disturbances (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Proteinuria (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prevacid over-the-counter
Current Illness: none
Preexisting Conditions: gastroesophageal reflux disease, eosinophilic esophagitis, lower back pain
Allergies: dairy products, no known drug allergies
Diagnostic Lab Data: 14 Sep 21 @ 0851 (Coll) NASAL MUCUS SARS-COV-2 AG . . . . NEGATIVE 13 Sep 21 @ 2259 (Coll) URINE UA GLUCOSE. . . . . . NEGATIVE (<50) UA BILIRUBIN. . . . . NEGATIVE (CDC Split Type:

Write-up: left upper extremity, trapezius, and sternocleidomastoid myasthenia with 3/5 strength. Able to oppose gravity but not resistance.


VAERS ID: 1695528 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 AR / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Hyperhidrosis, Pruritus, Rash, Vaccine positive rechallenge, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control , zoloft, iron supplement
Current Illness: Anemia
Preexisting Conditions: Anemia
Allergies: Keflex, Penicillin, Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: On evening of day 2 after each of shots 1 and 2 patient presented with vomiting, diarrhea, all over sweating, stomach pain, and itching and rash on head/ears.


VAERS ID: 1695722 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dizziness, Feeling hot, Inflammation, Injection site swelling, Limb discomfort, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)

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

Write-up: Lightheaded within 15 minutes of the shot and chest pain within 50 minutes after the shot. Chest pain on right side, inflammation/swollen at site of pain and warm to touch compared to the normal other side of chest. Swollen arm at site of injection and discomfort when lifting arm.


VAERS ID: 1695736 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: School       Purchased by: ?
Symptoms: Abdominal pain lower, Headache, Hypoaesthesia oral, Influenza like illness, Pain in jaw, Pyrexia, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Osteonecrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: Tongue numbness; Jaw muscle pain; Lower abdominal pain; Headache; Fever with tachycardia; Flu like symptoms.


VAERS ID: 1695776 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain upper, Back pain, Breast pain, Pain, Pelvic pain, Sleep disorder
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Lipodystrophy (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: MVI
Current Illness: None
Preexisting Conditions: None
Allergies: Monastat
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have body aches to the point I can''t even sleep. My lower back, stomach, pelvic, breast is in excruciating pain as if I am pregnant or a chase of really bad of unbearable menstruation pain. I am also experiencing being bloated.


VAERS ID: 1695821 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-09
Onset:2021-09-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0809 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Rash
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (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: Cellulitis
Other Medications: Irbesartan Flonase Zyrtec
Current Illness:
Preexisting Conditions: Allergies High blood pressure
Allergies: Seafood
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash and pain on my back, feels like shingles


VAERS ID: 1695832 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF 2539 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Lip exfoliation, Oral mucosal exfoliation, Pyrexia, Rash
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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: Esomeprazole
Current Illness: None
Preexisting Conditions: Gerd
Allergies: None
Diagnostic Lab Data: None Previous infection to covid(11/20). Positive antibody tired 1 month prior to vaccination
CDC Split Type:

Write-up: Fevers to 103 rash on chest and and neck. Peeling skin on the lips and roof of mouth.


VAERS ID: 1695842 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Have not received medical care as it wasn''t deemed emergent by myself as of yet but will continue to monitor Blood Pressure
CDC Split Type:

Write-up: Headache approximately 12 hours after lasting approximately 24 hours Spike in blood pressure (155/99 being highest recorded) about 18 hours after injection and current high blood pressure Low grade fever within 12 hours of injection lasting 48 hours


VAERS ID: 1696102 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2589 / 1 RA / IM

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

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

Write-up: injection site pain (2-days), tiredness(2-days), headache (they come suddenly last about an hour), muscle pain (2-days), chills (2-days ), joint pain (3 days), fever slight (1-day) and swollen lymph nodes on day 3 still bothering me.


VAERS ID: 1696157 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Condition aggravated, Irritability, Migraine, Tinnitus
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hearing impairment (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: metformin, ozempic, spironalactone, wellbutrin, lexapro, nuvaring, vitamin c, vitamin d, fish oil, topiramate, phentermine, allegra,
Current Illness:
Preexisting Conditions: PCOS, insulin resistance, migraines
Allergies: amoxicillin, st johns wort
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tinnitus in both ears, migraine, both unresolved. Extreme irritability with 1st dose, not as bad with second.


