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

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



Case Details (Reverse Sorted by Onset Date)

This is page 248 out of 8,010

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VAERS ID: 1686597 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-31
Onset:2021-09-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Chest discomfort, Dyspnoea, Electrocardiogram normal, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: The Ekg and Chest xray came back normal. I tested negative for Covid.
CDC Split Type:

Write-up: I have been having tightness in my chest on 9/6/21. I also started to have shortness of breath on 9/7/21 and decided to go to the hospital. They did an Ekg, Chest Xray, as well as tested me for Covid. I went to an Cardiologist and she didn''t do anything but tell me to go back to the hospital to be tested for blood clots. Dr also had me make an appointment to have pictures taken of my heart as well. My appointment it 9/10.


VAERS ID: 1686610 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004721A / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Body temperature increased, Chills, Dyspnoea, Hyperhidrosis, Hypoaesthesia oral, Pain
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Cosentyx, Gabapentin, Percocet, Metoprolol, Cyclobenzaprine
Current Illness: None
Preexisting Conditions: Hypothyroidism, Psoriasis, Psoriatic Arthritis, Osteoarthritis, multiple spinal injuries & stenosis, aortic stenosis
Allergies: Penicillin, Moxifloxacin, Codeine, Cephalexin , Sulfur, Medi-honey, Seafood, Fish
Diagnostic Lab Data:
CDC Split Type:

Write-up: Lips numb, restricted breathing, chills, sweating, temperature 102.1, severe body aches, Covid Arm


VAERS ID: 1688653 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-31
Onset:2021-09-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site warmth, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D 1000IU
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mild itching began about four-five days after the first shot. Itching became sever and I developed a large red lump, hard and warm to the touch, at the injection site. Symptoms are beginning to clear now on day 10.


VAERS ID: 1688844 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-08-23
Onset:2021-09-07
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Patient presented to ED with 3-4 day history of of increasing dyspnea, generalized weakness and cough. She was diagnosed with COVID-19 and is current inpatient for treatment.


VAERS ID: 1688867 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-31
Onset:2021-09-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Menstruation normal
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillins
Diagnostic Lab Data:
CDC Split Type:

Write-up: Started menstruating for the first time exactly 7 days after the 2nd shot


VAERS ID: 1688872 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-16
Onset:2021-09-07
   Days after vaccination:203
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID 19 molecular NP swab collected on 9/7/21 @ Urgent Care
CDC Split Type:

Write-up: Pt. fully vaccinated with Pfizer vaccine - dose 1 1/26/21 and dose 2 2/16/21. Pt. reported COVID symptoms of Nausea, vomiting, and headache starting 9/7/21. Pt. tested PCR positive for COVID on 9/7/21. Pt. did not require medical care as of 9/10/21


VAERS ID: 1688883 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-08-25
Onset:2021-09-07
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol, aripiprazole, beclomethasone inhaler, bupropion, allegra-D 24, hydroxyzine, ibuprofen, zoloft, trazodone, prilosec
Current Illness:
Preexisting Conditions: autism spectrum, mood disorder, allergies
Allergies: NKA
Diagnostic Lab Data: Elevated ddimer CT chest with contrast showing bilateral subsegmental PE
CDC Split Type:

Write-up: Pulmonary Embolism


VAERS ID: 1688889 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048F21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Decreased appetite, Headache, Hypoaesthesia, Malaise, Muscle spasms, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

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

Write-up: Weakness, chills, headaches, arm numbness in arm of shot admin, malaise, sharp electric pain through the body, loss of appetite., muscle pain, muscle spasms in abdomen.


VAERS ID: 1688892 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-29
Onset:2021-09-07
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multi-vitamin, trazadone (50mg), clonazepam (0.25mg)
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I have never had hives before in my life. On day #8 following the COVID-19 vaccine (Dose #1) I started to breakout with hives. The breakout is exceptionally bad starting around 5:30pm. I have now broken out in hives 3 days in a row. 9/9/2021 was day 3 of this side effect. The breakout occurs on my arms, hands, chest and neck. I have taken Benadryl to remedy this situation. Nothing else has changed in my life (i.e., no new perfumes, no change in detergent, no change in diet, etc.). The only explanation could be the COVID-19 vaccine.


VAERS ID: 1688931 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 058321A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cough, Diarrhoea, Dizziness, Dyspnoea, Ear pain, Headache, Nausea, Night sweats, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: Not received yet
CDC Split Type:

Write-up: Headache Congestion Sore throat Sore ear Nausea Diarrhea Shortness of breath/big deep breaths Body aches Night sweats/wake up every 30 min Coughing Light head/dizzy Fever


VAERS ID: 1689070 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-28
Onset:2021-09-07
   Days after vaccination:222
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Vaccinated patient became symptomatic on 9/7/21 and tested positive for Covid -19 on 9/8/21.


VAERS ID: 1689224 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Maternal exposure during breast feeding, Menstrual disorder, Night sweats, Pyrexia, Suppressed lactation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Functional lactation disorders (narrow), Neonatal exposures via breast milk (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre-natal multi vitamin, calcium supplement.
Current Illness: None- delivered healthy full term baby 5 weeks prior.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: During my first dose, 3 weeks prior to this event, I experienced high fevers (up to 104 degrees), chills, night sweats, joint pain, and I also started menstruating 2 weeks postpartum. At the time I also noticed a drop in my milk supply, and a regression in my baby''s ability to latch (unsure if this is related to the vaccination event, but it coincided). During my second dose, date of this reported event I experienced milder symptoms of the same type: fever (up to 103 degrees), night sweats, milder joint pain, and again began to have spontaneous vaginal bleeding similar to a period. I have not discharged any more lochea and believe that the vaccine has again triggered a very distinct and period like vaginal bleeding. My milk supply has again seemed to drop post the second dose. I believe the vaginal bleeding and milk supply decrease are related; the vaccine leading to some sort of hormonal change causing vaginal bleeding or menstruation which can impact milk supply. All of the other symptoms with the exception of milk supply increase resolved themselves within 24-36 hours respectively and did not have lingering effects.


VAERS ID: 1689228 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Laboratory test, Pericarditis, Troponin
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: Labs. Initial Troponin is 0.39
CDC Split Type:

Write-up: Shortness of breath and chest pain after receiving the 2nd dose. Patient given IV fluids and nsaids. Diagnosis of Pericarditis


VAERS ID: 1689270 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-09-07
   Days after vaccination:148
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

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

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

Write-up: Hospitalization on 9/7/2021 due to COVID19. Reported per Janssen COVID vaccine EUA.


VAERS ID: 1689283 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-09-03
Onset:2021-09-07
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0809 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Back pain, Blood cholesterol normal, Dyspepsia, Laboratory test abnormal, Myocardial infarction, Pain in extremity
SMQs:, Myocardial infarction (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific dysfunction (narrow), Tendinopathies and ligament disorders (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: NP Thyroid, Multivitamin
Current Illness: Hypothyroidism
Preexisting Conditions: Hypothyroidism
Allergies: no known
Diagnostic Lab Data: Pt reported that her labs had been indicative of a heart attack. She didn''t have any other risk factors- she is thin, cholesterol normal, bp normal and no sign of any other clots, etc.
CDC Split Type:

Write-up: Patient woke Tuesday, 4 days after her second dose of Pfizer, and had terrible arm and back pain and what felt like really bad heart burn in her chest. Her mother called Wednesday and told me about her symptoms and I suggested getting to a doctor and getting an EKG. The patient came in today and was feeling much better but she was getting nitrogylcerin SL tabs and baby aspirin because cardiologist said she had minor heart attack.


