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From the 7/23/2021 release of VAERS data:

Found 506,830 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 228 out of 5,069

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VAERS ID: 1417594 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Anal incontinence, Chills, Confusional state, Headache, Insomnia, Nausea, Pain in extremity, Swelling, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (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), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lotatadine 10mg
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: I have been seeing my chiropractor. They told me to report this to you as they think it?s possibly a side affect from my Covid shot.
CDC Split Type:

Write-up: Headache, nausea, vomiting, chills, confusion. Lasted 6 hours. Headache lasted two weeks. Swelling around spine, neck, shoulders, is still on-going but getting better. I had loss of bowl control for a day. Headaches severe. Trouble sleeping still. Arm still sore.


VAERS ID: 1417636 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1417657 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1417826 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Pruritus, 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: NOne
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Ha ve broken out in hives starting with ears, back of neck, face, arms . torso. legs are the only part of my body not affected. Have received steroid shot at doctors office, and followed by a week steroid pack, however i am still itching BAD$g


VAERS ID: 1418061 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418182 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418352 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418370 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418800 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Asthenia, Chest discomfort, Diarrhoea, Feeling abnormal, Headache, Muscle twitching, Nausea, Night sweats, Paraesthesia, Pyrexia, Somnolence
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Dyskinesia (broad), Dystonia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen, Quercetin, Tumeric
Current Illness: Covid
Preexisting Conditions: Long term hauler issues from Covid
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, Night sweats so bad have to change several times in the night. Some chest tightness and uncomfortable feeling Nauseous and burning feeling upper stomach Diarrhea Headaches Weakness and tingling in body Hands and feet falling asleep Face twitch - just a little


VAERS ID: 1419802 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-01-06
Onset:2021-06-05
   Days after vaccination:150
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arrhythmia, Ventricular extrasystoles
SMQs:, Ventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypokalaemia (broad)

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

Write-up: This spontaneous case was reported by a nurse and describes the occurrence of ARRHYTHMIA (Arrhythmia (PVC) after completing moderna vaccine) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027L20A and 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypercholesterolemia. Concomitant products included LOVASTATIN for Cholesterol. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Jun-2021, the patient experienced ARRHYTHMIA (Arrhythmia (PVC) after completing moderna vaccine) (seriousness criterion medically significant). On an unknown date, the patient experienced VENTRICULAR EXTRASYSTOLES (PVC (Premature ventricular contractions)). At the time of the report, ARRHYTHMIA (Arrhythmia (PVC) after completing moderna vaccine) and VENTRICULAR EXTRASYSTOLES (PVC (Premature ventricular contractions)) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment information was not provided. This case concerns a 57-year-old female with a serious unexpected event of arrhythmia, and non serious ventricular extrasystoles. Event latency 4 months after second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender''s Comments: This case concerns a 57-year-old female with a serious unexpected event of arrhythmia, and non serious ventricular extrasystoles. Event latency 4 months after second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.


VAERS ID: 1420165 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1420186 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1420205 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1420372 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 27C21A / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol and ibuprofen
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Reported that patient had lots of pain the right arm after 2nd does...second does was give on 06/04 and the following day there was pain ..Patient went to the ER and was prescribe 3 medicines but the medication is unknown


VAERS ID: 1420717 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-06
Onset:2021-06-05
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: COVID test - negative result - Sunday, the 6th of June.
CDC Split Type: vsafe

Write-up: I got a cold, a sore throat, runny nose and cough. I had these symptoms for about a week.


VAERS ID: 1421028 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421068 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421149 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421199 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, C-reactive protein increased, Myalgia, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: WBCs 18, CRP elevated
CDC Split Type:

Write-up: Lower extremity myalgias and perceived weakness, currently hospitalized


VAERS ID: 1421219 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421254 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421409 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421414 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422303 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422351 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-03
Onset:2021-06-05
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (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: Spironolactone
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shingles


VAERS ID: 1422528 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422534 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine 20 mg
Current Illness: none
Preexisting Conditions: none
Allergies: Amoxicillin
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient received her first COVID Vaccine on 6/4/2021 and on 6/5/2021, 6/6/2021, 6/7/2021, and 6/8/2021, she experienced chest pain and shortness of breath. She experienced shortness of breath even when ascending the staircase in our home. She felt chest pain and tightness in her chest for 4 days after receiving her vaccine.


