National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

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



Case Details (Reverse Sorted by Onset Date)

This is page 248 out of 5,069

Result pages: prev   149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347   next


VAERS ID: 1406903 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-05-26
Onset:2021-06-03
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Massive swelling Redness Hot at sight Rash Pain in arm Nausea


VAERS ID: 1407611 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcitriol 0.25mcg daily Epogen 3,000 units SQ twice per week Fluoxetine 20mg daily Hydrochlorothiazide 25mg oral BID Dilyvite 1 tablet daily Myfortic 720mg BID Prednisone 5mg daily Envarsus 7mg daily Vitamin D 2,000 IU daily Ferrous Sulfa
Current Illness:
Preexisting Conditions: CKD stage 4 with GFR ~ 13 ml/min
Allergies: Chlorhexidine Demoerol Losartan Oxycodone Penicillin Rituximab Sulfa Vancomycin Versed
Diagnostic Lab Data:
CDC Split Type:

Write-up: angioedema with need for epinephrine and transportation via 911 to local ER. Additional unknown treatment provided at ED


VAERS ID: 1407615 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Fatigue, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2 weeks later I am still experiencing Severe nausea, severe back pain, extreme fatigue


VAERS ID: 1407912 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-24
Onset:2021-06-03
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acne, Emotional distress, Intermenstrual bleeding, Premenstrual syndrome
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Depression (excl suicide and self injury) (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: Hydrochlorothiazide, metoprolol
Current Illness: None
Preexisting Conditions: Mild hypertension
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Emotional disturbance (exceptionally bad PMS), suddenly onset of acne, bright pink spotting in the middle of period. It appears to be a hormonal fluctuation. This patient has never experienced mid-cycle spotting before.


VAERS ID: 1407964 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013A21A / 7+ LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chest pain, Cough, Decreased appetite, Incontinence, Mobility decreased, Pain, Pain in extremity, Pharyngeal swelling, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? 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: NA
CDC Split Type:

Write-up: Approximately 8 hours after receiving vaccine on 6/3/21, pt experienced body aches, weakness, loss of bladder control, vomiting, severe cough, throat swelling, loss of appetite, crushing chest pain, severe arm pain that limited motion, and fever. Also reports weakness so severe that she "could not lift a glass to her lips to drink water." Pt took Tylenol with no resolve. Reports symptoms lasted 7 days. Reported event 6/17/21.


VAERS ID: 1408018 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 RA / IM

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

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

Write-up: Pt explained to have fever, but was unable to tell how high the fever was. Pt does not have a thermometer at home.


VAERS ID: 1408665 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-01
Onset:2021-06-03
   Days after vaccination:63
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Electrocardiogram, Pericarditis
SMQs:, Systemic lupus erythematosus (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 06/03/21 blood test, EKG, Chest XRay
CDC Split Type:

Write-up: Went to the doctor with chest pain. Doctor stated I had pericarditis


VAERS ID: 1409681 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Feeling abnormal, Hyperpyrexia, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (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: EPIPEN 2-PAK; QVAR
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy; Allergy to animal dander; Asthma (on Qvar); COVID-19 (twice this year); Food allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: fever; Result Unstructured Data: Test Result:107 Fahrenheit; Test Date: 20210603; Test Name: fever; Result Unstructured Data: Test Result:100.7 Fahrenheit; Test Date: 20210603; Test Name: fever; Result Unstructured Data: Test Result:100.3 Fahrenheit
CDC Split Type: USPFIZER INC2021650428

Write-up: run a fever of 107F; He also had aches all over; He just feels horrible; This is a spontaneous report from a contactable consumer (patient''s mother). A 13-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 02Jun2021 17:30 (at the age of 13 years old) (Lot Number: EW0217) as single dose for covid-19 immunisation. Medical history included had gotten Covid twice this year; He had allergies to food, dog dander, and fish; Asthma. He had them for years. He had an asthma medication, Qvar. He was an allergy kid and had an epi pen. Concomitant medications included epinephrine (EPIPEN 2-PAK); beclometasone dipropionate (QVAR) ongoing for asthma (They just changed his medication about a year ago. She (mother) didn''t know where it was to give a dosage). No vaccines administered on same date with the Pfizer vaccine considered as suspect. No other vaccinations within four weeks prior to the first administration date of the suspect vaccine. No Family Medical History Relevant to AE(s). The patient received the first dose of the Pfizer-BioNTech COVID-19 Vaccine yesterday, 02Jun2021. Today (03Jun2021) he started to run a fever of 107F and was given Tylenol and went down to 100.3F. He also had aches all over. Caller was asking how high was the normal fever, what can she give to her son and how long would the AE last. He was running a fever and had aches all over. This was his first dose of the Covid vaccine. She asked if that was normal and how high his temperature should go. Aches all over was reported as worsened. The mother called and said he was running a fever. Her daughter just gave him Tylenol and he still had a fever of 100.3. It was a little bit higher. It was like 100.7 and came down to 100.3 (03Jun2021). He just feels horrible. It was Extra Strength Tylenol, lot: SMC200, expiration date: Jun2022. The aches started this morning. The events did not require a visit to Emergency Room and Physician Office. The outcome of the events was not recovered.


VAERS ID: 1409700 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaphylactic reaction, Dyspnoea, Off label use, Pharyngeal swelling, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (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)

Life Threatening? Yes
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: NORDITROPIN; ANASTRAZOLE DENK; OLOPATADINE; XYZAL; ALLE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Food allergy (many foods); Growth hormone decreased
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021654571

Write-up: broke out into hives; throat began to swell; breathing became difficult; anaphylaxis; patient age: 15; This is a spontaneous report from a contactable consumer (patient). A 15-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0217), dose 2 via an unspecified route of administration, administered in left arm on 03Jun2021 14:30 (at 15-year-old) as 2nd dose, single dose for COVID-19 immunization. Medical history included low growth hormone production, and known allergies: many foods. Concomitant medications included somatropin (NORDITROPIN); anastrozole (ANASTRAZOLE DENK); olopatadine; levocetirizine dihydrochloride (XYZAL); diclofenac sodium, heparin sodium (ALLE). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0173), via an unspecified route of administration, administered in left arm on 13May2021 17:30 (at 15-year-old) as 1st dose, single dose for COVID-19 immunization. On 03Jun2021 at 17:30, the patient experienced 3-4 hours after dose, broke out into hives. He took benadryl. Throat began to swell and breathing became difficult. He used epi-pen to stop anaphylaxis. The seriousness criteria of the events was reported as life threatening. The events resulted in doctor or other healthcare professional office/clinic visit. The outcome of the events hives, throat began to swell, breathing became difficult, anaphylaxis was recovering. Since the vaccination, the patient had not been tested for COVID-19.


VAERS ID: 1409705 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Laboratory test, Presyncope
SMQs:, Anticholinergic syndrome (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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 202105; Test Name: Lab test; Result Unstructured Data: Test Result:unknown results; Comments: 3 weeks ago.
CDC Split Type: USPFIZER INC2021658466

Write-up: Nearly passed out; This is a spontaneous report from a contactable consumer (patient) from a Pfizer-sponsored program. A 42-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 intramuscular, administered in right arm at the age of 42-year-old on 03Jun2021 (Batch/Lot Number: ER8736) as single dose for COVID-19 immunisation. Medical history included None. There were no concomitant medications. The patient experienced nearly passed out on 03Jun2021. As reported as follows: Transferring agent stated, "I have the caller on the line. The reason for this transfer is because he nearly passed out after receiving the first Covid vaccine about 2 hours ago and he wants to know if he should take the second vaccination and if this vaccination card that he received from his first vaccination will be valid for him to get the second one." When paraphrased the concern, consumer stated, "Yes that was half of my question. I wanted to consult with my physician but it is a little late in the day today, so I couldn''t get a hold of him after I received it. But I am pretty sure that the second dose probably will not necessarily have this circumstances now, am I correct?" The patient underwent lab tests and procedures which included laboratory test: unknown results in May2021 (3 weeks ago). Not received treatment for the event. The outcome of event was unknown.