VAERS ID: 1689333 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-31
Onset:2021-09-07
   Days after vaccination:160
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalized


VAERS ID: 1689347 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Current medications: Albuterol 90mcg/act 2inh TID PRN Wheezing or SOB ciclesondie 80mcg/act 1inh BID cetirizine 10mp PO daily dramamine unknown dose/frequency lidocaine 5%patch Apply to affected areas BID
Current Illness:
Preexisting Conditions: Pt w/ PMH significant for Migraines, Asthma, Allergic Rhinitis, GERD, Cervical Spondylosis, Genital Herpes, HLD, and chronic
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt w/ PMH significant for Migraines, Asthma, Allergic Rhinitis, GERD, Cervical Spondylosis, Genital Herpes, HLD, and chronic back/neck/shoulder pain. 15mins post vaccination, pt c/o difficulty breathing and chest tightness. Vitals: BP 145/83, HR 80, RR 20, SpO2 99% -- $g 127/73, 71, 18 Pt was observed for an additional 15mins in a quiet area. MD gave the pt the ok to go home w/ a friend. Pt left w/ a steady gait. No known allergies Current medications: Albuterol 90mcg/act 2inh TID PRN Wheezing or SOB ciclesondie 80mcg/act 1inh BID cetirizine 10mp PO daily dramamine unknown dose/frequency lidocaine 5%patch Apply to affected areas BID


VAERS ID: 1689453 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EC3180 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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

Write-up: Patient became dizzy, nauseous, lightheaded approximately 5 minutes after vaccine admin. Pt received ondansetron 4mg ODT x 1. Left office after 45 minutes with resolved symptoms


VAERS ID: 1689461 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-27
Onset:2021-09-07
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC-3182 / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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: Hawthorne extract
Current Illness:
Preexisting Conditions: Kidney disease, hypertension
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe weakness in right leg beginning 4 days post vaccination


VAERS ID: 1689477 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301308A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Migraine, Nausea, Pyrexia, SARS-CoV-2 test, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (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: RANEXA, ISOSORBIDE, ALLEGRA, DILTIAZEM
Current Illness: NONE
Preexisting Conditions: SMALL ARTERY DISEASE, ASTHMA
Allergies: ROCEPHIN, CODEINE, COCONUT
Diagnostic Lab Data: COVID-19 TEST 9/10/2021
CDC Split Type:

Write-up: MIGRAINE, NAUSEA, VOMITING, DIZZINESS, FEVER, CHILLS, DIARHEA, FATIGUE


VAERS ID: 1689487 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-09
Onset:2021-09-07
   Days after vaccination:151
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol 1,000mg HS Albuterol CFC free 90mcg/inh q 6hr PRN for wheezing Nature''s Bounty Probiotic daily Cephalexin 500mg 1 hour before dental appointment ZyrTec 10mg daily Gabapentin 300mg HS Hydrocortisone-pramoxine 2.35%-1% rectal TID as
Current Illness: UTI 3/29/2021
Preexisting Conditions: Chronic sinusitis migraine obesity GERD insomnia intermittnt asthma recurrent UTI Depression
Allergies: Acectine - paralysis Codeine - Increased heart rate oxycodone - fainting succinylcholine - low pseudocholinesterage
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient contracted COVID after being fully vaccinated - Cough, Headache, Fever, and Chills


VAERS ID: 1689499 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-24
Onset:2021-09-07
   Days after vaccination:167
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001A21A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048A21A / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, Pharyngeal swelling, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE
Current Illness:
Preexisting Conditions: CHOLECYSTITIS, RENAL CYST, SEPTIC ARTHRITIS
Allergies: PENICILLIN
Diagnostic Lab Data: POSITIVE COVID TEST
CDC Split Type:

Write-up: THROAT SWELLING AND SOB


VAERS ID: 1689510 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (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: Biktarvy, Furosemide, Lisinopril, Cyclobenzaprine, Metoprolol, Atorvastatin, Eszopiclone, Lorazepam, Norco, testosterone
Current Illness: Rhinitis
Preexisting Conditions: HIV infection, Hyperlipidemia, HTN
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Headache, Muscle soreness


VAERS ID: 1689578 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Dysgeusia, Ocular discomfort, Paraesthesia oral, Parosmia, Sluggishness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Tingly lips, chest tightness, feeling faint and sluggish, metallic taste and smell, pressure behind the eye.


VAERS ID: 1689590 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-26
Onset:2021-09-07
   Days after vaccination:193
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Anosmia, Chills, Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Advil
Current Illness: none
Preexisting Conditions: history of breast cancer and rectal cancer; melanoma of face, osteoarthritis of knee, anemia, iron defiecy
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: sore throat, cough, chills, congestion, upset stomach, fatigue, fever, headache, body aches, loss of smell starting on 9/7/21


VAERS ID: 1689650 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-13
Onset:2021-09-07
   Days after vaccination:237
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, Glucophage, Miralax, Coumadin, Nizoral, Neurontin, Senna, Lactobacillus, Mag-Ox, Zofran, Lasix, metoprolol, melatonin
Current Illness:
Preexisting Conditions: CHF
Allergies: Codeine
Diagnostic Lab Data: COVID-19 09/07/2021
CDC Split Type:

Write-up: Patient received 2nd dose of Pfizer vaccine on 01/13/2021. Patient participates in weekly testing and tested positive for COVID-19 on 09/07/2021.


VAERS ID: 1689703 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-08-30
Onset:2021-09-07
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 3 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: No known allergies
Diagnostic Lab Data: COVID-19
CDC Split Type:

Write-up: Patient tested positive for COVID-19 on 09/07/2021. Asymptomatic


VAERS ID: 1689735 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-09-05
Onset:2021-09-07
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Stomatitis
SMQs:, Severe cutaneous adverse reactions (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Oral mucositis - magic mouth wash - to follow up with Pediatrician


VAERS ID: 1689741 (history)  
Form: Version 2.0  
Age: 94.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020F21A / 1 RA / IM

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

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

Write-up: Patient has not had an adverse reaction. Her son took the patient out of the nursing home facility and had her vaccinated (Moderna) but did not let the administrators of the facility. We went out 2 days later and gave her another Moderna vaccine. The first dose wasn''t logged in portal for us to know this.


