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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 239 out of 5,069

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VAERS ID: 1441092 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

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

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

Write-up: PATIENT STATES HE HAS BEEN HAVING PAIN IN BOTH ELBOWS (MORE PAIN IN THE RIGHT) AND RIGHT ANKLE SINCE RECEIVING THE SECOND DOSE. HAS TAKEN IBUPROFEN AND THAT HELPS. PAIN IS SUBSIDING A LITTLE BIT. PATIENT WILL SEE DOCTOR WHEN HIS INSURANCE BECOMES ACTIVE


VAERS ID: 1441528 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-06-04
Onset:2021-06-04
   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 EW0187 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, C-reactive protein increased, Chest pain, Cough, Decreased appetite, Fatigue, Fibrin D dimer increased, Insomnia, Joint swelling, Malaise, Metabolic function test, Myalgia, Pain, Peripheral swelling, Platelet count increased, Pyrexia, Rash, Red blood cell sedimentation rate increased, Skin discolouration, Swelling, Tachycardia, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: atomoxetine 100 mg daily
Current Illness: none
Preexisting Conditions: ADHD
Allergies: benzoyl peroxide
Diagnostic Lab Data: 6/11- D dimer 2.26, CRP 95, ESR 19, WBC 8.5, plt 346 CMP wnl 6/15 D dimer 1.21, CRP 40, ESR 21, WBC 7.97, plt 436 6/24 D dimer 0.38, CRP 6.6 , ESR 5, WBC 8.87, plt 472
CDC Split Type:

Write-up: Fever to 101.3 and malaise night of vaccine, "bad cough" on the following day with chest pain which resolved over a few days, then she developed bilateral ankle swelling and pain 80 hours later with a rash and swelling spreading up to her thighs and down through her feet. hands also swelled and turned white (sounds like Raynaud''s). knee pain resulting in difficulty sleeping at night. tachycardic on exam. evaluated in clinic on 6/11 and follow up on 6/15. noted loss of appetite for a week and fatigue. Myalgias made ambulation painful. instructed to use NSAIDs and elevation and she improved over the next few days


VAERS ID: 1442621 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Appetite disorder, Diarrhoea, Dizziness, Feeling hot, Flushing, Limb discomfort, Loss of personal independence in daily activities, Nausea, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VIT-C; VIT D; CALCIUM CITRATE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (Prior to vaccination)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021667230

Write-up: During day of 6/7, was able to keep down a little food, but still experiencing nausea; diarrhea; Range of motion in arm was also quite limited; could not engage in normal activities; Nauseated; arm was very sore; bouts of dizziness which continued for next two days; felt very hot; face flushed; This is a spontaneous report from a contactable consumer (patient). A 38-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 04Jun2021 17:45 (Batch/Lot Number: EW0171) age at vaccination of 38-years-old, as single dose, for covid-19 immunisation. Medical history included covid-19 from an unknown date and unknown if ongoing (Prior to vaccination). The patient was not pregnant and was not pregnant at the time of vaccination. Concomitant medications included ascorbic acid (VIT-C) taken for an unspecified indication, start and stop date were not reported; ergocalciferol (VIT D) taken for an unspecified indication, start and stop date were not reported; calcium citrate (CALCIUM CITRATE) taken for an unspecified indication, start and stop date were not reported and multivitamin for an unspecified indication, start and stop date were not reported. The patient previously took trimox ketone and experienced drug hypersensitivity. Immediately after shot, on 04Jun2021 18:00, the patient felt very hot and face flushed; then approximately 1 hour after, had bouts of dizziness which continued for next two days. During the evening of 05Jun2021, became nauseated (and arm was very sore), and most of day during 06Jun2021, had diarrhea and additional nausea, could not engage in normal activities and range of motion in arm was also quite limited. During day of 07Jun2021, was able to keep down a little food, but still experiencing nausea. No treatments were given for the events. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient was recovering from the events.


VAERS ID: 1443246 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Olmesartan, montelukast & Trazodone
Current Illness:
Preexisting Conditions:
Allergies: Penicillin, keflex, sulfa, z-pack, Neosporin, strawberries, lavender, dust
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fatigue, headache, hives from collar bone to elbow on left arm, swelling of injection site


VAERS ID: 1443385 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-20
Onset:2021-06-04
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016B21A / 1 LA / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016B21A / 2 LA / -

Administered by: Senior Living       Purchased by: ?
Symptoms: Discomfort, Hypersensitivity, Injection site hypersensitivity, Injection site pain, Injection site swelling, Pruritus, Rash, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: HSV
Allergies: Unknown, but definitely had an allergic reaction at the site of injection (especially strong after first shot, less so after 2nd). Moderna vaccine
Diagnostic Lab Data: None. But, I did go to an urgent care where I was given a prescription for steroids. They helped, but after 4 days on the meds, the rash came roaring back! Had to go back on steroids for another 13 days (so 17 days total on steroids) and am still taking Zyrtec daily. If I miss the Zyrtec, the rash comes back.
CDC Split Type:

Write-up: On dose 1, I had a strong allergic reaction at injection site - hot, super swollen (like circumference of a softball) and very hard with lots of pain. The hardness felt like scar tissue and lasted for nearly 2 weeks even after swelling went down. 2nd shot - also had swelling and pain at injection site. However, then in early June inexperienced an extreme systematic allergic reaction to something unknown (no new foods or medicines or detergents/soaps had been used), which caused a rash to spread across my entire body. Welts, swelling and extreme itching and discomfort.


VAERS ID: 1443590 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Full blood count, Hypoaesthesia, Immediate post-injection reaction, Joint swelling, Pain, Paraesthesia, Polymenorrhoea, Thyroxine
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Influenza vaccine. My lymph nodes are swollen.
Other Medications: I am taking 81mg aspirin, Toprol, birth control pills, vitamin C, D, E and CBD oil.
Current Illness: No illnesses at the time of vaccination.
Preexisting Conditions: I have a heart condition.
Allergies: I am allergic to Augmentin, seafood, iodine and latex.
Diagnostic Lab Data: I had a CBC, and a T4 test done.
CDC Split Type: vsafe

Write-up: I had a immediate pain, numbness and tingling on the left side of my body. My menstrual cycle came earlier than normal and I also had a swollen ankle.


VAERS ID: 1443671 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adverse reaction, Influenza like illness, Pyrexia, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: the pharmacist asked if patient had any side effects after first dose of vaccine. patient stated fever and flu like symptoms. After I injected the vaccine, patient stated he had blurry vision after the first dose of vaccine and still has blurry vision. Since he told me this side effect after the vaccine administration, I instructed him to tell his doctor as soon as possible. He said he can only see his doctor later July for an appointment. I told him to call his doctor and talk to him over the phone about the side effect and treatment options in addition to seeing the doctor as soon as possible for the soonest available appointment.


VAERS ID: 1444585 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Breath sounds abnormal, Paraesthesia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow)

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

Write-up: Approximately 5 minutes after the 15-minute waiting period after the shot, the left side of my entire body had intense tingling - from my head to my feet. My throat began to constrict making my breathing sound like a snore. This lasted for approximately 30 minutes, then completely subsided.


VAERS ID: 1446451 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-23
Onset:2021-06-04
   Days after vaccination:12
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: Public       Purchased by: ?
Symptoms: Pruritus, Rash papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Raised rash, itchiness were noticed on 12th day after vaccine; persisted for 5 days then resolved in its own.


VAERS ID: 1446571 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: Patient reported that her nurse told her that her COVID shot might have hit a nerve.
CDC Split Type:

Write-up: Patient reported of pain and numbness of her left arm


VAERS ID: 1446617 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / SYR

Administered by: Public       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tightness in chest, chest pain, shortness of breath for about 12 hours.


VAERS ID: 1446705 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-06-04
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Smear cervix normal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I had a negative cervical cancer screening from my recent doctor visit.
CDC Split Type:

Write-up: Following the second vaccine dose, I had two highly unusual periods that were marked by 2 days of heavy bleeding. The bleeding was so heavy I soaked through 6-8 pads during a 5 hour time frame. The bleeding also contained huge clots often the size of a golf ball or larger. This has happened on 6/4/21-6/6/21 and 7/2/21-7/4/21. I recently went to my provider on 6/25/21 for a gynecology exam and received normal results for cervica.


VAERS ID: 1446741 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-05
Onset:2021-06-04
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Tinnitus, headaches-chronic


VAERS ID: 1446941 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Patient fainted for about 15 seconds


VAERS ID: 1447052 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 054C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
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 experienced seizure within the first few minutes of receiving 1st dose of COVID19 Moderna vaccine. Seizure lasted only about 2 minutes and resolved on its own (without any medication). No head injury occurred. 911 was called and paramedics took patient to the hospital.


VAERS ID: 1447132 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-20
Onset:2021-06-04
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Breast mass
SMQs:

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

Write-up: After first dose a week or two later notices a lump on the bottom of my right breast, the same side I received my shot, right arm. It has since reduced in size but a mammogram in coming week will determine if the lump is completely gone,


VAERS ID: 1449503 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 - / -

Administered by: School       Purchased by: ?
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lyme disease
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021748243

Write-up: breathing issues; This is a spontaneous report from a contactable consumer. A 61-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EW0185) at single dose for COVID-19 immunisation on 04Jun2021 (61-year-old at vaccination). Relevant history included Lyme Disease. Relevant concomitant drug was unknown. The patient previously received the first dose of BNT162B2 (Lot number: EW0176) at single dose for COVID-19 immunisation on 14May2021 with not reaction. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced breathing issues on 04Jun2021. The event caused to Emergency room/department or urgent care visit, and the patient was hospitalized. The outcome of the event was not resolved. Unknown if treatment received or not. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1450033 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-29
Onset:2021-06-04
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Arthralgia, Feeling abnormal
SMQs:, Dementia (broad), Arthritis (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: Fish oil and vitamin E
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: About a week after the first shot I developed very bad joint pain in my hands and wrists that lasted for approximately three weeks. I also had anxiety which I never normally have and generally felt really loopy and out of it and weird, like a kind of brain fog.


VAERS ID: 1450326 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-31
Onset:2021-06-04
   Days after vaccination:65
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028A21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Coagulopathy, Deep vein thrombosis, Echocardiogram, Lung disorder, Magnetic resonance imaging
SMQs:, Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (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: I take Novolog, Levemir, lithium, vraylof and cosentyx.
Current Illness: No illnesses at the time of vaccination.
Preexisting Conditions: I have type 1 diabetes and arthritis and type 1 bipolar disorder.
Allergies: I am allergic to Bactrim and all sulfur drugs.
Diagnostic Lab Data: I had an MRI of my leg and my lungs. I had an ultrasound of my heart.
CDC Split Type: vsafe

Write-up: I had a BVT in my leg and a PE in my lungs and I was treated with a clot blocker. I was sent home and was told that I would be on blood thinners the rest of my life.