VAERS ID: 1409706 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure measurement, Concussion, Fall, Hypotension, Loss of consciousness, Malaise, Muscle twitching, Nystagmus, Pyrexia, Seizure, Tremor, Vital signs measurement
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: blood pressure; Result Unstructured Data: Test Result:low; Test Date: 20210603; Test Name: vital signs; Result Unstructured Data: Test Result:unknown results
CDC Split Type: USPFIZER INC2021658758

Write-up: Fallen unconscious and collapsed; Fell down and she was not conscious/passed out; Had concussion like falling on the ground but it appears like a seizure, that was a immediate thing; Fallen unconscious and collapsed; Fell down and she was not conscious; Had concussion like falling on the ground but it appears like a seizure, that was a immediate thing; Low blood pressure; Fever; Shaking/She was shaking/still moving; She was not feeling well; She is still twitching; Eyes go back; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (mother) reported that a 14-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 03Jun2021 (Batch/Lot number was reported as EW ''O or 0'' 186) at the age of 14-years-old as SINGLE DOSE for covid-19 immunisation. The patient medical history was none. There were no concomitant medications. No family medical history of seizure. The patient previously received the first dose of BNT162B2 on an unknown date at Arm Left for covid-19 immunisation. The reason for the transfer today (03Jun2021) was that her 14 year old daughter immediately after getting her second dose of the COVID vaccine started shaking, experiencing fever and fallen unconscious and collapsed and was taken to the hospital and she wanted to go ahead and report those adverse side effects for her. She (patient) was 14 year old and she got her second vaccination today and few minutes after she got it, she stood up and she said she was not feeling well and then the next thing reporter knew like her eyes go back, she do not seem conscious and she was shaking as if, looks like she was having a seizure and then she fell down and she was not conscious, so she fell down, she is still twitching. She has no history of like seizures but that is like twisting and now she was taken to the hospital. So, the hospital treated her as if she had a concussion. Reporter have reported to them that she looks like it was a seizure before she fell down, into her head. Reporter further stated "That day was her second shot and like I said she stood up, she got up from that, she said that she got funny and that I can see where she just kind of lost consciousness, eyes going back, shaking as if she was having seizures and then she fell down and she was unconscious and she is like still moving as if she is having a seizure and she was taken. Reporter stated, "it was a like a seizure but it is like over and she had concussion like falling on the ground but it appears like a seizure, that was a immediate thing." For treatment, reporter stated that "Any treatment, No. She was taken to the hospital and the hospital needs to write it down and I don''t understand that, the hospital wrote down concussion but the hospital they took the vital signs and she had low blood pressure." For the date when patient went to the hospital, reporter stated "That was today, June 3rd and she is discharged. The reason she was taken was potential seizure and it was concussion and it was after she fell, she passed out and had low blood pressure. The outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1409744 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-20
Onset:2021-06-03
   Days after vaccination:44
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Nucleic acid test, Polymerase chain reaction, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: NAAT test; Test Result: Negative ; Comments: the NAAT test results were negative; Test Date: 20210603; Test Name: PCR test; Test Result: Positive ; Comments: PCR test was picked up late, but results came back positive; Test Date: 20210603; Test Name: COVID-19 virus test; Test Result: Positive
CDC Split Type: USPFIZER INC2021690327

Write-up: positive COVID-19 test with no symptoms; positive COVID-19 test with no symptoms; This is a spontaneous report from a contactable consumer (patients mother) via medical information team. A 17-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: Unknown) via an unspecified route of administration on 20Apr2021 (age at vaccination 17-year-old) as single dose and second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: Unknown) via an unspecified route of administration on 13May2021 (age at vaccination 17-year-old) as single dose for covid-19 immunisation. The patient''s medical history was none, and concomitant medications were not reported. Patient did not receive any other vaccines on same day of covid vaccine. Patient did not receive any other vaccines within 4 weeks prior to covid vaccine. Patient tested positive for Covid 19 on 03Jun2021. Reporter said her daughter has no symptoms and no one in their home was sick. States her daughter has not been around anyone who was sick that they know of. Caller stated she was trying to find out if this was possibly a false positive test and asked was it still possible to get Covid 19 after having both doses of the vaccine. Adverse event not resulted into emergency room visit and physician office visit. The patient underwent lab tests and procedures which included nucleic acid test: negative on 04Jun2021 the nucleic acid amplification test (NAAT) test results were negative, polymerase chain reaction: positive on 03Jun2021, sars-cov-2 test: positive on 03Jun2021. The outcome of event was unknown. Information on the batch/lot number has been requested.


VAERS ID: 1409907 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-27
Onset:2021-06-03
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Hypoaesthesia, Injection site pain, Paraesthesia, Tachycardia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Dehydration (broad)

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

Write-up: Site: Pain at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tachycardia-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)


VAERS ID: 1410003 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-05-17
Onset:2021-06-03
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Echocardiogram normal, Troponin increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: COVID vaccine (Pfizer) on 4/26/2021 and 5/17/2021
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: 6/16 troponin 0.98, 6/17 troponin 1.35, 6/17 evening troponin 0.85 6/17 ECHO- within normal limits
CDC Split Type:

Write-up: Patient admitted to hospital on 6/16/2021. Patient was experiencing chest pain with intermittent shortness of breath for two weeks prior to presenting to emergency department. Troponin on admission 0.98, increased to 1.35 on following day then decreased to 0.85. ECHO was within normal limits. Patient discharged on 6/18/2021 and will have repeat troponin/ECHO in 4 weeks. Patient received Pfizer Covid vaccine on 4/26 and 5/17/2021.


VAERS ID: 1410007 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-21
Onset:2021-06-03
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Confusional state, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Surgery
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient admitted 6/6 for confusion 3 days after surgery. Pre-op COVID neg on 6/2 but pos when re-tested on admission. Treated with abx and steroids. Required supplemental O2. Recovered and upon DC was on RA. DCd home.


VAERS ID: 1410047 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Virginia  
Vaccinated:1973-06-02
Onset:2021-06-03
   Days after vaccination:17533
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray, Chest pain, Cough, Fatigue, Headache, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: depakote, simvastatin, losartin, testosterone, vitamin D, vitamin B, fish oil
Current Illness: had COVID approx 1.5mos prior to vaccination (first week of Feb)
Preexisting Conditions: none
Allergies: penicillin
Diagnostic Lab Data: covid test was done (negative); blood work (normal); chest x-ray (shows congestion); diagnosis was early stages of bronchitis/pneumonia
CDC Split Type:

Write-up: cough, chest pain, headache, tired


VAERS ID: 1410104 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH CVS6788 / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Joint swelling, Pain, Peripheral swelling, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Feet and ankles are swelling, bumps forming on feet. Experiencing pain


VAERS ID: 1410197 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dizziness, Erythema, Joint swelling, Pyrexia, Rash, Skin warm
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: meloxicam tablet (Mobic): 1 tablet once a day if needed for pain - strength unknown paracetamol 500 mg tablet (acetaminophen - Tylenol) - 1 to 3 tablets by mouth daily if needed for pain cyclobenzaprine 5 mg tablet (Flexeril): 1 tablet by
Current Illness: N/A
Preexisting Conditions: -Overweight and/or obesity -Knee/arm injury sustained after accident in November, 2020
Allergies: Neosporin topical (reaction: burning skin)
Diagnostic Lab Data:
CDC Split Type:

Write-up: After receiving the second dose of the Pfizer COVID vaccine on 6/2/2021, the patient reported experiencing increased swelling of her knee for approximately 1.5 weeks. As of 6/17/2021, knee is swollen, red and hot to the touch. She also developed an acneiform rash on her back, feels lightheaded occasionally and had a fever that lasted for 2 days post-vaccination with a maximum of 102 degrees Fahrenheit. Patient reported symptoms during a comprehensive medication management session that is offered as part of her benefits at work. Pharmacist advised the patient to report symptoms to her doctor immediately as it may indicate something more serious such as a DVT or infection. Patient made an appointment with her physician and showed her physical therapist the affected knee.