VAERS ID: 1696204 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site pustule, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (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: Atenolol, losartan, ezitimibe, levothyroxine, omeprazole, calcium, vitamins
Current Illness: none
Preexisting Conditions: Hypothyroid, high cholesterol, HTN, gastric ulcers, osteopenia
Allergies: PCN, sulfa, iodine
Diagnostic Lab Data: None. Self-administered benadryl by mouth, topical antibiotic cream with anti-itch, and topical Caladryl lotion. Looked at CDC website and saw that "Covid Arm" is real.
CDC Split Type:

Write-up: Area around injection site became red, hot, swollen, extremely itchy all overnight the first night. Continued to enlarge, skin dimpled like an orange peel. Redder and harder, with one pustule at needlepoint site. Injection was Saturday. The Tuesday after, it began to improve: redness receding, itching less.


VAERS ID: 1696210 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-09-01
Onset:2021-09-12
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Decreased appetite, Diarrhoea, Eye pain, Facial pain, Fatigue, Hypoaesthesia, Muscle spasms, Nausea
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Noninfectious diarrhoea (narrow), 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: Celexa
Current Illness: None
Preexisting Conditions: None
Allergies: Stadol Latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: Numbness in both upper extremities, sharp stabbing pain in face and eyes followed directly with numbness, muscle spasms, major fatigue, diarrhea, nausea, loss of appetite.


VAERS ID: 1696249 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-12
Onset:2021-09-12
   Days after vaccination:153
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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:
Preexisting Conditions:
Allergies: no known allergies
Diagnostic Lab Data: COVID PCR + 9/13/21
CDC Split Type:

Write-up: fever, SOB


VAERS ID: 1696289 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein normal, Chest pain, Electrocardiogram normal, Full blood count normal, Metabolic function test, Palpitations, Paraesthesia, Red blood cell sedimentation rate normal, Troponin normal
SMQs:, Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cetirizine 10mg daily, flonase nasal spray
Current Illness: n/a
Preexisting Conditions: ADHD, speech disorder
Allergies: no known allergies
Diagnostic Lab Data: 9/13/21 - Physical exam within normal limits. EKG shows normal sinus bradycardia CBC, CMP, Troponin, CRP, Sed rate, TSH within normal limits
CDC Split Type:

Write-up: Patient reports that she received her 2nd Pfizer COVID vaccine Saturday and woke up in the early AM Sunday with chest pain, her head "feeling tingly" and heart rate feeling like it was going fast sometimes and slow sometimes. Presented to the office on Monday AM with symptoms persisting


VAERS ID: 1696355 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-09-01
Onset:2021-09-12
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Heart rate irregular, Hyperhidrosis, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypoglycaemia (broad)

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

Write-up: racing heart rate 80+ normal resting is 42/44 lasted 4/6 hours dropped to60/65 in morning 50/55 next morning sweats first evening and chills not there the next morning


VAERS ID: 1696364 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-27
Onset:2021-09-12
   Days after vaccination:228
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient tested positive for COVID


VAERS ID: 1696408 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Cough, Diarrhoea, Fatigue, Palpitations, Somnolence
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

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

Write-up: Dry cough, palpitation, diarrhea, tiredness, somnolence, and chill


VAERS ID: 1696433 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026D21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Menstruation irregular
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Minor side effects to first covid vaccine 1 month prior - headache, body aches, fatigue, soreness.
Other Medications: Advil for side effects of covid vaccine
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data:
CDC Split Type:

Write-up: I noted that I was unsure as to whether or not I was pregnant and asked the pharmacist if it was safe to go ahead with the second vaccine. She asked if I was trying to conceive and I said, "Yes." She said it was safe to proceed and so I received the shot. By the following day, my period started (6 days early). In my 22.5 years of menstruating, I have never gotten my period early not even by a day or two. Additionally, my period has been very heavy, which is unusual. I have bled through multiple items of clothing, chairs, bed sheets, etc. I was in the process of trying to conceive and believe I was successful in doing so. There were signs of implantation and beginning stages of fertilization. I believe taking this second dose negatively affected that, resulted in an early period, and an early miscarriage. This information was not shared with me prior to the vaccination despite me asking for additional information and putting down "unknown" in response to the question about pregnancy on the form. The pharmacist should''ve have been more forthcoming about this so that I could''ve made a more informed decision. Had I known this was a side effect experienced by other women and that it could negatively impact menstruation and conception, I would not have taken this vaccine or any other COVID vaccine. Withholding this information or any other important information takes away the power of the patient to make an informed decision that is in his/her best interest. This was deceptive and unfair.