VAERS ID: 1450383 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-04-07
Onset:2021-06-04
   Days after vaccination:58
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Blood thyroid stimulating hormone, Chest X-ray, Electrocardiogram, Fatigue, Feeling abnormal, Full blood count, Head discomfort, Laboratory test, Magnetic resonance imaging head, Metabolic function test, SARS-CoV-2 antibody test
SMQs:, Dementia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no active meds
Current Illness: Back pain- suspect some sacroiliac dysfunction
Preexisting Conditions: hyperlipidemia
Allergies: possible allergy to tree nut (rash)
Diagnostic Lab Data: 6/25/21 MRI brain 6/25/21 CTA head 6/25/21 EKG 6/25/21 chest x-ray 6/16/21 labs: cmp tsh, sed, cbc 7/6/21 cmp, sed. lyme, covid ab
CDC Split Type:

Write-up: 6/15/21 triage call: Patient called stating that for the past week he''s been having some brain fog, pressure in his head and fatigue 6/16 /21 office visit: The patient has been dealing with pressure bilateral sides of the head over the past 12 days or so. No visual change. It is a pressure but not really a pain. No sinus pain. No difficulty with hearing, no tinnitus. No balance problems. He also is dealing with significant related fatigue. Fatigue is present all day. Brain fog. Difficult to concentrate. 6/23/21 triage call-MRI Brain Pending. Pressure in head Not Better 6/25/21 er 7/6/21 pressure in head


VAERS ID: 1450412 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Diplopia, Headache, Neurological symptom, Vertigo
SMQs:, Vestibular disorders (narrow), Ocular motility 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: Synthroid 100 ug/daily Nortriptyline 30 mg/every night Magnesium 500 mg/daily Acetaminophen 650 mg/6h as needed
Current Illness: Hypothyroidism I need to mention that 3 months prior the vaccine shots, I suffered of headaches, vision problems and vertigo due to an epidural injection on 11Feb2021. Doctors cleared me of these problems on 4/26/2021. No headaches until the first shot on 14May2021, it was a mild headache the night of the shot. After the 2nd shot (3Jun2021) the symptoms exacerbated. My headaches were 8 out of 10 in pain, I also felt very dizzy and had vision problems (double vision). I didn''t have fever or nausea. I had to make a doctor''s appointment.
Preexisting Conditions: Hypothyroidism
Allergies: Codeine Iopamidol Latex
Diagnostic Lab Data: In person clinic visit on 10Jun2021 at Medical Group. I was seen by a NP.
CDC Split Type:

Write-up: I experienced exacerbated neurological symptoms after the 2nd shot. They include bad headaches, my vision was double few times and the vertigo symptoms came back. I contacted my specialist as well as the PCP office. In the former (PCP office) I received a ketorolac tromethamine 60 mg/2 mL injection (10Jun2021) and prescribed an acetaminophen 650 mg tablet 4h after ketorolac injection. The second dose of ketorolac was received on 23Jun2021 at the Neurologist office (Dr.). Injection by a nurse.


VAERS ID: 1450446 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Pneumonia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 81mg aspirin, 25mg hydrochlorothiazide, amlodipine-olmesartan 5-40mg, 5 mg rosuvastatin calcium, vitamin D3, 150mg bupropion Hal sr,, multivitamin and calcium supplement.
Current Illness: High blood pressure
Preexisting Conditions: High blood pressure, high cholesterol
Allergies: Shrimp, crustaceans, strawberries, penicillin, avelox, tetracycline, erythromycin, flagella, ceclor, cupronickel, clindamycin,
Diagnostic Lab Data: Blood test, chest X-ray,
CDC Split Type:

Write-up: High fever that lasted 4 days, pain in chest, weak diagnosed with pneumonia


VAERS ID: 1450497 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-05-21
Onset:2021-06-04
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 RA / IM

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

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

Write-up: recurrent hives


VAERS ID: 1452589 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-28
Onset:2021-06-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Teledoc appointment on July 5 to continue to monitor effects.
CDC Split Type:

Write-up: My Period began a week early, and has continued for 5 weeks. It still had not stopped.


VAERS ID: 1454336 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-05-14
Onset:2021-06-04
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Arthritis, Blood test, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow), 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: atenolol, atorvastatin, levothyroxine, lisinopril
Current Illness: none
Preexisting Conditions: Hypertension, hyperlipidemia, hypothyroidism
Allergies: none
Diagnostic Lab Data: Lab work and new prescriptions 7/2/21
CDC Split Type:

Write-up: Patient developed inflammatory arthritis and pedal edema 3 weeks after 2nd moderna vaccine.


VAERS ID: 1454543 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: North Dakota  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 3 - / IM

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

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

Write-up: Prescription for Tetanus vaccine was sent to pharmacy, patient inadvertently requested Covid vaccine, which was administered


VAERS ID: 1454699 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness unilateral, Condition aggravated, Vitreous floaters
SMQs:, Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (narrow)

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: Trazodone, Plavix, Lisinopril, Isosorbide Mononit, Oxycodone, Atorvastatin, Amlodipine Besylate, Atenolol.
Current Illness: FLOATERS in my left eye, from 1st. vaccination of Moderna, on 05/07/2021
Preexisting Conditions: Second vaccination, left FLOATERS in my left eye, that have never went away. Total blindness in left eye. As of 07/06/2021.
Allergies: Shellfish.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Blind left eye. As of 07/06/2021.


VAERS ID: 1456983 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-02
Onset:2021-06-04
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030L20A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Haemoptysis, Lung opacity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Interstitial lung disease (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Infective pneumonia (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: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: CT scan, Blood work
CDC Split Type: vsafe

Write-up: I just started coughing up blood. I went to the ER and they found opacity in my lungs. I have to get a repeat CT scan to see if it cleared up if not they would go to the next step.


VAERS ID: 1457488 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-03-01
Onset:2021-06-04
   Days after vaccination:95
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6025 / 1 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH CK2613 / 2 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Blood test, Differential white blood cell count, Full blood count, Haemorrhage, Iron deficiency anaemia, Malaise, Pyrexia, Red blood cell count, Serology test, Urine analysis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: alirocumab (Praluent Pen) 150 mg/ml every 14 days ezetimibe (ezetimibe 10 mg oral tablet) 1x daily rosuvastatin (rosuvastatin 20 mg oral tablet) 1x daily
Current Illness: none
Preexisting Conditions: Familial hypercholesterolemia
Allergies: NKA
Diagnostic Lab Data: June: CBC, manual differential, RBC studies, general chemistries, serology for tick borne illness, urinalysis, July: endoscopy and colonscopy (scheduled for next week)
CDC Split Type:

Write-up: First dose, I only had a sore arm, second dose, I had fever beginning ~12 hours after injection and lasting until ~36 hours after. The subsequent illness I reported in V-safe seems unrelated to my vaccination. I experienced fever (up to 102 degrees) and general malaise for three successive nights starting on June 4th, 2021 (2+ months after second dose). The fever only came at night and broke in the early morning each night. I had two COVID screenings on June 7th, both came back negative. The final fever occurred the night of June 6th. I continued experiencing malaise and general weakness and had some bloodwork done. My bloodwork came back indicating Fe deficiency anemia, and I have been experiencing this condition since. The cause is suspected to be due to overuse of NSAIDs in dealing with a bulging disc in my cervical spine from early March onward. I am scheduled for endoscopy to further investigate whether I am having bleeding issues causing the anemia. as previously mentioned, seems unrelated to vaccination.


VAERS ID: 1457862 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-03
Onset:2021-06-04
   Days after vaccination:62
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016B21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Biopsy skin, Blister, Blood test normal, Eye irritation, Fatigue, Rash, Urine analysis normal, Withdrawal syndrome
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Drug withdrawal (broad), Corneal disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Armor thyroid, X viromin by Apex Energetics, Gaia Herbs Adrenal health, Doctor''s Best L-Thiamine, Doctor''s Best Glucosamine and Chondroitin MSM
Current Illness: None
Preexisting Conditions: HypoThyroidism hashimoto
Allergies: Gluten intolerant
Diagnostic Lab Data: 6/24/2021 & 6/29/2021 Blood test(normal for patient),06/29/2021 biopsy of rash(results unknown),06/29/2021 urine sample(normal)
CDC Split Type: vsafe

Write-up: Felt like Heroin withdrawal, fatigue, and irritated. Later rash and blisters near the joints, joint pain, worst of it on pelvis and hip. So far, only seen doctor for pain and was given the anti-shingles vax. Was recommended to take anti-histamine. Still waiting to see if it will clear up.


VAERS ID: 1458462 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-02
Onset:2021-06-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

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

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

Write-up: Extreme joint pain. 9/10 pain. It was been over 1 month and I have extreme hip pain. I have no Heath problems. Not over weight. I did not have this before I received my second shot.


VAERS ID: 1460173 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-28
Onset:2021-06-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Myocarditis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: hyperlipidemia prediabetes left inguinal hernia with obstruction
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data: troponin cxr ecg
CDC Split Type:

Write-up: Presents 6/4 for tick bite and fatigue and fevers. on 6/8 he was admitted for myocarditis. Time course could be related to covid-19 vaccine, but in rare cases of myocarditis seen in the setting of covid-19 vaccine, it''s usually a few days afterward.


VAERS ID: 1460353 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (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: Trazidone
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tinnitus


VAERS ID: 1461848 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-06-02
Onset:2021-06-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Lower respiratory tract infection, Nasal congestion, Oropharyngeal pain, Pain, Rhinorrhoea, Secretion discharge, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine, Wellbutrin, Omeprazole, gabapentin, bentyl, lamictal, effexsor
Current Illness: Allergies
Preexisting Conditions: Allergies
Allergies: Environmental allergies
Diagnostic Lab Data: Was told by nurse at to wait it out and that some people have different reactions
CDC Split Type:

Write-up: Two days after receiving the shot I woke up with nasal congestion and was coughing. The next few days I started having chest congestion, mucus, runny nose, sore throat, wheezing and body aches. The symptoms continue to this day although not as severe as the first week. I''ve been using cough drops and mucus relief to help with coughing and congestion.


VAERS ID: 1461905 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Headache, Heavy menstrual bleeding, Menstrual disorder
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

Write-up: ABNORMAL MENSTURAL BLEEDING NONSTOP, CLOTTING, HEADACHES, FEELING TIRED.