VAERS ID: 1423106 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Florida  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Hypoaesthesia, Paraesthesia, Pyrexia, Thrombosis
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ELIQUIS
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021672629

Write-up: blood clot; he woke up with a numb hip up to his calf and his foot has been tingling; he woke up with a numb hip up to his calf and his foot has been tingling; chills and fever; chills and fever; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer (patient''s wife). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 2 via an unspecified route of administration on 04Jun2021 (batch/lot number was not reported) as single dose for COVID-19 immunisation. Medical history not reported. Concomitant medications included ongoing apixaban (ELIQUIS) as blood thinner. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 14May2021 for COVID-19 immunisation. The caller (name withheld) said that she and her husband received the Pfizer Covid-19 Vaccine 1st dose on 14May2021 and 2nd dose on 04Jun2021. Last Saturday (on 05Jun2021), her husband (name withheld) started to experience side effects like chills and fever. Yesterday (on 07Jun2021), he woke up with a numb hip up to his calf and his foot had been tingling. She also mentioned that her husband was taking a blood thinner called apixaban and they thought he had a blood clot. They were asking if they should go to the hospital. The outcome of all events was unknown. Information about batch/lot number has been requested.


VAERS ID: 1423214 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0165 / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Goli gummies, b complex , levaquin, bupropion, Zyrtec, singulair, elderberry,
Current Illness:
Preexisting Conditions: Fibromyalgia, intracranial hypertension, allergies,
Allergies: Penicillin, tuna, salmon, ,
Diagnostic Lab Data:
CDC Split Type:

Write-up: After high fevers, continued and increasing body pain and extreme fatigue


VAERS ID: 1423217 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-01
Onset:2021-06-05
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21-2A / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Discomfort, Fatigue, Herpes zoster, Malaise, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Diagnosed at clinic with shingles.
CDC Split Type:

Write-up: On June 1, 2021, I received my first dose of Moderna COVID-19 shot [LOT # 042B21-2A]. Within 24 hours, I experienced malaise and tiredness and slept for an unusually amount of time. No other issues were noted at the time. The following three days, I was working on building a stone patio in the backyard, an area known to have poison oak. During this time, I noted a small rash on my abdominal area and a developing pain on my left abdominal side. At the time I thought it was due to lawn work and otherwise ignored the discomfort and did not believe it was an adverse event from the vaccination. SEE CONTINUATION PAGE......


VAERS ID: 1423253 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1423466 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-28
Onset:2021-06-05
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / SYR

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

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

Write-up: NO MENSTRUAL CYCLE.


VAERS ID: 1423523 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Fatigue, Heart rate increased, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: COVID test taken 06/06/2021 - it came back as negative the next day.
CDC Split Type:

Write-up: Patient had the vaccine Friday morning (6/4/21). He had typical side effects that afternoon (tired, achy arm). He woke up the next morning, 6/5/21, complaining that his chest hurt (with a stinging. constant pain), his heart was beating rapidly, 102.5 degree fever, and he said it was hard to breathe. I gave him 200mg Ibuprofen and he rested. Symptoms resolved in about 2-3 hours and did not return. I contacted the advice line at, and they set up a video appointment for mid afternoon on that same day, Saturday 6/5. By the time of the visit, symptoms were completely gone. PA recommended he have a Covid test as it was possible those symptoms were from having Covid ( coincidentally and simultaneously). The test was negative.


VAERS ID: 1423586 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 LA / IM

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

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

Write-up: Reported per EUA as individual was too young to receive vaccine-First dose was given 3 wks earlier. Series completed with this dose.


VAERS ID: 1423597 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Chills, Dyspnoea, Electrocardiogram abnormal, Fatigue, Laboratory test, Nausea, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Trileptal , Adzenys, and Gai Adrenal Health
Current Illness: Chronic Fatigue Syndrome and Fibromyalgia.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Abnormal EKG, Basic lab results were performed at my local urgent care. I also was admitted to hospital where a series of cardiology and lab test were performed.
CDC Split Type: vsafe

Write-up: I had severe hip pain and lower right back pain. I also experienced chills , fever, exhaustion , shortness of breath and pain in upper rt thigh with nausea.