VAERS ID: 1689783 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-14
Onset:2021-09-07
   Days after vaccination:146
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: runny nose, congestion, fever, starting on 9/7/21


VAERS ID: 1690153 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-03-18
Onset:2021-09-07
   Days after vaccination:173
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 1 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER ER8729 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood urine present, Protein urine present, Urine analysis
SMQs:, Acute renal failure (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (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: B12. biotin. C. D. cats claw. Ubiqinal, DHEA,
Current Illness: None
Preexisting Conditions: None before vaccination. Proteins and blood in urine
Allergies: Hay fever, hardwood trees, grass Pfizer 3.16. And. 4.8.21. LotER8729
Diagnostic Lab Data: Urine test 09/07/2021
CDC Split Type:

Write-up: High proteins and blood in urine. Caught during annual physical


VAERS ID: 1690165 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2020-12-30
Onset:2021-09-07
   Days after vaccination:251
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: tested positive after vaccination


VAERS ID: 1691331 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Louisiana  
Vaccinated:0000-00-00
Onset:2021-09-07
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pollakiuria
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: Urination frequency of (Patient stated that she already urinates a lot.)
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210913477

Write-up: INCREASED NEED TO URINATE (CONDITION AGGRAVATED); This spontaneous report received from a patient concerned a 46 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: increased urination. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980 and expiry: 18-SEP-2021) dose was not reported, administered on 07-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-SEP-2021, the patient experienced increased need to urinate (condition aggravated). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of increased need to urinate (condition aggravated) was not reported. This report was non-serious.


VAERS ID: 1692337 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:2021-09-05
Onset:2021-09-07
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VALSARTAN; CRESTOR.
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood cholesterol abnormal (Cholesterol); Blood pressure high; COVID-19 (Prior to vaccination, was the patient diagnosed with COVID-19?:Yes.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101167748

Write-up: Swelling and discomfort under my right arm; Swelling and discomfort under my right arm; This is a spontaneous report from a contactable consumer, the patient. An elderly non-pregnant female patient of unknown age received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FD8448) via an unspecified route of administration in the right arm on 05Sep2021 at 12:30 as a single dose for COVID-19 immunisation. Medical history included high blood pressure (BP), cholesterol and COVID-19. Prior to the vaccination, the patient was diagnosed with COVID-19. The patient had no known allergies. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Concomitant medications included valsartan (MANUFACTURER UNKNOWN), rosuvastatin calcium (CRESTOR) and unspecified vitamins; all for unknown indications from unknown dates and unknown if ongoing. On 07Sep2021 at 06:00, the patient experienced swelling and discomfort under right arm. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events swelling and discomfort under right arm were recovering at the time of this report.


VAERS ID: 1692357 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 1 RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hashimoto''s thyroiditis; Sulfonamide allergy (Known allergies: Sulfa drugs); Type 1 diabetes mellitus (Type 1 Diabetes.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101171055

Write-up: Numbness down the right arm into hands/right side of face has numbness/also down to right leg; This is a spontaneous report from a contactable consumer, the patient. A 50-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0151) via an unspecified route of administration in the right arm on 07Sep2021 at 14:30 (at the age of 50-years-old) as a single dose for COVID-19 immunisation. Medical history included Hashimoto''s thyroiditis, type 1 diabetes and allergy to sulfa drugs. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccine within four weeks prior to the COVID vaccine. The patient received other unspecified medicines within two weeks prior to the COVID-19 vaccine. On 07Sep2021 at 14:45, the patient experienced numbness down the right arm into hands, right side to face has numbness and also down to right leg. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the event. The clinical outcome of the event numbness down the right arm into hands/right side of face has numbness/also down to right leg was not recovered at the time of this report.


VAERS ID: 1692862 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Injection site swelling, Lip swelling, Swelling face
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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: congestion/runny nose. kids also sick with similar symptoms and had been tested neg for covid
Preexisting Conditions: Hypertension
Allergies: amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Evening of the second shot, swelling to the lips and face and injection site. No difficulty with breathing


VAERS ID: 1692911 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-08-25
Onset:2021-09-07
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Hypotonia, Muscular weakness, Myalgia, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartin 100mg daily Flomax 0.4mg daily
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: NKDA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: On 9/7/21I awoke with pain in both legs and when I got out of bed, my legs were weak and hypotonic. Even when contracting, they were very soft and flaccid. I exercise daily and usually have excellent leg tone and strength. The pain worsened throughout the day and involved both quadriceps groups. Patella tendons were tender bilaterally. There was a subjective low grade fever; however, I did not take my temperature. there was also strange mild left sided parietal headache. There was also some strange sensation in my upper arms bilaterally. I suspected this was some variant of Guillian Barre syndrome. sine there is no treatment, I decided to monitor it and not seek medical treatment unless it began to ascend. The arm symptoms resolved within 2 hours. After approximately 12 hours there was some return of strength in my legs but the were not at baseline. By 7AM on 9/8/21, the leg pain had resolved and strength was near baseline. The headache persisted throughout the day. On 9/9/21 I felt normal upon awakening. I went to the gym and did a partial workout but I did not have my usual leg strength. On 9/10/21 I was able to complete a normal workout.


VAERS ID: 1692914 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Axillary pain, Fatigue, Headache, Injection site erythema, Myalgia, Nausea, Oropharyngeal pain, Pain, Pyrexia, Rash, Skin warm
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Nausea, headache, Fever 100.4- 101.0 lasting 2 days, sore throat, tired, pain, redness at and around injection site, R upper arm muscle pain into armpit lasting 3 days, rash on R arm appearing on day 3 warm to the touch.


VAERS ID: 1692963 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-01-05
Onset:2021-09-07
   Days after vaccination:245
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

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

Write-up: PATIENT HAD COVID VACCINES ON Dose 1 date: 01/05/2021, Dose 2 date: 01/26/2021, AND TESTED POSITIVE TO COVID.


VAERS ID: 1693019 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-31
Onset:2021-09-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

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

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

Write-up: Nose bleeds multiple times a day, clotted blood,


VAERS ID: 1693145 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-09-07
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac disorder, Diabetes mellitus, Laboratory test, Liver disorder, Renal disorder
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Hyperglycaemia/new onset diabetes mellitus (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? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cLONAZEPAN, PRAVACHOL, METFORMIN
Current Illness: PRE DIABETIC
Preexisting Conditions: PRE DIABETIC HIGH CHOLESTEROL
Allergies:
Diagnostic Lab Data: 06/14/2021, 09/07/2021
CDC Split Type:

Write-up: After 5 months developed full blown diabetes, undiagnosed heart problem. after 9/6/2021 kidney and liver problems.


VAERS ID: 1693151 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-22
Onset:2021-09-07
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram, Pericarditis
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: N/A
Diagnostic Lab Data: EKG, Blood work, Chest x-Ray 9/09/2021 @ 2:30 AM
CDC Split Type:

Write-up: Pericarditis. Repeated stabbing chest pain & shortness of breath.


VAERS ID: 1693187 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspepsia, Injected limb mobility decreased, Pain, Pain in extremity
SMQs:, Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: An hour after treatment the arm I got the shot in was almost unusable. This began to extent to my upper back and neck. Started getting really bad heart burn that lasted about 1 full day. 4 days later, I have a constant dull pain radiating from the middle of my chest to my left armpit. Kind of feels like the middle of my chest is bruised. I have not felt right since the shot and kind of scared to go back for the second.


VAERS ID: 1693226 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-02-27
Onset:2021-09-07
   Days after vaccination:192
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I had 2nd Pyser shot in February Valacyclovir Currently I have Shingles AND did previously have Shingles vaccine
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Just diagnosed with Shingles AFTER having previously had Shingles shot (within last several years)


VAERS ID: 1693302 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-09-03
Onset:2021-09-07
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 1 LA / SYR

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

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

Write-up: Swollen lymph node in left armpit, rash on arm increasing in size


VAERS ID: 1693323 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Chest pain, Dizziness, Headache, Paraesthesia, Photophobia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)

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

Write-up: Tingling hands and feet, chest pain, light headedness, headache, light sensitivity.


