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

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



Case Details (Reverse Sorted by Onset Date)

This is page 226 out of 4,799

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VAERS ID: 1423635 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-06-01
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO171 / 1 - / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Hyperhidrosis, Hypoaesthesia, Myalgia, Nausea, Paraesthesia, SARS-CoV-2 test, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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: Multivitamin, biotin, lutein
Current Illness: Sun cancer prevention because of freckles produced in childhood
Preexisting Conditions: Non-cancerous cancer, lump removed from right breast in April 2005
Allergies: Sodium, shrimp, ham, soy sauce, turmeric, some peppers like jalape?o and hotter
Diagnostic Lab Data: June 22nd 2021 @ 3:10pm SARS-COV-2 RNA, QL, RT PCR (COVID-19)
CDC Split Type:

Write-up: Muscle aches and pain included tingling or numbness started June 1st 2021. A couple days later, I did the CDC Checker. It stated I had the flu and to quarantine for 10days and take influenza vaccination. Pain started at 11 on 1 to 10 scale. Today, it?s at 1 on a scale of 1 to 10. Mostly pain, a lot of sweating, nausea, vomited 4 times and everything else is over. I did a TeleDoc visit, however, it was an LPN versus doctor. So I didn?t take her advice and go to hospital. When I could drive went to CVS drivethru minute clinic


VAERS ID: 1423822 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-06-23
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Interchange of vaccine products, No adverse event
SMQs:, Medication errors (broad)

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

Write-up: Patient has not experienced an adverse event. Patient got the Pfizer COVID vaccine after intentionally witholding information of a previous COVID vaccine. Information of previous COVID administration was obtained while billing the Pfizer vaccine administration through his insurance. He said he decided to get it because he heard Dr. TV saying a booster vaccination may be required after getting the vaccine.


VAERS ID: 1423856 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-06-23
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Interchange of vaccine products
SMQs:, Medication errors (broad)

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

Write-up: Patient has not experienced an adverse event. Patient got the Pfizer COVID vaccine after intentionally witholding information of a previous COVID vaccine (Johnson & Johnson). Information of previous COVID administration was obtained while billing the Pfizer vaccine administration through his insurance. He said he decided to get it because he heard Dr. on TV saying a booster vaccination may be required after getting the J & J vaccine.


VAERS ID: 1423876 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-26
Onset:2021-06-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Antinuclear antibody, Asthenopia, C-reactive protein, Differential white blood cell count, Dizziness, Ear pain, Fatigue, Full blood count, Gaze palsy, Metabolic function test, Musculoskeletal stiffness, Nasal congestion, Palpitations, Red blood cell sedimentation rate, Rhinalgia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Corneal disorders (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prograf, Cellcept, Prednisone, Aspirin, Cod Liver Oil and VitaminD
Current Illness:
Preexisting Conditions: Kidney and Pancreas transplant
Allergies: Tetanus, Grapefruit and Amoxicillan
Diagnostic Lab Data: Antinuclear antibodies with reflex titer, C-reactive protein, CBC with diff, Comprehensive metabolic profile and Sedimentation rate, automated. Low sodium.
CDC Split Type:

Write-up: Dizziness, vomiting, diarrhea, headache on the left side, stiff eyes, ear ache left ear, heart racing, tired easily, left shoulder stiff, muscles on left side of upper back very tense, left wrist sore, left nostril swollen and sore inside and swelling of the face mostly on the left side. Doctor visit, prescribed promethazine and told to take acetaminophen. Labs were ordered.


VAERS ID: 1424128 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-04
Onset:2021-06-01
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Coronary artery thrombosis, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

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

Write-up: pt had a heart attack + a blood clot found in her heart in the weeks following her vaccine


VAERS ID: 1424149 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-06
Onset:2021-06-01
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Fatigue, Intermenstrual bleeding, Mood swings, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Depression (excl suicide and self injury) (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: Sprentec; Lexapro; Wellbutrin; CBD ; Vit D;
Current Illness: No
Preexisting Conditions: HPV-dormant
Allergies: Milder allergy to Melon; Latex; Septra
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: I first started to experience very mild spotting and it seemed very irregular because I was taking my birth control on time. I also had Cramps; fatigue and dizziness and mood swings. Like I was getting a period without the period. Then the same symptoms happened a week later. I called the doctor to get phone appt with GYN Dr. I was not pregnant; she thought it might be hormonal imbalance and said to give it another month to see if it happened again. I have been on this same birth control for 10 years. Yesterday, June 23, I started having the same symptoms but I haven''t started with any of the spotting yet so I had cramps; fatigue and dizziness and mood springs. Today, I''m not experiencing these symptoms.


VAERS ID: 1424329 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-06
Onset:2021-06-01
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 02R1A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Headache, Joint stiffness, Neck pain, Pain in jaw, Trigeminal neuralgia
SMQs:, Demyelination (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take Lexapro daily that I have been on for decades only.
Current Illness: No
Preexisting Conditions: I have chronic fatigue and also a weaken immune system.
Allergies: I am allergic to Penicillin and Tylenol with Codeine.
Diagnostic Lab Data: X-rays and will be following up with some blood work once I go in for my annual checkup.
CDC Split Type: vsafe

Write-up: I was having pain from my neck all the way to my ear, temple, upper/lower jaw bones, right eye, really bad pain in my neck. I went to the Chiropractor and the neck calmed down but the rest of the pain did not stop in the other areas. The pain was so bad in my jaw bones and I could not talk. After going to the Chiropractor without getting any relief the following day I made medical appointments with my Dentist and Doctor. My Doctor said that said that she was glad that I tried to rule the pains out by going to the Chiropractor. Dr. ordered a series of X-rays on my jaws on 06/07/2021 and the X-ray clinic took them on 06/10/2021. I was diagnosed with trigeminal neuralgia and ruled out any structural thing or anything else going on with me (no way that there was any way that I was causing tension by turning my head and if the nerves were following where my pain was occurring). I have to let one of my colleagues takeover after talking too long because it starts to get stiff or sensitive. I''m adjusting around it right now.


VAERS ID: 1424399 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-17
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient stated that a red itchy spot appeared on injection site after a few days.


VAERS ID: 1424631 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-05-07
Onset:2021-06-01
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: HIV test false positive
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Try ads for PREP
Current Illness: None
Preexisting Conditions: None
Allergies: Nome
Diagnostic Lab Data: False positive HIV Elisa 4 test 3 weeks after vaccine followed by indeterminate differential assay despite high (100%) PREP adherence and no exposure. False positive confirmed by multiple negative ELISA 4 tests in weeks following and multiple negative hiv rna screenings in week following. No symptoms. Elisa 4 positive June 1st with differential assay indeterminate on same sample. June 4 Elisa negative. June 8 hiv rna negative and no viral load, June 18 Elisa 4 negative and June 18 rna negative and no viral load
CDC Split Type:

Write-up: False positive HIV Elisa 4 test 3 weeks after vaccine followed by indeterminate differential assay despite high (100%) PREP adherence and no exposure. False positive confirmed by multiple negative ELISA 4 tests in weeks following and multiple negative hiv rna screenings in week following. No symptoms


VAERS ID: 1425821 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Headache, Lymphadenopathy, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210617; Test Name: Body temperature; Result Unstructured Data: 102; Test Date: 20210618; Test Name: Body temperature; Result Unstructured Data: 100
CDC Split Type: USJNJFOC20210644881

Write-up: SWOLLEN LYMPH NODES; SORE THROAT; BODY ACHE; CHILLS; MASSIVE HEADACHE; FEVER; This spontaneous report received from a patient via a company representative concerned a 29 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on MAY-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On JUN-2021, the subject experienced swollen lymph nodes. On JUN-2021, the subject experienced sore throat. On JUN-2021, the subject experienced body ache. On JUN-2021, the subject experienced chills. On JUN-2021, the subject experienced massive headache. On JUN-2021, the subject experienced fever. On 17-JUN-2021, Laboratory data included: Body temperature (NR: not provided) 102. On 18-JUN-2021, Laboratory data included: Body temperature (NR: not provided) 100. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills, massive headache, swollen lymph nodes, sore throat and body ache was not reported. This report was non-serious.


VAERS ID: 1425825 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood glucose increased, Chest pain, Herpes zoster, Neuralgia
SMQs:, Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Diabetic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: Sugar blood level increased; Result Unstructured Data: Almost 400 than previous 300(units were not reported)
CDC Split Type: USJNJFOC20210645572

Write-up: SHINGLES ON BACK; NERVE PAIN / LEFT SIDE NERVE PAIN IN CHEST; CHEST PAIN; SPIKING SUGAR FROM 300 TO 400; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. The patient''s concurrent conditions included diabetic. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: not reported) dose was not reported, administered on 23-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUN-2021, the subject experienced spiking sugar from 300 to 400. On JUN-2021, the subject experienced chest pain. Laboratory data included: Sugar blood level increased (NR: not provided) Almost 400 than previous 300 (units were not reported). On 16-JUN-2021, the subject experienced shingles on back. On 16-JUN-2021, the subject experienced nerve pain / left side nerve pain in chest. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from shingles on back, nerve pain / left side nerve pain in chest, chest pain, and spiking sugar from 300 to 400. This report was non-serious.; Sender''s Comments: V0: Medical assessment comments not required as per standard procedure as the case is assessed non serious.


VAERS ID: 1425855 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210651090

Write-up: SORE ARM; NAUSEA; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 22-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced sore arm. On JUN-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the nausea and sore arm was not reported. This report was non-serious.