VAERS ID: 1423820 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Hypoaesthesia, Vertigo
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (narrow)

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

Write-up: After an hour of vaccination numb face and brain while driving. Lasted a few seconds. Almost passed out while driving. Thereafter, vertigo. Which began after 2 weeks of vaccination.


VAERS ID: 1424024 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-02
Onset:2021-06-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Headache
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec prn
Current Illness: None
Preexisting Conditions: Obesity Mild intermittent asthma Anxiety Allergic rhinitis
Allergies: No
Diagnostic Lab Data: Patient was diagnosed with positive COVID-19 infection by PCR test on 11/27/2020.
CDC Split Type:

Write-up: Patient reports she developed severe headache, chest pain and shortness of breath 3 days after receiving the vaccination. Her symptoms lasted for 2 days. She did not need to seek medical care.


VAERS ID: 1424209 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

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

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

Write-up: Pt is not of age indicated to receive Pfizer Covid vaccination


VAERS ID: 1424257 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-02-26
Onset:2021-06-05
   Days after vaccination:99
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 1 RA / SYR

Administered by: Other       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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Type II Diabetes High Blood Pressure
Allergies: Sulfa
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I started a low grade fever around 7th of June, I contacted my doctor because I believe I had a prostate problem. He prescribed a antibiotic which was Ciprofloxacin 500mg 2xday for 10 days to take. I am not sure if it is related to the vaccine.


VAERS ID: 1424267 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-03-19
Onset:2021-06-05
   Days after vaccination:78
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6204 / 2 RA / SYR

Administered by: Other       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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Type II Diabetes High Blood Pressure
Allergies: Sulfa
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I started to have a low grade fever on June 5th and I saw my doctor due to maybe having prostate issues. He prescribed my a antibiotic to take. I am unsure if this is related to the vaccine or not.


VAERS ID: 1424309 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-30
Onset:2021-06-05
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Ageusia, Bell's palsy, Dysarthria, Dysphemia, Ear pain, Facial paresis, Lagophthalmos, Pain in jaw, Paraesthesia oral
SMQs:, Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Osteonecrosis (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin
Current Illness: None
Preexisting Conditions: Breast Cancer
Allergies: None
Diagnostic Lab Data: Emergency Room doctor made visual diagnosis, upon observation of my symptoms.
CDC Split Type:

Write-up: Bells Palsy left side of face. Symptoms started on Saturday June 5, 2021 in the morning. Symptoms included but not limited. Tingling of tongue and then loss of taste, pain in left jaw, pain in left ear, muscle weakness left side of face (unable to fully close left eye, unable to raise left eyebrow, left nostril unable to flare, slurring of speech, unable to fully smile, stuttering while speaking) worsening of vision in left eye.


VAERS ID: 1424321 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-01
Onset:2021-06-05
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Thrombosis, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Dulera, albuterol,citraloplam,singular,cetrizine
Current Illness:
Preexisting Conditions: Copd, asthma
Allergies: Penicillin
Diagnostic Lab Data: 6/8/2021 er visit ultrasound on right knee
CDC Split Type:

Write-up: Blood clot superficial thrombosis right knee 72 hours after vaccine


VAERS ID: 1424597 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Feeling of body temperature change, Malaise, Musculoskeletal stiffness, Nausea, Pyrexia, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Shaking teeth chattering I felt tightened up and felt like I was going to throw up but I was soo tightened up and shaking and fevering that I couldn?t throw up and then stomach sick feeling and shaking and fever and teeth chattering episodes all night and cold and hot and freezing and shaking I felt like I was going to have CCD a siezure if it got any worse it was bad


VAERS ID: 1427209 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-21
Onset:2021-06-05
   Days after vaccination:15
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: Herpes zoster
SMQs:, Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypothyroidism (Take natural thyroid medication)
Preexisting Conditions: Medical History/Concurrent Conditions: Hashimoto''s disease; Rheumatoid arthritis; Undifferentiated connective tissue disease (but was stable and doing well)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021725701