VAERS ID: 1410257 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test normal, Diarrhoea, Fatigue, Headache, Oedema peripheral, Pain, Pain in extremity, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 175 mcg daily Vit D 2000 IU daily
Current Illness: None
Preexisting Conditions: Hypothyroid
Allergies: None
Diagnostic Lab Data: Blood chemistry (normal) and BNP (55 pg/ml)
CDC Split Type:

Write-up: Headache, body aches, muscle aches, fever, fatigue, starting 24 hour after injection of the mRNA and lasting 2-3 days. Diarrhea on day 3. However, the headache, fatigue and muscle aches lasted 6-7 days. At that point, she began to develop pitting edema in both ankles and legs, this was worst on day 8-9 and is slightly improved, but still noticeable 2 weeks later. Also, left arm soreness for 3 days at the site.


VAERS ID: 1410306 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 RA / IM

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

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

Write-up: Too young to receive dose. Age 11


VAERS ID: 1410362 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-29
Onset:2021-06-03
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Chest pain, Discomfort, Electrocardiogram abnormal, Pleuritic pain, Pyrexia
SMQs:, Peripheral neuropathy (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), Infective pneumonia (broad)

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

Write-up: Vaccinated 5/28 (Friday). Low grade fever resolved next day. Two days (Sunday) later developed discomfort and burning in chest. Thought it was heartburn. Monday his pain began to feel more sharp and pleuritic. Pain mostly mid-chest. Occasional radiation to right upper chest. 6/2 noticed pain more severe when lying flat and improved with leaning forward. Not short of breath but pain is more severe "at the top of inspiration" F/U cardiology clinic note on 6/8 states ECG from 6/3 more consistent with early repolarization. There is a planned ECHO in the future. Very mild case. Hx did say he felt a little ill prior to vaccine Clinically diagnosed with normal troponin, no cardiac MRI, mild ECG changes but with elevated CRP and chest pain


VAERS ID: 1410475 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-01
Onset:2021-06-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain, Appendicectomy, Appendicitis, Fatigue
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cymbalta 30mg 2 in am 1 at pm Gabapentin 400 2 pills 3 times a day diclofenec 75mg one twice a day flexeril 1 tab twice a day
Current Illness:
Preexisting Conditions: fibromyalgia arthritis
Allergies: all antibiotics
Diagnostic Lab Data:
CDC Split Type:

Write-up: abdominal swelling and severe pain extreme fatigue appendicitis with appendectomy perfomed 06/04/2021


VAERS ID: 1410476 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014C21A / 2 LA / IM

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

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

Write-up: no adverse effects. off-label use. patient received Pfizer for first dose, wrong second dose as given Moderna


VAERS ID: 1410479 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014C21A / 1 LA / IM

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

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

Write-up: no adverse event. pt was 14 and received Moderna which is off-label use.


VAERS ID: 1410891 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047C21A / 2 LA / IM

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

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

Write-up: PATIENT REPORTED TEMPERATURE OVER 100 DEGREES CONSISTENTLY STARTING DAY AFTER SECOND DOSE SHOT (6/02/21). DID NOT LOSE TASTE/SMELL. OCCASIONAL HEADACHES. BODY TIRED NEXT DAY AFTER 2ND SHOT. NO SYMPTOMS AT ALL FROM 1ST SHOT. NEVER TESTED POSITIVE FOR COVID.


VAERS ID: 1410940 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Orbital swelling
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamins Nicotine gum Albuterol inhaler
Current Illness:
Preexisting Conditions: alcohol use disorder nicotine dependency
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient developed swelling below left eye, then proceeded to take a mixture of vitamin C and aspirin. Patient was instructed to go to emergency room if symptoms get worse. Also gave 25mg PO.


VAERS ID: 1411293 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest pain, Computerised tomogram, Pain, Pericarditis, Pleuritic pain, X-ray
SMQs:, Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: Multi-vitamins, saw palmetto, fish oil, tumeric
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Xray, blood work, CT scan
CDC Split Type:

Write-up: Acute pleuro-pericarditis, take naproxen and cochicine, still recovering This was my first dose. Took vaccine on June 2, mild pain in chest on June 3, it got a bit better after a day or two. It came back on Sunday with more pain suddenly. Went for a walk and it felt better for the rest of the day and also the next day. On Wednesday is was bad, more painful than sunday, went to PCP. Thursday was the worst day, hurt to move, can''t move in bed and wakes up from pain from moving or rotating in bed. Having chest pain since last week, sharp pain on the left front of chest. Pain worsens when leaning forward. Significant pleuritic pain. Started taking Naproxen and Cochicine and conditions have been much better. Still recovering with very mild pain in the same area now.


VAERS ID: 1412414 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Expired product administered, Poor quality product administered, Product temperature excursion issue
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021649812

Write-up: more about 14 to 16 hours at room temperature and was administered to the patient/received their dose of the Covid Vaccine after the 6 hours had been lapsed; more about 14 to 16 hours at room temperature and was administered to the patient; received their dose of the Covid Vaccine after the 6 hours had been lapsed; This is a spontaneous report from a contactable Nurse. A 40-year-old patient female received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Vaccine Lot Number: ER8735, Expiry Date of Covid Vaccine: Jul2021), at the age of 40-year-old via an unspecified route of administration on 03Jun2021 08: 30 in Arm Left at an 1st dose, 0.3Ml single dose for COVID-19 immunization. The patient''s medical history was none. Concomitant medications were not reported. It was reported that nurse wanted to know the risks associated for administering the Pfizer BioNTech Covid-19 vaccine 14 to 16 hours after dilution. Nurse stated that the diluted vaccines were left in the syringes at room temperature for more about 14 to 16 hours at room temperature and was administered to the patient. Upon follow up on 03Jun2021, the patient received their dose of the Covid Vaccine after the 6 hours had been lapsed from 03Jun2021 08:30. Reporter seriousness for received their dose of the Covid Vaccine after the 6 hours had been lapsed was Medically significant. Reporter seriousness for "patient was supposed to receive Moderna today. Pfizer clinic was held yesterday and the Moderna clinic was today, but they patient received a dose of the Pfizer vaccine today." was not serious. Event relatedness: Covid Vaccine: received their dose of the Covid Vaccine after the 6 hours had been lapsed - Unknown. Covid Vaccine: patient was supposed to receive Moderna today. Pfizer clinic was held yesterday and the Moderna clinic was today, but they patient received a dose of the Pfizer vaccine today. - Unknown. Nurse states this was the patient''s first dose. Nurse states the patient was supposed to receive Moderna today. Nurse states they had a Pfizer clinic yesterday and the Moderna clinic was today, but they patient received a dose of the Pfizer vaccine (from 03Jun2021 08:30). Treatment: None, not noted until after her 15 minutes, no side effects. Seriousness Criteria: Caller states she would say it is Medically Significant to notify the patient and Pfizer, because there is not 100% known about receiving a vaccine that is considered expired. Vaccination Facility Type was Physician Office. History of all previous immunization with the Pfizer vaccine considered as suspect was none. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. No AE(s) require a visit to Emergency Room or Physician Office. Prior Vaccinations (within 4 weeks) was none. AE(s) following prior vaccinations was none. Family Medical History Relevant to AE(s) was none. Relevant tests was none. The outcome of the events was unknown. Information about lot/batch number has been requested. Follow-up (03Jun2021): New information received from a contactable Nurse includes: the patient''s gender, new events (patient was supposed to receive Moderna today. Pfizer clinic was held yesterday and the Moderna clinic was today, but they patient received a dose of the Pfizer vaccine today. received their dose of the Covid Vaccine after the 6 hours had been lapsed) added. Follow up needed, further information has been requested.