VAERS ID: 1425898 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-09
Onset:2021-06-01
   Days after vaccination:53
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Heart rate abnormal, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Dehydration (broad)

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

Write-up: Short of breath in recent weeks, heart rate on June 9,2021 was up to 135 resting rate, abnormal heart rhythms (extreme fast or slow beating)


VAERS ID: 1425931 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-06-01
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood culture negative, Catheter placement, Computerised tomogram abdomen, Confusional state, Culture urine negative, Decreased appetite, Dysuria, Electrolyte depletion, Gastric volvulus, Gastrooesophageal reflux disease, Haematemesis, Hiatus hernia, Hypokalaemia, Hypomagnesaemia, Hyponatraemia, Hypophagia, Laparoscopic surgery, Nausea, Occult blood positive, Robotic surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Chronic kidney disease (broad), Hypoglycaemia (broad), Hypokalaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: vitamin D, vitamin B12, metoprolol 25mg/d, pravastatin , omeprazole
Current Illness: None
Preexisting Conditions: Hx recurrent urinary tract infections, HTN, gerd
Allergies: None
Diagnostic Lab Data: as above
CDC Split Type:

Write-up: Pt was vaccinated on 3/9/21 and 4/6/21 with Pfizer vaccines. Prior to her recent hospitalization she or the daughter had no knowledge of her severe hiatal hernia but she did admit to early satiety and poor po intake for a few months. Patient is an 84-year-old female with a past medical history significant for hypertension, hyperlipidemia, recurrent urinary tract infections who presented to the emergency room on 6/1/2021 due to some dysuria, frequency, nausea, vomiting and increased confusion. She denied any fever or chills or any abdominal pain but did report some acid reflux symptoms and poor appetite. she was ultimately admitted with a suspected urinary tract infection. She was also profoundly electrolyte depleted with hypokalemia, hypomagnesemia and hyponatremia due to poor p.o. intake. She was started on IV fluids and electrolyte repletion was also started on Rocephin based on her old cultures and subsequently admitted. Patient''s urine and blood cultures ultimately produce no growth and a urinary tract infection was ruled out. She was found the day after admission with a large amount of black emesis covering her sheets. When questioned patient reported that she had been vomiting during the night. Stool OB was ultimately positive. Her DVT prophylactic heparin was discontinued. She was started on IV Protonix. CT of the abdomen pelvis was ordered. CT revealed nearly the entire stomach was above the left hemidiaphragm with air-fluid levels but there was no significant distention seen. The case was discussed with our general surgical team and the decision was made to transfer the patient to a higher level of care for a GI/EGD evaluation .She was transferred on 6/3/21. She was ultimately discharged on 6/7/21 home after being found to have a gastric volvulous. On 6/21 she returned for Robotic-assisted laparoscopic repair of a giant hiatal hernia with Bilateral placement of pleural pigtail catheters as both pleural linings were densely adhesed to the hernia sac. The plan was to discharge her home on 6/25/21.


VAERS ID: 1426109 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-12
Onset:2021-06-01
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multi vitamin, Zyrtec, melatonin
Current Illness: none
Preexisting Conditions: endometriosis (2004) , uterine fibroids (2008), fibromyalgia (2009)
Allergies: none known
Diagnostic Lab Data: none. not even a CBC to check for anemia.
CDC Split Type:

Write-up: The day after my vaccine I started my period. It was close to my usual cycle. It was rather light flow but for a normal duration. 23 days later began another period. It''s early. I am now on day 21 of an active flow. On Day''s 7-9 I experienced extremely heavy flow, soaking overnight pads in a matter of 2 hours, and experience large blood clots. On day 14 I caught medical attention at my normal primary care clinic through their walk-in services. I was given birth control and told that at my age this was just to be expected. No lab work was performed.


VAERS ID: 1426141 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-05
Onset:2021-06-01
   Days after vaccination:57
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Biopsy breast, Blood test, Bone scan, Breast cancer, Breast mass, Computerised tomogram, Mammogram, Ultrasound scan
SMQs:, Breast malignant tumours (narrow), Non-haematological malignant tumours (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: Yes
Current Illness: No
Preexisting Conditions: Breast cancer
Allergies: Yes
Diagnostic Lab Data: Biopsy, Sonogram, Mamma gram, Blood work, Bone scan, Cat scan
CDC Split Type: vsafe

Write-up: Found a lump in my left breast. Went to doctor and found it was cancer. I was in remission for 15 years before that date.


VAERS ID: 1426438 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 1 LA / IM

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

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

Write-up: The parent falsified the child''s birthdate to make it look like he was 12 years old and eligible to receive the covid vaccine. There was no known adverse reaction.


VAERS ID: 1426443 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dry mouth, Nervousness, Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: A few minutes after the shot I starting feeling faint and heart racing. Mouth was dry and felt nervous.


VAERS ID: 1426486 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-22
Onset:2021-06-01
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown to pharmacy, patient reported being on a blood pressure medication
Current Illness: Unknown health history
Preexisting Conditions: Patient mentioned having been on blood pressure medications
Allergies: NKDA
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Patient reported elevated blood pressure and heart palpitations at her doctor''s visit on 6/1/21 @8:15 am. She made 2 trips to the ER for elevated blood pressure/heart palpitations on both 6/7 (MD follow up on 6/8) and 6/10 which included an admission to the hospital for 4 days. Patients thinks it is due to the vaccine as nothing else has changed.


VAERS ID: 1426766 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Fatigue, Headache, Hypersomnia, Oropharyngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrocortisone, Metoprolol, Fludrocortisone, Cholesterol, Euthyrox,
Current Illness: None
Preexisting Conditions: Addison''s disease
Allergies: Narcotics
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: Extreme fatigue, headache, sore throat, and high fever. The high fever ran for a few days. I had no appetite. I slept a lot.


VAERS ID: 1426793 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028A21A / UNK - / IM

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

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

Write-up: INHALE ONE PUFF BY MOUTH EVERY FOUR HOURS AS NEEDED


VAERS ID: 1426904 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute kidney injury, Deep vein thrombosis, Pulmonary embolism, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021676670

Write-up: Large burden of DVT/PEs; Large burden of DVT/PEs; Associated acute kidney injury and fevers; Associated acute kidney injury and fevers; This is a spontaneous report from a contactable physician. An adult female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on May2021 (Batch/Lot number was not reported) as dose 2, single for COVID-19 immunisation. The patient had no relevant medical history. Concomitant medication included drospirenone, ethinylestradiol (YASMIN) taken as birth control pills, start and stop date were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unspecified date for COVID-19 immunization. The patient diagnosed with COVID-19 prior to vaccination. The patient experienced large burden of DVT/PEs noticed approximately 1 month after vaccination in Jun2021 and associated acute kidney injury and fevers. Events resulted in visit to Doctor or other healthcare professional office/clinic and Emergency room/department or urgent care. Patient was hospitalized for the events. Treatment received included anticoagulation + IVC Filter. Outcome of the events was recovering. The patient had not been tested for COVID-19 since the vaccination. Information on the lot/batch number has been requested.; Sender''s Comments: Based on temporal association, a contributory role of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) to the reported events cannot be excluded. The impacts of this report on the benefit/risk profile of the product and on the conduct of the study are evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concerns identified as part of this review, as well as any appropriate actions in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1426935 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-10
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Appetite disorder, Blood test, Fatigue, Lymphadenopathy, Pain in extremity, Peripheral swelling, Pyrexia, Vaccination site erythema, Vaccination site swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: VERAPAMIL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure; Drug allergy (I am allergy type person with some medicines); Insect bite allergy (I tend to have reactions from insect bites and different things like that); Multiple allergies (Tend to have reactions from insect bites and different things like that)
Allergies:
Diagnostic Lab Data: Test Date: 20210608; Test Name: Blood work; Result Unstructured Data: Test Result:Unknown
CDC Split Type: USPFIZER INC2021692035

Write-up: My arm was hurting; It''s not as bad but it''s still red and swelling is still there; I have been having Temperature; Swelling and redness in my arm; Arm is still sore; Swelling in my arm in both areas at the injection site and in my lymph nodes; Swelling in my arm in both areas at the injection site and in my lymph nodes; Been very tired for last several days; My appetite is not normal; This is a spontaneous report from a contactable consumer or other non hcp. A 68-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: ER8737), via intramuscular route of administration, administered in Deltoid Left on 10Jun2021 09:40 (at the age of 68-year-old) as single dose for covid-19 immunisation. Medical history included blood pressure from an unknown date and unknown if ongoing, Patient stated I am allergy type person with some medicines, I tend to have reactions from insect bites and different things like that, multiple allergies from an unknown date and unknown if ongoing. Concomitant medication included verapamil (Verapamil) taken for blood pressure measurement, start and stop date were not reported. The patient experienced swelling in my arm in both areas at the injection site and in my lymph nodes on 10Jun2021, patient stated been very tired for last several days and my appetite is not normal on Jun2021. Patient want to inquire How long would these last? Any recommendations on what to do? During the day on Thursday it was ok but later in the evening by Friday am at 3am I woke up and my arm was hurting. Patient stated It has lasted for 3 days now and it''s not as bad but it''s still red and swelling is still there. "Swollen lymph nodes (lymphadenopathy), which generally resolved within 10 days, is likely to have resulted from a robust vaccine-elicited immune response. Patient stated "I just received my first COVID shot on Thursday. I have been having Temperature and swelling and redness in my arm it seems to be going away, but today the arm is still sore, it still feels warm on 10Jun2021. Date for Second COVID shot: Consumer stated "Supposed to get 01Jul2021.Therapeutic measures were taken with "Tylenol" as a result of the events swelling in my arm in both areas at the injection site and in my lymph nodes, been very tired for last several days, it''s not as bad but it''s still red and swelling is still there, i have been having temperature swelling and redness in my arm, arm is still sore. The patient underwent lab tests and procedures which included blood test: unknown on 08Jun2021. Outcome of event was unknown for event Swelling in my arm in both areas at the injection site and in my lymph nodes and for all events outcome was not recovered.


VAERS ID: 1426958 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Fibromyalgia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021696631

Write-up: Woke up in a lot of pain; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose number unknown, single for covid-19 immunisation. Medical history included ongoing fibromyalgia. The patient concomitant medications were not reported. The patient reported that two weeks ago (from the day of the report) she got the Pfizer Covid-19 vaccine shot, no exact date provided, and for about a week she did not have any side effects, but on 01Jun2021, she woke up in a lot of pain, has not improved and it has been 10 days. The patient said that she does have fibromyalgia, which was a pain disorder, was feeling quite well before she got the vaccine. The patient stated she was going to go see a doctor for the second time tomorrow. The patient also said that she feels like she had a bad case of the flu, took a lot of courage to get the vaccine, was so happy not to have side effects until now (as reported). The outcome of the event was not recovered. Information on the lot/ batch number has been requested.