Write-up: Diagnosed with shingles two weeks after second vaccine; This is a spontaneous report from a non-contactable consumer (patient). A 43-years-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 21May2021 at 12:00 pm at the age of 43-years-old) as single dose for covid-19 immunization. Medical history included autoimmune disease-RA (rheumatoid arthritis), hashimoto''s and UCTD (undifferentiated connective tissue disease) but was stable and doing well and ongoing hypothyroidism. Concomitant medications included Acela natural thyroid for hypothyroid (received within two weeks vaccination). Patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. Patient had not tested for COVID-19 since the vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccination. The patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, batch/lot number was not reported) via an unspecified route of administration on an unspecified date, as single dose for COVID-19 immunization and had no reaction. On 05Jun2021, 2 weeks after second vaccine, patient was diagnosed with shingles. Patient received Valetex, and Gabapentin as a treatment for the event. Event was resulted in Doctor or other healthcare professional office/clinic visit. The outcome of the event was not recovered. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1428248 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-10
Onset:2021-06-05
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH BN6202 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Oropharyngeal pain, Sinusitis
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: Trintellix; Busbar; Xanax; Esomeprazole; Losartan; Simvastatin
Current Illness: None
Preexisting Conditions: HBP; Anxiety
Allergies: None
Diagnostic Lab Data: None.
CDC Split Type: vsafe

Write-up: Sore Throat 10 days long from 06/05/2021, sinus infection; determined Antibiotic.


VAERS ID: 1428445 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Influenza like illness, Mobility decreased, Pain, Pain in extremity
SMQs:, Parkinson-like events (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: Ditropan XL - for sweating Aderall Levothyroxine
Current Illness:
Preexisting Conditions: Over-reactive nervous system Hypothyroidism Fibromylgia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient came in today and reported that she had flu like symptoms the day after she received the vaccine but felt better about three days latter. She reported the fatigue never went away since the day after she received the vaccine. She reported that today when she woke up, her left arm which she received the vaccine on was very painful and she cant move it. She reported that the arm is progressively getting worse. She was advised to massage the arm, warm compress, Tylenol or go to the urgent care if she doesn''t get better.


VAERS ID: 1428792 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-05
Onset:2021-06-05
   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 EW0185 / 2 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Dizziness, Fall, Headache
SMQs:, Anticholinergic syndrome (broad), Accidents and injuries (narrow), 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: Per mother, pt has history with prior vaccines & pt did not eat or drink prior to vaccinations that morni
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately at 10:36 a.m., pt reported light-headedness after COVID-19 vaccine. Pt was sitting in observation area accompanied by mother. Pt slumped off chair, mother caught pt and laid him on floor. Pt quickly recovered and was A&O x 4. Pt did not hit head, though he reported a slight headache that resolved before he left premises at 11:05 a.m. Pt left walking with normal gait. Per mother, pt has history with prior vaccines & pt did not eat or drink prior to vaccinations that morning. Mother was advised to call MD provider with any further concerns.


VAERS ID: 1429339 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-06-05
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test
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: Medical History/Concurrent Conditions: SARS-CoV-2 test positive
Allergies:
Diagnostic Lab Data: Test Date: 20210605; Test Name: Tested positive for the Covid virus; Test Result: Positive
CDC Split Type: USPFIZER INC2021681703

Write-up: Patient tested positive for Covid virus after first Covid vaccine; Patient tested positive for Covid virus after first Covid vaccine; This is a spontaneous report from a contactable pharmacist via a Pfizer Sponsored Program. A 41-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 1, SINGLE for COVID-19 immunisation. The patient''s medical history included originally tested positive for the Covid virus on 18Apr2021. The patient''s concomitant medications were not reported. It was reported that on 05Jun2021 the patient tested positive for Covid virus after first Covid vaccine. The reporting pharmacist reported for the patient who came into the pharmacy for her second dose of the Pfizer vaccine, and reported that she tested positive on Saturday for the Covid virus. It was mentioned that the patient was originally tested positive for the Covid virus on 18Apr2021 and then tested positive again, for the Covid virus, this past Saturday. The pharmacist would like to know what the recommendations are for a patient who had tested positive for Covid in getting the second Covid vaccine. The outcome of the events was unknown. Information about lot/batch number has been requested.