VAERS ID: 1696450 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-09
Onset:2021-09-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 80777027315 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Asthenia, Chills, Diarrhoea, Eye irritation, Nausea, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Corneal disorders (broad), 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? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies: Almonds, beef, corn, latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: First off? the first injection gave me the sorest arm I?ve ever experienced on the 2nd day. By the 3rd day soreness had pretty much gone. Secondly, the second injection gave me the same sore arm the 2nd day but the bloodshot eyes was a new one. My eyes burned the following day causing the red eyes and I felt weak. By the 3rd day I was good. We power walked Saturday morning and did our thing and Sunday Morning. Sunday night I went to bed and around 2am I awoke to pain in my abdomen with nausea and an instant feeling of needing to run to the bathroom because I knew I was going to have diarrhea. My body felt it needed to expel a foreign invader. As I sat on the pot, the pain that began running through my veins and body was like no other. My body didn?t know which hole to violently expel it thru. The consensus was through the anus. I thought I was done with the first bought, so I got up off the pot and washed my hands when all of a sudden a pain coursed through my healthy body and said sit yourself down now or you won?t make it. A violent expelling occurred again. Goodness gracious what did I do to deserve such violence from my wretched body at 2:20am. I was done. Got up, washed my hands?did so for 20 seconds and looked at myself in the mirror. I was instantly nauseous. I left the bathroom and grabbed my things and decided to go downstairs. I approached the stairs and instantly felt the need to poo again. Made it to my bathroom downstairs and the pain surged through my body again. For the next few hours I experienced the same thing and the chills that ran through my body and pain was difficult to say the least. I had 5 blankets on top of me and I still couldn?t keep warm. Yes, I had a fever 101.5. No I did not take any Tylenol or Ibuprofen. I finally fell asleep around 5:45am. Laid on the couch all day. Ate tomato basil soup around 2pm and a salad around 6pm. Thankfully I?m feeling better but my stomach is still a little queasy. All good but it was awful for sure. Just so you know, I?m a healthy woman and I don?t take pharmaceutical prescriptions.


VAERS ID: 1696474 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood potassium decreased, Chest X-ray normal, Chest pain, Dyspnoea, Electrocardiogram T wave abnormal, Full blood count normal, Ischaemia, Metabolic function test, SARS-CoV-2 test negative, Sinus tachycardia, Troponin normal
SMQs:, Anaphylactic reaction (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Dehydration (broad), Hypokalaemia (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hair, Skin, Nails vitamin, Vitamin D3, Vitamin C
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: 9/13/2021- date of all tests: Chest X ray (ok), CBC (ok), CMP (low potassium), Troponin (ok), ECG-12 Lead (adnormal ECG, sinus tachycardia, t wave abnormality, inferior ischemia), Covid Test (negative).
CDC Split Type:

Write-up: 2 days after receiving the first dose of the Pfizer-Biotech vaccine- started having chest pain, shortness of breath, and rapid heart rate. Went to the ER after symptoms worsened (on 3rd day after). I was treated in the hospital for the pain and low potassium, referred to a cardiologist. Still have chest pain after 4 days of getting the first dose of vaccine.


VAERS ID: 1696565 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-08-30
Onset:2021-09-12
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048F21A / 3 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Extra dose 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: hospitalization (non-ICU)


VAERS ID: 1696574 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-03-11
Onset:2021-09-12
   Days after vaccination:185
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6206 / 2 LA / IM

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

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

Write-up: hospitalization (non-ICU)


VAERS ID: 1696601 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Chills, Computerised tomogram abdomen abnormal, Heart rate increased, Pyrexia, Urine analysis
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: ER tests for vital signs 9/12/2021 ER Urine Test 9/12/2021 ER CAT Scan for abdomen 9/12/2021 Hospital Tests for vital signs 9/13-14 Hospital appendectomy 9/13/2021
CDC Split Type:

Write-up: Developed a slight temperature and fever with some chills the night after getting the shot which is 9/11/2021. On 9/12/2021, the fever broke in the morning and returned to normalcy the next morning till mid afternoon. I proceeded to feel intense stomach pain in my abdomen around 3pm, this continued despite efforts to treat with basic over the counter medications (Tylenol) and some laxatives (mirilax) to relieve what I thought was constipation issue at the time based on what I ate for lunch. Finally went to the ER around 9:45pm with an intensely high heart rate of 140 (bpm). Got some Cat scans done and they determined that the issue was that I had appendicitis around 11:30pm-11:45pm from what I recall. Stayed at the ER until 2:45am on 9/13/2021 where I was transferred after receiving and lot of fluids, antibiotic, and magnesium. Was transferred to the hospital after that were around 3-5pm I had an appendectomy to resolve my appendicitis. Currently on the course for recovery and discharged the next day in the morning.


VAERS ID: 1696608 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-26
Onset:2021-09-12
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD 0809 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Bursitis, Fatigue, Headache, Neck pain, Pain, Pain in extremity
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 5-mthf 15mg, B-complex, Selenium, Zinc, DIM
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: 9/13/2021 a physical inspection for my left shoulder.
CDC Split Type:

Write-up: 8/26/2021 about 2 hours after shot I had soreness in my right arm and a headache that lasted for about 2 days stopping around the 28th. 8/27/2021 about 7:30 am I woke up feeling tired and the soreness was now also in my neck and I had some pain at the lower part of my head also. This lasted about 2 days ending around the 29th. I did take Tylenol a few times on the 27th and 28th and only once on the morning of the 29th. 9/12/2021 around 8:00 am I woke up with my left shoulder being sore when I moved it around and as the day went on it continued to get worse. By Monday morning, the 13th, I could not move my left arm and the pain in my shoulder was constant even when I was not moving my arm. I had my daughter take me to the Emergent Care Center. They did not do any x-rays since the pain wasn''t a result of some type of injury to the shoulder and said they believed it was Bursitis. They gave me a steroid shot and three prescription to take for it. The pain lessened around 10:00 pm on the 13th. When waking up today on the 14th the pain is only there when my arm is moving around and it is not as severe as before. If the soreness and pain are still affecting me in 2-3 days I will schedule an appointment with my doctor.


VAERS ID: 1696627 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-02
Onset:2021-09-12
   Days after vaccination:194
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 2 LA / IM

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

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

Write-up: hospitalization (non-ICU)


VAERS ID: 1696636 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Diarrhoea, Feeling abnormal, Headache, Nausea, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Spinal stenosis Fibromyalgia Lichens sclerosis Interstitial cystitis
Allergies: Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received Pfizer-BioNtech COVId-19 Vaccine EUA. Had vaccine at 12:30 pm. At 11:00 PM, awoke with chills, severe arm pain, and headache. Next morning, had temp of 101.7, very severe headache, severe arm pain, stomach queasiness, diarrhea. Felt terrible! Next day (today 9/14) have low grade temp, headache, and sore arm. Headache: When I bend down, my headache is worse.


VAERS ID: 1696658 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-09-12
   Days after vaccination:156
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026A21A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040B21A / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chest X-ray abnormal, Lung infiltration, Pneumonia bacterial, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Interstitial lung disease (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol, ipratropium, ASA, atorvastatin, Vitamins D, B12, B6, budesonide/formoterol, cyclobenzaprine, finasteride, gabapentin, guaifenesin, lisinopril, MVI, NTG, roflumilast, sotalol, tiotropium
Current Illness: chronic back pain w/ depo medrol injection to epidural
Preexisting Conditions: AAA, Afib, COPD, CAD, HTN, MI, Emphysema, GERD, HLD
Allergies: nka
Diagnostic Lab Data: PCR + 9.12/2021 CXR: LUL infiltrate concerning for superimposed bacterial pneumonia
CDC Split Type:

Write-up: breakthrough covid +


VAERS ID: 1696701 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain lower, Abdominal tenderness, Blood urine present, Computerised tomogram abdomen abnormal, Enteritis, Enteritis infectious, Gastrointestinal oedema, Gastrointestinal wall thickening, Menstrual disorder, Scan with contrast abnormal, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (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: Adderall, Doxepin, birth control
Current Illness: none
Preexisting Conditions: ADHD
Allergies: formaldehyde
Diagnostic Lab Data: WBC: 12.20 Large blood in urine CT abd/pelv w/wo contrast: IMPRESSION: 1. Extensive small bowel wall thickening and edema which is suspicious for infectious or inflammatory enteritis. 2. Appendix is normal. 3. Additional findings as above.
CDC Split Type:

Write-up: Pt had a period 10 days ago. Pt never has abnormal periods. PT takes birth control. Pt had vaccine 6 days after period. Pt had another period 2 days after vaccine. 2 periods in less than 2 weeks. PT also has severe RLQ pain and abd tenderness that started 4 days after the vaccine. Pt presented to the ER for both problems that occurred 2 and 4 days after vaccine with no prior history.


VAERS ID: 1696706 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: moderna 1and2
Other Medications: none..
Current Illness: fibromyalgia
Preexisting Conditions: no
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: extreme muscle pain, fever. headache, nausea,


VAERS ID: 1696730 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2589 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Pharyngeal erythema, Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

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

Write-up: Patient arrived to observation at 2158. Patient main complained was itchiness in the throat area. Vital signs were initiated, patient assessed throat showed redness in the back of throat, no swelling, no difficulty swallowing. Later patient while in observation patient stated ? every time I eat chocolate, my tongue feels like bumps and a rash? ? no itching?. Decision to administer Benadryl was made by head clinician and managing lead. 20-30 minutes later patient stated I feel better?. Patient went home with husband in no distress and thankful.


VAERS ID: 1696782 (history)  
Form: Version 2.0  
Age: 95.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-03-03
Onset:2021-09-12
   Days after vaccination:193
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0101M20A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011A21A / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, COVID-19, Cough, Dyspnoea, Fall, Fatigue, Feeling abnormal, Frequent bowel movements, Hypoxia, Memory impairment, Pneumonia, SARS-CoV-2 test positive, Troponin increased
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Myocardial infarction (narrow), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Chief Complaint SOB after fall. Also reports "strange" feeling in stomach; 6 BMs today, denies diarrhea. Placed on 3L by EMS; RA sat 88% upon arrival. History of Present Illness 86-year-old female with past medical history significant for atrial fibrillation, hypertension, hyperlipidemia, who presented with 2 day history of cough and abdominal discomfort, frequent bowel movements, and hypoxia. Patient reports feeling more short of breath and tired for last 2 days. She complained of having an upset stomach with multiple bowel movements (reports six bowel movements in last 24 hours, but denies diarrhea). Patient had an unwitnessed fall on the evening of September 13, an


VAERS ID: 1696795 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Pain in extremity, Paraesthesia, Ultrasound scan normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, D, Zinc
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa drugs
Diagnostic Lab Data: Ultrasound to look for blood clots. No clots found.
CDC Split Type:

Write-up: Pain in both legs, tingling, joint pain.


VAERS ID: 1696852 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30130BA / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Dyspnoea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: I had a hard time breathing. Felt as if I had been running. Lasted about 24 hours slowly getting better as time passed. I fainted at one point. I?m not sure if this matters but I had covid twice last time was a few months ago. I keep seeing on the news hospitals are over run so I wanted to wait until I couldn?t wait any longer before doing that and about 16 hours later it started to ease. It?s been 2 days I still don?t have a appetite.


VAERS ID: 1696854 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-08
Onset:2021-09-12
   Days after vaccination:157
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: presented to ER for evaluation of vomiting. also complains of increasing shortness of breath over the past several days. found COVID+


VAERS ID: 1696856 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Breast pain, Breast swelling, Breast tenderness, Decreased appetite, Headache, Influenza like illness, Lethargy, Lymphadenopathy, Muscle spasms
SMQs:, Angioedema (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Lipodystrophy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hydroxychloroquine, naproxen, women''s daily vitamin
Current Illness: none
Preexisting Conditions: lupus
Allergies: none - seasonal allergies
Diagnostic Lab Data: no test, no doctor visit
CDC Split Type:

Write-up: flu like aches, forehead headache, cramps (similar to menstrual cramps), very swollen lymph nodes, very enlarged and sore to touch breast, lethargic, no appetite


VAERS ID: 1696922 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-07
Onset:2021-09-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939893 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Menstrual disorder
SMQs:

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

Write-up: My menstrual cycle came 14 days earlier than what is normal. It also happened after my first dose.