VAERS ID: 1412422 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Chest discomfort, Chills, Cough, Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Headache, Heart rate irregular, Hyperhidrosis, Insomnia, Oxygen saturation, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Clot blood (blood clots but not DVT''s); Mast cell activation syndrome (mast cell activation stuff especially near her periods); Ventriculoperitoneal shunt malfunction (she also has a VP shunt)
Allergies:
Diagnostic Lab Data: Test Name: Body Temperature; Result Unstructured Data: Test Result:Abnormal; Comments: Fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6am.; Test Name: Pulse Oximetry; Result Unstructured Data: Test Result:Abnormal; Comments: pulse this morning was 130 on the pulse ox, right now standing her pulse is 150
CDC Split Type: USPFIZER INC2021654813

Write-up: tired; chest heaviness; asthma like cough; shortness of breath; aches; sweating; shivering; feeling like she was "thinking really weirdly" like she was "dreaming but awake" during the night; dizzy; her heart feels really fast and pulse this morning; fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6am; She was up a lot of the night; headache; This is a spontaneous report from a contactable consumer (Patient Mother) reported for a 13-year-old patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 03Jun2021 09:30 (At the age of 13 year) as 2ND DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included, thrombosis (blood clots but not DVT''s), mast cell activation syndrome (mast cell activation stuff especially near her periods), device malfunction, she also has a VP shunt. There were no concomitant medications. The patient previously took first dose of BNT162B2 for COVID-19 immunization. It was reported that Consumer calling on behalf of her 13-year-old daughter, birthday of DOB, who received the second dose of the Pfizer Covid 19 vaccine yesterday at 9:30am. She reports the following side affects her daughter has experienced: headache that started within an hour of getting the vaccine, by lunch she was tired, chest heaviness, an asthma like cough, a little bit of shortness of breath but her pulse ox is 98%, aches started when going to bed last night, sweating, shivering and feeling like she was "thinking really weirdly" like she was "dreaming but awake" during the night, very dizzy, head feels like it has a heart beat in it, her heart feels really fast and pulse this morning was 130 on the pulse ox, right now standing her pulse is 150, fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6am. It was reported that "She was up a lot of the night but did not want to bother us. It was reported that She has a history of "blood clots but not DVT''s, mast cell activation stuff especially near her periods and she also have a VP shunt. Reporter want to know Is this an allergic reaction or could it be. Post Covid vaccine is anyone reporting pericarditis or chest heaviness, when would pericarditis occur. The patient underwent lab tests and procedures which included body temperature: abnormal Fever at 6am this morning 101.2. Now down to 99.7 after taking tylenol at 6 am, oxygen saturation: abnormal pulse this morning was 130 on the pulse ox, right now standing her pulse is 150. The outcome of events was unknown.


VAERS ID: 1412428 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-22
Onset:2021-06-03
   Days after vaccination:73
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Dyskinesia, Eyelid function disorder, Hypoaesthesia, Hypoaesthesia oral
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021655051

Write-up: Eyelid won''t close all the way and left side of mouth is numb/not moving. Possibly Bell''s Palsy; Eyelid won''t close all the way and left side of mouth is numb/not moving. Possibly Bell''s Palsy; Eyelid won''t close all the way and left side of mouth is numb/not moving. Possibly Bell''s Palsy; Eyelid won''t close all the way and left side of mouth is numb/not moving. Possibly Bell''s Palsy; Eyelid won''t close all the way and left side of mouth is numb/not moving. Possibly Bell''s Palsy; This is a spontaneous report from a contactable consumer (patient). A 29-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on 22Mar2021 (Batch/Lot Number: EW0161) at the age of 29 years old, as 2ND DOSE,SINGLE for covid-19 immunisation. Patient received the first dose on 22Mar2021 at the age of 29 years old (lot number: ER8730). The patient medical history was not reported. Concomitant medications included minerals nos, vitamins nos (PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]) and sunflower lecithin. The patient experienced mild facial numbness on the left side. Eyelid won''t close all the way and left side of mouth is numb/not moving. Possibly Bell''s Palsy on 03Jun2021 13:30. Ae resulted in: [Doctor or other healthcare professional office/clinic visit]. Outcome of events was Not recovered.


VAERS ID: 1412463 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH BW0182 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Choking, Cough, Fatigue, Muscular weakness, Paranasal sinus hypersecretion, Productive cough
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021658343

Write-up: choking on phlegm; phlegm; Coughing; Serious sinus drainage; Fatigue; could not hold food down; This is a spontaneous report from a contactable consumer. This 21-year-old female consumer (patient) reported for herself: Product detail: product=COVID 19, brand=Phizer Start Date/Time: [Phizer] 2Jun2021 03:30 PM Lot number=Bw0182 Lot unknown=False Dose number=1, Vaccine location=Left arm Did the patient receive any other vaccines within 4 weeks prior to the COVID vaccine: No Reported Event: Serious sinus drainage, coughing, fatigue (if I do fall asleep I will wake up choking on flem) can''t hold food down Prior to vaccination Since the vaccination, has the patient been tested for COVID-19?:No Device Date : 05Jun2021 If patient recovered: Not recovered If treatment AE: No If covid prior vaccination: Unknown If covid tested post vaccination: No No follow-up attempts are needed. No further information is expected.


VAERS ID: 1412509 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-06-03
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: Covid test; Result Unstructured Data: Test Result:positive; Comments: Positive
CDC Split Type: USPFIZER INC2021665311

Write-up: I tested positive for Covid; I tested positive for Covid; This is a spontaneous report received from a contactable consumer (patient). A patient of unspecified age and gender received second dose and first dose of BNT162B2 on unspecified date approx 6 months prior to the time of report at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. Yesterday (03Jun2021) patient tested positive for Covid, patient had many symptoms. Fever, chills, sore throat, headache, fatigue, runny nose and cough. The doctors patient have seen say they have never seen a case like mine before. Patient would like to be tested by you to figure out why I am having breakthrough symptoms. Patient have no underlying conditions. The outcome of the event was unknown. Information about lot/batch number has been requested.


VAERS ID: 1412519 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Epistaxis, Headache
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Diabetes (verbatim: endocrine abnormalities (including diabetes) and obesity); Diabetic (Verbatim: Diabetic)
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy (verbatim: she took the shot because of her allergies.); Endocrine disorder (verbatim: endocrine abnormalities (including diabetes) and obesity); Gene mutation; Hepatic disease; Immunocompromised; Swelling arm (verbatim: Her arm swelled up 3 times)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021679021

Write-up: Major nosebleed; Headache; This is a spontaneous report received from a contactable consumer or other non-health care professional (patient reported for herself). A 76-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot/Batch number: unknown, Expiration Date: unknown), via an unspecified route of administered in Arm Left on 03Jun2021 08:00 (at the age of 46-years-old) as 1st dose, single dose for covid-19 immunisation. Medical history included ongoing diabetes mellitus Verbatim: Diabetic (She takes medication.Caller stated she probably was diagnosed 25 years ago. It''s been a while), allergy (she took the shot because of her allergies), peripheral swelling (Her arm swelled up 3 times), compromised immune status, respiratory illness, genetic, chromosomal abnormalities, Endocrine abnormalities (endocrine abnormalities, including diabetes and obesity) from an unknown date and unknown if ongoing verbatim. The patient concomitant medications were not reported. The patient previously took epinephrine and experienced drug hypersensitivity. smallpox vaccine, vaccination Date: 1969. Her daughter was getting her smallpox vaccination at the same time. The caller had never had a smallpox vaccination. They decided to give it to her and her daughter at the same time. Her arm swelled all up again to the point her daughter took her to the emergency room. patient took Tetanus vaccine in 1996 and experienced allergy to vaccine, they told the caller she was allergic to the tetanus. She now wears a bracelet. Hopefully no one will give her a tetanus shot. Provide other relevant medical history including but not limited to these conditions: diagnosed allergies, compromised immune status, respiratory illness, genetic chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity. Caller stated she probably was diagnosed 25 years ago. Caller stated she does take diabetic medication. Vaccination Facility Type caller stated the clinic is connected to the hospital. No additional vaccines administered on same date of the Pfizer suspect. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Reporter stated, She had her first shot. She was advised to be near a hospital when she took the shot because of her allergic to the Epinephrine. she took the shot there. On 03Jun2021, patient experienced headache. she didn''t had a headache before the shot. By noon, she was felt this headache. Caller stated she still has a little bit of it right above her left eye. the headache didn''t go away with the Tylenol. The Tylenol doesn''t seem to help much. She had to go buy some Tylenol. She had a major nosebleed on 05Jun2021 14:35 Saturday. Her headache kept getting worse. Reporter stated she did go to the physician office to get the packing removed from her nose. She went to the Emergency Room on Saturday. They had to cauterize her nose and packed it. She had no idea if it was from the shot or if the shot contributed to it. She hasn''t had a nosebleed like that in years. It has been a long time since she had a bad nosebleed. She just wanted to let Pfizer know what''s going on with her because it may help someone else. Her daughter was in healthcare and said caller should call and let Pfizer know. What good was it going to do to continue with the report. Reporter stated she still has a little bit headache on right above her left eye. It''s not quite as bad as it was. It''s there. She can tell it''s there. Reporter stated she has no idea about dose. Caller stated she was not hospitalized. The outcome of the event major nosebleed was reported as recovered on 08Jun2021 and the headache was recovering. Description of complaint: Caller was reporting an AE to the Pfizer Covid Shot. Caller reports taking Tylenol for a headache and the headache did not go away. Caller reports the Tylenol doesn''t seem to help much. Product strength and count size dispensed: Caller confirmed that it is 500 mg of Acetaminophen. She only took 2 like the instructions tell you. Count size is 60 tablets in the bottle. Packaging sealed and intact: absolutely. Information on the lot/batch number has been requested.