VAERS ID: 1462078 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Autoscopy, Fatigue, Feeling abnormal, Pain
SMQs:, Dementia (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: (Note: this only pertains to my second shot) In addition to the typical symptoms of feeling tired and achy, I also felt very spacey and out-of-it. I am so thankful that my friend had offered to go with me because I would not have felt safe driving home! The feeling started a few minutes into the standard 15-minute post-shot wait time in the office. At the time, I''d assumed it was just from being anxious about getting the shot, but the feeling lasted the rest of the afternoon. It might sound odd, but at times, I felt like I was having an out-of-body experience. I remember washing the dishes and my arms didn''t seem like they belonged to me. The feeling gradually faded away towards the evening, but I still had that spacey feeling occasionally through the next day. Apparently, I am not the only one who''s experienced this feeling; when I''d asked a friend about their vaccine experience (also Pfizer, but from a different location), they described the exact same strange feeling. So, I just wanted to make sure I logged my experience.


VAERS ID: 1463306 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Unknown  
Location: California  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Headache, Lethargy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Current Illness: Anaphylactic reaction to food (Peritinent Details : removed tonsil, Adenoids at age 8 . carries an epinephrine injector always.); Food allergy (Peritinent Details : Uses anti histamines 6 months per year); Rhinitis
Preexisting Conditions: Medical History/Concurrent Conditions: Adenoidectomy (Removed tonsil, Adenoids at age 8 . carries an epinephrine injector always.); Fruit allergy; Pollen allergy; Tonsillectomy (Removed tonsil, Adenoids at age 8 . carries an epinephrine injector always.)
Allergies:
Diagnostic Lab Data: Test Name: Body; Result Unstructured Data: Test Result:101.4 Fahrenheit; Test Name: Body; Result Unstructured Data: Test Result:101.5 Fahrenheit
CDC Split Type: USPFIZER INC2021800151

Write-up: Headache; fever 101.5; fever of 101.4 for 2 day; lethargy; This is a spontaneous report from a contactable consumer (patient). This consumer reported similar events for two doses. This is the first of two reports regarding dose 2. A 14 -year-old patient of unspecified gender received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EW0186) via intramuscular in left upper arm on 03Jun2021 at 11:15 AM, at patient age of 14-year-old, as a single dose for COVID-19 immunisation. The patient medical history included ongoing oral food allergy (anti histamines 6 months per year), ongoing tree nut anaphylaxis (removed tonsil, Adenoids at age 8. carries an epinephrine injector always). The family medical history included Food allergy to Tree Nut: cashew/pistachio; Pollen allergy- ongoing rhinitis. The patient concomitant medications included ongoing oral antihistamine cetirizine hydrochloride (ZYRTEC) from March (unspecified year) for allergy to pollen. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number ER8735) via intramuscular in left upper arm on 13May2021 at 11:30 AM, at patient age of 14 -year-old as a single dose for COVID-19 immunisation and experienced headache. The patient had none prior vaccinations within 4 weeks. On 04Jun2021, the patient experienced headache with seriousness criteria: persistent/significant disability/incapacity. The patient had 3 days fever 101.5. The event required to visit physicial office call. The patient received Ibuprophen for treatment. The patient experienced fever of 101.4 for 2 day and lethargy after the second vaccine. The outcome of the events was resolved. Follow-up attempts are completed. No further information is expected. ; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2021579117 same reporter/patient, different dose/event


VAERS ID: 1463551 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Blindness transient, Blindness unilateral, Cough, Discomfort, Dizziness, Eye pain, Headache, Iritis, SARS-CoV-2 test negative, Vaccine positive rechallenge, Vision blurred, Visual impairment
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Ocular infections (broad), Hypoglycaemia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol (Eqv-ProAir HFA) 90 mcg/inh aerosol Start atorvastatin 10 mg tablet Taking Fioricet 300 mg-50 mg-40 mg capsule G Tussin AC 10 mg-100 mg/5 mL syrup
Current Illness: headache and dry cough since 05/2021
Preexisting Conditions: Migraines, headache syndrome, hypertension
Allergies: penicillin: Anaphylaxis - Criticality High - ampicillin: Anaphylaxis-Streptomycin - Criticality High - sumatriptan: Rash - Criticality High -
Diagnostic Lab Data: Brain MRI on 05/17/21 w no evidence of CVA. Negative COVID test on 06/17/21
CDC Split Type:

Write-up: Patient c/o dry cough, left sided headache, since returing in may. was seen in ER on 5/17. COVID test neg. symptoms improved and patient received I dose of COVID vaccine on 6/4 21. since then c/o constant left sided headache, left eye pain, on/off blurring of vision, severe dry cough. c/o loss of vision in left eye, headaches and feeling "a lot of pressure" for about 3 weeks since receiving the vaccine, sees 2 spots in the left eye that got larger than before. Had 4 episodes of vision in left eye only going black for several seconds, then when vision comes back it is "no good" for 20-30 minutes, last occurrence was 10 days ago. Pt also felt dizzy. patient has a history of stroke. After multiple provider and specialist visits patient was diagnosed with iritis and transient vision loss. Patient received second dose of vaccine on 06/27/21 (both at pharmacy) and reported return of symptoms which resolved as reported on their 06/30/21 follow up with PCP and vision specialist.


VAERS ID: 1463615 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PFIZEREW0178 / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Fatigue, Gait disturbance, Headache, Limb discomfort, Mobility decreased, Muscle spasms, Pain in extremity, Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), 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: Amlodipine
Current Illness: Fibromyalgia high BP diabetes
Preexisting Conditions: Fibromyalgia diabetes high bp
Allergies: Mushrooms bee stings
Diagnostic Lab Data: None seen dr on demand 3 times dr appointment is scheduled July 20
CDC Split Type:

Write-up: Pain and weakness arms and legs muscle spasms legs arms heavy don''t move right extreme fatigue headaches fell tripped a few times in early days occasionally tongue feels weird kinda nb and in the way


VAERS ID: 1465113 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-07
Onset:2021-06-04
   Days after vaccination:58
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Gait disturbance, Hypoaesthesia, Limb discomfort, Paraesthesia, Urinary tract disorder
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amytriptilline, 10mg - 3 per day
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: None yet
CDC Split Type:

Write-up: About a month ago I started experiencing (3) distinct symptoms 1- Bladder control issues 2-Numbness/tingling in my left arm which has spread to my hand and is consistently spreading 3-Trouble walking sometimes, my left leg feels out of my control


VAERS ID: 1465982 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Peripheral swelling, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I had a swollen itchy arm and my entire body was itchy. I took Benadryl to relieve the symptoms. The swollen itchy arm lasted for 4 days.


VAERS ID: 1466154 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-07
Onset:2021-06-04
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / UNK LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / UNK 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: wasp
Diagnostic Lab Data:
CDC Split Type:

Write-up: arm pain for 48 hours after injection


VAERS ID: 1466478 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-25
Onset:2021-06-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Magnetic resonance imaging abdominal, Postmenopausal haemorrhage, Thrombosis, Ultrasound scan vagina
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: I?m menopause since May 2019
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: I?ve been in menopause since May 2019. On June 4,2021 10 days after my first dose of the Pfizer vaccine I began to have post menopausal bleeding for nine days. It stopped on June 10, 2021. I was clotting during that period as well. I?ve since had a vaginal ultrasound and pelvic MRI with no signs of cancer or anything else that would cause post menopausal bleeding.


VAERS ID: 1466709 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-26
Onset:2021-06-04
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Patient recieved first vaccine 4/26/2021, reports she had no issues after this dose Patient recieved second vaccine 6/3/2021, and reports on 6/4/2021 she had heavy bleeding for 7 days. Bleeding spontaneously resolved.


VAERS ID: 1467020 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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 presented to School COVID Vaccination Clinic on 7/9/2021 for her 2nd dose of the COVID Vaccination. At this time it was discovered that she had received her 1st dose as a Moderna vaccine, despite not meeting the age requirements. Patient did not report any symptoms or adverse effects from the first vaccine and was subsequently given her 2nd dose Moderna lot # 001C21A on 7/9/21 to complete her vaccination series.


VAERS ID: 1467037 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-16
Onset:2021-06-04
   Days after vaccination:49
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Herpes zoster, Varicella virus test positive
SMQs:, 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:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: I tested positive for shingles
CDC Split Type:

Write-up: Shingles


VAERS ID: 1467079 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / SYR

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

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

Write-up: Tingling in arm of vaccination. tingling in both legs. Shooting pain and tingling in both feet on First day. After that subsiding but still getting randomly.


VAERS ID: 1467170 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-05-21
Onset:2021-06-04
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Guillain-Barre syndrome, Pain in extremity
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Pt. states after receiving 2nd dose of Phizer started experiencing 05/21/2021 week later crippling hand and wrist joint soreness, Dr. visit 07/02/2021 cortizone shots , Julian Bar Syndrome diagnosed.


VAERS ID: 1467274 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-01
Onset:2021-06-04
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Neuropathy peripheral
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Neuropathy in arms and hands


VAERS ID: 1467748 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

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

Write-up: Blood clot in left leg


VAERS ID: 1467961 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 010A21A / 1 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Influenza like illness, Parosmia, Taste disorder
SMQs:, Taste and smell 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: Lisinopril 40mg Chlorothalidone 25mg Amlodopine 10mg Bruproprion 375mg
Current Illness: No illnesses at time of vaccination or month prior to vaccination
Preexisting Conditions: Hypertension Anxiety
Allergies: No food or medication allergies
Diagnostic Lab Data: No medical test conducted. Simple observation and trial and error food sampling.
CDC Split Type:

Write-up: First vaccination 5-7-2021 resulted in approximately 5 days of flu-like symptoms. Fatigue, constant fever (100), chills and achy joints. Second vaccination 6-4-2021 resulted in approximately 2 days of flu like symptoms. Similar to first vaccination. Additional effect included alteration of smell and taste. Many things such as meat (chicken, beef, pork), garlic, ginger, coffee has a similar foul odor and taste. Even gasoline fumes at the gas station have the same foul odor as coffee brewing in my kitchen. This secondary effect has remained since the second vaccination and shows no sign of stopping. Some food that is edible includes pasta, rice, bread. Limited seasoning such as salt, pepper, butter and red pepper flake. As a whole the dairy family seems to be ok. Milk, butter, ice cream, cheese, etc. It seems the most prolific or prominent smelling and tasting things have the same foul pungent odor and taste. One common bad taste. Not different bad tastes for different foods.


VAERS ID: 1468392 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-26
Onset:2021-06-04
   Days after vaccination:70
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dysarthria, Gait disturbance, Magnetic resonance imaging abnormal, Multiple sclerosis
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Optic nerve disorders (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Provera 10mg daily
Current Illness: None
Preexisting Conditions: Irregular menses / infertility Mood disorder
Allergies: NKDA
Diagnostic Lab Data: MRI during hospitalization above
CDC Split Type:

Write-up: New multiple sclerosis onset / new diagnosis on 6/4/21 that presented with gait instability and slurring of words. MRI showed enhancing and non enhancing lesions in multiple locations. Hospitalization 6.4-6.7.21


VAERS ID: 1470278 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-22
Onset:2021-06-04
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / IM

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

Write-up: Pt c/o headache and fatigue since she got her 2nd COVID vaccine Pfizer on 4/22/21 . Pt speech clear, comfortable. . Also denies emergency sx at this time. Advised pt to monitor her sx. And pt education given, pt assure understanding. Notified pt if her sx not getting better or getting more worse call back or consult with her MD, also if any emergency sx arises call 911 or go to nearest ED.