VAERS ID: 1693341 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-06
Onset:2021-09-07
   Days after vaccination:93
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181/8/21 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH (UNREADABLE) / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Heart rate irregular, Musculoskeletal stiffness, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Irregular heartbeat, chest pain, shortness of breath, arms seized up/tingly.


VAERS ID: 1693365 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Lymphadenopathy, Pain in extremity, Paraesthesia oral, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Thyroxine; calcium; multivitamins; vitamin D
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: Morphine
Diagnostic Lab Data: None thus far
CDC Split Type:

Write-up: 1. Few minutes after the injection had paresthesia of the tongue that persists today - day 5 2. Moderate left arm pain shortly after that has decreased with medications but persistent today. Now mild 3. Lymphadenopathy of left side of neck, swelling of left axilla/left Supra and infraclavicular areas that are visible, bumps and swelling of left upper arm and elbow area 4. Low grade tactile fever


VAERS ID: 1693391 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040C21A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048F21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Chills, Headache, Myalgia, Pyrexia, Respiratory tract congestion, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 2nd shot: high fever within a few hours of shot, muscle pains, vomiting, head pain, back pain, followed by continuing chills that have not gone away and severe congestion that I still have almost a week later and is not improving.


VAERS ID: 1693545 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-23
Onset:2021-09-07
   Days after vaccination:46
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Bone pain, Condition aggravated, Constipation, Headache, Muscle fatigue, Pain, Pyrexia, Vascular pain
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Osteonecrosis (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: First does got red dots itching around the body, entire left side body vein in pain due to I had injury on my left arm in early 2017, the pain came back more seriously, some random pop up red points press in pain around the left arms. Second dose, head ache, the night, the left arm''s bone was on fire, and left knees'' joints was in pain. Next day, fever, entire body got random pop up red points press in pain, muscle tired, left side of the body vein are in pain. No poop.


VAERS ID: 1693589 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-08-24
Onset:2021-09-07
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Aphasia, Atrial septal defect, Cerebrovascular accident, Facial paralysis, Hemiparesis, NIH stroke scale score increased, Thrombectomy
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Congenital, familial and genetic disorders (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hearing impairment (broad)

Life Threatening? Yes
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Nothing
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: September 8- Thrombectomy/TPA , for a cerebrovascular accident of unspecified mechanism
CDC Split Type:

Write-up: Patient had a stroke. It started out with left-sided weakness and a facial droop. He was unable to talk was taken to another hospital where he was then life flighted to Hospital. He was a 14 on the stroke scale and sent immediately to the procedure room for a thrombectomy. They injected TPA into his brain and were able to dissolve the clot. His hospital day was four days and during it they discovered patient had a PFO. Patient has not had any symptoms or signs of a PFO and we firmly believe the Pfizer vaccine contributed to the clot formation and the subsequent stroke.


VAERS ID: 1693591 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-25
Onset:2021-09-07
   Days after vaccination:74
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Pain, Palpitations, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: chest tightness, mild chest pain at time (atypical), heart palpitation, body aches, and fever after the covid vaccine 5 days ago.


VAERS ID: 1693593 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-09-03
Onset:2021-09-07
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Computerised tomogram normal, Electrocardiogram normal, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: fluoxetine 40mg, omeprazole 40, probiotic
Current Illness: no
Preexisting Conditions: Depression, anxiety, gastritis
Allergies: Augmentin, amoxicillin
Diagnostic Lab Data: ct scan and blood test. ekg and all results came back normal. he was at the hospital for 3 or 4
CDC Split Type:

Write-up: was at work and can''t remember much about it . they told him that he was walking and he went down and was on the ground and whole body was shaking . They called ambulance and they transported him to the hospital. he thought that they gave him fluid and antinausa medication


VAERS ID: 1693635 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-09-06
Onset:2021-09-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Acute myocarditis. Patient initially developed headache, chest pain, nausea and vomiting. All other symptoms resolved, but chest pain continued, so he presented to the ED 2 days after receiving the vaccine (Wed, 9/8). He was found to have elevated troponins at that time and was hospitalized for further observation and management. His chest pain resolved by Friday, 9/10. His troponins fluctuated between 4.14-9.94. He was discharged in good condition with downtrending troponins on Saturday, 9/11.


VAERS ID: 1693654 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-28
Onset:2021-09-07
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 2 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood cannabinoids, Brain injury, Cardiac arrest, Life support, Magnetic resonance imaging head abnormal, Resuscitation, Toxicologic test abnormal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Respiratory failure (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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None known
Preexisting Conditions: None known
Allergies: None known
Diagnostic Lab Data: MRI on 9/12/2021 showed extensive anoxic damage to cortex, cerebellum, basal ganglia, brainstem
CDC Split Type:

Write-up: On 9/7/2021 at approximately 21:30 the patient experienced an out of hospital cardiac arrest while driving with a friend. He was resuscitated by EMS and transported to hospital. His tox screen was positive for cannabinoids. No cause could be found for this event. He suffered severe anoxic brain damage. Patient is still in hospital on life support at the time of this report. High chance of death. Almost certain to have permanent severe disability if he survives


VAERS ID: 1693850 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-08-24
Onset:2021-09-07
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral abnormal, Atrial septal defect, Cerebral artery occlusion, Cerebrovascular accident, Computerised tomogram head abnormal, Echocardiogram, Echocardiogram abnormal, Infarction, Magnetic resonance imaging head abnormal, Thrombectomy
SMQs:, Myocardial infarction (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Congenital, familial and genetic disorders (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: PNC=hives
Diagnostic Lab Data: MRI brain confirming infarct. CTA and angiography confirming MCA occlusion, echocardiogram (TTE and TEE) demonstrating PFO.
CDC Split Type:

Write-up: 20 yo male with acute right MCA stroke with right MCA occlusion treated with iv tPA and endovascular thrombectomy.


VAERS ID: 1694073 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-09-01
Onset:2021-09-07
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Confusional state, Coordination abnormal, Disorientation, Dizziness, Hallucination, visual, Hyperhidrosis, Impaired driving ability, Mobility decreased, Pain, Tremor, Tunnel vision
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (broad), Retinal disorders (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/AA
Preexisting Conditions: N/A
Allergies: Past history of fever/chills/shaking from vaccinations. No other known allergies.
Diagnostic Lab Data: I called my doctor and they said to call. I asked for help as to what to do since I need to drive. Was again told to call vaers. I went toand got my BP tested. It was ~20 points higher on systolic that the week prior. Diastolic was the same.
CDC Split Type:

Write-up: Day 1- Feeling of blood rush all over body. Drove home and within 15 minutes of injection felt confused and body ache. That night within 1 hour, shaking, chills, sweating, disorientation. Bed rest for rest of day/night. Day 2- Same symptoms and whole body felt ache. Loss of coordination and a near falling incident. Blood pressure felt low and had tunnel vision while sitting on couch. No Blood pressure test able to be taken at home. Bed rest for rest of day and night. Day 3- Felt slightly better with less pain. Day 4- Felt almost back to normal. Still pushing fluids and getting at least 10 hours of sleep every day. Day 5- Feelings of fever/Body Ache/Chills again around noon. Spent rest of day in bed unable to leave. Day 6- Felt better and went out to lunch with . Around noon I started feeling faint and saw a napkin fall off the table. I reached to grab it but it did not exist. At that time I nearly lost conciousness at the table. I continued to drink water and was driven home.