VAERS ID: 1412808 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Fatigue, Feeling of body temperature change, Headache, Pyrexia, Sleep disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Waking up in the middle of night with terrible fiver (feeling extremely cold while in reality burning up). Headaches. Fatigue.


VAERS ID: 1412929 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Feeling abnormal, Headache, Hypertension, Muscle twitching, Nervousness, Pain in extremity, Sleep disorder
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Hypertension (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu shot, got the flu (25 years ago or so), don''t get them anymore
Other Medications: Atenolol; lisinopril
Current Illness: No
Preexisting Conditions: Just high blood pressure
Allergies: No
Diagnostic Lab Data: CAT scan without the dye (to make sure I wasn''t having a stroke) something in my brain, white brain matter; blood tests. Slightly elevated white blood count and just a bit below normal on the red cell count and neutrophil absolute was high; X-Ray of chest single view, normal.
CDC Split Type: vsafe

Write-up: Arm pain the first week. Then on the eighth day, I had twitching (whole body) like I was having a seizure but it wasn''t. It only happens when I lay down. Then I had a headache, maybe a little that first week after, but when the twitching the headache got worse. When the twitching was severe it was every couple of minutes. The headache could be associated with other problems. I wasn''t sleeping. The headache gets worse at night time. If I lay on the left side where the headache is on it gets way worse. Then my hip hurts if I lay on other side because I had hip replacement. My blood pressure got so high, went up to 212/110. I went by ambulance to ER. At one point, 240 over 110 (the ambulance guy told me it got up that high). But then at hospital it was back down to 212/110. I had been taking my blood pressure was not going down and that''s why I called. I got to the hospital and they took all types of tests and blood and x-ray of my chest. Then they gave me one shot in the IV of Ativan. That helped a lot. It stopped the twitching for 24 hours. But now the twitching is back but it''s less often. The next day after the hospital I slept all day and didn''t twitch. Just last night I couldn''t sleep at all. Not just the twitching but I was just restless. I have a headache today, too, and have been in bed all day. I''m trying to stay calm because I don''t want the blood pressure to go up. No new meds after the hospital. I still feel pretty bad and will see my doctor on Monday follow up. I''m nervous to take blood pressure reading, trying not to take it.


VAERS ID: 1412941 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Cough, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Fibrin D dimer normal, Headache, Hypertension, Laboratory test, Paraesthesia, SARS-CoV-2 test negative, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Topimax 250mg 2x a day ativan 3mg 3x a day
Current Illness: none
Preexisting Conditions: cardio myopathy factor 5 leiden
Allergies: diladed ct contrast
Diagnostic Lab Data: Urgent Care on 6/5 told all my symptoms checked for covid and strep did chest xray all negative Primary dr on 6/8 checked for blood clots d-dimer negative cardiologist called in sed rate and another lab over phone both came back fine telenurse on 6/13 they advised me to call ambulance or ride to ER bc of chest pain and shortness of breath went to urgent care instead urgent care said i should got to ER bc HR was elevated and also blood pressure they said heart needed further evaluation 6/13 went to er BP was elevated and ekg was abnormal they sent me home 6/16 cardiologist apt 6/17 echo waiting on results
CDC Split Type:

Write-up: Shortness of breath, cough, stabbing chest pain, tingling in fingers in toes started on june 3 about 28 hours after shot symptoms have progressively gotten worse high blood pressure and headaches also


VAERS ID: 1412942 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Headache
SMQs:, Anaphylactic reaction (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: Morphine
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Constant chest heaviness and headaches since the second dose given.


VAERS ID: 1413065 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-03-20
Onset:2021-06-03
   Days after vaccination:75
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Anion gap decreased, Aspartate aminotransferase normal, Basophil count normal, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Carbon dioxide decreased, Eosinophil count, Full blood count, Glomerular filtration rate decreased, Haematocrit normal, Haemoglobin normal, Lymphocyte count, Mean cell haemoglobin normal, Mean cell volume, Mean cell volume normal, Metabolic function test, Monocyte count, Neutrophil count, Pain in extremity, Platelet count normal, Protein total normal, Red blood cell count normal, Red cell distribution width normal, Thrombosis, Ultrasound Doppler, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Chronic kidney disease (broad), Tumour lysis 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SPIRONOLACTONE LISINOPRIL ROSUVASTATIN UBIQUINOL
Current Illness: NONE
Preexisting Conditions: HIGH BLOOD PRESSURE ELEVATED CHOLESTEROL
Allergies: SULFA (SULFONAMIDE ANTIBIOTICS) PENICILLINS
Diagnostic Lab Data: DUPLEX DOPPLER ULTRASOUND OF THE RIGHT LOWER EXTREMITY LEG VEINS; 6/8/2021 6:03 PM - There is nonocclusive thrombus present within the right popliteal vein. There is occlusive thrombus present within the proximal to distal right peroneal veins and right mid to distal posterior tibial veins. The anterior tibial veins are patent. COMP. METABOLIC PANEL: SODIUM 137 MEQ/L POTASSIUM 4.0 MEQ/L CHLORIDE 105 MEQ/L CARBON DIOXIDE 22 MEQ/L ANION GAP 10 GLUCOSE 100 mg/dL BUN 18 mg/dL CREATININE 0.74 mg/dL CALCIUM 9.5 mg/dL TOTAL PROTEIN 6.8 G/DL ALBUMIN 4.1 G/DL BILIRUBIN,TOTAL 0.6 mg/dL AST 13 U/L ALK PHOS 63 U/L ALT 13 U/L GFR -- above 60 ML/MIN CBC/PLT/DIFF: WBC 9.7 K/uL RBC 5.43 10*6 HEMOGLOBIN 16.9 GM/DL HEMATOCRIT 50 % MCV 92 MCH 31 MCHC 34 % RDW 13.5 PLATELET COUNT 263 10*3 Neutrophils, Absolute 5.9 K/uL Lymphocytes, Absolute 2.3 K/uL MONOCYTES, ABSOLUTE 1.0 K/uL Eosinophils, Absolute 0.5 K/ul Basophils, Absolute 0.0 K/uL
CDC Split Type:

Write-up: PAIN IN LOWER RIGHT LEG (STARTED 6/03/2021) CLOTS FOUND VIA ULTRASOUND SCAN (6/08/2021) LOVENOX INJECTIONS FOR 7 DAYS (120MG SUBCU) ELLIQUIS RECOMMENDED FOR 3-6 MONTHS (5MG 2X/DAY ) CURRENTLY STILL UNDER TREATMENT AS OF 6/19/2021


VAERS ID: 1413127 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-02-05
Onset:2021-06-03
   Days after vaccination:118
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1283 / UNK - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2
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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lot Pfizer EL1283 Covid 19 positive. Currently at hospital.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Both wife and husband have Covid 19 after Vaccine at fairgournds


VAERS ID: 1413253 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-14
Onset:2021-06-03
   Days after vaccination:50
Submitted: 0000-00-00
Entered: 2021-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis
SMQs:

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

Write-up: Appendicitis, Appendoctomy


VAERS ID: 1414507 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Menstrual disorder, Weight decreased
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (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: Sudafed, Zyrtec
Current Illness: NA
Preexisting Conditions: Allergies
Allergies: MI
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extreme fatigue leading to a loss of 10 lbs in less than three weeks, Late menstrual period by 7 days(starting yesterday), exceptional pain and abnormally heavy menstrual flow. Celibate.


