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

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



Case Details (Reverse Sorted by Onset Date)

This is page 268 out of 5,069

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VAERS ID: 1386866 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: The patient was not old enough to receive the vaccine that was administered.


VAERS ID: 1387028 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-30
Onset:2021-06-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 yet.
CDC Split Type:

Write-up: Ongoing tinnitus in both ears. Started in early hours of the morning the day after vaccination, waking me up and has persisted ever since.


VAERS ID: 1387343 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamotragine; Immiprimine, diazepam, tizinidine
Current Illness: Car accident on 4/24/2021 Migraines
Preexisting Conditions: Epilepsy Pnes Depression Anxiety Kidney stones Obesity
Allergies: Imotrix; pork, dogs, lactose intolerant
Diagnostic Lab Data: Saw primary doctor on 06/09
CDC Split Type:

Write-up: Dizziness & headache within 15 minutes Rash within the hour going down both arms looks like pimples or bug bites. They aren?t. Constant itching sensation since. Anytime I itch I get another mark


VAERS ID: 1387492 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Indiana  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies. The patient took regular medications but medical history and medications were unknown.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210613154

Write-up: ADMINISTERED AFTER THE 6 HOUR REFRIGERATION LIMIT; INCORRECT STORAGE OF DRUG; This spontaneous report received from a health care professional concerned an 82 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies. the patient took regular medications but medical history and medications were unknown.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 206A21A expiry: 23-JUN-2021) dose was not reported, administered on 04-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced incorrect storage of drug. On 04-JUN-2021, the subject experienced administered after the 6 hour refrigeration limit. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the administered after the 6 hour refrigeration limit and incorrect storage of drug was not reported. This report was non-serious. This case, from the same reporter is linked to 20210611838 and 20210612869.


VAERS ID: 1387497 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Crying, Feeding disorder, Feeling hot, Feeling jittery, Headache, Injection site pain, Insomnia, Pain, Psychomotor hyperactivity, Thinking abnormal
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210614200

Write-up: JITTERY; WARMTH FELT LIKE BREAKING OUT; SORENESS; SEVERE ANXIETY/PANIC ATTACK; UNABLE TO EAT; UNABLE TO SLEEP; HYPERACTIVITY; UNCONTROLLABLE SOBBING; IRRATIONAL THOUGHTS; INJECTION SITE PAIN; HEADACHE; This spontaneous report received from a patient concerned a 52 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 204A21A expiry: UNKNOWN) dose was not reported, administered on 01-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced jittery. On JUN-2021, the subject experienced warmth felt like breaking out. On JUN-2021, the subject experienced soreness. On JUN-2021, the subject experienced severe anxiety/panic attack. On JUN-2021, the subject experienced unable to eat. On JUN-2021, the subject experienced unable to sleep. On JUN-2021, the subject experienced hyperactivity. On JUN-2021, the subject experienced uncontrollable sobbing. On JUN-2021, the subject experienced irrational thoughts. On JUN-2021, the subject experienced injection site pain. On JUN-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the jittery, warmth felt like breaking out, injection site pain, soreness, severe anxiety/panic attack, unable to eat, unable to sleep, hyperactivity, uncontrollable sobbing, irrational thoughts and headache was not reported. This report was non-serious.


VAERS ID: 1387826 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-02
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021654882

Write-up: swelling of lymph nodes; This is a spontaneous report from a contactable consumer (the patient) via medical information team. A female patient of an unspecified age received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), via an unspecified route of administration in the left arm on 02Jun2021 as 2nd dose, single dose for COVID-19 immunisation. Medical history and Concomitant medications were not reported. Patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), via an unspecified route of administration on an unknown date as 1st dose, single dose for COVID-19 immunisation. Patient got her 2nd dose of the Pfizer BioNTech Covid-19 Vaccine on 02Jun2021 and was experienced that swelling of lymph nodes up until today. The swollen lymph nodes were in the left arm just below her armpit, this was the same arm where she got the 1st and 2nd dose of the Pfizer BioNTech Covid-19 Vaccine. Patient wanted to know how long the swelling of the lymph nodes usually lasts. The outcome of the event was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1387902 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Nevada  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Ear pain, Headache, Piloerection
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210611877

Write-up: EAR PAIN IN RIGHT EAR THAT COMES AS A STRONG AND QUICK PINCH, LIKE A NERVE PAIN, IT COMES IN TINY SHOCKS AND AFFECTS THE WHOLE AREA AROUND THE RIGHT EAR, AND THROUGH THE RIGHT TEMPLE; CHILLS; A STRONG HEADACHE; GOOSEBUMPS; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 01-JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 01-JUN-2021, the subject experienced goosebumps. On 01-JUN-2021, the subject experienced chills. On 01-JUN-2021, the subject experienced a strong headache. On 03-JUN-2021, the subject experienced ear pain in right ear that comes as a strong and quick pinch, like a nerve pain, it comes in tiny shocks and affects the whole area around the right ear, and through the right temple. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from ear pain in right ear that comes as a strong and quick pinch, like a nerve pain, it comes in tiny shocks and affects the whole area around the right ear, and through the right temple, and the outcome of a strong headache, chills and goosebumps was not reported. This report was non-serious. This case, from the same reporter is linked to 20210612255.