VAERS ID: 1694085 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anion gap decreased, Basophil count normal, Basophil percentage, Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase, Blood bilirubin, Blood calcium normal, Blood chloride increased, Blood creatine, Blood glucose normal, Blood magnesium normal, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone, Blood urea normal, Blood urine absent, Carbon dioxide, Chest X-ray normal, Chest discomfort, Decreased appetite, Differential white blood cell count normal, Dizziness, Electrocardiogram, Eosinophil count normal, Eosinophil percentage increased, Fibrin D dimer, Full blood count, Globulin, Glomerular filtration rate, Glucose urine absent, Haematocrit normal, Haemoglobin normal, Headache, Hyperhidrosis, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration, Mean cell haemoglobin normal, Mean cell volume, Mean platelet volume normal, Monocyte percentage, Muscular weakness, Nausea, Neutrophil count normal, Neutrophil percentage, Nitrite urine absent, Platelet count normal, Protein total normal, Protein urine absent, Pyrexia, Red blood cell count normal, Red blood cells urine, Specific gravity urine normal, Thyroxine free, Troponin, Urine ketone body absent, Urine leukocyte esterase, pH urine normal
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NO prescriptions, over the counter medications, dietary supplements, or herbal remedies were taken prior to or the day of the vaccination.
Current Illness: No other illnesses were present at the time of vaccination or up and including one month prior to the vaccination.
Preexisting Conditions: Hypothyroidism
Allergies: Chicken, Yellow Corn, Seafood
Diagnostic Lab Data: Urine Color-Yellow, Urine Appearance-Clear, Urine Spec Gravity-1.014, Urine PH -7.0, Urine Protein -Negative, Urine Glucose Iris-Negative, Urine Ketones-Negative, Urine Bilirubin-Negative, Urine Blood-Negative, Urine Nitrates- Negative, Urine Leuk Esterase-Negative, Urine Preservative-No, Urine refrigerated-No, Urine RBC-1, Urine WBC-<1, Urine Squamous Epi Cells -2, D-Dimer <150ng, TSH W/Reflex to Free T4 -3.00, Magnesium -1.8mg, XR Chest Portable (1 view) -No acute radiographic abnormalities, Comprehensive Metabolic Panel: Sodium-143,Potassium-4.2, Chloride-108, CO2-25, Glucose-107mg, BUN-13mg, Creatine-.82, Protein Total-7.1, Albumin-4.3g, Calcium Total-9.6, Bilirubin .2, Alkaline Phos -88IS, AST-20IS, ALT-27IU, Globulin 2.8g, Anion GAP 14, GFR Non-Afr Amer 83ml, GFR AFR AMer $g90, CBC with Diff: WBC 7.63, RBC 5.09, HGB 14.4, HEmatocrit, 43.2, MCV 84.9, MCH 28.3, MCHC 33.3, RDW 13.7, Platelet-231, MPV 11.1, Immature Granulocytes .3%, Neutrphils 54.7%, Lymphs 30.7%, Monos7.1%, EOS 6.4%, BASOS .8%, Absolute Imm Gran-.02, Absolute Neutrophils 4.18, Abs Lymphs 2.34 Abso Monos .54, Abso EOS .49, Abso Baso .06, NRBCS 0.0TRoponin, Troponin Details <0.01, ECG 12 Lead-NOrmal sinus rythm-cannot rule out anterior infarct, vent rate 90bpm, atrial rate 90bpm, PR interval 144, QRS 76ms, QRS 76ms, QT interval 374ms, QTC CAlcualation 457 ms, ECG 12 lead-normal sinus rythm,
CDC Split Type:

Write-up: I received the COVID19 vaccine on 9/7/2021 approximately at 715am. Around 10am that same day I started to feel nauseated and a bit lightheaded with some dizziness. These symptoms progressed to the next day on 9/8/2021. Additionla symptoms started to become apparent in conjunction with the nausea, dizziness and lightheadedness which were: headaches, loss of appetite, cough, sweat outbreaks, low grade fever. These symptoms lasted and stayed the same until the night of 9/9/2021 when I started to experience chest pressure. I woke up on 9/10/2021 with two additional episodes of chest pressure and bilateral leg weakness. My left left was worse by far with my left calf muscle having me concerned a blood clot might be present. It was at this point that I went to seek treatment at the Emergency Room. I was told I was having a "Significant Reaction" to the COVID19 vaccine. I was given Zoloft for my nausea and told to follow up with my regular physician. On 9/11/2021 and 9/12/2021 I tried to go for a walk amidst my bilateral leg weakness and was unable to complete my small walks without difficulty. This was witnessed by my husband and my daughter, On 9/13/2021 I saw my PCP and he prescribed me steroids to help with the muscle weakness and advised that I do not take the second COVID19 vaccine considering my reaction to the first vaccine.


VAERS ID: 1694108 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

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

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

Write-up: Pain in the muscle from just above the elbow to the back of the shoulder. Redness and swelling increased over time. Visited an ER on 9/12/21 for redness, swelling, pain, and hot to the touch. Diagnosed with cellulitis and treated with antibiotics.


VAERS ID: 1694130 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Moderna Covid vaccine. Tinnitus in January 2021 after initial dose01/16/2021
Other Medications: Estrogen, progesteron
Current Illness:
Preexisting Conditions:
Allergies: PCN, sulfa, compazine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tinnitus. I previously developed tinnitus after the first dose of Moderna in January. I delayed getting my 2nd dose because of it. My tinnitus from the first dose did begin to improve over time starting in June but not fully resolved. I received my 2nd dose and exactly 5 hours later, I developed louder tinnitus in bilateral ears.


VAERS ID: 1694158 (history)  
Form: Version 2.0  
Age: 90.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-15
Onset:2021-09-07
   Days after vaccination:204
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Malaise, Vaccine breakthrough infection
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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine breakthrough, symptomatic. Inpatient admit 9/7-9/12.


VAERS ID: 1694218 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-09-07
   Days after vaccination:152
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040B21A / 1 AR / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Cough, Pneumonia
SMQs:, Anaphylactic reaction (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: gabapentin 800 mg, PO (oral), tid lisinopril 10 mg oral tablet 10 mg = 1 tab(s), PO, qDay meclizine 12.5 mg oral tablet 12.5 mg = 1 tab(s), PRN, PO (oral), tid Motrin 800 mg oral tablet 800 mg = 1 tab(s), PRN, PO (oral), tid simvastatin 10
Current Illness:
Preexisting Conditions: Benign Essential Hypertension Chronic depression CVA, old, aphasia Hyperlipidemia LDL goal < 100 Obesity, Unspecified
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Cough, CXR with faint patchy infiltrates in left lung is greater than right, indicating pneumonia


VAERS ID: 1694229 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-26
Onset:2021-09-07
   Days after vaccination:165
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 9/11/21 SARS/COV-2, NAAT positive
CDC Split Type:

Write-up: Breakthrough COVID


VAERS ID: 1694320 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-06-09
Onset:2021-09-07
   Days after vaccination:90
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Covid positive contact unknown.