VAERS ID: 1426959 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-05
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021696642

Write-up: My body is like blowing up like a balloon, like my dad used to take cortisone and prednisone his body will blow up; sometimes people who take contraception or birth control their body blows up; arm was swollen; The only normal side-effect I got in the area they shot it, I had little bit of pain for few days; This is a spontaneous report from a contactable consumer (patient). This is the first case out of two cases in which the reporter is reporting for himself. A patient of unspecified age and gender received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: Unknown), via an unspecified route of administration on 05Jun2021 as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in Jun2021, the patient''s body was like blowing up like a balloon and in the area, they shot it had little bit of pain for few days. Clinical course included: consumer stated that patient took the vaccine probably about a week or two ago (05Jun2021) and all of a sudden body seems to be like blowing up. Now, patient was not eating an overly amount, anything out of ordinary, but everything was getting tight on patient and cannot figure out why, except that the only difference was that the patient took the vaccine. It does not hurt or anything but wanted to know, was that a possible side effect, so it''s more like body getting swelling. Like patient''s dad took prednisone or cortisone and his body blew up and like sometimes women who takes contracepts or whatever, birth control, it happens to them too. So, patient do not understand like patient was trying to figure out why was patient body, why pants are getting tighter. Why did patient felt like body was getting swollen like blowing up and wanted to know if that was a possible side effect. The patient''s arm was swollen and that was it, patient felt fine, but pants kept getting tighter and tighter (like way more tighter than usual and thinking of rest of the body, all clothes, why it was tightening) and felt like blowing up like a balloon and cannot figure it out, it was not like that patient eating any differently, patient just cannot figure it out. So, patient was just asking, was that a possible side effect that will go away. The only normal side-effect the patient got in the area they shot it, patient had little bit of pain for few days, but it was not all of this, so cannot understand why patient body was blowing up. The patient second dose was on the 26Jun2021. The outcome of the events was unknown. Information on the lot/ batch number has been requested.


VAERS ID: 1427122 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-11
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, Fatigue, Feeling abnormal, Pain
SMQs:, Taste and smell disorders (narrow), Dementia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Bronchitis (I get bronchitis a lot); Cough (I had a cough about a week prior to getting the shot but I get bronchitis a lot); Sickness (I just get sick at anything but I had no other symptoms other than cough)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021707404

Write-up: Lost my sense of taste and smell; Lost my sense of taste and smell; Body is achy; I felt pretty lousy; Very tired; This is a spontaneous report from a contactable consumer (Patient). A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EW0181; Expiration Date was reported as 11Jun2021), via an unspecified route of administration on 11Jun2021 (reported as Friday evening) as single dose for COVID-19 immunization. Medical history included cough from unspecified date in Jun 2021 reported as about a week prior to getting the shot but get bronchitis a lot and gets sick at anything but had no other symptoms other than cough, bronchitis. The patient concomitant medications were not reported. It was reported that the patient took vaccine on Friday evening and felt pretty lousy all weekend and actually had almost every symptom of COVID right now, so she asked what happen if got the shot if you already had COVID. Patient stated that she lost sense of taste and smell, body is achy, very tired Patient stated that she get sick at anything but had no other symptoms other than cough and usually gets bronchitis. But then after the vaccine I started getting all the mentioned symptoms. The outcome of the events was unknown. Consumer was unwilling to complete the report. Hence, limited information available. No follow up attempts are possible. No further information is expected.


VAERS ID: 1427134 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-06-05
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Burning sensation, Pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), 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: COQ-10
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021711163

Write-up: his hands and feet and legs were just itching and burning all day almost; little pain; his hands and feet and legs were just itching and burning all day almost; little pain; his hands and feet and legs were just itching and burning all day almost; little pain; his hands and feet and legs were just itching and burning all day almost; little pain; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 51-years-old male patient received bnt162b2 (BNT162B2, solution for injection) via an unspecified route of administration, administered in Arm Left on 05Jun2021 09:41 (Batch/Lot Number: ER8731) as 2ND DOSE, SINGLE DOSE for covid-19 immunisation (51-years-old at the time of vaccination). The patient medical history was not reported. Concomitant medication included ubidecarenone (COQ-10) taken for an unspecified indication. Patient had no prior vaccination. No family history of itchy hands and legs. The patient previously took first dose of BNT162B2 on 15May2021 (Age-51-year-old) (Batch/Lot Number: ER8733) for covid-19 immunisation with no reaction (No events reported). Consumer stated, he had second shot Pfizer Covid vaccine on 05Jun2021 and when he woke up that morning his hands and feet and legs were just itching and burning all day almost in jun2021 (About two days, 14Jun2021 (not clarified)).Consumer was informed about Pfizer Medical Information department. Patient did not receive any treatment for the events. The clinical outcome of the events was not recovered. Information on lot/batch number was available. Additional information has been requested.


VAERS ID: 1427139 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-15
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Chills, Diarrhoea, Feeling hot, Hyperhidrosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210616; Test Name: Fever; Result Unstructured Data: Test Result:99.9, 101, 102,102.3; Comments: she woke up kind of warm with 99.9, fever like 101, fever again at around 5'' O clock, check out her temperatures she is 102.3
CDC Split Type: USPFIZER INC2021714388

Write-up: She started having fever like 101 and I give her Tylenol, it helped a little bit; she started having high fever again at around 5''Oclock came back around 102; she is shivering a lot as well; She started having fever like 101 and I give her Tylenol, it helped a little bit; she started having high fever again at around 5''Oclock came back around 102; she is shivering a lot as well; She started having a lot of sweats; she felt warm and sweat; this morning she woke up kind of warm with 99.9; She started having a lot of sweats; she felt warm and sweat; this morning she woke up kind of warm with 99.9; she had also Diarrhea; This is a spontaneous report from a contactable consumer (patient''s mother). A 23-year-old female patient received second dose of BNT162B2 (Solution for injection, NDC/UPC number: Unknown, Expiry date: Unknown) via an unspecified route of administration on 15Jun2021 as single dose for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 (at age of 23 years) for COVID-19 immunization and no reaction was reported on previous exposure to vaccine. On 15Jun2021, the patient started having a lot of sweats; she felt warm and sweat; and morning she woke up kind of warm with 99.9. She started having fever like 101 and was given TYLENOL (NDC/UPC number: Unknown, Expiry date: Unknown) which helped a little bit; she started having high fever again at around 5''O clock came back around 102; she was shivering a lot as well. She also had diarrhea and had taken her to the emergency room. Reporter stated, "her daughter had Pfizer, the second shot yesterday afternoon and last night she started having a lot of sweats. So, she felt warm and sweat which we thought was going to pass. But then, morning she woke up kind of warm with 99.9 and then she thought it was going to pass. But then she started having fever like 101 and she gave her TYLENOL (captured as suspect), it helped a little bit. But that afternoon she started having high fever again at around 5''O clock came back around 102. So, she took another 2 TYLENOLs, and it was already 10:17, was not sure, 10:25 and she just check out her temperatures she was 102.3. So, her question was should she take her to emergency room because she was shivering a lot as well". Reporter was requested to take the patient to the nearest emergency room or contact a healthcare provider. Reporter was informed to contact Pfizer Medical Information Department as well. However, the department was closed currently. Further probing could not be done as reporter did not want to share further information. Hence, limited information was available over the call. Reporter seriousness was reported as unspecified. Outcome of the event sweating and diarrhea was unknown, whereas other events was not recovered. Information related to batch/Lot no. was requested.


VAERS ID: 1427140 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-15
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Therapeutic response unexpected
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: BUSPIRONE; TOPAMAX; OXYBUTYNIN; LAMICTAL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma (Verbatim: Asthma); COPD (Verbatim: COPD); Depression; Epilepsy (Verbatim: epileptic)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021714404

Write-up: I could walk those miles, I can breath better/ there was positive everything today there was no negative in what I am feeling today/ I feel so excited that I feel so good; This is a spontaneous report from a contactable female consumer (patient) reported for herself. A 62-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EW0182) via an unspecified route of administration on 15Jun2021 10:30 as 2nd dose, single for COVID-19 immunisation. Medical history included COPD, asthma, epileptic, depression all from an unknown date and unknown if ongoing. Concomitant medications included buspirone (BUSPIRONE) 10 mg taken for depression, start and stop date were not reported; topiramate (TOPAMAX) 200 mg twice a day taken for an unspecified indication, start and stop date were not reported; oxybutynin (OXYBUTYNIN) 15 mg once a day taken for an unspecified indication, start and stop date were not reported; lamotrigine (LAMICTAL) (Lamictal 150 mg, this is at the evening, and then I get 100 in Lamictal) taken for an unspecified indication, start and stop date were not reported. Historical vaccine includes bnt162b2 (LOT no.: EW0176) on 25May2021 for COVID-19 immunisation. On an unspecified date the patient reported that I had my second vaccination today and a lot have side effects and I had none of those today it was the opposite. I had lot of miles up to 4 miles I have to walk I had no choice. I could walk those miles, I can breathe better. I guess there was positive everything today there was no negative in what I am feeling today, and I find myself. That is just gone away. I just have my daughters know that I was going to let you guys know this is such the positive thing I got (Incomplete word) this morning. I am just excited that I feel so good. The clinical outcome of the event was unknown.