VAERS ID: 1470800 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 2 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Blood pressure increased, Ear pain, Fatigue, Feeling abnormal, Malaise, Neck pain, Pain, Streptococcus test negative, Toothache
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Hypertension (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 100mg OD
Current Illness:
Preexisting Conditions: Porphyria
Allergies: Porphyria (an AIP form of it)- damaged 3rd enzyme, acute intermittent porphyria, can not take estrogen, also sensitive to the sun
Diagnostic Lab Data: Monitored high blood pressure, test for strep throat; negative
CDC Split Type: vsafe

Write-up: The next day of receiving my Moderna vaccine, dose 2, I started to feel sick. On 06-07-2021 I had right ear pain which was intolerable. I went to see a group doctor and where I was diagnosed with stage 3 hypertension. I also had COVID-19 in March 2020. I had the vaccine 06-03-2021. started the next day did not feel well. I started with right ear ache and by Thursday my right ear ache was bad. I then went to see my PCP who took my BP. My BP levels have been 128/84 even through my pregnancies. The pain I started to have in my right ear radiate down to my neck. I went to urgent care where they took my BP and it was 167/92 and it was believed I had an ear infection. Two days ago, my doctor placed me on high blood pressure medication. Before being placed on high blood pressure medication my reading was normal of 120/82. When my blood pressure goes up the pain in my right ear goes up. Also two of my molars have been started to hurt. I also experienced brain fog, I get tired easily and I am trying to fight these symptoms all year long. Before my first vaccine I also had the shingles vaccine. My doctor wants me to wait to get my second shingle vaccine due to my high blood pressure readings.


VAERS ID: 1470801 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047B21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Condition aggravated, Cough, Fatigue, Injection site pain, Nausea, Neuropathy peripheral, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: gabapentin, albuterol, estrogen, omeprazole, baby aspirin, alphalipoic acid, multivitamin, B complex, D3, Zinc, C, B6, generic flonase
Current Illness: fighting long covid for about a year
Preexisting Conditions: migraines before covid neuropathy, covid toes, cough, fatigue post covid
Allergies: penicillin, codeine, latex sensitive, multiple food and environmental allergies
Diagnostic Lab Data: pulmonary lung function test in two weeks
CDC Split Type:

Write-up: "Normal" response of soreness at the injection site, eventually fever and nausea and fatigue, then, flared covid neuropathy and cough symptoms


VAERS ID: 1471019 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 1 RA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A-1 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Burning sensation, Communication disorder, Disturbance in attention, Dysphagia, Dysphemia, Feeling abnormal, Headache, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging head normal, Muscle spasms, Muscle tightness, Paraesthesia oral, Pharyngeal hypoaesthesia, Sensory disturbance, Vertigo
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fish oil, ashwaganda, probiotic
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: MRIs of brain, heart, neck, and ears... all results came back normal. Spinal tap Bloodwork
CDC Split Type:

Write-up: Fuzzy head, vertigo, loss of focus/concentration, muscle spasms, numb throat, hard to swallow, hands and feet fall asleep, headaches, nose and cheeks feel numb, stuttering, hard to speak, tense neck muscle, head pain near brain stem, tingly lips, tip of nose burns


VAERS ID: 1474998 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-21
Onset:2021-06-04
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH CW01E6 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Pulmonary hypertension (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CTA 6/29/2021
CDC Split Type:

Write-up: Patient Develop a Pulmonary Embolism


VAERS ID: 1475009 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-08
Onset:2021-06-04
   Days after vaccination:57
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Public       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: Alprazolam, Escitalopram, Enalapril, Zyrtec, Lamotrigine, Ibuprofen, fish oil, B complex, D, C, elderberry,
Current Illness:
Preexisting Conditions: Long-COVID, OCD, PTSD, Bi-Polar, Anxiety Disorder, High Blood Pressure, ADHD
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: My right arm has been sore for the past 4-6 weeks or so. I thought it was the way I sleep but it is gradually getting worse. It is beginning to radiate in my right wrist where my arm connects to the palm of my hand.


VAERS ID: 1475179 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-12
Onset:2021-06-04
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Orthostatic hypertension
SMQs:, Anticholinergic syndrome (broad), Hypertension (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: Oral contraceptives
Current Illness:
Preexisting Conditions: seasonal allergies
Allergies: none
Diagnostic Lab Data: patient had evidence of orthostatic hypotension by blood pressure and heart rate on exam in office Blood work was ordered, but not yet completed
CDC Split Type:

Write-up: symptoms of dizzyness started 3 weeks after receiving 2nd COVID vaccine and were occurring daily at the point she was seen in office on June 18, 2021 Instructions were given to increase hydration and salt intake, consider if symptoms could be related to oral contraceptive use;


VAERS ID: 1478245 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: None
Preexisting Conditions: Allergies
Allergies: Penicillin, NKFA
Diagnostic Lab Data: Sent patient to the ER for radiology examination
CDC Split Type:

Write-up: Patient states that she developed swelling and tenderness in the left side of the neck the day after the vaccine (6/4/21). Swelling is located on the same side that she received her vaccine. Swelling has been present since 6/4/21 and has not decreased or improved.


VAERS ID: 1478863 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Computerised tomogram head normal, Fatigue, Hemiparaesthesia, Hyperventilation, Hypoaesthesia, Laboratory test normal, Magnetic resonance imaging head normal, Nausea, Pain, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Ulcerative Colitis, Generalized Anxiety
Allergies: Neurontin
Diagnostic Lab Data: CT brain - normal; MRI brain - normal; Labs normal
CDC Split Type:

Write-up: He received his Johnson & Johnson vaccine around 1500 today in his left arm. At 2300 today he started feeling fatigue. He was last seen normal by his wife at 1045. He had a syncopal episodes in the shower. His wife helped him down. EMS was activated. He was hyperventilating and complaining of nausea and was given 4 of Zofran. He is also complaining of chest pressure that radiates to the right side of his body. He is complaining of right sided numbness from his ear all the way down to his feet. He denies any focal weakness or neck pain. Denies any back pain or abdominal pain. Patient does not take any blood thinners. In route with EMS, patient another syncopal episode. For EMS patient was febrile to 100.9. Notes relative numbness involving RUE and RLL. All imaging, including brain MRI have come back reassuring. Fluctuating paresthesias on the right hemibody. Imaging studies are negative for acute stroke or other concerning findings. Neurological exam was normal on day of discharge but patient continued to report subjective sensory changes intermittently.


VAERS ID: 1479271 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-23
Onset:2021-06-04
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Folliculitis, Hypomenorrhoea, Rash, Rash erythematous, Rash papular
SMQs:, Anaphylactic reaction (broad), Fertility disorders (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: Prenatal Turmeric DIMS Magnesium
Current Illness: none
Preexisting Conditions: osteoarthritis knee pain
Allergies: Penicillin Cephlasporins Bee Venom Oysters
Diagnostic Lab Data:
CDC Split Type:

Write-up: The past 2 menses have been short. June 4th was a 24 day cycle--my cycles are usually 26-27 days, the menses lasted 6 days, which usually it lasts 3 days July 16 was a 18 day cycle --menses just started but super short cycle Also I developed a folliculitis looking rash on my abdomen, legs, and arms. starting the week of 24June. It still is present and has not gone away with steroids or clindamycin. it is red bumps, some pin point, some slightly bigger. they are widely dispersed. They do not itch or burn or have any sensation.


VAERS ID: 1481086 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-06-04
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Aneurysm, Computerised tomogram, Decreased appetite, Headache, Mobility decreased, Oxygen consumption, Thrombosis, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: XARELTO; VIAGRA [SILDENAFIL]
Current Illness: Abstains from alcohol; Cardiac disorder NOS; COPD (diagnosed earlier this year in Jan); Ex-smoker; Heart racing
Preexisting Conditions: Medical History/Concurrent Conditions: Stent placement; Comments: No known allergies. No drug abuse or illicit drug usage
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: Oxygen consumption; Result Unstructured Data: increased; Test Date: 20210628; Test Name: CT scan; Result Unstructured Data: CT scan with contrast showed clots in abdomen and extremities.; Test Date: 20210630; Test Name: CT scan; Result Unstructured Data: CT scan showed aneurism clots in the abdomen; Test Name: Ultrasound Doppler; Result Unstructured Data: Not reported; Test Name: CT scan; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210716346

Write-up: BLOOD CLOT IN ABDOMEN AND EXTREMITIES; ANEURYSM CLOTS IN THE ABDOMEN; LOSS OF MOBILITY; LOSS OF APPETITE; HEADACHE; This spontaneous report received from a patient concerned a 66 year old female. The patient''s height, and weight were not reported. . The patient''s past medical history included stent placed on lower extremities few years ago, and concurrent conditions included former smoker, cardiac issues, non-alcoholic and racing heart, and COPD (Chronic obstructive pulmonary disease) and other pre-existing medical conditions included no known allergies and patient does not abuse drug or illicit drug usage On 03-May-2021, the patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: Unknown) frequency 1 total, dose was not reported, administered on right deltoid for prophylactic vaccination. Concomitant medications included rivaroxaban, and sildenafil. On 04-JUN-2021, the patient experienced blood clot in abdomen and extremities, aneurysm clots in the abdomen, loss of mobility, loss of appetite and headache. The patient though the pain was due to medicines she had for cardiac disorder. The pain worsened to the point she went to her gastro intestinal doctor, who did CT scan which showed aneurysm. Her Doctor called cardiologist who suggested referral to a vascular surgeon. The vascular surgeon discovered more blood clots in the abdomen. The CT scan with contrast and Doppler studies were performed. The patient was on blood thinners for 3-4 months. The medicines were started prior to vaccination. None of the doctors were aware that she has taken the Johnson vaccine. The patient stated that she had all the side effects. On 28-JUN-2021, Laboratory data included: Oxygen consumption (NR: not provided) increased. On 28-JUN-2021, Laboratory data included: CT scan (NR: not provided) CT scan with contrast showed clots in abdomen and extremities. On 30-Jun-2021, the patient experienced aneurysm clots in the abdomen. Laboratory data (dates unspecified) included: CT scan (NR: not provided) Not reported, and Ultrasound Doppler (NR: not provided) Not reported. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from blood clot in abdomen and extremities, headache, loss of appetite, and loss of mobility, and the outcome of aneurysm clots in the abdomen was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0 20210716346-covid-19 vaccine ad26.cov2.s-Thrombosis. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY, UNDERLYING DISEASE