VAERS ID: 1697160 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-08
Onset:2021-09-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Axillary pain, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Strong pain in armpit (side of injection) Swollen hand (side of injection)


VAERS ID: 1697167 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blood test, Limb discomfort, Mobility decreased, Muscle swelling, Myalgia, Pain in extremity, Sensitive skin, Toothache
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Doctor office took blood samples from me on 9/13/2021, still waiting on results.
CDC Split Type:

Write-up: I received my first dose of the COVID19 Pfizer vaccine in my left arm on 8/20/2021. On 9/8/2021, I started with some pain in my left hand muscle and a tooth ache on the left back side. Within an hour, my left hand muscle swelled immensely. On 9/9/2021, I started with some pain in my left knee that only lasted a few hours. I got my second dose of the COVID19 Pfizer vaccine on 9/10/2021 and had no issues until I woke up on 9/12/2021 with a painful ball of pressure on the underside of my left foot that quickly swelled to the point I thought my foot was going to pop due to the incredible pressure building. My left foot swelled so much, I couldn''t move my toes. around 4pm on 9/12/2021 the same this started in my right foot. It didn''t swell as bad but it still had a lot of pressure and pain. around 5:30pm on 9/12/2021, the muscle in my right hand started to ache & swell. On 9/13/2021, the swelling subsided a lot but my feet remained sore & sensitive.


VAERS ID: 1697175 (history)  
Form: Version 2.0  
Age: 0.08  
Sex: Male  
Location: Missouri  
Vaccinated:2021-09-08
Onset:2021-09-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Body temperature increased, Condition aggravated, Decreased appetite, Exposure via breast milk, Fatigue, Feeling hot, Heart rate increased, Irritability, Respiratory tract congestion, Rhinovirus infection, Tachypnoea, Urine analysis
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Neonatal exposures via breast milk (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: Rhinovirus
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient is an exclusively breastfed newborn. He has had rhinovirus symptoms since 9/5 which consisted of minor congestion. That has been the only symptom and never got worse. When I woke him up on the morning of 9/12, he was very tired and hardly ate. He slept through his next feeding. Around 3:00 he started getting fussy but still would not eat well. His congestion was not any worse than it had been. He remained irritable. I fed him around 7:30. He didn?t eat well again but I put him down to bed after. Around 11:00pm, his heart rate monitor went off because his heart rate spiked. When we got him out of bed, he felt so warm. He had rapid breathing and seemed to be struggling. His under the arm temperature was 100.8 on one arm and 100.9 on the other arm. I called the exchange and they said to bring him to the ER. When I brought him in, they swabbed him and sent blood and urine in. His rectal temperature was 100.8 at the hospital. The only thing that came back positive was for rhinovirus. As I was processing everything, I realized that the progression of symptoms were the exact progression of symptoms I had from the covid vaccine. I asked the ER doctor if that could have any relation and if it could be noted in the file since he had the same symptoms for a whole week and everything else came out of nowhere and so fast. The ER doctor said it absolutely could not have anything to do with that and quickly dismissed me. Prior to talking to the doctor, I mentioned it to the nurse and she said it could be but they don?t have enough research on the effect on a nursing newborn. They gave him Tylenol at 2:00 am. When he was discharged around 3:30 am, he went to bed as soon as we got home. At 10:00am when he woke up and I fed him, his underarm temperature was 98.6 with no other medicine given to him besides at the hospital at 2:00am. He was smiling and back to his normal self with just the minor congestion. He has remained this way ever since. I was disappointed the doctor dismissed it so quickly and did not want to consider it. My pediatrician?s office recommended me reporting it here.


VAERS ID: 1697183 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-09
Onset:2021-09-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein increased, Dyspnoea, Fibrin D dimer increased, Red blood cell sedimentation rate increased
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Acyclovir Alprazolam cetirizine famotidine fluticasone
Current Illness: N/A
Preexisting Conditions: GERD
Allergies: Atorvastatin aspirin Seasonal
Diagnostic Lab Data: D-dimer: 544 ESR: 23 CRP: 1.22
CDC Split Type:

Write-up: Patient developed shortness of breath 3 days after receiving the 1st dose of Pfizer vaccine. She presented to Urgent Care and had an elevated d-dimer, ESR and CRP and was advised to go to the ER for further workup.