VAERS ID: 1427160 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-14
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Axillary pain, Balance disorder, Dry mouth, Fatigue, Influenza like illness, Lymphadenopathy, Malaise, Nasopharyngitis, Neck pain, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021716114

Write-up: arm soreness; really tired; slight fever; cold/flu like symptoms; achy/sore at night/pain all the way up her neck and throat, shoulder and under arm pits; like lymph nodes are swollen; drowsy; dry mouth; doesnt feel like herself; her equilibrium off; cold/flu like symptoms; pain all the way up her neck and throat, shoulder and under arm pits; pain all the way up her neck and throat, shoulder and under arm pits; pain all the way up her neck and throat, shoulder and under arm pits; pain all the way up her neck and throat, shoulder and under arm pits; This is a spontaneous report from a contactable consumer reporting for herself. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: not reported), via an unspecified route of administration on 14Jun2021 as SINGLE DOSE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Approximately on an unspecified date in Jun2021, the patient experienced arm soreness, really tired, slight fever, cold/flu like symptoms, achy/sore at night/pain all the way up her neck and throat, shoulder and under arm pits, feels like lymph nodes are swollen, drowsy, her equilibrium off, she does not feel like herself, she was in so much pain she does not feel safe to drive, and has dry mouth/cotton mouth. Clinical course of the events was reported as follows: Caller received the first dose this past Monday the 14Jun2021. She did report several adverse events. She was very shocked that she has had all of these adverse reactions after the first dose because she had been told that most people did not have an issue with the first dose. She reported she was in so much pain she does not feel safe to drive and have other people experienced these side effects. It started yesterday afternoon when it was in her system for about 24hrs. It got worsened this morning when she woke up at 6. She slept most of the morning away. She got up at 6 and got up every hour after that. She felt better after She took Tylenol and Alee, put on some cream, and was using a heating pad. The outcome of all events was unknown. No PQC involved. Information on Lot/Batch has been requested.


VAERS ID: 1427164 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-13
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia
SMQs:, Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Lung cancer (She was diagnosed with lung cancer about a year ago and is still in treatment)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021716210

Write-up: joints are very sore and achy/Joints really hurt after second dose; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 13Jun2021 (at the age of 78-year-old) as 2nd dose, single for COVID-19 immunization. Medical history included lung cancer (she was diagnosed with lung cancer about a year ago and was still in treatment). The patient''s concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on an unspecified date, 1st dose, single for COVID-19 immunization and was ok. The patient stated that she received the second dose of the Pfizer BioNTech Covid-19 vaccine on 13Jun2021. On an unspecified date, the patient experienced joints are very sore and achy. She had an effect from the second dose. She did not know what to take and wanted to ask Pfizer what she could take. The patient stated that now her joints are very sore and achy. The patient stated that her HCP referred her to Pfizer to see what she can take for joint soreness. The patient asked what she can take for soreness in her joints. The patient stated that first one was ok, and with the second one, her joints really hurt. The patient declined to receive any further information over the phone regarding her side effects in relation to the Pfizer Covid-19 vaccine. Referred to healthcare professional for further guidance. The outcome of the event was unknown. Information on the lot/batch, further information has been requested.


VAERS ID: 1427176 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-13
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthma, Epistaxis, Feeling abnormal, Headache, Nervousness, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021716520

Write-up: Bloody noses/ Nose bleeds; Runny nose; headache; Little bit of Asthma; Her grandson is nervous about this; Pretty upset; This is a spontaneous report from a contactable consumer or other non hcp (the patient''s grandmother). A 15-year-old male patient received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number unspecified, expiration date unspecified), via an unspecified route of administration on 13Jun2021 as single dose for covid-19 immunization. The patient previously received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number unspecified, expiration date unspecified), via an unspecified route of administration on an unknown date in May2021 as single dose for covid-19 immunization. The patient medical history was not reported. There were no concomitant medications. On 14Jun202, the patient had a headache and a runny nose and then the following day the patient had 4 bloody noses during the day and one at night. The patient is continuing to have bloody noses. On an unknown date in Jun2021, the reporter also stated that the patient might have a little bit of asthma. The reporter mentioned that the patient was pretty upset, nervous and he had the nose bleeds they are a lot, not just a little drip. The patient was treated with Advil for headache. The outcome of the events nose bleeds was reported as not recovered; runny nose was reported as recovering while other events were reported as unknown at the time of report. Information on the lot/batch number has been requested.


VAERS ID: 1427201 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / 1 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Condition aggravated, Influenza like illness, Malaise, Pain in extremity, SARS-CoV-2 test
SMQs:, Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament 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:
Current Illness: Lyme disease (for about 20 years now)
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (The caller had Covid back in DEC2020.); Pneumonia (The caller had double pneumonia and the caller recovered from this.)
Allergies:
Diagnostic Lab Data: Test Date: 202012; Test Name: Covid-19; Result Unstructured Data: Test Result:positive
CDC Split Type: USPFIZER INC2021724791

Write-up: All of a sudden the caller''s arm was not getting better, the caller''s arm was getting worse; Felt sick for a few days; That arm was a little sore; The caller woke up and felt like really bad like the flu; Everything on the caller ached the callers little finger nails and joints; The caller wanted to do things and tried to get up and do something but had no energy; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 75-years-old female patient received bnt162b2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number: EW0202), via intramuscular in left arm on 01Jun2021 at 11:00 as 1st dose, single for COVID-19 immunization (75 years at the time of vaccination). Medical history included ongoing lyme disease for a bout 20 years now. The patient was tested positive for COVID-19 on an unknown date in Dec2020 to an unknown date. The patient had double pneumonia from an unknown date and the patient recovered from this. The patient had flu shot and never had any problems with the flu shot. The patient''s concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. On 01Jun2021, post vaccination the patient experienced arm was a little sore, all of a sudden the patient''s arm was not getting better, the patient''s arm was getting worse. The patient was not able to put her arm behind her back. The patient stated the arm soreness woke the patient up in the night. On 02Jun2021, patient felt sick for a few days. On an unspecified date in Jun2021, the patient woke up and felt like really bad like the flu. Everything on the patient ached, little fingernails and joints. Everything was aching, the patient felt blah like the flu. The patient wanted to do things and tried to get up and do something but had no energy. The patient had to lay back down. The patient stated that this lasted 4 days. The patient tried to do something and had no energy, was weak and just wiped out like the patient had the flu. When the patient had Covid (back in Dec2020) and was in the hospital with Covid, the doctor told the patient to remember that the Covid symptoms can linger for quite a few months. The patient stated that she could still have effects. Patient thought maybe because she had Covid, is she was still having effects after. The patient had to visit the doctor due to the events. The doctor checked the patient and said the arm wasn''t red and the arm looked a little swollen and told the patient to keep a check on the arm. The patient had reported that the second dose for the vaccination has been scheduled on 22Jun2021 and the patient was concerned about if she should take it or not. Outcome of felt sick for a few days was recovered on 06Jun2021, arm was a little sore was not recovered while for the other events was unknown. Information on lot/batch number was available. Additional information has been requested.


VAERS ID: 1427210 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Georgia  
Vaccinated:2021-06-11
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Ocular hyperaemia, Oral pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Fish allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021725771

Write-up: broke out in hives; I will just get tired, it seems like I need to go to sleep; mouth starts itching; I get a reaction in my eyes like they turn red; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 11Jun2021 (Batch/Lot Number: EW0168) as single dose for COVID-19 immunisation. Medical history included allergic to fish. The patient''s concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 14May2021 (Batch/Lot Number: EW0179) for COVID-19 immunisation and patient didn''t get any reaction from the first one. The patient stated that patient was just not really, had second shot on Friday, patient think it was the 15Jun2021. The patient was allergic to fish and right now patient had this kind of complicated. The patient was super allergic to fish and fish odor and mouth started itching, patient got a reaction in eyes like they turn red and patient also broke out in hives yesterday (15Jun2021). The hive went away but the hive just return in last 30 minutes. The patient meant, their place today, patient had dinner around, fish or any fish odor (statement incomplete), patient did not know if it''s patient sensitivity to things that patient might be allergic to changing because patient ate in a ''barb'' with peanuts in it and patient could deal with Covid shots every once in a while. It would just hit patient. The patient would just get tired you know it seems like patient need to go to sleep, it might be hard to determine what it was, this hives would go away but it''s still on the backside. Consumer stated that can''t rule that one, patient don''t think they are, but patient really didn''t want to take a chance but patient had the second shot on 11Jun2021. Outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1427212 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-10
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Computerised tomogram, Headache, Lumbar puncture, Pyrexia, Vomiting, X-ray
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210617; Test Name: CT scan; Result Unstructured Data: Test Result:Unknown result; Test Date: 20210617; Test Name: Lumbar punch; Result Unstructured Data: Test Result:Unknown result; Test Date: 20210617; Test Name: X-ray; Result Unstructured Data: Test Result:Unknown result
CDC Split Type: USPFIZER INC2021725837

Write-up: Severe headache which developed into uncontrollable throwing up.; Fever; Severe headache which developed into uncontrollable throwing up.; This is a spontaneous report from a contactable consumer (parent). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot Number: not reported), via an unspecified route of administration on 10Jun2021 as unknown, sin-gle for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The reported stated that all their three children were vaccinated and two of them just had fever (in Jun2021) which was normal. One daughter (Patient) had severe headache (in Jun2021) which developed into uncontrollable throwing up. Patient has fever on an unknown date in jun2021. Since then, they were at hospital. She had been tested and had a lumbar punch, CT scan and X-ray were performed, and she was schedule for MRI. She never had migraine or anything before. On 17Jun2021, the patient underwent lab tests and procedures which included CT scan: unknown result, lumbar punch: unknown result and x-ray: unknown result. The outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1427227 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-11
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: METFORMIN HCL; AMLODIPINE; LOSARTAN; HYDROCHLOROTHIAZIDE; LORAZEPAM; VITAMIN D [VITAMIN D NOS]
Current Illness: Anxiety (had this condition for about 15 years); Blood pressure high (had this condition for about 15 years.); Diabetes (called it diabetes and pre-diabetes, for about 4 years); Pacemaker insertion (cardiac) (inserted 2 years ago); Pre-diabetes (called it diabetes and pre-diabetes, for about 4 years); Sinusitis (having this problem for 5-6 years)
Preexisting Conditions: Medical History/Concurrent Conditions: Chronic headaches; Dizziness
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021726919