VAERS ID: 1481114 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-06-04
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203AZ1A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Nephrolithiasis, Pyrexia, Ultrasound scan
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Smoker
Preexisting Conditions: Comments: The patient does not have any no known allergies. The patient did not have any history of drug abuse or illicit drug use. The patient did not have any no known previous medical history.
Allergies:
Diagnostic Lab Data: Test Name: CAT scan; Result Unstructured Data: Chronic kidney stones; Test Name: Diagnostic ultrasound; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210722902

Write-up: CHRONIC KIDNEY STONES; FEVER; This spontaneous report received from a patient concerned a 44 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non alcohol user, and smoker, and the patient does not have any no known allergies. The patient did not have any history of drug abuse or illicit drug use. The patient did not have any no known previous medical history. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203AZ1A expiry: not reported) dose was not reported,1 total, administered on 04-JUN-2021 15:00 to left arm as prophylactic vaccination. No concomitant medications were reported. On 04-JUN-2021,at 9 PM after 6 hours of vaccination ,patient was feeling sick, he got fever and steadily got worse over 3 days. Patient went back to the normal before fever broke .On 5-JUN-2021 afternoon, he experienced the abdominal pain and pain steadily got worse. Patient experienced the pain in lower abdomen ,groin and shooting down his legs. Pain got worse and spread a little further. On 11-JUN-2021,following week patient went to the doctor. Patient reported that he was going to the doctor 6 to 8 times. Patient went to the hospital to get the ultrasound (NR: not provided) on lower abdomen, groin and chest. Ultrasound test results were normal. Patient had done a CAT scan (computerised tomogram) (NR: not provided) and found the Chronic kidney stone. Patient had the chronic kidney stones and was hospitalized. Patient reported that he was not having kidney stones before the vaccination. Patient did not remember when he went to the hospital. Patient told that he was prescribed with steroid. Patient reported that he had done with first round and at the time of reporting he was on the fourth day of second round. Patient told that, steroid not helped to his symptoms. Patient was also prescribed with muscle relaxer and Percocet as per need. Patient took only 3 pills of Percocet since 3 weeks ago because patient not like to take medicine. On 09-JUL-2021 the patient received the call from hospital to request a MRI on him. Patient reported that he was healthy like a horse before and now he felt like he was ready to die. Patient stated that pain had not recovered . Number of days of hospitalization were not reported. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever, and had not recovered from chronic kidney stones. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0 20210722902-COVID-19 VACCINE AD26.COV2.S-Chronic kidney stones. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1481420 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-05-28
Onset:2021-06-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Electrocardiogram abnormal, Fatigue, Heart rate irregular, Pain in extremity, Sinus arrhythmia
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NAC, 1 cap x2 day (900 mgs); L-lysine (2,000 mgs daily); Resveratrol x3 caps daily; SAMe caps (1 a day); Liposomal glutathione (1 tsp. daily); Coresensitive probiotic (1 cap daily); Vitamin D K2 (5,000 its daily); Liquid IV electrolytes (1
Current Illness: Epstein Barr, mycoplasma pneumonia
Preexisting Conditions: Epstein Barr, mycoplasma pneumonia, possible PCOS (elevated androgens and unbalanced hormones).
Allergies: Tylenol, azythromycin, diflucan/fluconozale, lactose
Diagnostic Lab Data: EKG: June 5th, 2021, and July 13th, 2021.
CDC Split Type:

Write-up: I received my first dose of the Pfizer vaccine on May 7th, 2021, and felt fine (no adverse reactions aside from a sore left arm). Then, I received my second dose on May 28th, 2021, and again had no adverse reactions aside from a bit of soreness on my injected arm and fatigue. Then, on June 4th, I went to my practitioner for a routine appointment and in checking my pulse, it was noticed that it was irregular and wouldn''t regulate. I went for an EKG the next day (June 5th) and it showed I had a sinus arrhythmia but an otherwise normal. Follow-up EKG on July 13th still showed the arrhythmia but it was less sporadic and pulse was regulated.


VAERS ID: 1481620 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angina pectoris, Vaccine positive rechallenge
SMQs:, Other ischaemic heart disease (narrow)

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

Write-up: heart area felt sore or inflamed for 2-3 days shortly after both injections. issue appears to have resolved itself without known side effects.


VAERS ID: 1482877 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-25
Onset:2021-06-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Headache, Ophthalmic migraine, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE; MELOXICAM; ENBREL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Degenerative joint disease; Thyroid cancer
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021702290

Write-up: Ocular migrane; Blurred vision; Dizziness; Headache; This is a spontaneous report from a contactable consumer (patient). A 46-years-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 25May2021 15:00 (at the age of 46-years-old) (Batch/Lot Number: EW0191) as single dose for COVID-19 immunisation. Medical history included thyroid cancer, asthma, degenerative joints. Concomitant medication(s) included levothyroxine; meloxicam; etanercept (ENBREL), all taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccine in four weeks. The patient previously took PERCOCET [oxycodone hydrochloride;paracetamol] and experienced allergy. The patient had no covid prior vaccination. On 04Jun2021, the patient experienced ocular migraine, blurred vision followed by dizziness and headache. The patient did not receive any treatment for the events. The patient had no tested covid post vaccination. Outcome of the events was not recovered. Follow-up activities closed no further information expected.


VAERS ID: 1483082 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-21
Onset:2021-06-04
   Days after vaccination:44
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast mass, Breast pain, Lymphadenopathy, Mammogram, Ultrasound breast
SMQs:, Lipodystrophy (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: Medical History/Concurrent Conditions: Allergy; Chromosomal abnormality NOS; Diabetes; Endocrine disorder; Immune system disorder; Obesity; Respiratory disorder NOS
Allergies:
Diagnostic Lab Data: Test Name: Mammogram; Result Unstructured Data: Test Result:Unknown result; Comments: They couldn''t tell exactly what it is; Test Name: ultrasound breast; Result Unstructured Data: Test Result:Unknown result; Comments: They couldn''t tell exactly what it is
CDC Split Type: USPFIZER INC2021807098

Write-up: painful, burning lump left breast; Swollen lymph nodes; painful, burning lump left breast/ lot of pain with this lump and some slight burning; This is a spontaneous report from a contactable consumer (patient). A 55-year-old female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EN5318, patient was 54-year-old at the time of vaccination), via an unspecified route of administration in Arm Left on 21Apr2021 at 10:00 as single dose for covid-19 immunisation, as she works in a lab and comes into contact with a lot of things and deals with blood. Medical history included, diagnosed allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity. No illness/AE and family Medical History Relevant to AE(s) reported. There were no concomitant medications. Patient did not receive prior Vaccinations within 4 weeks. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: GR8733, patient was 54-year-old at the time of vaccination), via an unspecified route of administration in Arm Left on 31Mar2021 as single dose for covid-19 immunisation. It was reported that patient had done some research that showed it could be a side effect and was wondering if it had been reported. She reports that she had seen her HCP and went yesterday for mammogram, and now they want to biopsy the lump. She was asking if it had been reported as she was trying to weigh it out and see what this was. Reported that patient want to know how Long Side Effects Last, specifically Swollen lymph nodes are likely to had resulted from a robust vaccine-elicited immune response. Referred to HCP for guidance on her symptoms. Emailed attached CONS-what are the risks of the vaccine. Reported that she went to the doctor and found out she had a lump in her left breast. When she got there, they asked her if she had taken the shot, and she said yes. She looked up the side effects and that was one of the side effects, a lump in the breast after taking the shot. The lump is the same size. She was having a lot of pain with this lump and some slight burning. She went to the doctor yesterday, and they did a mammogram and an ultrasound. They couldn''t tell exactly what it was, and she had to go and do a biopsy. No additional Vaccines Administered on Same Date of the Pfizer Suspect. The patient experienced painful, burning lump left breast, lot of pain with this lump and some slight burning, swollen lymph nodes on an unspecified date in 2021 and the patient experienced painful, burning lump left breast on 04Jun2021. It was reported that time of Onset (24-hour clock) was about 07:30-08:00. Reporter seriousness for Lump in left breast was unspecified. Patient visited Physician Office for AE(s). No hospitalization was reported. The patient underwent lab tests which included mammogram and ultrasound breast resulted as unknown result, they couldn''t tell exactly what it is, Date: 28Jun2021 (Not confirmed). The outcome of event painful, burning lump left breast was not recovered and outcomes of events painful, burning lump left breast/ lot of pain with this lump and some slight burning, swollen lymph nodes was unknown.


VAERS ID: 1483086 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-05-17
Onset:2021-06-04
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Deafness, Deafness bilateral, Dizziness, Ear discomfort, Tinnitus, Vertigo
SMQs:, Anticholinergic syndrome (broad), Hearing impairment (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FISH OIL OMEGA 3; VITAMIN C [ASCORBIC ACID]; CALCIUM PLUS VITAMIN D3
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Bloodwork; Result Unstructured Data: Test Result:Unknown
CDC Split Type: USPFIZER INC2021807160