VAERS ID: 1694333 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 3184 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Dizziness
SMQs:, Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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

Write-up: Since vaccine I feel dizzy and upper abdominal discomfort. Today the dizziness is worst. I am never dizzy.


VAERS ID: 1694335 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-09-02
Onset:2021-09-07
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood magnesium, C-reactive protein, COVID-19, Culture, Diarrhoea, Differential white blood cell count, Electrocardiogram, Full blood count, Gastroenteritis, Hypokalaemia, Influenza A virus test, Influenza B virus test, Lipase, Metabolic function test, Microscopy, Nausea, Respiratory syncytial virus test, SARS-CoV-2 test, Urine analysis
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Hypokalaemia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: C-REACTIVE PROTEIN (INFLAMMATION) COMPREHENSIVE METABOLIC PANEL LAB ONLY-COMPLETE BLOOD COUNT WITH DIFFERENTIAL LIPASE MAGNESIUM SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE EKG
CDC Split Type:

Write-up: Gastroenteritis due to COVID-19 virus Hypokalemia Diarrhea, unspecified type Nausea


VAERS ID: 1694355 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Pain, Pain in extremity
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sore arm, light headed feeling, body aches, fatigue


VAERS ID: 1694380 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-08
Onset:2021-09-07
   Days after vaccination:152
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Covid poitive....contact unknow


VAERS ID: 1694436 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-08
Onset:2021-09-07
   Days after vaccination:183
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: positive covid test and symptoms


VAERS ID: 1694452 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 1 LA / -

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

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

Write-up: Vaccine expired on 9-6-2021, was administered on 9-7-2021


VAERS ID: 1694484 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bone pain, Headache, Injection site pain, Injection site swelling, Myalgia, Pruritus, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Extreme itching all over, head ache, muscle/bone pains, stayed in bed 2 1/2 days, as each day past the pt got a little better. Hives on right arm, major pain at sight of injection, when pressing it turns yellow, blue and raised.


VAERS ID: 1694507 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-08-27
Onset:2021-09-07
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Grip strength decreased, Hypoaesthesia, Injection site pain, Pain in extremity, Paraesthesia, Poor peripheral circulation, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

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

Write-up: Patient reported he woke up on 9/7/21 with a numb left arm, that felt like pins and needles, and could not make a fist with his left hand. He said there was a loss of blood flow to the arm, and it felt painful from below the injection site for his covid vaccine to his fingertips. The patient also reported that within a few days of receiving the 2nd dose of his Pfizer vaccine on 8/27/21, he developed hives that spread all over his body, some were quarter size welts. He went to the hospital for this on 9/4/21 and was treated with clindamycin per patient report.


VAERS ID: 1694573 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 3 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Decreased appetite, Headache, Intermenstrual bleeding, Lymphadenopathy, Pain in extremity, Pyrexia, Sluggishness
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Latex tip vaccine needles, severe pain, swelling
Other Medications: General vitamin
Current Illness: No
Preexisting Conditions: No
Allergies: Yes, latex, bananas, kiwi fruit, avocado, chestnut, Benadryl, cipro, sulfa drugs, SSRI''s, Neosporin
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: I started getting arm pain about 3 hours after the shot. It was worse than the first 2 doses. By about 12am, was at an 8/10. It lasted about 3 days before it started getting better. I got a fever about 7 hours after the shot. The highest temp I recorded was 102.5. I had a loss of appetite and sluggishness as well. I experienced breakthrough bleeding 16 hours after the shot. I was 5 days before my period but had bleeding for the 5 days leading up. This was abnormal for me. I called the doctor regarding the pain in my arm which was due to a swollen lymph node. The doctor advised to come in if it did not begin to go away. It did go away. It is currently still present but resolving. I also experienced headaches as well.


VAERS ID: 1694579 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, Diarrhoea, Fatigue, Headache, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: OCT 8th, 2020 FLU Vaccine (Felt fatigued and body aches)/Sept 30th, 2019 Shingrix Vaccine - (fatigued and body aches).
Other Medications: Prednisone; hydrocortisone; duloxetine; pramipexole; valacyclovir; cyclosporine; amlodipine; omeprazole; mycophenolate; lisinopril; cetirizine
Current Illness: N/a
Preexisting Conditions: Osteoporosis; Back/Knee Pain; Lupus; Primary Sclerosing Cholangitis; Liver Transplant; Chronic Se Adreline Infensciry; Ulster Calitis
Allergies: Guava Fruit
Diagnostic Lab Data: N/a
CDC Split Type: vsafe

Write-up: The first day I had mild fatigued. The 2nd day I was drenching in sweat, I had diarrhea, fatigued, and I had a headache. I had a temperature of 101.1. The 3rd day I was fatigued and had a headache. The 4th day I had a headache and then the symptoms finally resolved.


VAERS ID: 1694606 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 AR / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Aphasia, Atrial fibrillation, Cerebral artery occlusion, Condition aggravated, Hemiparesis, Sensory loss, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (narrow), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: -atorvastatin
Current Illness: palpitations
Preexisting Conditions: Mitral stenosis Atrial flutter, paroxysmal Hyperlipidemia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Syncopal event several hours after vaccination followed by right sided weakness, sensory loss and aphasia later found to have a left M1 occlusion requiring tPA but no thrombectomy after patients symptoms completely resolved with tPA. At this point we think the likely etiology of the event was paroxysmal atrial flutter.


VAERS ID: 1694723 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Fatigue, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Apixaban 5mg 2x''s a day Metoprolol Succinate ER 25mg 1 a day Rosuvastatin 20mg 1 a day Sertraline 50mg 1 a day
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, Fatigue and Nausea


VAERS ID: 1694742 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-06-10
Onset:2021-09-07
   Days after vaccination:89
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Exposure to SARS-CoV-2
SMQs:, COVID-19 (narrow)

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

Write-up: Covid positive household member


VAERS ID: 1694744 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Axillary pain, Chills, Flushing, Hypoaesthesia, Nausea, Pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

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

Write-up: Flushing childs, nausea, body aches day of vaccine 09/09/2021 hand numbness that has prolonged tips of fingers and ache in arm pit down the back of right arm


VAERS ID: 1694791 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-09-03
Onset:2021-09-07
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Balance disorder, Fatigue, Mobility decreased, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Pt. states that after receiving the 1st dose of Moderna 09/03/2021, started experiencing symptoms 09/07/2021 of fatigue, off-balance, and loss of motor skills (through the right arm/hand). Right leg weakness (unnatural feeling to move). VA Primary visit 09/13/2021 no recommendations, just told to call in a report. No exam.