VAERS ID: 1414615 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-01
Onset:2021-06-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Deafness, Ear discomfort, Tinnitus
SMQs:, Hearing impairment (narrow)

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

Write-up: Hearing loss, fullness in ears, tinnitus


VAERS ID: 1414668 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-01
Onset:2021-06-03
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Hypersensitivity (broad), Respiratory failure (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: Acute respiratory failure


VAERS ID: 1414987 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, Chills, Decreased appetite, Dizziness, Feeling cold, Headache, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular 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: Vitamin E, Vitamin D, Biotin and baby Aspirin
Current Illness: Had Covid in December a moderate case
Preexisting Conditions: Osteoarthritis
Allergies: Sulfa
Diagnostic Lab Data: None
CDC Split Type:

Write-up: about 12 hours after first dose of vaccine developed a headache with chilling. Could not get warm and headache increased my temp was orally 101.6. Dizzyness also appeared. Started drinking lots of water , took Ibuprofen 600mg. My whole body started aching, loss of appetite. Did not eat that day. Next day aches where gone temp low grade. Appetite started to reappear. I am scared to get the second shot.


VAERS ID: 1415104 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1415160 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1415258 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1415262 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1415364 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-06-01
Onset:2021-06-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047B21A / 2 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Full blood count, Laboratory test, Metabolic function test, Pain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Rheumatoid Arthritis and Lupus
Allergies:
Diagnostic Lab Data: CBC, CMP and other test on 6/3/2021
CDC Split Type:

Write-up: Patient had syncopal episode and had c/o severe pain from head to toe. Facility staff called 911 and she was taken to local ED.


VAERS ID: 1416529 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-30
Onset:2021-06-03
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Dyspnoea, Oropharyngeal pain, Oxygen saturation, Oxygen saturation decreased, Tachycardia, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (broad), Infective pneumonia (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: CROMOLIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (If covid prior vaccination: Yes); Rhinorrhea; Seasonal allergy (with Rhinorrhea and sneezing); Sneezing
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: SPO2; Result Unstructured Data: Test Result:92/94
CDC Split Type: USPFIZER INC2021665112

Write-up: expiratory wheezing and coughs; my spo2 was 92/94; expiratory wheezing and coughs; throat ache; shortness of breath; tachycardia; This is a spontaneous report from a contactable consumer. A 39 year old female consumer (patient) reported that received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number ew0185), in the right arm on 30May2021 at 12:30 (at the age of 39-years-old) at single dose for COVID-19 immunization. The patient was not pregnant. patient''s history included seasonal allergy with rhinorrhea and sneezing. Prior to vaccination, the patient was diagnosed with COVID-19. Concomitant drugs included cromolyn sodium nasal spray. The patient reported on 03Jun2021 throat ache started after vaccine, then she woke up midnight with shortness of breath and tachycardia. She had expiratory wheezing and coughs. The next night the same thing happened and this time wheezing was pronounced and her husband could easily hear it. She was not asthmatic. She had to use cromolyn, psedoephedrine, fluticasone to reduce the symptoms. Her SPO2 was 92/94 and her husband 98. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was unknown.


VAERS ID: 1416741 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1416763 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1417355 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1417363 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1417893 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1417897 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 RL / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1417989 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418043 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418063 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-16
Onset:2021-06-03
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / SYR

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

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: Doxepin hcl 25 mg Tizanidine 4 mg Meloxicam 7.5mg Pantpparazoe sod 40 mg Montelukast 10mg Oxcarbazepine 300 mg Allegra Tylenol pm
Current Illness:
Preexisting Conditions: Seizures Migraine
Allergies: Dust Corn Fake sugars
Diagnostic Lab Data:
CDC Split Type:

Write-up: I had two periods less then a week apart when I had never had in 4 years


VAERS ID: 1418074 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418128 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-14
Onset:2021-06-03
   Days after vaccination:50
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Heart rate increased, Laboratory test normal, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flurinef, Pepcid mvi calcium vitamin D,
Current Illness: None
Preexisting Conditions: Mild asthma
Allergies: 0
Diagnostic Lab Data: Chemistry normal
CDC Split Type:

Write-up: Fast and bounding HR As high as 144 at rest. Can feel bounding on chest


VAERS ID: 1418146 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-06-01
Onset:2021-06-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site discolouration, Injection site erythema, Injection site inflammation, Injection site pain, Injection site reaction, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Venlafaxine 150mg, bupropion 150mg, atrovastatin 10MG, Lisinopril 10MG
Current Illness: none.
Preexisting Conditions: Hypertension, Depression
Allergies: none.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Day after shot, noticed injection site was inflamed only under bandaid cotton. Same day removed bandaid to shower, hot water on injection site hurt alot. The follow week the skin at injection site followed sunburn like effects. Small amount of boiling, less them 1cm in size, hurt to touch, then lesseded. Skin then peeled/flaked at injection site. 3 weeks after, site still dark in color. no peeling, or pain.


VAERS ID: 1418639 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418642 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418796 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Dizziness, Seizure, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: Patient reported feeling faint as soon as she was injected then she fainted in the chair she was sitting in. Seconds later she had a seizure lasting approx. 7 to 10 seconds. When she woke up she said she''S had seizures before ?but not for a while?. She also said she hadn?t eaten that day. She rested in our facility''s Clinic until she felt well enough to go home. In the Clinic she was given some glucose tablets and water and the NP checked her blood pressure. The patient consulted with her doctor by phone . When I spoke with the patient on 6/4/21 she had plans to see her doctor and possibly be referred to a neurologist.


VAERS ID: 1419896 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Colitis, Dehydration, Diarrhoea, Fatigue, Gastrointestinal haemorrhage, Loss of consciousness, Nausea, Pain, Pyrexia, Thrombosis, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal haemorrhage (narrow), Thrombophlebitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SPIRONOLACTONE; IRBESARTAN; BUSPAR; MILK THISTLE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to antibiotic; Anxiety; Asthma; COVID-19; Hypertension; Seasonal allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021664232

Write-up: Nearly passed out twice; Passing blood clots; GI bleed; Severe body aches; Fatigue; Abdominal pain; Nausea; Vomiting; Fever; Diarrhea; Dehydration; Colitis; This is a spontaneous report from a contactable Nurse (patient) reported for herself. A 42-year-old female patient (not Pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) at 42-year-old, dose 2 via an unspecified route of administration, administered in Arm Left on 03Jun2021 06:30 PM (Lot Number: EW0179) as dose 2, single for covid-19 immunisation in Clinic. Medical history included hypertension, anxiety, seasonal allergy, asthma, Known allergies to Cephalosporin. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Concomitant medications received within 2 weeks included spironolactone; irbesartan; buspirone hydrochloride (BUSPAR); silybum marianum (MILK THISTLE), all taken for an unspecified indication, start and stop date were not reported. the patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously took miralax and experienced Allergy, lisinopril and experienced Allergy, venlafaxine and experienced Allergy, patient previously took first dose of BNT162B2 (Brand: Pfizer, Lot number: EW0177) into left arm on 13May2021 06:30 PM at 42 years old for COVID-19 immunization. Patient experienced Severe body aches, fatigue, abdominal pain, nausea/vomiting, fever, nearly passed out twice, diarrhea followed by passing blood clots, dehydration, treated in ER twice. Once for dehydration, second for colitis with GI bleed. Event Start Date was 03Jun2021 09:00 PM. the adverse event result in Emergency room/department or urgent care. treatment received for the adverse event included IV fluids, antibiotics, and antiemetic. Outcome of the events was recovering. Information on Lot/Batch number was available. Additional information has been requested.; Sender''s Comments: The limited information provided in this report does not allow a full assessment of the case, however, a possible contributory role of the suspect drug to the reported events "Nearly passed out twice, Passing blood clots and GI bleed" cannot be completely excluded based on temporal association. This case will be re-assessed when additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identifies as part of this review, as well as any appropriate action in response, will be promptly notifies to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1420155 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1420240 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Error: Improper Storage (temperature)