VAERS ID: 1429402 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-11
Onset:2021-06-05
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diplopia, SARS-CoV-2 test
SMQs:, Ocular motility disorders (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Food allergy (Allergy); Soy allergy; Type 2 diabetes mellitus
Allergies:
Diagnostic Lab Data: Test Date: 20210505; Test Name: SARS-Cov-2; Result Unstructured Data: Test Result:Negative; Comments: Nasal Swab
CDC Split Type: USPFIZER INC2021691705

Write-up: double vision; This is a spontaneous report from a contactable consumer (patient). A 62-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EP7533), via an unspecified route of administration, in arm left on 11Apr2021 at 13:00 (at the age of 62-years-old) as 2nd dose single and first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EN6207), via an unspecified route of administration in arm left on 20Mar2021 at 13:00 (at the age of 62-years-old) as 1st dose single both for COVID-19 immunisation (not pregnant at time of vaccination). The medical history of the patient included type 2 diabetes mellitus. The patient had wheat, corn and soy allergy. Patient did not receive concomitant medications within 2 weeks of vaccination. The patient previously took morphine, codeine and demerol for allergy. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with covid-19. On 05Jun2021 at 15:30, the patient experienced double vision. Since the vaccination, the patient was tested for covid-19. The patient underwent lab tests and procedures which included sars-cov-2 test (Nasal Swab): negative on 05May2021. The outcome of the event was reported as not resolved. Follow up attempts are possible. further information is expected.


VAERS ID: 1429433 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / UNK LA / -

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021695194

Write-up: Tightness of chest; Severe headaches; Rashes on skin; Feverish ness; This is a spontaneous report from contactable consumer (patient). A 13-years-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0176), via an unspecified route on 04Jun2021 (at the age of 13-years) as dose number unknown, single in the left arm for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient had known allergic to Aspirin and Ibuprofen. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 05Jun2021 at 13:15, the patient experienced tightness of chest for about 15 minutes. Happened again on 06Jun2021 for 5mins and on 07Jun2021 for about 3 minutes. Also experienced severe headaches, rashes on skin and feverish ness. The patient did not received treatment for events. The events was assessed as serious Life threatening illness. The outcome of the events was recovering. Information on the lot/batch was available, further information has been requested.


VAERS ID: 1429478 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
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: Private       Purchased by: ?
Symptoms: Herpangina, Pyrexia, Sinusitis, Stomatitis, Tongue discomfort
SMQs:, Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Advil, Unithroid 25 mcg, and Zoloft 25 mg
Current Illness: I began having sinus cold (no fevers just cold symptoms) several weeks after first May 2nd Pfizer vaccine, around May 21st. And after second Pfizer vaccine on June 4th, I noticed visual changes on my tongue and sores in my mouth and throat. I had delayed low grade fever on Sunday night. On Monday or Tuesday of that week, June 7th, I went to a walk in clinic. She diagnosed me with herpangina. She gave me antibiotics for unresolved sinus infection. Several weeks later, and I still have sores on my tongue, throat, and inner cheeks that are not resolving.
Preexisting Conditions: Primary Reynauds, Hashimoto''s Thyroiditis, Rosacea, and have total joint TMJ prostheses.
Allergies: Penicillin
Diagnostic Lab Data: Only a visual test conducted at walk in clinic.
CDC Split Type:

Write-up: As noted earlier, I had cold symptoms develop on May 21st several weeks after my first vaccine. I had no symptoms before. I had a sunus cold that was stubborn and unresolved when I had my second vaccine on Friday June 4th. On Saturday June 5th, I noticed visual changes on my tongue and mouth sores or ulcers and soreness when eating dinner. I went to the walk in clinic on Monday or Tuesday morning. The NP there diagnosed me with sinusitis for the sinus infection, and herpangina for the mouth, tongue, and throat sores and rash. She gave me a prescription for antibiotics for the sinus infection, and a lidocaine oral rinse to numb the mouth sores for one day. It''s over two weeks later, and I still have sores on my tongue, throat, and inner cheeks. I have a pitted tongue too which looks unsightly.