Write-up: Hearing loss in both ears; Could not hear; Vertigo; There is a slight ring; Dizziness; Pressure in his ears; This is a spontaneous report from a contactable consumer (patient). A 50-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EW0173, Expiry Date: Unknown), dose 2 via an unspecified route of administration, administered in the Left Arm on 17May2021 at 10 or 10:30 in the morning before lunch (at the age of 50-years-old) as DOSE 2, SINGLE for covid-19 immunisation. The patient''s medical history was not reported. Concomitant medications included Fish Oil Omega 3 (FISH OIL OMEGA 3), vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]), calcium carbonate, colecalciferol; Finest Nutrition Calcium plus Vitamin D3 (CALCIUM PLUS VITAMIN D3) and Centrum Silver (general vitamins), all were taken for an unspecified indication, start and stop date were not reported. Patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EW0171, Expiry Date: Unknown), dose 1 via an unspecified route of administration, administered in the Left upper arm on 26Apr2021 at 9:50 am (at the age of 50-years-old) as DOSE 1, SINGLE for covid-19 immunisation. It was reported that, honestly, he had been in perfect health all of his life and has never had or have an addiction or ailments. He took no medications, just vitamins, and he was active at the gym. Reporter stated he just took vitamins, extra Vitamin C, and fish oil. Just general vitamins and the same thing every day. Centrum Silver Complete Vitamin. Reporter added sorry he is being verbose. Reporter asked additional details, dose, name, and how long he has taken products for and he provides as listed. he was proud and his doctor can confirm no ailments or addictions. He has just repair readers to read up close but nothing. He was the ideal weight, same weight as high school, and works out. He reported that he will gladly volunteer health records but there is nothing - no ailments, so this kind of scared him because it was not like a sore muscle where he could have done something for it. Additional Vaccines Administered on Same Date of the Pfizer Suspect If applicable, list all vaccines administered on same date with the Pfizer vaccine considered as suspect were none. any other vaccinations within four weeks prior to the first administration date of the suspect vaccine were none. Events following prior vaccinations were None, he cannot remember. When he went to college, he got his MMR stuff, and he does not think he has had allergies at all. Patient''s Medical History (including any illness at time of vaccination) were None. Family Medical History Relevant to event was none, he thought of this and his father and mother had nothing abnormal. They just got old and typical stuff he guesses, not hearing loss or any sort of hearing loss just hard of hearing. No loss of sight or anything like that. On 04Jun2021, patient experienced dizziness and pressure in his ears. On 05Jun2021, he had hearing loss in both ears, could not hear, vertigo and there is a slight ring. It was reported that, patient received both doses of Prfizer vaccine first on 26Apr2021 and second on 17May2021, he estimated around 05Jun2021, had hearing loss in both ears. Patent asked if there is any other way, we know to fix this and If there is any treatment information. His doctor gave him steroids, he''s not sure of name of them. Reporter stated, "I am just getting scared, I don''t have any health issues, for it to come back minimally, I think maybe over time I will recover completely." Reporter read on the internet that following the vaccine there is an overwhelming inflammatory response and reports of sudden hearing loss. There was a 2 -4 week window to get recovered or it can become permanent. He received 2 doses of the steroid, methylprednisolone and took aspirin, basic aspirin, he was trying to think of what else can help and throwing everything at it. He had minimal hearing back and states, "oddly the hearing is minimal if holding the phone 2 to 3 inches off of his ear the further away everything becomes it is distorted, further away is distorted, background noise, was distorted, Reporter was requiring minimal background noise and needed to be spoken directly to in order to hear. The ringing came from inflammation from straining, it was tied to that. Now as he sat here, there was a slight ring. It was reported that, when exert myself is when it was worse. Reporter stated he has never had any illness, his body reacted, simple as that, it''s got to calm down, may just take a while to calm down, even with relaxing and anti-inflammatory stuff, the ear, it''s intricate may take a while. He received both doses of the vaccine and the last one, the second one, was on 17May2021, and within a week he noticed he ended up having a side effect on 05Jun2021 where he was deaf in one ear and lost hearing in the other. This was a Saturday morning, and on Monday, he saw his local doctor. He thought he had an ear infection, he thought it was an ear infection because he felt pressure and could not hear. Monday, she said there were no signs of ear infection. He had bloodwork and his number were exceptional. Reporter wondered what was wrong with him, he thought he was going to be late for work and he missed the alarm clock. He thought it was going off. the doctor gave him a steroid dose for 6 days. Reporter added that he heard of a side effect of sudden hearing loss that has happened quite a bit and was inflammation in the ear. he took a week of the steroid dose, and it had basically no effect, so he got scared. He got the second dose and two weeks of steroid. Reporter stated he did research and other people have lost hearing or impairment since the shot. They recommended aspirin, and that is a good anti-inflammatory, so he has taken a small bottle of Aspirin and the hearing loss has returned minimally right now. He had to hold the phone to the other ear if call handler starts talking. Reporter added if he holds the phone to the bad one it is getting better, but he still feels pressure, and he was hearing is own pulse in his ear. Reporter did not think he was recovering fast enough and was afraid it is permanent. He read that if he does not recover in 2 to 3 weeks, it could become permanent. Reporter wanted to know if there is any other way to fix it. The main reason he reported is because when he got the second dose and the steroid, the (withheld) gave it to him, and he told her why he was taking it and she said that he needs to let whoever gave the vaccine know. Patient was Deaf in one ear and lost hearing in the other, felt pressure and could not hear, vertigo: the second dose was on 17May2021 and a few days afterwards in that week it was less - the hearing loss was less. It was almost at first like he had vertigo, and nothing clued him into tying it to the shot. He just thought it was Spring and he is getting an ear infection or something. He had used the sign up for it, for updates on your health, V-record or the CDC. He kept trying to keep it correct and it contacts him to see his symptoms. He had slight dizziness and could not figure it out. The hearing was abrupt which spooked him. He went to go to sleep on Friday 04Jun2021 and it was probably the 4th, he does not know and needs to get his days right. He went to sleep and hearing was fine and he was having pressure in his ears and dizziness. He does not have allergies and has not been sick in his ears. He thought it was an ear infection. He woke up 05Jun2021, Saturday morning, and thought he would be late because he felt his alarm going off and could not hear. that was when he first realized. In the night, during sleep, just when he was at rest, he was finally able to - he does not know how it works - probably 04Jun2021 he went to sleep and 05Jun2021 he woke up deaf in the left ear and hindered in the right. This is still the same and ongoing. Reporter added that in the left it is getting to where he was listening to call handler but has to hold the phone 2 inches off of his ear and it was oddly very distorted. He was kind of glad his hearing is that way, it told him something is working. He did not know if pressure or what, it sounds distorted like when you listen to a stereo where speakers are blown. He does not know how to explain it - it is a pressure allowing it to function correctly. Reporter added that, at work, some of the background noises away from him are amplified and distorted and it has hindered him being able to hear. It was weird. It is just odd that he can hear background amplified and distorted, and what little voices come from he can hear. no, that was just he was flustered and thought he had an ear infection with pressure and lost hearing. The doctor said no. He had always heard steroids for body building but this is not that kind of steroid, it is a powerful anti-inflammatory like stronger than Ibuprofen. It was called methyl something prednisone something. He was hoping call handler would know the name. Methyl and prednisone. Reporter confirmed spelling of Methyl. He did not know the name, and took a picture of it but he was sure it is on record somewhere. It took 6 the first day, then 5 the second, then 4 and 3 and 2, and on the 6th day take 1. Reporter stated, the doctor took a microscope with a light on it to look in his ear and pushed on his ear drum to see there was no infection or no ear infection that there would be. She said they are going to take blood that day but nothing else. He was fine. She called the next day and said everything was fine and exceptional. That was good. That was all they did. The patient underwent lab tests and procedures which included blood test, unknown on an unspecified date. Event did not require a visit to Emergency Room but required Physician Office visit. Technically, he went to the doctor - the one who has his information - and it was not an emergency room or hospital, it was a local clinic. Reporter seriousness for deaf in one ear and lost hearing in the other: felt pressure and could not hear and were Unspecified. Therapeutic measures were taken as a result of all events. Outcome of the events were unknown.


VAERS ID: 1483988 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-30
Onset:2021-06-04
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiac failure, Pleural effusion, Pleurodesis, Pneumothorax spontaneous
SMQs:, Cardiac failure (narrow), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

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

Write-up: spontaneous pneumothorax requiring admission on 6/4 for pleurodesis, admitted again on 7/13 for right pleural effusion and heart failure


VAERS ID: 1484064 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-04-30
Onset:2021-06-04
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 019B21A / UNK RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Angiogram, Brain oedema, Cerebral haemorrhage, Computerised tomogram head abnormal, Headache
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: several; CT scans, 2 angiograms, other brain scans - June 7 when I entered the hospital through discharge on June 16.
CDC Split Type:

Write-up: 1st shot was in the left arm, 2nd shot was is in the right. Experienced overwhelming headache for several days from Friday afternoon through Monday Morning. Was given a CT scan and was found to have bleeding on the base of the brain and swelling so heavy, they could not determine where the leak was.


VAERS ID: 1484449 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-01
Onset:2021-06-04
   Days after vaccination:95
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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: Atorvastatin Fluoxetine Iron Levothroxin
Current Illness: Upper respiratory infection
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I woke up on June 4 to the right side of my face being paralyzed. I went to the ED to be told it was Bell?s Palsy. A coworker?s Priest also had the Pfizer vaccine in March and got Bell?s Palsy around the same time I did.


VAERS ID: 1484526 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-04-06
Onset:2021-06-04
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Alopecia, 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: I got a fever and body ache the next day, I could not get out the bed until 3 pm. After a few days, I decided to cut my hair and I realize I have a big hole in my head, I got no hair all over the hole, I thought it might be mold or something so I bought shampoo, I noticed it was something else, so I remember the vaccine.
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, body ache, and hair loss


VAERS ID: 1484630 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-28
Onset:2021-06-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039C214 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling cold, Hypoaesthesia, Musculoskeletal stiffness, Pain
SMQs:, Peripheral neuropathy (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (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: estrogen
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: None as yet... not sure what to do
CDC Split Type:

Write-up: My left hand started getting numb and feeling swollen first thing in the morning.. It started off only in my left pinky and ring finger and is now in all my fingers. My arm feels cold and my fingers are extremely tight and hard to move. I have to squeeze and loosen to get maneuverable. Since the 2nd injection the same thing is happening in my right hand. Starting again with the pinky and ring fingers and progressing now with pain in the tip of my right ring finger. Aches and pain throughout the day.


VAERS ID: 1484797 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Computerised tomogram head abnormal, Hypoaesthesia oral, Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre 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: Synthroid.
Current Illness: None.
Preexisting Conditions: WPW; Breast Cancer.
Allergies: Balsa.
Diagnostic Lab Data: CT scan.
CDC Split Type: vsafe

Write-up: My lips were numb 45 minutes after my vaccine and 7 or 8 days later I had a mini stroke but unsure if related to the vaccine.


VAERS ID: 1485106 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-05-26
Onset:2021-06-04
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthritis, Tinnitus
SMQs:, Systemic lupus erythematosus (broad), Hearing impairment (narrow), Arthritis (narrow), 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: Synthroid
Current Illness: No
Preexisting Conditions: Hypothyroidism
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tinnitis, arthritis


VAERS ID: 1485639 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-01-06
Onset:2021-06-04
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9261 / 2 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Positive SARS CoV2 on 4th and 7th June 2021
CDC Split Type:

Write-up: Positive for COVID-19 after fully vaccinated, leading to severe disease and admission to ICU


VAERS ID: 1485834 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-18
Onset:2021-06-04
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Neuralgia, Palpitations, Rash
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (narrow), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nerve pain, armpit rash, shortness of breath, heavy heart beat.


VAERS ID: 1486810 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-05
Onset:2021-06-04
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 RA / IM

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

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

Write-up: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.


VAERS ID: 1486865 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / IM

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

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

Write-up: Patient reported that the vaccine injection site was red hot and feels hard. Appointment was not made for this.