VAERS ID: 1694837 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Unknown  
Location: Minnesota  
Vaccinated:2021-02-09
Onset:2021-09-07
   Days after vaccination:210
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

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

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

Write-up: Patient tested positive for covid after completing series


VAERS ID: 1694840 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH MANUFACTURER:PF / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest pain, Computerised tomogram, Dizziness, Dyspnoea, Facial paralysis, Full blood count, Headache, Metabolic function test, Mobility decreased, Neck pain, Pain in extremity, Platelet count decreased, Proteinuria, Pyrexia, Rash, Urine analysis
SMQs:, Acute renal failure (broad), Anaphylactic reaction (narrow), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hearing impairment (broad), Vestibular disorders (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Arthritis (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Flu shot Bell''s palsy extreme lethargy and weakness for six months
Other Medications: None
Current Illness: Urinary tracy infection one month prior
Preexisting Conditions: My blood pressure high cholesterol ADD
Allergies:
Diagnostic Lab Data: Bloodwork CMP CBC UA CULTURE CT SCAN Low platelets high protein in urine I don''t understand the rest
CDC Split Type:

Write-up: Left side facial droop 20 minutes after Improved within one hour still doesn''t look right six days later. Chest pain and Headache on the drive home still have at 6 days later. Dizziness fever of 104 left arm pain neck pain can''t move my head lather knees buckle out from underneath me. Difficulty breathing facial rash


VAERS ID: 1694848 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-20
Onset:2021-09-07
   Days after vaccination:230
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

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

Write-up: completed series and tested positive for covid


VAERS ID: 1694947 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Montana  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
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: Dose was administered 2 days earlier than allowed on day 15 vs day 21.


VAERS ID: 1694949 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arrhythmia, Computerised tomogram normal, Echocardiogram normal, Extrasystoles, Flushing, Headache, Hypoaesthesia, Magnetic resonance imaging normal, Pain, Pain in extremity, Palpitations, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Tachyarrhythmia terms, nonspecific (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Hypokalaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Arnuity Inhaler; Protonix; Claritin
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: CAT scan; Echo; MRI
CDC Split Type: vsafe

Write-up: About 1 hour after the vaccine, I started to notice numbness in my left arm. The numbness started to increase and spread. The next day, I still had tingling in my arm, headache, and flushing feeling around my face. I contacted my doctor who sent me to the ER. At the ER, they did Cat scan, echo cardiogram, and MRI. Everything came back normal and I was discharged and was told to follow up with a neurologist. Recently, after discharged, I have been experiencing arrythmia (heart beat skipping). I have contacted my doctor and I am waiting for an anwer. I am still having palpitations, headaches, tingling in upper cheek bone and eye area, random shooting pain in my thigh and forearm.


VAERS ID: 1695015 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Aggression, Anal incontinence, Blood glucose normal, Dizziness, Dyskinesia, Hyperhidrosis, Loss of consciousness, Pallor
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dyskinesia (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: At approximately 11:30am, Pt was assisted to chair by RN, pt''s sister and bystander as he became lightheaded after receiving 2nd dose of pfizer covid 19 vaccine. Pt became unconscious, incontinent of bowels and started to have involuntary movements of head and upper torso, no cyanosis, no labored breathing noted during episode that lasted approximately 30 seconds. Pt was turned to left side while pt''s sister supported his head, airway remained patent. Pt regained consciousness after about 30 seconds, was alert and oriented x3 but became combative asking RN "what are you doing" RN alerted colleague to activated code blue protocol, EMS was activated by RN, VS assessed by MA. BP: 121/79, 02:99%RA, RR:22, HR:61, BG: 86, skin pale and diaphoretic. Pt reports last time he ate was last night, denies any hx of seizure, has family hx of DM. Report given to APRN who proceeded to assess mental status and HR. Pt remained alert and oriented until EMS arrival, Pt was assessed by EMS and report was given to paramedics, pt reported "I feel like I''m going to pass out" Pt became unconscious and had involuntary movements of upper and lower extremities and torso and became incontinent of bowels, no cyanosis, labored breathing, airway remained patent, episode lasted about 30 seconds until pt became conscious again, pt was transported by EMS, report and demographic sheet given to paramedics before transport. Pt sister came in to office after pt was discharged from hospital on 9/7/21


VAERS ID: 1695031 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-08-28
Onset:2021-09-07
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Ear pain, Hypoaesthesia, Oropharyngeal pain, Pain in extremity, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

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

Write-up: Symptoms within 7-9 days after injection. Swelling in upper left chest, neck, and clavicle area. Ear and throat soreness only on left side. Aching and numbness in left arm. Decrease in symptoms after 6 days. no treatments or medications.


VAERS ID: 1695044 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New York  
Vaccinated:2021-02-06
Onset:2021-09-07
   Days after vaccination:213
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Myalgia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/10/21 2nd dose02/06/21 Diagnosed covid positive:09/07/21 Symptom onset:09/07/21 Exposure:travel Symptoms:fatigue, muscle aches,HA,congestion.


VAERS ID: 1695049 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: New York  
Vaccinated:2021-01-27
Onset:2021-09-07
   Days after vaccination:223
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Report completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/06/21 2nd dose01/27/21 Diagnosed covid positive:09/07/21 Symptom onset:09/07/21 Exposure:community Symptoms:fatigue, muscle aches, sore throat, HA


VAERS ID: 1695333 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-09-07
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure systolic, Chest pain, Heart rate, Oxygen saturation
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202109; Test Name: Blood pressure systolic; Result Unstructured Data: 107 mmHg; Test Date: 202109; Test Name: Pulse rate; Result Unstructured Data: 60; Test Date: 202109; Test Name: Oxygen saturation; Result Unstructured Data: 99-100
CDC Split Type: USJNJFOC20210921393

Write-up: CHEST PAIN; This spontaneous report received from a consumer concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 07-SEP-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow up to request batch/lot numbers. No concomitant medications were reported. On SEP-2021, Laboratory data included: Blood pressure systolic (NR: not provided) 107 mmHg, Oxygen saturation (NR: not provided) 99-100, and Pulse rate (NR: not provided) 60. On 07-SEP-2021, the patient experienced chest pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chest pain. This report was non-serious.


VAERS ID: 1695473 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-08-26
Onset:2021-09-07
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram, Blood magnesium, Blood test normal, Chest X-ray normal, Computerised tomogram, Computerised tomogram head, Differential white blood cell count, Fibrin D dimer increased, Full blood count, Headache, Hyperhidrosis, Magnetic resonance imaging head, Metabolic function test, Migraine, Muscle spasms, Pain in extremity, Pyrexia, Red blood cell sedimentation rate, SARS-CoV-2 test negative, Scan with contrast, Ultrasound Doppler normal
SMQs:, Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfur drugs
Diagnostic Lab Data: 9/9/2021 - CT of Head, Basic Metabolic Panel, D-Dimer, Quantitative. D-Dimer value 10,540 NG/ML FEU Flag H 9/9/2021-9/10/2021 - CBC and Differential CK, COVID - 19, NAA/PCR Nasopharyngeal Swab, Comprehensive Metabolic Panel, D-dimmer, Quantitative, Gold SST, Lavender Top, Magnesium, Mint Green - Top Tube (PST Gel/Li Hep), US Venous Lower Extremity Bilateral, XR Chest AP Portable, Initiate COVID-19/Flu Symptoms Diagnostic Panel 9/1202021 - CBC and Differential, COVID-19, NAA/PCR Nasopharyngeal Swab, Comprehensive Metabolic Panel, POCT iStat Generic Panel, Sedimentation Rate, Automated, CT Angio Head Neck, CT Head WO IV Contrast, MRV Head. Venom ram WO IV Contrast, Initiate COVID-19/Flu Symptoms Diagnostic Panel
CDC Split Type:

Write-up: 1 trip to physician office due to unmanageable migraine and leg cramping pain on 9/9/21. After doctor visit, doctor called that evening saying that my D-Dimer was too high and to immediately go to the ED. Went to ED that evening. Low fever, sweating, excruciating headache and leg cramping for 3 days. They did ultrasound on legs and chest x-ray for blood clots. Performed a COVID test, more blood work, and administered pain meds through IV. All tests were negative. The excruciating migraine and leg cramping continued for 3 more days. On Sunday, went back to the ED. They did 2 cat scans (1 with contrast), MRI of head, more blood work, another IV, etc. They administered more pain meds and a steroid. Discharged with allergenic reaction to vaccine as the most likely cause.