VAERS ID: 1429479 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Confusional state, Injection site erythema, Injection site pruritus, Injection site swelling, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Abdominal Pain-Severe, Systemic: Confusion-Medium, Systemic: Fever-Medium


VAERS ID: 1429650 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH TLC06109 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Anxiety, Blood pressure increased, Body temperature increased, Cardiovascular symptom, Chest pain, Dizziness, Fatigue, Headache, Myalgia, Neck pain, Pain in jaw, Palpitations
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Biaxin/bee stings
Diagnostic Lab Data: None. Didn''t go to doctor.
CDC Split Type:

Write-up: Day after 2nd dose. Temperature over 100 all day. Tylenol did not help. Bad muscle aches. Headache. Fatigue. 2nd day after totally fine. 3rd day after. Fatigue. Headache. Heart palpitations. High blood pressure. Racing heart. Day 4 after. Heart attack symptoms. Severe anxiety. Dizzy. Neck and jaw pain. Severe Chest pain. Upset stomach. High blood pressure. Racing heart.


VAERS ID: 1429855 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-16
Onset:2021-06-05
   Days after vaccination:50
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Angiogram, Catheterisation cardiac, Chest X-ray, Chest discomfort, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Pain in jaw, Pyrexia, Troponin increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Osteonecrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: June 14 - EKG, chest x-ray June 15 - cardiac catheterization, echocardiogram June 18 - CTA scan of lungs
CDC Split Type:

Write-up: On June 5th while running a race I experienced extreme fatigue, overheating, jaw pain, and shortness of breath. I thought I was suffering from heat exhaustion, but after several days, I was still short of breath and experiencing tightness in my chest. It continued to worsen, making it difficult to breath while walking, and eventually just sitting. I was told by my doctor report to the ER on June 14th. I was admitted that day due to elevated troponin levels. I had an EKG, chest x-ray, and ultrasound of the heart. On June 15th I had a cardiac catheterization. No blockages were found. I was sent home, but continued to experience shortness of breath and tightness in my chest. I went back to the doctor who was concerned about a pulmonary embolism. I had at CTA scan which showed no clots. The symptoms continued. On June 21st I went back to the doctor, who scheduled a pulmonary function test. I had that test on June 24th. It indicated that my lungs had some "blockage" (sorry, I don''t know the exact terminology). I was given a prescription for Symbicort. I also had a follow-up visit with a cardiologist on the 24th. They have concerns about myocarditis and have scheduled me for a cardiac MRI.


VAERS ID: 1430171 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-05
Onset:2021-06-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Amnesia, Blood test, Computerised tomogram, Electrocardiogram, Electroencephalogram, Gait inability, Magnetic resonance imaging, Mobility decreased, Speech disorder, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Xarelto, hydrocortisone, multi vitamin, folate all daily. Keytruda and Altima every 3 weeks
Current Illness: One going treatment for stage 4 lung and brain cancer.
Preexisting Conditions: Stage 4 lung and brain cancer - currently in remission Addisons - adrenal I sufficiency Blood thinner for blood clotting genetic disorder
Allergies: Latex
Diagnostic Lab Data: 36 different blood labs, egg, ekg, 4 CT scans, MRI all June 6th and 7th.
CDC Split Type:

Write-up: Lost memory for remainder of day. The night of the 5th and through approximately 9pm on the 6th I was incapacitated. Couldn''t walk, talk, move. Semi unresponsive. No recollection of those hours.


VAERS ID: 1430325 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-05-28
Onset:2021-06-05
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A2114 / 1 LA / OT

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

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

Write-up: After a week from shot, developed itchy rash and red pimples on legs. Spread to torso, shoulders and back. Unable to sleep at night. Lasted for over 2 weeks; thank God is finally subsiding. Not a happy person!


VAERS ID: 1430853 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-24
Onset:2021-06-05
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Laryngitis, Vocal cord paralysis
SMQs:, Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec for allergies
Current Illness: None
Preexisting Conditions: None
Allergies: Parafon Forte
Diagnostic Lab Data: 6/24/2101 - Appt with ENT. He diagnosed Paralysis of my left vocal cord. Recommeneded two CAT scans, a videostroboscopy and speech therapy
CDC Split Type:

Write-up: On June 5th, I developed what I thought I was laryngitis for the first time in my life. I went to an ENT doctor and he diagnosed it as a paralyzed vocal cord. I have seen an article where this has happened to other people as well. This is unacceptable and is going to cost me a fortune to fix.