Write-up: headaches and dizziness have gotten worse; headaches and dizziness have gotten worse; This is a spontaneous report from a contactable consumer (patient herself). A 74-years-old female patient received first dose of BNT162B2 (BNT162B2, PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EW0182, Expiration date and NDC number was unknown), via an unspecified route of administration, administered in right arm on 11Jun2021 as 1st dose, single dose for COVID-19 immunisation. Medical history included ongoing high blood pressure (for about 15 years), diabetes (called it diabetes and pre-diabetes, for about 4 years) and pre-diabetes (about 4 years), anxiety (for about 15 years), pacemaker (inserted 2 years ago) and sinus problems (for 5-6 years). Patient had chronic headache dizziness. Patient had no family medical history relevant to adverse event. Concomitant medications included metformin hydrochloride for diabetes; amlodipine for high blood pressure (been on medication for years); losartan for high blood pressure (been on medication for years); hydrochlorothiazide, as water pill for an unspecified indication (been on medication for years); lorazepam (been on and off this medication for 15 years); vitamin D. Patient received no other vaccinations within four weeks prior vaccinations (within 4 weeks). On 11Jun2021, patient had taken the dose. On an unspecified date Jun2021, patient stated that it seems like she had been a little dizzy and had headaches all week and stated that since receiving the vaccine, her headaches and dizziness had gotten worse. Patient stated she had a sinus problem, so she was not concerned. Patient normally takes one paracetamol (Tylenol), and it will go away. Patient noticed it more this morning (17Jun2021) when she took her walk and stated that she gets like that sometimes because she takes other medications; this time though it feels like it was lingering longer. Patient stated she had been getting them every day. On 17Jun20201, around 05:30 she took a lorazepam, and it went away, and she went back to sleep until around 12:30 when it started again. When it started again, she took a paracetamol (Tylenol). Patient was concerned about headache today (17Jun2021). No relevant tests were performed. Patient had no emergency room and physician office. Patient stated that she had had this problem with headaches and dizziness before the vaccine and now that she was looking at the side effects, she thought it might be something she needed to report. Patient asked if this was something to be concerned about and should she go to the doctor or emergency room for her symptoms. Patient was notified to consult with healthcare professional or seek emergent medical attention if needed. Patient has an appointment on 21Jun2021 (Monday) with her neurologist. The outcome of both the events was unknown. Follow-up (17Jun2021): This is a follow-up spontaneous report from a contactable consumer (patient).


VAERS ID: 1427233 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-05
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Balance disorder, Gait disturbance, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021727030

Write-up: Numbness on the left side of her body; Its hard for her to walk; I don''t have balance; This is a spontaneous report received from Pfizer sponsored program. A contactable female consumer (patient) reported for herself. A female patient of an unspecified age received bnt162b2 (BNT162B2, Batch/Lot number was not reported), via an unspecified route of administration on 05Jun2021 as 1st dose, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On Jun2021, the patient experienced numbness on the left side of her body, its hard for her to walk and don''t have balance. Response received as Offered to give caller a website address to access the Fact Sheet for Recipients however she never stated if she wanted it or not. Stated the PI for the vaccine does not contain any information about numbness going down the side of the body as a side effect. Outcome for the case was unknown. Information on the lot/ batch number has been requested.


VAERS ID: 1427237 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-16
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021727144

Write-up: headache; This is a spontaneous report from a contactable consumer (patient) from a Pfizer sponsored program. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration on 16Jun2021 as 2nd dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced headache on Jun2021. Patient mentioned that not a huge reaction; just looking for something to take the edge off. The outcome of the event was unknown. Information regarding the Lot/Batch number has been requested.


VAERS ID: 1427253 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pruritus, 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:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021728121

Write-up: Itching; Rash; This is a spontaneous report from a contactable consumer (reporter''s daughter). A 12-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: Unknown), via an unspecified route of administration on an unspecified date in Jun2021 as a 1st single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. It was reported that patient went for Pfizer vaccine, last, two weeks back and she got the first dose of Pfizer and after 3 or 4 days, she was getting itching and rash on an unspecified date in Jun2021. So, still it was coming out going away even though the vaccine took like a three weeks back. Patient second dose was next Tuesday which was like 22Jun2021, reporter questioned that as still patient was getting rashes, reporter wants to know that if patient could get second dose or hold it on. Reporter seriousness for itching and rash was unspecified. The outcome of all events was not recovered. Information about batch/lot number has been requested.


VAERS ID: 1427265 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-16
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021732483

Write-up: headache; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (father) reported that a female patient (daughter) of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number, Expiry date: Unknown), dose 1 via an unspecified route of administration on 16Jun2021 as 1st dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine includes first dose of bnt162b2 for covid-19 immunisation. It was reported that the patient is currently experiencing headache, and asked what over-the counter medication can he give for this? Outcome of the event was unknown. Follow up attempts completed. No further information expected.


VAERS ID: 1427266 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-16
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021732808

Write-up: a little fever; This is a spontaneous report from a contactable consumer (patient). This is the first case out of 2 cases. A male patient of an unspecified age received BNT162B2 (Pfizer Covid 19 vaccine, Solution for injection, number: Unknown, Expiry date: Unknown) via an unspecified route of administration on 16Jun2021 as single dose for Covid-19 immunization. The patient''s medical history and concomitant medications were not reported. On an unspecified date in Jun2021, the patient experienced fever. Consumer stated, "both had vaccine yesterday, he was feeling okay, a little fever but was good. He wanted to know whether should wait and drink some water or should go to emergency room and was that normal". Limited information was available over the call. Reporter seriousness was unspecified. Outcome of the event was recovered on an unspecified date in Jun2021. Information about batch/lot number has been requested.


VAERS ID: 1427268 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021732958

Write-up: Severe pain in her leg and now she has swelling in that leg; Severe pain in her leg and now she has swelling in that leg; This is a spontaneous report from a contactable consumer. A female patient (reporter''s mother-in-law) of an unspecified age received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number, Expiration date, NDC and UPC number was unknown), via an unspecified route of administration on an unspecified date (Sunday) as UNKNOWN, SINGLE for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. On 16Jun2021, patient had a severe pain in her leg and in Jun2021, now patient had swelling in that leg. The outcome of both the events was unknown.


VAERS ID: 1427272 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-16
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLONASE ALLERGY RELIEF; HYDROCHLOROTHIAZIDE; LOSARTAN; CARVEDILOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Latex allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021733455

Write-up: I have numbness in my leg; I started feeling the numbness even more; I have been tired; This is a spontaneous report from a contactable consumer(patient). A 49-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0217; NDC number, UPC number and expiry date were reported as unknown) via intramuscularly on 16Jun2021 at 18:45 in left arm as a single dose for Covid-19 immunization. Medical history included latex allergy from an unknown date and unknown if ongoing. Concomitant medications included fluticasone propionate (FLONASE ALLERGY RELIEF); hydrochlorothiazide (HYDROCHLOROTHIAZIDE); losartan (LOSARTAN) and carvedilol (CARVEDILOL) all taken for an unspecified indication, start and stop date were not reported. The patient historical vaccine included first dose of BNT162B2 (COVID Pfizer vaccine, Formulation: Solution for injection lot number: EW0187) via intramuscularly on 26May2021 at 13:00 in left arm for COVID-19 immunization. The patient did not receive any prior vaccination within 4 weeks. After the second dose the patient she started feeling numbness (today) 17Jun2021 (at 04:00) at work and even more and started feeling the numbness even more its just kind of in her way. The patient was tired after she received the vaccine. She wanted to know where she can report the side effects as she had read about the symptoms of the vaccine which she didn''t came across. The patient reported her brother received both the doses of vaccine and he was fine. He did not experience anything. Investigation assessment was not reported. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1427275 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-08
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pain, Vaccination site erythema, Vaccination site mass, Vaccination site pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CONCERTA
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: ADHD (Verbatim: ADHD)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021733977

Write-up: She got a knot where she got her injection and it was red and burning; it has got a hard knot and it is painful; She got a knot where she got her injection and it was red and burning; it has got a hard knot and it is painful; She got a knot where she got her injection and it was red and burning; it has got a hard knot and it is painful; She got a knot where she got her injection and it was red and burning; it has got a hard knot and it is painful/ got a knot her knot there; This is a spontaneous report received from a contactable consumer (Parent) or other non-non health care professional A 16-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on 08Jun2021 as 2nd dose, single for covid-19 immunisation. Medical history included attention deficit hyperactivity disorder (ADHD. Concomitant medications included methylphenidate hydrochloride (CONCERTA) taken for attention deficit hyperactivity disorder (ADHD), start and stop date were not reported. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via a unspecified route of administration (at the age of 16-yesr-old) on 18May2020 as first dose single for COVID-19 immunisation and experienced no reaction on previous exposure to vaccine. it was reported that patient got second dose of vaccine last week on Tuesday, On Jun2021 she got a knot where she got her injection, it was red and burning yesterday on 16Jun2021 and now it has got a hard knot and it is painful on 17Jun2021. reporter wanted to site where the vaccine was injected it has got a knot like a hard knot there and it was burning and red. No treatment was received for the events. The outcome of the events was reported as unknown. Information on the lot/batch number has been requested.


VAERS ID: 1427288 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-10
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Lethargy, Pyrexia, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021737319

Write-up: vomited; She developed a fever that night through morning of 12Jun2021; She was lethargic; slept for 2 days; This is a spontaneous report received from a contactable consumer. A 14-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation; solution for injection, Lot number: unknown), via an unspecified route of administration on 10Jun2021 at 12:00 (at the age of 14-years old) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (lot number: unknown) via an unspecified route of administration on an unspecified date (at the age of 14-years) as single dose for covid-19 immunisation and had no reaction on previous exposure to vaccine. On 10Jun2021 at 12:00, the patient received second shot and developed a fever that night through morning of 12Jun2021. On an unspecified date in Jun2021, the patient was lethargic and slept for 2 days. On 11Jun2021, the patient vomited. Event took place after use of product. The outcome of the events was unknown. Information about lot/batch number has been requested.