VAERS ID: 1695513 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Chest pain, Chills, Diarrhoea, Disturbance in attention, Dizziness, Fatigue, Headache, Lymph node pain, Lymphadenopathy, Nausea, Pain, Palpitations, Pruritus, Pyrexia, SARS-CoV-2 test negative, Tinnitus, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pneumovax 23
Other Medications: RIZATRIPTAN PRN MIGRAINE, ALPRAZOLAM 1 TAB QHS PRN SLEEP, ONDANSETRON PRN MIGRAINE, TOPIRAMATE 1 TAB QHS, METOPROLOL 1 TAB QD, BUPROPION 1 TAB BID, ESOMEPROZOLE 1 CAP QD, FLORAJEN PROBIOTIC 1 CAP QD, EMGALITY INJECTION ONCE MONTHLY, MULTIPL
Current Illness: NONE
Preexisting Conditions: MIGRAINE, POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME (POTS), NEUROMA DIGITAL NERVE, SACROILIITIS, MYOPIA,
Allergies: PENICILLINS, BEES, LATEX, METFORMIN, CEFDINIR, ENVIRONMENTAL
Diagnostic Lab Data: My work made me have a covid test due to my symptoms lasting over 48 hours. Covid test was negative.
CDC Split Type:

Write-up: Vaccine given @ 5:20pm, at 5:27pm I started having palpitations and checked my pulse on Watch (read 95). Pharmacist that administered vaccine said that it was most likely due to anxiety (but I didn?t feel that it was) and to go walk around. At approximately 5:30 pm, I became lightheaded and had bilateral ear ringing, my Watch showed my pulse was 50. I had my husband help me to the chair as the pharmacist was busy with customers. I finished sitting for the remaining 5 minutes, checked my pulse which was 74 and my husband and I left. At 5:45pm, I started getting a severe headache followed shortly with mild chest pains and shooting pain down the right arm. Around midnight I woke up with chills, nausea, vomiting, fever of 102.8, fatigue, body aches and still had chest pain and headache. On 9/8/21, my temperature without the use of Tylenol or ibuprofen was averaging 104.8. I continued to have chest pain and headache, body aches, fatigue, trouble concentrating, diarrhea, and then started itching on both arms and on my chest (without noticing a rash). Contacted my PCP?s office for direction and was advised that if symptoms worsened to go to the ER for evaluation. Around 6 pm that evening the lymph glands in my axilla became swollen and painful to the point I couldn?t wear a bra and needed to apply ice packs. On 9/9/21 my fever had reduced to 102 without fever reducing medications and the chest pain lessened but sTill had headache, body aches fatigue.


VAERS ID: 1695747 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Dizziness, Feeling abnormal, Insomnia, Palpitations, Tachyphrenia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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: None
Current Illness: Hashimoto?s Multiple thyroid nodules Vitiligo Recurrent UTIs
Preexisting Conditions: Hashimoto?s Multiple thyroid nodules Vitiligo Recurrent UTIs
Allergies: None
Diagnostic Lab Data: None at this time.
CDC Split Type:

Write-up: At 3 hrs post-injection: Palpitations. At 4 hrs post/injection: dizziness and throat tightness. Took chewable Benadryl 25mg and throat tightness resolved. Since 2 days post-injection to present: anxiety, feeling ?wired?, racing heart, racing thoughts, insomnia.


VAERS ID: 1695843 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-09-06
Onset:2021-09-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Decreased appetite, Dyspnoea, Dyspnoea exertional, Fatigue, Feeling abnormal, Flushing, SARS-CoV-2 test negative, Tachycardia
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: swabbed for covid 10 Sept, negative
CDC Split Type:

Write-up: fatigue, SOB, decreased appetite, not feeling right, increased with exertion and stairs, occasional tachycardia (120''s max), facial flushing lasting 10-15 minutes


VAERS ID: 1696064 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-21
Onset:2021-09-07
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Headache, Herpes zoster, Pain
SMQs:, Guillain-Barre syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ostellar XR, Plaquenil, Hydroxychlorquine, Vitamin D
Current Illness: None
Preexisting Conditions: Epilepsy, Rheumatoid Arthritis and MP
Allergies: Banana, medical dye and latex
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Developed shingles. Felt achy, headache, slight chills and low energy.


VAERS ID: 1696158 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-03-18
Onset:2021-09-07
   Days after vaccination:173
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN 6205 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN 6203 / 2 - / IM

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

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

Write-up: No interview done. DPH was informed that case was tested as positive on 9/7/2021 and was admitted 9/8/2021 to Hospital


VAERS ID: 1696215 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-09-02
Onset:2021-09-07
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939906 / 1 LA / IM

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

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

Write-up: red puffy itchy rash, at injection site, spreading onto the back and down the arm. initial rash stared 5 days after injection and continually spreading since. -Diphenhydramine HCI 25mg 2 tablets every 6 hour to help with itching and swelling.


VAERS ID: 1696220 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-24
Onset:2021-09-07
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram abnormal, Anticoagulant therapy, Dyspnoea, Electrocardiogram ST-T segment abnormal, Pain in extremity, Pulmonary embolism, Ultrasound Doppler normal
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Other ischaemic heart disease (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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: US Venous Doppler (9/9/21); CTA (9/9/21)
CDC Split Type:

Write-up: ED on 9/9/21 with gradual onset SOB. Started w/ left thigh pain 2 days prior to ED visit. CTA positive for large bilateral PE with elevated RV/LV ratio, indicating right heart strain. US negative for DVT of either right or left leg. Concern for VITT. Initially treated with heparin drip, but then switched to argatroban. Later transitioned to apixaban. Discharged 9/13/21.


VAERS ID: 1696283 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-30
Onset:2021-09-07
   Days after vaccination:161
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 - / -

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

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


VAERS ID: 1696339 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-09-02
Onset:2021-09-07
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FAN485 / 1 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 AR / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? 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: COVID 19
CDC Split Type:

Write-up: POSITIVE COVID 5 DAYS AFTER SECOND DOSE


VAERS ID: 1696457 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-12
Onset:2021-09-07
   Days after vaccination:207
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 010M20A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ACETAMINOPHEN, ALBUTEROL-IPRATROPIUM NEB, BROVANA, BUDESONIDE, KEPPRA, LINZESS, SPIRONOLACTONE
Current Illness: UNKNOWN
Preexisting Conditions: COPD, CHRONIC NOCTURNAL HYPOXEMIA, SEIZURE DISORDER, PERIPHERAL EDEMA, IBS, CHRONIC HYPONATREMIA
Allergies: NKA
Diagnostic Lab Data: ABBOTT ID NOW COVID-19 VIRUS MOLECULAR TEST POSITIVE 9/7/21
CDC Split Type:

Write-up: COVID POSITIVE WITH HOSPITALIZATION WHILE FULLY VACCINATED


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