VAERS ID: 1430871 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-05
Onset:2021-06-05
   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 - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Escitalopram 20mg
Current Illness: NO
Preexisting Conditions: NO
Allergies: Sulfur, Amoxicillin, Steroid, Latex , Dogs , Cats, Mountain Cedar, Pollen, Dust
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Nothing at first, sat for 30 minutes per instructed, then once I left within the hour developed extreme fatigue, sweats, started itching and rash all over. Assumed side effects, had to drive to pharmacy and purchase Nivea Cream and shea butter for itching. Also took Benadryl.


VAERS ID: 1431332 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-25
Onset:2021-06-05
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthritis, Immediate post-injection reaction, Lymphadenopathy
SMQs:, Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bupropion 150mg Zyrtec 10mg Singular 10mg CBD 25mg Vitamin D
Current Illness: PTSD
Preexisting Conditions: Anxiety
Allergies: Celexa Gabipentin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swollen lymph nodes under left arm immediately after shot Inflammation of the coastal joint of 3rd and 4th rib


VAERS ID: 1431520 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

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

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

Write-up: Pt with lip swelling since day after vaccine, currently getting worse. Given oral steroids and epi-pen


VAERS ID: 1431769 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-05
Onset:2021-06-05
   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 EW0182 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone, Brain natriuretic peptide, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram, Fatigue, Full blood count, Glycosylated haemoglobin, Heart rate irregular, Laboratory test, Lipids, Metabolic function test, Palpitations, Red blood cell sedimentation rate
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Had COVID19 approximately 1 month prior to vaccination
Preexisting Conditions: H/o positive PPD in 08/2018 - normal CXR per verbal report. quant gold negative Aug 2019. Coat''s disease of right eye - followed by ophthalmology anxiety allergic rhinitis
Allergies: NKDA
Diagnostic Lab Data: EKG 6/19/21 Labs drawn 6/22/21 - ESR, TSH, CBC, CMP, HbA1c, Lipid panel Labs drawn 6/26/21 - BNP pending results Chest xray and cardiology referral ordered (pending approval)
CDC Split Type:

Write-up: Reported that he experienced chest pain, irregular heart beat, difficulty breathing and fatigue staring the night he got the 1st dose of the vaccine 6/5/21. Chest pain lasted approx. 7 days (more at night). Palpitations lasted for about 2 weeks (intermittent). Difficulty breathing was only at night when he tried to lay down (lasted about 10 days). When last seen in clinic 6/29/21 reports all symptoms resolved.


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

Write-up: nose was congested; throat was scratchy; really bad headache; feeling a lot of fatigue/feeling more tired than he usually is; severe allergic reaction/allergic reaction to the vaccine; fingers tingling; tongue felt abnormally large; bumps on his face, back, chest and stomach; pattient felt very uncomfortable; Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (severe allergic reaction/allergic reaction to the vaccine) in a 19-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 05-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Jun-2021, the patient experienced HYPERSENSITIVITY (severe allergic reaction/allergic reaction to the vaccine) (seriousness criteria medically significant and life threatening), PARAESTHESIA (fingers tingling), PARAESTHESIA ORAL (tongue felt abnormally large), URTICARIA (bumps on his face, back, chest and stomach), FEELING ABNORMAL (pattient felt very uncomfortable) and PAIN IN EXTREMITY (Sore arm). On 18-Jun-2021, the patient experienced NASAL CONGESTION (nose was congested), OROPHARYNGEAL DISCOMFORT (throat was scratchy), HEADACHE (really bad headache) and FATIGUE (feeling a lot of fatigue/feeling more tired than he usually is). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Allergic reaction, at a dose of 1 dosage form; EPINEPHRINE (EPIPEN) for Allergic reaction, at a dose of 1 dosage form and ASPIRIN [ACETYLSALICYLIC ACID] for Adverse event, at a dose of 1 dosage form. On 05-Jun-2021, HYPERSENSITIVITY (severe allergic reaction/allergic reaction to the vaccine), PARAESTHESIA (fingers tingling), PARAESTHESIA ORAL (tongue felt abnormally large), URTICARIA (bumps on his face, back, chest and stomach) and FEELING ABNORMAL (pattient felt very uncomfortable) had resolved. On 07-Jun-2021, PAIN IN EXTREMITY (Sore arm) had resolved. At the time of the report, NASAL CONGESTION (nose was congested), OROPHARYNGEAL DISCOMFORT (throat was scratchy), HEADACHE (really bad headache) and FATIGUE (feeling a lot of fatigue/feeling more tired than he usually is) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use is not provided by the reporter. Reportedly, patient stayed at hospital for one hour until treatment made effect. The patient is thinking whether to take a second dose of moderna or not. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1436987 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-02
Onset:2021-06-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 2 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Hot flush, Hyperhidrosis, Malaise, Myocardial infarction, Nausea, Presyncope
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Diabetes; Heart disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021702526