VAERS ID: 1486914 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-25
Onset:2021-06-04
   Days after vaccination:71
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Bronchitis, Cough, Dry throat, Immunology test, Influenza virus test negative, Oropharyngeal pain, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Paxil, Calcium, Fish oil, Vitamin D, Multivitamin
Current Illness: n/a
Preexisting Conditions: Osteoarthritis
Allergies: Bactrim
Diagnostic Lab Data: Flu test - 6/6/2021 - negative Covid test - 6/6/2021 - negative Lyme test - 6/6/2021 -negative
CDC Split Type: vsafe

Write-up: On June 4th 2021 I awakened in the morning with a dry and sore throat. I thought I had maybe been sleeping with my mouth open, it dissipated when I got up and walked around etc. The next morning, I woke up again with the sore throat but when I coughed it really hurt and was a deep rumble in my throat. My roommate said it sounded like I had Bronchitis. My roommate had just had Bronchitis for several weeks. A few hours later, on 6/5/2021, I had a deep rumbly cough that continued and I went to the Urgent Care on 6/6/2021 and they examined me. They found I had bad Bronchitis and possibly even dry Pneumonia. They looked to find out what they could treat me with, I was also being treated for a tick bite that had happened a few weeks before. They did flu and Covid tests. They treated me with something that would treat for Lyme disease as well as the Bronchitis. They found that the treatment of Doxycycline Hyclate 100MG capsules of three weeks regimen would help both my problems. It took at least a week for the cough to die down and then another couple of weeks before the cough disappears.


VAERS ID: 1487039 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-01
Onset:2021-06-04
   Days after vaccination:64
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Menstruation irregular, Oligomenorrhoea
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: Age 30 flu shot mild skin allergy (itchy bumps)
Other Medications: Vitamin D Vitamin E Biotin Lamictal Depakote ER Viibryd
Current Illness: None
Preexisting Conditions: Mental illness (depression) 25 yr smoker
Allergies: Sulfa drugs
Diagnostic Lab Data: Met with Dr via telehealth. No physical tests done.
CDC Split Type:

Write-up: Notice irregular menstrual periods (longer cycle than usual). May be natural change in hormones and coincidence. Thought I should report anyway.


VAERS ID: 1489780 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-17
Onset:2021-06-04
   Days after vaccination:79
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Device issue, Fatigue, Incorrect dose administered, Vaccination site haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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: HUMIRA
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Alcohol use; Dizzy (Drug allergy penicillin was manifested by felt dizzy and flushed.); Flushed (Drug allergy penicillin was manifested by felt dizzy and flushed.); Non-smoker; Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021709397

Write-up: Tiredness; Device issue; Inappropriate dose of drug administered; Injection site bleeding; This is a spontaneous report from a contactable consumer (patient) or other non health care professional. This report based on the information received by Pfizer (Manufacturer Control No: 21K-163-3943518-00). A 65-years-old female patient received bnt162b2 (PFIZER-BIONTECH mRNA COVID-19 VACCINE, solution for injection, Lot number was not reported ), dose 2 intramuscular on 17Mar2021 (at the age of 65-years-old) as DOSE 2, SINGLE for covid-19 immunisation; adalimumab (HUMIRA), subcutaneous from an unspecified date (Batch/Lot number was not reported) and ongoing, at 40 mg (40 mg, 1 in 2 week) for rheumatoid arthritis . Patient was only able to receive some solution of Humira, solution of Humira was leaking, misfire, tired and solution present on skin with Humira 40 mg/0.4 ml (Adalimumab). Medical history included non-smoker, alcohol use: one glass of wine, occasionally, penicillin allergy, was manifested by felt dizzy and flushed. The patient''s concomitant medications were not reported. The patient experienced inappropriate dose of drug administered and injection site bleeding and device issue on 04Jun2021. Patient had tiredness on 08Jun2021. Patient was only able to receive some solution of humira, solution of humira was leaking, misfire and solution present on skin resolved. Pfizer biontech covid-19 vaccine (tozinameran) was also considered suspect. The outcome of the event Injection site bleeding, Inappropriate dose of drug administered and Device issue was recovered on 04Jun2021. The outcome of Tiredness was not recovered. Humira was Ongoing At least two months ago. Causality for humira 40 mg/0.4 ml (adalimumab) :The reporter''s causality for the event(s) of blood on injection site and tired with humira 40 mg/0.4 ml (adalimumab) was no reasonable possibility. The reporter''s causality for the event(s) of was only able to receive some solution of humira, solution of humira was leaking, misfire and solution present on skin was not provided. No follow-up attempts are needed; information about lot/batch number cannot be obtained.


VAERS ID: 1490734 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-05-28
Onset:2021-06-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023C21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, Calcium and Vitamin D. Note: On May 12th I had two nerve blocks for a lower back problem. Exactly what medication was injected I don''t know. However, I was told I need to wait two week after receiving the nerve blocks bef
Current Illness:
Preexisting Conditions: Hypothyroidism
Allergies: Dust
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I had was was described as the Moderna arm. A red swollen lump on my left arm. After a few days it went away and then a week later it reappeared. This reoccurring pattern continued throughout the month. I contacted my primary care and he had me come in to see my arm. At that time the redness was diminishing. And, I have been swimming, so my arm is tan and the redness at that point was not apparent. However, my doctor told me to take Benadryl daily in preparing for my second vaccine. He also told me to have the second vaccine in my other arm, which I did. (Note: I did have a reaction to the second vaccine, which was completely different. I did see my doctor for that as well. I will try and repeat this form for the second vaccine.) Oddly enough this morning my left arm had a red dot at the injection site and the red patch came back today. And the area is slightly tender. Although it doesn''t bother me, I can still feel the point where the injection occurred on my left arm.


VAERS ID: 1493707 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-01
Onset:2021-06-04
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / IM

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

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

Write-up: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.


VAERS ID: 1494307 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-13
Onset:2021-06-04
   Days after vaccination:52
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenopia, Dry eye, Eye pain, Eye swelling, Vision blurred, Visual acuity tests normal
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sudafed, Loratadine, Vitamin D, Calcium
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: eye exam
CDC Split Type: vsafe

Write-up: After the 2nd dose vaccine, around early June 2021, I started having pain in my left eye and accompanied with blurry vision and dry eyes. I went to my eye doctor ( optometrist ) who did an eye exam and said my vision has not changed that much. I feel like my eyes are constantly straining. The eye doctor could not find the source of the pain. I was prescribed steroid drops to help with eye swelling. After using the eye drops it did help with bringing the swelling down but the pain has not resolved. He said to give it a few weeks and to follow up with an opthamologist if not resolved. I also have notice left eye pain above my eye brow. It shoots from my eye to my eye brow.


VAERS ID: 1495661 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-30
Onset:2021-06-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 051C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Arthritis, Condition aggravated, X-ray
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow), 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: Spiralactone, Doxycycline, Naproxen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: X-rays.
CDC Split Type:

Write-up: Went to be seen at clinic for pain in collar bone. Xray showed arthritis in shoulder ac joint. And a month later had pain in knee and xray showed arthritis. So thinking arthritis flared up from covid shot.


VAERS ID: 1376810 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1800095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: JANSSEN COVID -19 VACCINE WAS GIVEN TO THE PATIENT AND PT PASSED OUT AFTER A BIT AND HE WAS ALERT AND CHECKED HIS BLOOD PRESSURE AND PULSE AND OBSERVED HIM. HIS BLOOD PRESSURE START DROPPING AND 911 WAS CALLED THEY CHECKED HIS BP AND BS AND HE WAS OKAY AND WE OBSERVED A LITTLE MOR AND HE WAS ABLE TO WALK OUT BY HIM SELF. HIS SPOUSE WAS WITH HIM ALL THE TIME


VAERS ID: 1384923 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002332 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Hyperaesthesia, 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: Magnesium, Evening Primrose oil, Menoforce
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Sharp pain, with variable severity on left leg (only), ongoing for 6 days. Derma sensitivity to touch on upper left leg with exposed veins on thigh. Pain on back of left thigh (feeling like sciatica) it feels like inflamed nerves on left leg.


VAERS ID: 1390034 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002182 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hot flush, Hypoaesthesia, Muscle contractions involuntary, Paraesthesia oral, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 2 (ish) tablespoons bee pollen daily i have been doing this for years 2 capsules 5 mushroom blend immune support have been taking since mid march 2021
Current Illness: I had dental work done to fill a cavity and a filly for gum recession 2 mondays before my vax
Preexisting Conditions: Idk where to put this but i need a lot of freezing agent. I have had some Dental work done (recently and in my early twenties) and an anthrogram (7yrs) ago and Ibdo not respond well to local anasthetics I also see a Gyno every 6m to keep on eye on my cervix due to HPV idk which strain. I had a colopscopy in Feb 2021 doc told me to come back in 6m.
Allergies: Sulfa Fabric softeners make my entire body break out in hives
Diagnostic Lab Data: Went to ER on monday They told me it should subside and to take tylenol Tylenol Advil Benedyl None of that helps
CDC Split Type:

Write-up: Numbness pins and needles mostly on the left side of my face and ear back of my head but it likes to creep to the other side of my face too. Started when i was sitting on my couch about 3 hrs after the vax. Day 4 i got hot flashes according timo how i described it to my mom. Oh night 2 i had what felt like a couple of small contractions (not normal woman cramping). Never happened since Wed june 9 thought i was feeling better but today ibfeel much worse. The numbess likes to pool at my ankles and junp up my legs and down to my toes. It likes to go in my left ear both my hands my left side of everything. Sometimes it feels like someone it injecting tiny little shots of novacaine into my random body parts. It comes and goes. It is not predictable sometimes i think its gone then it flares uo again but now the left side of my face has consistent numbness but it varies in intensity Sometimes the LS of my face if puffy and as of today june 10 my LS tounge feels different


VAERS ID: 1392286 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX7823 / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Incorrect route of product administration, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Drug abuse and dependence (broad), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NOLVADEX [TAMOXIFEN]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: BGPFIZER INC2021668168

Write-up: Red itchy rash on the hands, inner thighs, abdomen, back (urticaria); Method of administration Subcutaneous injection; This is a spontaneous report from a contactable consumer (patient herself). A 42-year-old female patient received first dose of bnt162b2 (COMIRNATY; Solution for injection, Lot Number: EX7823), dose 1 via subcutaneous route of administration on 04Jun2021 (at the age of 42-year-old) as 1st dose, single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included tamoxifen (NOLVADEX [TAMOXIFEN]) taken for an unspecified indication, start and stop date were not reported. On 04Jun2021, the patient experienced method of administration subcutaneous injection and on 07Jun2021, red itchy rash on the hands, inner thighs, abdomen, back (urticaria). The reporter stated that, it was started on 07Jun2021 in the afternoon or more than 72 hours after the injection, in evening visited to the emergency room and infusion of 60 ml Prednisol was administered, ampoule allergozan and 60mg, Methylprednisolone Amtihistamine drugs prescribed for two weeks and oral administration of prednisolone on a 6-day schedule. The reporter stated that, it caused slight inconvenience with the side effect affect for her daily activities. At the time reporting the outcome of the event method of administration subcutaneous injection was unknown and event urticaria was resolving. Follow up attempts are completed. No further information is expected.