VAERS ID: 1427298 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-02
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Abdominal pain upper, Asthenia, Back pain, Muscle spasms, Pain, Pain in extremity, Sleep disorder
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: IMITREX; KLONOPIN; CALCIUM + D3 [CALCIUM;COLECALCIFEROL]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety (Verbatim: Anxiety); Migraine
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021739320

Write-up: Lower down bad ache; Muscle cramp one on my leg; Weakness; Arm ache not at the shot but right the down lower/both of my arm aches real bad; Muscle cramp one on my leg and one on my stomach; I do have a ''dental sleep'' issue; This is a spontaneous report from a contactable consumer. This 67-year-old female consumer (patient) A 67-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: unknown, Expiration date: unknown), via unspecified route, administered in left arm on 02Jun2021 1:30 pm (at the age of 67-year-old) as 1st dose, single for COVID-19 immunization. The patient medical history includes migraine and anxiety. Patient family history reported as nothing or weakness. Concomitant medications include sumatriptan succinate (IMITREX) for migraine headache, clonazepam (KLONOPIN) for anxiety, calcium, colecalciferol (CALCIUM + D3) for normal things. Patient historical vaccine includes flu short for influenza immunization on an unspecified date, shingles shot and pneumonia shot for immunization on unspecified dates. Patient did not received other vaccine 4 weeks prior to Covid-19 vaccination. On an unspecified date in Jun2021 after the vaccination, the patient experienced lower down bad ache, muscle cramp one leg and stomach, weakness for two and half weeks, arm ache not at the shot but right the down lower and dental sleep. It was stated patient did not do any exercise but lower down her ache was very bad and 3 days later she had a muscle cramp one on my leg and one on her stomach, she had weakness and she was going on two and a half weeks now, there was a muscles cramp in her stomach area and in her leg and I had arm ache not at the shot but right the down lower at her arms and she had general weakness right now and she had this for two and a half weeks getting ready for my second shot on 26Jun2021." She had a ''dental sleep'' issue. Treatment options patient took include aspirin or NSAID just diclofenac sodium topical get lidocaine (2%) and "bupivacaine" (further not clarified) (1%), the lotion I had for muscle pain. Consumer stated, she had weakness, lying on bed and trying to get best immune system that would really help better, she doesn''t have any shortness of breath, just curious if someone experienced weakness or any felt like in the arm. The events assessed as non-serious. The outcome of the events pain, muscle spasm, abdominal pain and sleep disorder was unknown. The outcome of event asthenia was not recovered, pain in extremity was recovered on Jun2021 and unknown for all other events. No follow-up attempts possible. No further information expected.


VAERS ID: 1427302 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Mononucleosis (He heard that mono virus remains in a body dormant. not had fatigue like this since 1996.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021740353

Write-up: Fatigue; He feels drowsy whenever he wakes up; This is a spontaneous report from a contactable consumer (patient). A 52-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EW0187, Expiration date: Unknown), via an unspecified route, administered in Left Arm on 01Jun2021 at 11:00 (52-year-old of age at vaccination) as a 2nd dose, single for COVID-19 immunization. The patient''s medical history included mononucleosis from 1996 (he had heard that mono virus remains in a body dormant). He was not fatigue like this since 1996.The patient''s family history was reported as none. The patient''s concomitant medication was reported as none. The patient was not related to a study or program. Vaccination facility was reported as pharmacy. The patient was not administered with any additional vaccine on same date of the Covid-19 vaccine. The patient was not administered with any other vaccine within 4 weeks prior to Covid-19 vaccine. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EW0168, Expiration date: Unknown), via an unspecified route, administered in Left Arm on 11May2021 at 11:30 (52-year-old of age at vaccination) as a 1st dose, single for COVID-19 immunization. On unknown date in Jun2021, the patient experienced fatigue. He stated that, he still had fatigue. He was not depressed and was eating well. He had a fair amount of daily activity. Two times a day (time not specified by reporter) was whenever it suddenly comes over him, and he takes a nap. He felt drowsy whenever he wakes up, like he was coming off a sleeping pill: Began two or three days after the second dose of the Covid-19 vaccine. It was about the same, but not as strong as two weeks ago. Two hours ago, he fell asleep and took a nap. He took vaccine as he thought it was smart thing to do on a society level. The patient had neither visited physician office nor emergency room. The patient had neither undergone any relevant test and procedure not any investigation assessment. The outcome of the events was not recovered. Information on Lot/Batch number was available. Additional information had been requested.


VAERS ID: 1427420 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA C23C21A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Antibody test, Dysmenorrhoea, Fatigue, Hypomenorrhoea, Menstruation delayed
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: I was taking Limital, Zoloft, and Wellbutrin.
Current Illness: None
Preexisting Conditions: I have an auto immune disease and mental health.
Allergies: I''m allergic to Keflex and Gabapentin.
Diagnostic Lab Data: I''ve taken an antibody test 3 times in between vaccination.
CDC Split Type: vsafe

Write-up: My period was 2 weeks late which is uncommon and when it did start the worse cramps, the period was lighter than normal, and I was extra fatigued.


VAERS ID: 1427434 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-26
Onset:2021-06-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Febrile neutropenia, Full blood count, Pneumonia, X-ray
SMQs:, Agranulocytosis (narrow), Haematopoietic leukopenia (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: High Blood Pressure
Allergies: none
Diagnostic Lab Data: CT, CBC, X-ray
CDC Split Type:

Write-up: Neutropenic fever and pneumonia


VAERS ID: 1427653 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-27
Onset:2021-06-01
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BUSPIRONE , OLMESARTAN,BUPROPION
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: DOCTOR APPT JULY 21, 2021
CDC Split Type:

Write-up: A RASH AFTER MY SECOND SHOT - MOSTLY IN LEG ARE - SPREA D TO OTHERS IF TOUCHED - I HAVE NEVER HAD ANY SKIN ISSUES IN MY LIFE UNTIL I TOOK THIS SHOT - THEY ARE SMALL , VERY ITCHY , BUMPS. IF SCRATED LEAD TO ALMOST A WELT . THIS HAS BEEN ONGOING 3 WEEKS NOW , IT IS MISERABLE AND i CANNOT WEAR SHORTS - IT IS ALMOST LIKE CHICKEN POX AND IT IS ALSO VERY UNCOMFORTABLE


VAERS ID: 1427708 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 1 RA / IM

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

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

Write-up: None


VAERS ID: 1427717 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-14
Onset:2021-06-01
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, X-ray
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

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

Write-up: Started feeling numbness in left arm from injection site to fingers.


VAERS ID: 1427882 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A 6/1/21 / 3 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA RECEIVED 5/3/2 / 2 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA RECEIVED 3/31 / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Received 3 Moderna Vaccines. 1st received on 3/31/21. Then she received her second and third vaccine on 5/3/21 and 6/1/21. I spoke to find out if this was an error or if she did receive 3 vaccines. She expressed she did receive 3 doses. She stated she did not return on the proper date after getting her first vaccine so she thought she had to start the series again. She denied telling that she received her first dose. I asked her If I could have a nurse call her back to fill out the VEARS with her and she agreed. Multiple attempts were made to contact this patient to get additional information to fill out forms. She has not called back after several voice messages were left. I am completing this form with only the information from my initial contact with her.


VAERS ID: 1427903 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-05-22
Onset:2021-06-01
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 1 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no known medications
Current Illness: No known illnesses
Preexisting Conditions: No known medical history
Allergies: No known medication or food allergies
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Pt received a first dose of Moderna vaccine on 05/22/21 at 1:00pm while being in an unauthorized age group per the CDC. The pt was scheduled on 06/25/21 to receive their 2nd dose of Moderna vaccine at 2:30pm. The clinic manager called the parent to notify them of the situation. The pt visit was cancelled until further information was given from the CDC. The CDC was called at 1430 on 06/25/21 by clinic manager. According to the CDC, ?If the patient is age 12 to 17 years and Moderna vaccine was inadvertently administered as the first dose instead of Pfizer-BioNTech vaccine, administer Moderna vaccine as the second dose (as off-label use, because Moderna vaccine is not authorized in this age group). Report this to VAERS as a vaccine administration error.? This information was relayed to the parent, and sent via email with the CDC information. The parent stated they would let us know if they decide to get the 2nd dose of the Moderna vaccine. Patient currently does not have any known adverse events or outcomes.


VAERS ID: 1428074 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-07
Onset:2021-06-01
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Balance disorder, Blood test, Dizziness, Gait disturbance, Magnetic resonance imaging, Musculoskeletal chest pain, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: On the first day after taking the shot: couldn''t walk well; very dizzy; loss of balance; blurry vision; couldn''t focus; difficulty riding my bike. I went to the doctor and I was recommended to see a neurologist. I gradually got better over time. I still have soreness in my ribs and I can walk somewhat normally. I feel like I have 90% recovered.


VAERS ID: 1428891 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-04
Onset:2021-06-01
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia
SMQs:, Arthritis (broad)

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

Write-up: My 2nd vaccine dose reaction in the first week included strong joint pain (every single joint in both hands and wrists, along with knees, hips, and other joints), which was completely new to me. That had seemed to resolve, however now 7.5 weeks after that 2nd dose, I''ve realized that I''ve had most of the day and night joint pain in one, the other, or both my hips for at least 2 weeks now (so from weeks ~5-7.5 after my 2nd vaccine dose), and this has not yet resolved.