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


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

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

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

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


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

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

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

Write-up: Chest pain, fatigue


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

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

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

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


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

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

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

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


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

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Chills, Cough, Dyspepsia, Fatigue, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Developed cough 12 hours after shot. Developed severe indigestion, chills, fever, and exhaustion 24 hours after shot. Stomach problem continued and developed hives 3 weeks after.


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

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

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

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


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

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Truvada
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: angioplasty, stent implant, echo cardiogram
CDC Split Type:

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


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

Write-up: headaches, fatigue


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

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


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

Administered by: Other       Purchased by: ?
Symptoms: Blood cholesterol increased, Computerised tomogram normal, Supraventricular tachycardia, Transient global amnesia
SMQs:, Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Supraventricular tachyarrhythmias (narrow), Lipodystrophy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: HCTZ
Current Illness: unknown
Preexisting Conditions: HTN
Allergies: Sulfa
Diagnostic Lab Data: CT- WNL. Elevated cholesterol and run of SVT during stay.
CDC Split Type:

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


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

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

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

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


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

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging, Monoplegia, Muscular weakness, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lexapro Gabapentin esomeprazole carbamepizine naproxen tylenol . sumatriptan as needed
Current Illness: none
Preexisting Conditions: anxiety depression migraines
Allergies: none
Diagnostic Lab Data: Mri CT Lumbar Puncture
CDC Split Type:

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


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

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


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

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

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

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


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

Administered by: Other       Purchased by: ?
Symptoms: Poor quality product administered, Product storage error
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210702560

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


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

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

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

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


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

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood lactate dehydrogenase increased, Discomfort, Fatigue, Herpes zoster, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: LYMErix Vaccine 1999, arthritis in neck, attempted chiropractic treatments with no relief, resolved in ~4 months, Patient Age wa
Other Medications: Lisinopril, Multi-vitamins, CoQ10, Fish Oils, Glucosamine Sulfate, Tumeric, Vit D3,A,K1&K2, Astazanthin, Digestive Enzymes, Probiotics-multi-strain, NACX,ALA, Honokiol, Berberine
Current Illness: None
Preexisting Conditions: High Blood Pressure- controlled with Lisinopril, 40mg/day, since 12/2020, Lymphoma-Diffuse Large B-Cell- with Peritoneal Tumor-treated with R-CHOP and Radiation in 2009
Allergies: Brazil nuts
Diagnostic Lab Data: 6/1/2021 - LDH (Lactose Dehyrdogenase) level was 270 (range 119-226) Albumin- in high range- 2 Panels showed 4.7 and 4.9 g/dl (range3.8-4.8 g/dl) Alkaline Phosphatase - typically in low range- Panels showed 48 and 46 IU/L (range 48-121 IU/L)
CDC Split Type:

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


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

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

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

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


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

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

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

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


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

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine 10mg once daily, Nortryptaline 20mg once daily, testosterone cypionate 150mg once every 2 weeks, Emgality 200mg once monthly, Vitamin D3 2000 IU daily.
Current Illness: None
Preexisting Conditions: Migraine, hypotestosteronism,
Allergies: Food Allergies: Barley, Almonds, Blueberries, Egg Yolks, Sesame, Hazelnut
Diagnostic Lab Data: None.
CDC Split Type:

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


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