VAERS ID: 1396976 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Joint swelling
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: XAGGITIN XL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Swollen joint; Joint pain; This regulatory authority case was reported by a consumer and describes the occurrence of JOINT SWELLING (Swollen joint) and ARTHRALGIA (Joint pain) in a 31-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) for COVID-19 vaccination. The patient''s past medical history included Lactation decreased. Concomitant products included METHYLPHENIDATE HYDROCHLORIDE (XAGGITIN XL) from 14-Mar-2021 to an unknown date for ADHD, predominantly inattentive type. On 03-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Jun-2021, the patient experienced JOINT SWELLING (Swollen joint) (seriousness criterion medically significant) and ARTHRALGIA (Joint pain) (seriousness criterion medically significant). At the time of the report, JOINT SWELLING (Swollen joint) and ARTHRALGIA (Joint pain) had not resolved. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided Patient has not tested positive for COVID-19 since having the vaccine. 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: 1397814 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002332 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure measurement, Depressed mood, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: No reported medical history. The patient has not had symptoms associated with COVID-19 and has not had a COVID-19 test. The patient is not enrolled in a clinical trial.
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: BP; Test Result: Inconclusive ; Result Unstructured Data: BP = 110/68.
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Faint; Laid down; This regulatory authority case was reported by an other health care professional and describes the occurrence of SYNCOPE (Faint) in a 32-year-old male patient who received mRNA-1273 (COVID 19 Vaccine Moderna) (batch no. 3002332) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No reported medical history. The patient has not had symptoms associated with COVID-19 and has not had a COVID-19 test. The patient is not enrolled in a clinical trial. On 04-Jun-2021, the patient received first dose of mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular) 1 dosage form. On 04-Jun-2021, the patient experienced SYNCOPE (Faint) (seriousness criterion medically significant) and DEPRESSED MOOD (Laid down). On 04-Jun-2021, SYNCOPE (Faint) had resolved. At the time of the report, DEPRESSED MOOD (Laid down) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 04-Jun-2021, Blood pressure measurement: 110/68 (Inconclusive) BP = 110/68.. The action taken with mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular) was unknown. For mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. The patient was given water and chocolate.; 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: 1397817 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002332 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: This regulatory authority case was reported by an other health care professional and describes the occurrence of SYNCOPE (Faint) in a 29-year-old male patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002332) for COVID-19 vaccination. No Medical History information was reported. On 04-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 04-Jun-2021, the patient experienced SYNCOPE (Faint) (seriousness criterion medically significant). On 04-Jun-2021, SYNCOPE (Faint) had resolved. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No reported concomitant medications. No reported treatment medications. Based on the 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: Based on the 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: 1397818 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002332 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone increased, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient''s medical history was reported as no past medical history. The patient has not had symptoms associated with COVID-19 and has not had a COVID-19 test. The patient is not enrolled in a clinical trial.
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: raising legs; Faint; This regulatory authority case was reported by an other health care professional and describes the occurrence of SYNCOPE (Faint) in a 22-year-old male patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002332) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s medical history was reported as no past medical history. The patient has not had symptoms associated with COVID-19 and has not had a COVID-19 test. The patient is not enrolled in a clinical trial. On 04-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 04-Jun-2021, the patient experienced SYNCOPE (Faint) (seriousness criterion medically significant). On an unknown date, the patient experienced BLOOD THYROID STIMULATING HORMONE INCREASED (raising legs). On 04-Jun-2021, SYNCOPE (Faint) had resolved. At the time of the report, BLOOD THYROID STIMULATING HORMONE INCREASED (raising legs) outcome was unknown. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant products were not provided/unknown. Treatment information was reported as the patient recovered after raising legs and being given water to drink and biscuits to eat. The patient has not tested positive for COVID-19 since having the vaccine reaction. Based on the 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 for event Syncope. Very limited information regarding the event raising legs - Blood thyroid stimulating hormone increased has been provided at this time. No further information is expected.; Sender''s Comments: Based on the 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 for event Syncope. Very limited information regarding the event raising legs - Blood thyroid stimulating hormone increased has been provided at this time. No further information is expected.


VAERS ID: 1397821 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002332 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Faint; Nauseated; This regulatory authority case was reported by an other health care professional and describes the occurrence of SYNCOPE (Faint) in a 29-year-old male patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002332) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 04-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Jun-2021, the patient experienced SYNCOPE (Faint) (seriousness criterion medically significant) and NAUSEA (Nauseated). On 04-Jun-2021, NAUSEA (Nauseated) had resolved. At the time of the report, SYNCOPE (Faint) outcome was unknown. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The concomitant medications were not provided. The treatment information was not provided. Very limited information regarding these events has been provided at this time. No follow up is possible.; Sender''s Comments: Very limited information regarding these events has been provided at this time. No follow up is possible.


VAERS ID: 1397824 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002332 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Malaise, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: post vaccination; Fainting; This regulatory authority case was reported by an other health care professional and describes the occurrence of SYNCOPE (Fainting) in a 33-year-old male patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002332) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 04-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 04-Jun-2021, the patient experienced SYNCOPE (Fainting) (seriousness criterion medically significant). On an unknown date, the patient experienced MALAISE (post vaccination). On 04-Jun-2021, SYNCOPE (Fainting) had resolved. At the time of the report, MALAISE (post vaccination) outcome was unknown. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Post vaccination, the patient was waiting as per guidelines. Whilst waiting he fainted within the 15 minutes. Patient has not tested positive for COVID-19 since having the vaccine Treatment information was not provided. 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: 1397829 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Headache, Nausea, Pyrexia, SARS-CoV-2 test, Vaccination site pain, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PARACETAMOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased; Suspected COVID-19 (Unsure when symptoms started Unsure when symptoms stopped); Comments: Previously tested positive for COVID 19 with symptoms similar to those following vaccination Patient is not enrolled in clinical trial Patient is not pregnant,Patient is not currently breastfeeding
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: Yes - Positive COVID-19 test
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Pain at injection site; Chills; Fever; Nausea; Vomiting; Headache; This regulatory authority case was reported by an other and describes the occurrence of VOMITING (Vomiting) and HEADACHE (Headache) in a 32-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Previously tested positive for COVID 19 with symptoms similar to those following vaccination Patient is not enrolled in clinical trial Patient is not pregnant,Patient is not currently breastfeeding. The patient''s past medical history included Lactation decreased, Lactation decreased and Suspected COVID-19 (Unsure when symptoms started Unsure when symptoms stopped). Concomitant products included PARACETAMOL for Headache NOS. On 04-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 04-Jun-2021, the patient experienced HEADACHE (Headache) (seriousness criterion medically significant). On 05-Jun-2021, the patient experienced VOMITING (Vomiting) (seriousness criterion medically significant). On an unknown date, the patient experienced VACCINATION SITE PAIN (Pain at injection site), CHILLS (Chills), PYREXIA (Fever) and NAUSEA (Nausea). At the time of the report, VOMITING (Vomiting) was resolving, HEADACHE (Headache) had not resolved and VACCINATION SITE PAIN (Pain at injection site), CHILLS (Chills), PYREXIA (Fever) and NAUSEA (Nausea) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: positive (Positive) Yes - Positive COVID-19 test. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown Route) was unknown. Treatment medications were not reported by the reporter. 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: 1397839 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002332 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Eye pain, Fatigue, Headache, Hot flush, Injection site pain, Myalgia, Nausea, Pain, Pyrexia, SARS-CoV-2 test, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PARACETAMOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (COVID-19 in January 2021)
Allergies:
Diagnostic Lab Data: Test Date: 20210103; Test Name: COVID-19 virus test; Test Result: Positive; Result Unstructured Data: positive
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: This regulatory authority case was reported by a consumer and describes the occurrence of NAUSEA (nausea), CHILLS (chills), HEADACHE (Headache), PYREXIA (Fever), VOMITING (Vomiting), MYALGIA (Generalized muscle aches), FATIGUE (Tiredness), INJECTION SITE PAIN (Injection site pain), EYE PAIN (Sore eyes), PAIN (pain) and HOT FLUSH (hot and cold flashes) in a female patient of an unknown age who received mRNA-1273 (COVID 19 Vaccine Moderna) (batch no. 3002332) for COVID-19 vaccination. The patient''s past medical history included COVID-19 (COVID-19 in January 2021) in January 2021. Concomitant products included PARACETAMOL from 04-Jun-2021 to an unknown date for Pain. On 04-Jun-2021, the patient received first dose of mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular) 1 dosage form. On 04-Jun-2021, the patient experienced PYREXIA (Fever) (seriousness criterion disability), INJECTION SITE PAIN (Injection site pain) (seriousness criterion disability) and EYE PAIN (Sore eyes) (seriousness criterion disability). On 05-Jun-2021, the patient experienced VOMITING (Vomiting) (seriousness criterion disability). On an unknown date, the patient experienced NAUSEA (nausea) (seriousness criterion disability), CHILLS (chills) (seriousness criterion disability), HEADACHE (Headache) (seriousness criterion disability), MYALGIA (Generalized muscle aches) (seriousness criterion disability), FATIGUE (Tiredness) (seriousness criterion disability), PAIN (pain) (seriousness criterion disability) and HOT FLUSH (hot and cold flashes) (seriousness criterion disability). On 05-Jun-2021, HEADACHE (Headache) and INJECTION SITE PAIN (Injection site pain) had not resolved, PYREXIA (Fever) and EYE PAIN (Sore eyes) was resolving, VOMITING (Vomiting) had resolved. At the time of the report, NAUSEA (nausea), CHILLS (chills), PAIN (pain) and HOT FLUSH (hot and cold flashes) outcome was unknown and MYALGIA (Generalized muscle aches) and FATIGUE (Tiredness) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Jan-2021, SARS-CoV-2 test: yes - positive COVID-19 test (Positive) positive. The action taken with mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular) was unknown. Patient has not tested positive for COVID-19 since having the vaccine. 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: 1397841 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Burning sensation, Dermatitis allergic, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: BECLOMETHASONE [BECLOMETASONE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Burning sensation in face; Rash all over; Allergic rash; This regulatory authority case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DERMATITIS ALLERGIC (Allergic rash), BURNING SENSATION (Burning sensation in face) and RASH (Rash all over) in a 32-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) for COVID-19 vaccination. The patient''s past medical history included Lactation decreased. Concomitant products included BECLOMETHASONE [BECLOMETASONE] for an unknown indication. On 04-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Jun-2021, the patient experienced DERMATITIS ALLERGIC (Allergic rash) (seriousness criterion hospitalization). On an unknown date, the patient experienced BURNING SENSATION (Burning sensation in face) (seriousness criterion hospitalization) and RASH (Rash all over) (seriousness criterion hospitalization). On 05-Jun-2021, DERMATITIS ALLERGIC (Allergic rash) had resolved. At the time of the report, BURNING SENSATION (Burning sensation in face) and RASH (Rash all over) outcome was unknown. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) was unknown.; 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.


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