VAERS ID: 1429276 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Injection site pain, Injection site swelling, Insomnia, Musculoskeletal pain, Pain, Pain assessment
SMQs:, Rhabdomyolysis/myopathy (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: vitamin C; calcium citrate; tegretol; vitamin D3; cymbalta; iron; lamictal; synthroid; lithium; melatonin; nortriptyline; sinergin; acarbose; cholestyramine; vitamin b12; Breo inhaler prn; creon pancreatic lipase; tylenol; MULTIVITAMINS [V
Current Illness: Abstains from alcohol; Bipolar affective disorder, manic; Fibromyalgia; Hand pain (Went to pain management program); Hypothyroidism; Non-smoker; Reactive hypoglycemia
Preexisting Conditions: Comments: The patient had known allergies antidepressant drug had agitation allergy and narcotics drug had itching allergy. The patient did not have any drug abuse/illicit drug use. The patient is taking eye drops for unknown indication.
Allergies:
Diagnostic Lab Data: Test Date: 20210610; Test Name: Pain scale; Result Unstructured Data: 7-8/10
CDC Split Type: USJNJFOC20210632769

Write-up: EXTREME FATIGUE; EXTREME MUSCLE PAIN; JOINT PAIN; PAIN IN SHOULDER; SWELLING IS WORSE IN RIGHT ARM; PAIN ALL OVER BODY MORE IN HANDS AND ELBOWS; NOT BEEN ABLE TO SLEEP; PAIN IS WORSE IN RIGHT ARM; This spontaneous report received from a patient concerned a 64 year old female. The patient''s weight was 220 pounds, and height was 62 inches. The patient''s concurrent conditions included fibromyalgia, bipolar polar i, hypothyroidism, reactive hypoglycemia, abstains from alcohol, non smoker, and preexisting hand pain, and other pre-existing medical conditions included the patient had known allergies antidepressant drug had agitation allergy and narcotics drug had itching allergy. the patient did not have any drug abuse/illicit drug use. the patient is taking eye drops for unknown indication. The patient was previously treated with risperidone for bipolar disorder; and experienced vomiting when treated with dexamethasone for drug used for unknown indication, and drug allergy when treated with erythromycin for drug used for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 26-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included acarbose non-company for drug used for unknown indication, calcium citrate for drug used for unknown indication, colecalciferol for drug used for unknown indication, colestyramine for drug used for unknown indication, duloxetine hydrochloride for drug used for unknown indication, fluticasone furoate/vilanterol trifenatate for drug used for unknown indication, iron for drug used for unknown indication, lamotrigine for drug used for unknown indication, levothyroxine sodium for drug used for unknown indication, lithium non-company for drug used for unknown indication, melatonin for drug used for unknown indication, nortriptyline for drug used for unknown indication, pancreatin for drug used for unknown indication, phenytoin for drug used for unknown indication, tegretol non-company for drug used for unknown indication, vitamin b12 nos for drug used for unknown indication, vitamin c for drug used for unknown indication, oxycodone/paracetamol for pain, and vitamins nos. On JUN-2021, the subject experienced pain all over body more in hands and elbows. On JUN-2021, the subject experienced not been able to sleep. On JUN-2021, the subject experienced pain in shoulder. On JUN-2021, the subject experienced swelling is worse in right arm. On JUN-2021, the subject experienced pain is worse in right arm. On 10-JUN-2021, the subject experienced joint pain. On 10-JUN-2021, the subject experienced extreme muscle pain. Laboratory data included: Pain scale (NR: not provided) 7-8/10. On an unspecified date, the subject experienced extreme fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from extreme fatigue, had not recovered from extreme muscle pain, swelling is worse in right arm, pain is worse in right arm, pain all over body more in hands and elbows, and joint pain, and the outcome of pain in shoulder and not been able to sleep was not reported. This report was non-serious.


VAERS ID: 1429295 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Eye pain, Headache, Pain in extremity, Pyrexia, Sinus pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Glaucoma (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210646609

Write-up: BACK PAIN; FEVER; LITTLE HEADACHE; EYES HURTING; SINUS PAIN FOREHEAD AND EYES; LITTLE PAIN IN HER RIGHT LEG; This spontaneous report received from a consumer concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 16-JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUN-2021, the subject experienced sinus pain forehead and eyes. On JUN-2021, the subject experienced little pain in her right leg. Treatment medications included: ibuprofen, and paracetamol. On 17-JUN-2021, the subject experienced eyes hurting. On 17-JUN-2021, the subject experienced fever. On 17-JUN-2021, the subject experienced little headache. On 18-JUN-2021, the subject experienced back pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sinus pain forehead and eyes, and little pain in her right leg, and the outcome of fever, eyes hurting, little headache and back pain was not reported. This report was non-serious.


VAERS ID: 1429302 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Eye movement disorder, Feeling cold, Headache, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Ocular motility disorders (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: USJNJFOC20210648451

Write-up: slight blurriness in the center of vision; NEED TO BLINK MORE OFTEN; TEETH CLATTERING; CHILLS; HEADACHE/LOW GRADE HEADACHE IN FOREHEAD, TOP OF HEAD AND EACH TEMPLE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, and expiry: UNKNOWN) dose was not reported, administered on 04-JUN-2021 15:39 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced slight blurriness in the center of vision. On JUN-2021, the subject experienced need to blink more often. On JUN-2021, the subject experienced teeth clattering. On JUN-2021, the subject experienced chills. On JUN-2021, the subject experienced headache/low grade headache in forehead, top of head and each temple. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from teeth clattering, and chills on JUN-2021, and had not recovered from headache/low grade headache in forehead, top of head and each temple, slight blurriness in the center of vision, and need to blink more often. This report was non-serious.


VAERS ID: 1429308 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Body temperature decreased, Chills, Condition aggravated, Feeling abnormal, Headache, Lethargy, Pain
SMQs:, Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Date: 20210615; Test Name: Body temperature; Result Unstructured Data: 95.5 F
CDC Split Type: USJNJFOC20210651147

Write-up: BODY ACHES; BODY TEMPERATURE 95.5 F; LETHARGY; NOT FEELING LIKE HIMSELF; CHILLS; HEADACHE; FEELING WORSE; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1821286, expiry: 23-JUL-2021) dose was not reported, administered on 14-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced feeling worse. On 15-JUN-2021, the subject experienced body aches. On 15-JUN-2021, the subject experienced body temperature 95.5 f. On 15-JUN-2021, the subject experienced lethargy. On 15-JUN-2021, the subject experienced not feeling like himself. On 15-JUN-2021, the subject experienced chills. On 15-JUN-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 95.5 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body temperature 95.5 f on 17-JUN-2021, and had not recovered from headache, body aches, chills, lethargy, not feeling like himself, and feeling worse. This report was non-serious. This case, from the same reporter is linked to 20210651363.


VAERS ID: 1429371 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-06-01
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: COVID-19 test; Test Result: Positive
CDC Split Type: USPFIZER INC2021686131

Write-up: she receive both of the doses of the Pfizer back in April and returned home in the beginning of June and developed symptoms when at home and infected her family member; she receive both of the doses of the Pfizer back in April and returned home in the beginning of June and developed symptoms when at home and infected her family member; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on Apr2021 (Batch/Lot number was not reported) as dose 2, single for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. On Jun2021, the patient experienced she receive both of the doses of the Pfizer back in April and returned home in the beginning of June and developed symptoms when at home and infected her family member. It was reported that there was a Pfizer vaccination infection breakthrough in a patient who was hospitalized and also infected her family member while she was doing the required mandatory quarantine at home upon arrival. It was stated that "this is the Public announcement, she receive both of the doses of the Pfizer back in April and returned in the beginning of June and developed symptoms when at home and infected her family member, so they were not exactly in the announcement". Reported asked on where to link the announcement to Pfizer to look at or where the reporter could relate the information to and further stated that in the announcement it didn''t say Diarrhea to what kind of Diarrhea or whatsoever it didn''t really go into detail, except telling the public that it has to do with the Pfizer vaccination. The patient underwent lab tests and procedures which included COVID-19 test: positive on Jun2021. The outcome of the events was unknown. Information on Lot/Batch number has been requested.


VAERS ID: 1429378 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthma, Dyspnoea, Fibrin D dimer, Fibrin D dimer increased
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Haemorrhage laboratory terms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergy; Asthma (She has had this condition her whole life)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: D-dimer; Result Unstructured Data: Test Result:Elevated
CDC Split Type: USPFIZER INC2021688499

Write-up: Bad Shortness of Breath; Severe asthma exacerbation; Elevated D-Dimer; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot Number: EW0185) at the age of 26 years old, as DOSE 2, SINGLE for COVID-19 immunisation. Medical history included ongoing asthma (she has had this condition her whole life) and ongoing allergy to polysorbate. There were no concomitant medications. Historical vaccination included bnt162b2 for COVID-19 immunization received on unspecified date (Dose number: 1 and Lot Number: EW0183). The patient wanted to make sure that Pfizer is aware about her reaction that she was in the hospital for. The patient had severe asthma. After her second dose of the vaccine she developed bad shortness of breath. She used her regular asthma treatments. She ended up in the hospital for severe asthma exacerbation due to the inflammatory response of the vaccine. Stated that maybe Pfizer needs to look into more studies with asthmatics. The patient stated that her symptoms started the same day as her second dose of the vaccine. She was admitted to the hospital this past Tuesday, 08Jun2021 and was discharged last night (09Jun2021). She stated that she was pretty sure that it is the vaccine that caused these events. She states she had an elevated D-Dimer on Jun2021; she believes this was related to the vaccine also. The event bad shortness of breath required emergency room visit. The patient was hospitalized due to bad shortness of breath and severe asthma exacerbation from 08Jun2021 to 09Jun2021. Outcome of the events was unknown. No other vaccines received 4 weeks prior to first COVID vaccination. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1429610 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-20
Onset:2021-06-01
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Differential white blood cell count, Electrocardiogram, Full blood count, Metabolic function test, Palpitations, Troponin I, Ventricular extrasystoles
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Larissa Oral contraceptive Levothyroxine 25 mg NP Thyroid 32 mg Spironolactone 50 mg
Current Illness:
Preexisting Conditions: Hypothyroidism
Allergies: Sulfa
Diagnostic Lab Data: Basic lab panel CBC and differential POCT Troponin I performed 2 times Troponin I, POC ECG 12 Lead
CDC Split Type:

Write-up: I started experiencing heart palpitations that lasted for days at a time at the end of May 2021/beginning of June 2021. After several weeks where the palpitations continued, I sought treatment where they diagnosed this and saw that my heart is prematurely beating and then pausing to reset itself. On 6/24/2021 I went to the ER on advice from my doctor. From what they say, there is not really a treatment for these symptoms and I will just have to wait and see if they go away. At this reporting time, they are still ongoing. I''m to follow up with my family medicine doctor.