VAERS ID: 1420278 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1420368 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO180 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast engorgement, Lactation disorder
SMQs:, Functional lactation disorders (narrow), Normal pregnancy conditions and outcomes (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: Probiotics
Current Illness:
Preexisting Conditions:
Allergies: Codeine, Demerol
Diagnostic Lab Data:
CDC Split Type:

Write-up: I had recently weaned from breastfeeding and had not had milk for approximately 3 weeks. After the first dose of Pfizer I experienced relactation. My milk came in as if I had just given birth. I was engorged for 5 days before it subsided.


VAERS ID: 1420373 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Hyperhidrosis, Nausea, Pain, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Compazene, C-Clor
Diagnostic Lab Data:
CDC Split Type:

Write-up: At approximately 2:30AM on 6/3, onset of high fever (101+), body aches, chills/sweating, arm pain, nausea, fatigue. This continued for approximately the next 30 hours; at 30 hours, fever reduced to just below 100 (took Advil/Tylenol every 4 hours during the entire course of issues). Most symptoms subsided or were minimal by 6/5. Weeks later however, I am still feeling extremely fatigued (the slightest exertion causes exhaustion - which prior to the vaccine I did not seem to have).


VAERS ID: 1420715 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-01
Onset:2021-06-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, Chills, Dyspnoea, Lymphadenitis, Myocarditis, Pain, Pulmonary fibrosis, Pulmonary oedema, Pyrexia, Weight increased
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Fluid accumulation in lungs, shortness of breath, pressure on chest, weight gain, fever, body aches, chills, lymphs had inflammation, markings on lungs, increase in myocarditis.


VAERS ID: 1421052 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421101 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421198 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-24
Onset:2021-06-03
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 177 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Discomfort, Disturbance in attention, Dizziness, Head discomfort, Headache
SMQs:, Anticholinergic syndrome (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: dizziness, headache, heaviness at back of head and neck, difficulty concentrating


VAERS ID: 1421216 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421387 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-26
Onset:2021-06-03
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / 1 LA / IM

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

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

Write-up: Patient had her first dose of Moderna on 5/26/21. Per patient, about 8 days later, she developed rash on on her arm and went to see doctor for it. Prescriber wrote her prescriptions for antibiotics but she doesn''t remember what they were. It was at a clinic. Symptoms resolved and she has no issues now. Per patient, prescriber told her to let pharmacy know. She let us know today 6/23/21 when she came in for her 2nd dose. Reaction was after her first dose of Moderna. She went to see doctor on 6/3/21.


VAERS ID: 1421397 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Cough, Headache, Oropharyngeal pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Headache, sore throat, mild fever, cough, and weakness.


VAERS ID: 1421423 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421534 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-17
Onset:2021-06-03
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin, Progesterone, Ultrasound scan
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (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: Vaccinated at 4-5 weeks pregnant. At 8-9 weeks, found that fetus had stopped growing and no heartbeat developed. Two ultrasounds were performed at 1 week apart, and both times, fetus measured 6 weeks 5 days with no heartbeat. Secondary yolk
Current Illness: None
Preexisting Conditions: Interstitial cystitis Chronic flexor and patellar tendonitis Major depressive disorder Anxiety disorder Migraine
Allergies: Olives/olive oil (anaphylaxis) Tetracycline class antibiotics (anaphylaxis) Nitrile (skin rash)
Diagnostic Lab Data: 6/1 Blood draw for Progesterone and HCG; levels low 6/3 diagnostic ultrasound 6/10 diagnostic ultrasound 6/22 blood draw for Progesterone and HCG
CDC Split Type:

Write-up: History: live births in 2008 and 2017. Abortion in 2016 using misoprostol. Miscarriage 12/20 at 6-7 wks. Received dose 2 around 4-5 weeks of pregnancy. At 6 wk 5 days, growth of growth of fetus stopped, as determined by ultrasound at what should have been 9 weeks (6/3). No heartbeat was ever detected. Yolk sac was determined to be enlarged and thin-walled, and blood tests showed a low progesterone level. Started daily Rx progesterone but on 6/5, spotting occurred and RX was discontinued. Spotting continued for one week on and off, with no heavier bleeding. Second ultrasound on 6/10 showed no change. On 6/13, miscarriage of gestational sac and fetal tissue occurred. Bleeding continued for about one week.


VAERS ID: 1421582 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fatigue, Head discomfort, Headache, Heart rate increased, Loss of consciousness, Pain, Pyrexia
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control Pill Drosprienine 3mg 1x daily Myroisan 2x daily 40mg
Current Illness:
Preexisting Conditions:
Allergies: Ziperlomax
Diagnostic Lab Data:
CDC Split Type:

Write-up: That evening patient stated that she was having body aches and chills. Patient passed out. Patient had fever. 911 was called. When patient stood up her heartrate increased. Headache was constant for nine days. Head felt funny. Patient experienced a high level of fatigue.


VAERS ID: 1421759 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Rash, Rash erythematous, Skin discolouration, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: red rash spreading down the arm then a dark welt for 24 hrs patient took Benadryl and symptoms lessened after 24hrs leaving dark skin patch wher welt had been


VAERS ID: 1421775 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood glucose abnormal
SMQs:, Hyperglycaemia/new onset diabetes mellitus (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: FLU
Other Medications:
Current Illness:
Preexisting Conditions: DIABETES
Allergies:
Diagnostic Lab Data:
CDC Split Type: 7181575

Write-up: PATIENT REQUESTED PHARMACIST CONSULTATION ON 06/23/2021 FOR BLOOD SUGAR IRREGULARITES. HE STATED DURING THE CONSULTATION THAT THE IRREGULARITES STARTED ON 06/03/2021 AFTER THE ADMINSTRATION OF THE PFIZER VACCINE FOR COVID-19. PATIENT STATES THAT HIS BLOOD GLUCOSE HAS REMAINED UNDER CONTROL FOR THE PAST FEW YEARS WITH DIET AND EXERCISE ONLY. AS OF 06/03/2021 THE PATIENT BLOOD GLUCOSE LEVELS HAVE BECOME EXTREMELY ERRACTIC. PATIENT STATES THAT HIS AVERAGE BLOOD GLUCOSE LEVELS ARE NOW WELL OVER 200. AFTER REVIEW OF THE PATIENTS PROFILE, WE HAVE CONFIRMED THAT THE PATIENT DID RECEIVE HIS SECOND DOSE OF THE PFIZER COVID VACCINATION ON 06/02/2021. PATIENT WAS ADVISE TO FOLLOW UP WITH MD FOR FURTHER EVALUATION. THE PATIENT WAS ALSO ADVISED TO FILL OUT V-SAFE REPORT.