VAERS ID: 1697209 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-08
Onset:2021-09-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC 3180 / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Amniocentesis, Cardiac arrest, Cardioversion, Echocardiogram abnormal, Ejection fraction, Endotracheal intubation, Hypothermia, Immunoglobulin therapy, Infusion, Resuscitation, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Accidents and injuries (broad), Cardiomyopathy (broad), Respiratory failure (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: None reported
Preexisting Conditions: Generalized anxiety disorder
Allergies: PCN, clindamycin, azithromycin, tapentadol
Diagnostic Lab Data:
CDC Split Type:

Write-up: Presented with Vfib cardiac arrest 4 days after second dose of COVID vaccine. Cardiac arrest 9/12 around 0500. In vfib per EMS, defibrillated, amio, multiple rounds of CPR/ACLS. Did achieve ROSC. Limited echo in ED EF 5-10%. Hypothermia protocol. Due to presentation, there was some concern of possible myocarditis related to the recent COVID vaccine. Was treated with IVIG and methylpred x 2 days. Initially on Norepinephrine, dobutamine, and amiodarone infusions. Has been weaned off all and successfully extubated.


VAERS ID: 1697212 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-07-21
Onset:2021-09-12
   Days after vaccination:53
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Delivery, Exposure during pregnancy, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (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: none known
Current Illness: none known
Preexisting Conditions: none known
Allergies: none known
Diagnostic Lab Data: PCR + for Covid 9/12/2021
CDC Split Type:

Write-up: Client was vaccinated with Pfizer vaccines for Covid on 7/21 and 8/11/2021. She was pregnant at time of vaccination. Admitted to hospital on 9/12 to deliver FT infant and was routinely tested for Covid. PCR + for Covid on 9/12. Asymptomatic. Health infant born. Infant tested and was negative. Reported as a case of breakthrough Covid in a fully vaccinated person.


VAERS ID: 1697361 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-13
Onset:2021-09-12
   Days after vaccination:152
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Work       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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT HAD PFIZER COVID VACCINES ON Dose 1 date: 04/13/2021, Dose 2 date: 05/04/2021, AND TESTED POSITIVE TO COVID


VAERS ID: 1697579 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-27
Onset:2021-09-12
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Heavy menstrual bleeding, Menstrual disorder, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Dystonia (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: Lamictal, atenolol, lo estrogen fe, Xyzal
Current Illness: None
Preexisting Conditions: Bipolar disorder type 2
Allergies: Sulfa, pickled foods
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe cramps similar to menstrual cramps with lower back pain starting 9/12/21, period starting 2 weeks earlier with extremely heavy flow on 9/13/21 (very unusual for me as I am on OCP and I did not miss any days and I''ve been on this medication since 12/2020). Severe cramping and lower back pain continues to this moment on 9/14/21 along with still having heavy period flow.


VAERS ID: 1697588 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation
SMQs:, Peripheral neuropathy (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: Sulfites, kiwi
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Burning in tops of thighs in both legs


VAERS ID: 1697930 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2589 / 2 LA / IM

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

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

Write-up: Patient reported swollen and painful lymph nodes in the left armpit area and left side of chest area.


VAERS ID: 1697931 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: New York  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Seizure, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient said he felt light headed after administration of shot. He fainted and had a seizure that lasted around 10 seconds around 5 minutes after receiving vaccine


VAERS ID: 1697934 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Chest pain, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (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: None
Current Illness: None
Preexisting Conditions: Asthma; benign heart murmur
Allergies: None
Diagnostic Lab Data: ER Blood Tests 9/13/2021 All results normal.
CDC Split Type:

Write-up: On Saturday felt fine On Sunday around 1pm started feeling (without any particular trigger) tightness in throat (like something stuck); chest pain in upper right chest. Called nurse hotline. On Monday morning felt fine On Monday after biking home, felt chest pain which persisted for hours after biking. Called nurse hotline, which advised to go to ER. ER determined nothing life threatening. Tuesday felt fine.


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