VAERS ID: 1429789 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-06-06
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Loss of personal independence in daily activities
SMQs:, Dementia (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: Phentermine 30mg daily
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Percocet/morphine Pork Tree nuts/peanuts
Diagnostic Lab Data: Patient to see doctor on Tuesday 6/29
CDC Split Type:

Write-up: Patient complains of frequent headaches since getting the vaccine almost 3 weeks ago. Headaches interfere with activities of daily life.


VAERS ID: 1429813 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-17
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site discolouration, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Armor Thyroid, Lasix, Lipitor, Adderall XR, Bayer Low Dose, Trelegy, Ipratropium Bromide and Albuterol Sulfate, Pro Air, Green tea, ginger, Basil, Honey
Current Illness: N/A
Preexisting Conditions: Stage 4 COPD, Thyroid, high blood pressure
Allergies: Wheat, Soy, Bactrum, Avolox, Flexerell, Keflex, Ibuprophine, Penicciline
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: injection site turned black and is hardened


VAERS ID: 1429857 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-01
Onset:2021-06-01
   Days after vaccination:92
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin
Current Illness:
Preexisting Conditions: Paroxysmal Afib
Allergies: NKDA
Diagnostic Lab Data: CT Pulmonary Embolism scan
CDC Split Type:

Write-up: DVT/Pulmonary Embolism


VAERS ID: 1429959 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-29
Onset:2021-06-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Electrocardiogram, Fibrin D dimer, Full blood count, Metabolic function test, Troponin
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: June 4, 2021 Emergency Room, : Lab Tests: CBC auto differential; basic metabolic panel; D-dimer, quantitative Toponin; Xray Chest; EKG Blood Pressure: 136/84; Pulse 76; Respiration 16; Oxygen Saturation 99%; Temperature 98.4 Diagnosis: Chest Pain, unspecified type Since June 4, 2021 has been taking 325mg aspirin three times per day.
CDC Split Type:

Write-up: Chest pains since day 4 of receiving second dose of Moderna COVID-19 vaccine. On June 4, 2021 went to Health Clinic for physical; conducted EKG and was slightly abnormal. Within twenty minutes of leaving the Clinic, RN from Clinic called and advised the cardiologist reviewed the EKG and recommended going to emergency room for a blood draw and heart enzyme test.


VAERS ID: 1430132 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-24
Onset:2021-06-01
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

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

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

Write-up: The next period following my second vaccine was unusually heavy. Within hours of starting, I had extremely heaving bleeding for 2 days.


VAERS ID: 1430293 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-31
Onset:2021-06-01
   Days after vaccination:62
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH GR8732 / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamins, fish oil, aspirin, vitamin d, zinc
Current Illness: None
Preexisting Conditions: MILD COPD, SEASONAL, ALLERGIES-THAT IS WHAT I BELIEVE I HAD,USUALLY GET UPPER RESPIRATORY ISSUES ONCE A YEAR, COUGH WAS MUCH WORSE THIS TIME BUT SUDAFED DAILY EVENTUALLY CLEARED ME UP
Allergies: No e
Diagnostic Lab Data: Zero
CDC Split Type:

Write-up: Sore arm for 1 day


VAERS ID: 1430309 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

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

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

Write-up: Dose given two days after expiration date


VAERS ID: 1430316 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 RA / IM

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

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

Write-up: vaccine given past expiration


VAERS ID: 1430322 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

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

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

Write-up: vaccine given past expiration


VAERS ID: 1430326 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 RA / IM

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

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

Write-up: vaccine given past expiration


VAERS ID: 1430328 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given past expiration


VAERS ID: 1430332 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 RA / IM

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

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

Write-up: vaccine given per expiration


VAERS ID: 1430338 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 2 RA / IM

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

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

Write-up: vaccine given past exipration


VAERS ID: 1430340 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 2 LA / IM

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

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

Write-up: vaccine given past expiration


VAERS ID: 1430345 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 2 LA / IM

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

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

Write-up: vaccine given past expiration


VAERS ID: 1430353 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given past expiration


VAERS ID: 1430355 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given past expiration


VAERS ID: 1430359 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

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

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

Write-up: vaccine given past expiration


VAERS ID: 1430370 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1430371 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1430478 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-12
Onset:2021-06-01
   Days after vaccination:81
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038A21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Heavy menstrual bleeding, Menstrual disorder, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, Levothyrozine, Synjardy, Vitamin C and Iron
Current Illness: None
Preexisting Conditions: Type 2 Diabetes and Hashimoto''s Thyroiditis
Allergies: Cephalosporins, Mushrooms and Dust mites
Diagnostic Lab Data: Hormones and thyroid levels were tested on June 22 and results came back normal.
CDC Split Type:

Write-up: Two months after completing the second Moderna vaccine, my menstrual cycle has changed. In May, my cycle was extremely lighter than normal. In June, I experienced passing of 1 large blood clot daily with no menstrual flow from June 1 to June 16. From June 17 to June 24, I''ve experienced a heavier than normal flow with the passing of multiple large clots throughout the day. From June 25 to current, I have no more clots but still have a menstrual flow. The gynecologist commented that it could be a side effect of the vaccine or my fibroids. I have had my fibroids for over 15 years and my fibroid symptoms took place while in my twenties. No treatment was suggested. Simply wait and see.


VAERS ID: 1430535 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Dizziness, Migraine
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)

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

Write-up: 12-hour migraine, weakness and dizziness


VAERS ID: 1430621 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Dyspnoea, Heart rate increased, Palpitations
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), 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: Inderal (migraines)
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: About two days after the vaccine, started to feel shortness of breath, heart palpitations and elevated pulse.


VAERS ID: 1430988 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-06-01
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Laboratory test, Mobility decreased, Musculoskeletal stiffness, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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: Zyrtec, Effexor, multi-vitamins, probiotics
Current Illness: None
Preexisting Conditions: Spasmodic Dysphonia, IBS
Allergies: Gabapentin, Phenergan, Ultram
Diagnostic Lab Data: mobility test by Dr. on June 28th, 2021.
CDC Split Type:

Write-up: The swelling in the upper left arm eventually came down (after 2 weeks), but resulted in a symptom similar to frozen shoulder (from the back of the shoulder down to the elbow.) Cannot raise the left arm and has not healed after 5+ weeks post vaccination.


VAERS ID: 1431022 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Oropharyngeal pain, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: not known
Current Illness: not known
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: tested with RT-PCR on 6/18 and test came back positive for covid-19
CDC Split Type:

Write-up: Developed sore throat and cough. became positive for Covid - 19 after Johnson and Johnson Vaccine was received-


VAERS ID: 1431073 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ear discomfort, Eructation, Hyperacusis
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow)

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

Write-up: My hearing in my right ear is not as good asbefore. Burping clears it then shortly after the same. Kinda like when your on a plane then your eardrum eventually clears


VAERS ID: 1431164 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-22
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: Vaccine given past expiration


VAERS ID: 1431171 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Unknown  
Location: Texas  
Vaccinated:2021-06-28
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: Vaccine given past expiration


VAERS ID: 1431207 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Unknown  
Location: Texas  
Vaccinated:2021-06-22
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: Vaccine given past expiration


VAERS ID: 1431221 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-22
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: Vaccine given past expiration


VAERS ID: 1431228 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-06
Onset:2021-06-01
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW/W0173 / 2 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Blood test, Fibrin D dimer increased, Mobility decreased, Pain in extremity, Thrombosis, Ultrasound Doppler, Vaccination site pain
SMQs:, Haemorrhage laboratory terms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin Lexapro Sulfasalazine Birth Control
Current Illness: none
Preexisting Conditions: Celiac Disease Psoriatic Arthrits
Allergies: none
Diagnostic Lab Data: D-dimer blood test Doppler scan of my left arm
CDC Split Type:

Write-up: The pain in my arm post vaccination on 5.6.21 never fully went away. It got better for a couple weeks but still noticed it. Around the beginning of June, the pain in my arm, at the vaccination site, started to intensify. I kept an eye on it for a couple weeks, thinking it''d get better but it didn''t, it just got worse. On Tuesday, June 15th the pain really intensified. To the point that by Thursday, June 17th I was unable to move my arm. Because the pain was so bad I went to Urgent Care where they thought I was having muscle spasms. I knew something wasn''t right so I contacted my doctor that afternoon who then sent me for blood work. He ran a D-dimer test which came back elevated on Friday June 18th. From there I went to the ER so they could run a doppler scan on my left arm. The pain was so bad they were only able to do half the test but quickly saw that I have a blood clot in one of the veins. The ER doctor put me on Eliquis and now here I am.


VAERS ID: 1431247 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-22
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: Vaccine given past expiration


VAERS ID: 1431282 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: Vaccine given past expiration


VAERS ID: 1431305 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: Vaccine given past expiration


VAERS ID: 1431310 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: Vaccine given past expiration


VAERS ID: 1431450 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO172 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Urine analysis
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? 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: Urine test
CDC Split Type:

Write-up: Strong stomach pains and aches


VAERS ID: 1431593 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Inflammation, Product administered at inappropriate site
SMQs:, Drug abuse and dependence (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210648739

Write-up: JANSSEN COVID 19 VACCINE INJECTED INTO TENDON VERSUS MUSCLE; INFLAMMATORY RESPONSE TO UNKNOWN SIDE OF ARM INJECTED THAT WAS LIKE AN ORANGE ON HER SHOULDER; CHILLS FOR THE FIRST FEW HOURS AFTER INJECTION; This spontaneous report received from a consumer concerned a 63 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 01-JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 01-JUN-2021, the subject experienced janssen covid 19 vaccine injected into tendon versus muscle. On 01-JUN-2021, the subject experienced inflammatory response to unknown side of arm injected that was like an orange on her shoulder. On 01-JUN-2021, the subject experienced chills for the first few hours after injection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills for the first few hours after injection on 01-JUN-2021, and had not recovered from janssen covid 19 vaccine injected into tendon versus muscle, and inflammatory response to unknown side of arm injected that was like an orange on her shoulder. This report was non-serious.


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