VAERS ID: 1422089 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422337 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422343 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422543 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422772 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422851 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-06-01
Onset:2021-06-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 9W0187 / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nexium 40mg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Diagnosed at Urgent Care
CDC Split Type:

Write-up: Shingles


VAERS ID: 1423296 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-14
Onset:2021-06-03
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Bladder disorder, Computerised tomogram abdomen, Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Constipation, Decreased appetite, Faecaloma, Hypercalcaemia, Nausea, Nephrolithiasis, Osteolysis, Proctitis, Prostatomegaly, Pulmonary mass, Renal cancer metastatic, Weight decreased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Non-haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ascorbic acid (VITAMIN C) 500 MG Oral tablet lisinopriL 5 MG Oral tablet 30 tablet 0 senna-docusate 8.6-50 mg Oral per tablet 30 tablet tamsulosin 0.4 mg Oral 24 hr capsule
Current Illness: pt was dx with a bladder tumor 3/19, underwent TURP with bladder biopsy and fulguration and cyctoscopy on 5/19/21. Prostate bx reveals benign nodular hyperplasia, bladder bx revealed urothelial dysplasia felt to be pre neoplastic. Urine Cytology from 4/14/21 negative for high grade urothelial cardinoma
Preexisting Conditions: BPH, tobacco use, HTN
Allergies: none
Diagnostic Lab Data: CT abd/pelvis:IMPRESSION: 1. Multiple osteolytic osseous lesions as described above, suspicious for metastatic disease. 2. Isodense renal mass in the left kidney, highly suspicious for renal cell carcinoma which may represent the primary malignancy. There is regional adenopathy. Hepatic assessment is limited due to lack of contrast. 3. Small bilateral nonobstructing renal calculi and/or arterial calcifications. No hydronephrosis. Nonspecific bilateral perinephric stranding is present. 4. Low-density right adrenal mass, most likely adrenal adenoma. 5. Large amount of rectal fecal stool which may represent fecal impaction with mild stercoral proctitis. No evidence of colonic or small bowel obstruction otherwise. 6. Abnormal bladder as described above. 7. Mildly enlarged prostate. 8. Multiple bilateral lung nodules suspicious for pulmonary metastases. ct chest:IMPRESSION: 1. Multiple pulmonary metastases. with probable primary malignancy in the left kidney. 2. Limited mediastinal hilar lymph node assessment due to lack of IV contrast. 3. At least 1 osteolytic/metastatic lesion in the left 6 rib
CDC Split Type:

Write-up: Pt was hospitalized from 6/3-6/7 for severe hypercalcemia and diagnosed with diffuse metastatic renal cell cancer. He received his J and J vaccine on 5/14/21 and reported "everything went to downhill" with development of nausea, constipation, weight loss, weakness, poor appetite resulting in hospitalization with new severe hypercalcemia and acute functional decline and dx with metastatic renal cell cancer. pt was dx with a bladder tumor 3/19, underwent TURP with bladder biopsy and fulguration and cyctoscopy on 5/19/21. Prostate bx reveals benign nodular hyperplasia, bladder bx revealed urothelial dysplasia felt to be pre neoplastic. Urine Cytology from 4/14/21 negative for high grade urothelial cardinoma. with pamidronate treatment, lasix and ivf and calcitonin his hypercalcemia improved and he was discharged to follow up with oncology and urology as out pt. He has since been readmitted on 6/22/21 with recurrent hypercalcemia and progressive decline. biopsy with I.R. of left renal mass confirmed RCC, biopsy of LN was non-diagnostic. per urology: Given the small size of the renal mass, it would be surprising if this was truly metastatic RCC, this could be metastatic urothelial carcinoma given his history of high grade T1 disease, although the primary site and the urinary tract has presumably been eradicated of disease, metastatic disease prior to initial tumor eradication in the bladder remains a possibility.


VAERS ID: 1423311 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1423333 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1423381 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1423501 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1423538 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-11
Onset:2021-06-03
   Days after vaccination:84
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024M20A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Angina pectoris, Catheterisation cardiac, Chest discomfort, Chest pain, Electrocardiogram, Laboratory test, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: montelukast sodium 10 mg; pantoprazole 40 mg 2 day; magnesium 1000 mg; levothyroxine 112 mg 1 time daily, metoprolol succ er 50 mg 1xdaily; fluticasone nasal spray 50 mcg; amlodipine besylate 2.5 mg
Current Illness:
Preexisting Conditions: low thyroid
Allergies:
Diagnostic Lab Data: ekg, labs, admitted to hospital, heart cath
CDC Split Type:

Write-up: lots of chest pain ( angina) , pressure, burning, palpatations


VAERS ID: 1423748 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone, Chest pain, Dyspnoea, Electrocardiogram normal, Fibrin D dimer normal, Metabolic function test, Reflex test, Troponin normal
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Miralax, ibuprofen, Zyrtec, famotidine
Current Illness: Negative D-dimer and troponin, investigated for chest pain and shortness of breath treated for UTI on 6/9/2021
Preexisting Conditions:
Allergies: no known drug allergies
Diagnostic Lab Data: 6/9/21: troponin, D-dimer, comprehensive metabolic panel, TSH with FT4 reflex, urine culture, EKG
CDC Split Type:

Write-up: Patient reports having felt chest pain and shortness of breath the night she was vaccinated. She was taken to the hospital and had lab work done. Patient was discharged and had follow up visit the next day (6/4/21) with primary care physician, who ordered additional labs and EKG. D-dimer, troponin and EKG also came back unremarkable.


VAERS ID: 1423825 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Delaware  
Vaccinated:2021-04-22
Onset:2021-06-03
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041CZIA / 2 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain lower, Computerised tomogram abdomen, Lymphadenopathy, Prostatitis, Ultrasound breast
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: testosterone cypionate 160mg a week, HGH, Arimidex, Rainbow Light Men''s multivitamin, Algae Omega 3 oil, pea protein, creatine
Current Illness: None
Preexisting Conditions: None
Allergies: Found out recently that I am VERY allergic to ciprofloxacin
Diagnostic Lab Data: Ultrasound of the left breast - 6-10-2021 - Prominent lymph nodes in the left axilla is an expected reactive process that can be attributed to recent COVID-19 vaccination received in the ipsilateral arm. No further imaging is indicated at this time. If there is clinical concern that persists more than 12 weeks after the patient''s final vaccine dose, axillary ultrasound follow-up is recommended. CT of Pelvis - 6-11-2021 - Mild abnormal enhancement throughout the peripheral zone prostate gland may reflect prostatitis.
CDC Split Type:

Write-up: I went to the doctor for Swollen Lymph nodes under the left armpit and lower abdomen pain. They scheduled an ultrasound of my left breast and a CT of my lower abdomen and pelvis. I have a 3-month follow-up for the lymph nodes and they found minor prostatitis in my abdomen. I was proscribed CIPRO for prostatitis. I then had a rare reaction to the CIPRO which caused my Achilles and patellar tendons to swell and become inflamed. Now I can hardly walk. Prior to all this, I was very active.


VAERS ID: 1423846 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort
SMQs:, Anaphylactic reaction (broad)

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

Write-up: Patient states after receiving her first dose, she experienced chest tightness for approximately two weeks. Patient took cold medicine, which did not help symptoms. Patient did not consult with doctor. Patient states symptoms gradually resolved on their own after 2 weeks.


VAERS ID: 1424012 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-02-15
Onset:2021-06-03
   Days after vaccination:108
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Pt had second Moderna vaccine in 02/2021. Pt tested positive for Covid 19 on 06/03/2021.


VAERS ID: 1424035 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-08
Onset:2021-06-03
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Condition aggravated, Pain, Pericarditis, Rheumatoid arthritis
SMQs:, Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone, Arava
Current Illness: N/A
Preexisting Conditions: Rheumatoid Arthritis
Allergies: NKA
Diagnostic Lab Data: Hospital admission 6/3/21-6/4/21- all care received during this admission
CDC Split Type:

Write-up: Approximately one week after vaccination patient experienced a flare up of RA. Rheumatologist increased Prednisone with only minor improvement. On 6/3/21 patient started experiencing radiating chest pain. Presented to ED and was later admitted. He was diagnosed with pericarditis and treated accordingly.


Result pages: prev   149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=248&PERPAGE=100&ESORT=ONSET-DATE&REVERSESORT=ON&VAX=COVID19&DIED=No


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166