VAERS ID: 1388051 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-06
Onset:2021-06-01
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8Y50 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Breast mass
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: none
Current Illness: none
Preexisting Conditions: eczema
Allergies: none
Diagnostic Lab Data: Schedule for mammogram on June18th
CDC Split Type:

Write-up: June 1st noticed pea sized hard lump on breast same side as injection. By June 8th, size had decreased and was "squishy".


VAERS ID: 1388094 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-25
Onset:2021-06-01
   Days after vaccination:68
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Computerised tomogram abdomen abnormal, Inguinal hernia, Inguinal hernia repair, Musculoskeletal discomfort, SARS-CoV-2 test positive, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Patient had COVID-19 infection in October 2020, then received 2 doses of COVID vaccines. On 6/1, COVID-19 tested positive, but patient denies any COVID related symptoms. Subsequence COVID tests on 6/2 and 6/3 all showed negative. On 6/1, patient presented initially to his PCP for evaluation of groin swelling. The patient had noticed a left groin swelling since last fall and had not previously bothered him over the last 2 days he noticed the swelling had increased in size and was uncomfortable with walking. Then he was instructed to ED and CT showed left inguinal hernia, so admitted at hospital for left inguinal hernia repair.


VAERS ID: 1388132 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Montana  
Vaccinated:2021-02-10
Onset:2021-06-01
   Days after vaccination:111
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA N/A / 2 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM on insulin pump, CAD ESRD, post renal transplant, cardoimypoathy, hx of CVA, hyperlipidemia, hypertension, DVT on warfarin
Allergies: Pravastatin, erythromycin, micafungin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was diagnosed with COVID infection on 6/1/2021 and was hospitalized with COVID pneumonia


VAERS ID: 1388135 (history)  
Form: Version 2.0  
Age: 94.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-25
Onset:2021-06-01
   Days after vaccination:68
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN NOT LISTED / 1 LA / IM

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

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

Write-up: Symptomatic for covid-19 06/01/2021 tested positive on 06/08/2021


VAERS ID: 1388152 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-20
Onset:2021-06-01
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / UN
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Tested positive for Covid19 on 06/04/2021
CDC Split Type:

Write-up: Fully vaccinated with Covid19 Moderna EUA 04/20/2021-06/01/2021


VAERS ID: 1388169 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-01-30
Onset:2021-06-01
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140, EL9261 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Pain in extremity, Peripheral swelling, Thrombosis, Ultrasound scan
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cymbalta, Lisinopril, Meloxicam, Abilify, Multivitamin, Zertec, Baby Aspirin
Current Illness: None
Preexisting Conditions: Depression, high blood pressure controlled with medication
Allergies: Sulfa drugs
Diagnostic Lab Data: Sonogram .
CDC Split Type:

Write-up: Blood clots in left leg from groin area to knee area. Swollen and painful left leg. Prescribed Eliquis blood thinner. Currently in treatment phase with symptoms basically the same.


VAERS ID: 1388262 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-01
Onset:2021-06-01
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Giant cell arteritis, Headache, Pain, Red blood cell sedimentation rate increased
SMQs:, Optic nerve disorders (broad), Vasculitis (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: oxybutyn, clopidogrel, losartan, atorvastatin, pantoprozole, carvedilol,
Current Illness: bph
Preexisting Conditions: history of heart problems and prostate cancer
Allergies: none
Diagnostic Lab Data: sed rate 118 on 06/04/2021
CDC Split Type:

Write-up: headaches bodyaches, diagnosed with giant cell arteritis. put on prednizone on 06/06/2021


VAERS ID: 1388275 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-05-24
Onset:2021-06-01
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site rash, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (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: Claritin Sublingual B12
Current Illness: Mast Cell Activation disorder Pancreatic Insufficiency Fungal big toe infection
Preexisting Conditions: MAST cell Pancreatic Insufficiency Occasional skin rashes
Allergies: Sulfa drugs, macrobid, Conray contrast solution, prednisone (steroids), Cipro
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Rash at injection site - took Benadryl for 2 days, rash dissipated after 7 days Also odd reaction - lower left leg below knee now has a tingling numbness feeling occasionally, started the day after injection, has not gone away. It is the same leg as the toe that has a nail fungal infection


VAERS ID: 1388308 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

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

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

Write-up: Pt received first dose Moderna 4/1/2021 then first dose Pfizer 6/9/2021. Pt stated that she talked to someone on the phone that said it was okay for her to restart a series of Pfizer since it had been over 2 months since her dose of Moderna. No known adverse reaction occurred with either vaccine. Patient was notified via voicemail on 6/10/2021 that she should not come for her second dose of Pfizer to follow current CDC recommendations on administration of two different mRNA vaccines.


VAERS ID: 1388475 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-28
Onset:2021-06-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Acoustic stimulation tests, 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: Mirena; DIM supplement; Multivitamin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 6/7/21 - Patient visited ENT Dr. to evaluate tinnitus and ensure that no damage to ear was the cause. Hearing test passed without issue and Doctor observed no structural damage to the ear. To return to clinic within 1 month if problem persists.
CDC Split Type:

Write-up: Sudden onset of severe tinnitus that is described as a constant high pitched ringing noise in both ears. Patient has never experienced tinnitus prior to receiving the vaccine.


VAERS ID: 1388614 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / N/A LA / -

Administered by: Other       Purchased by: ?
Symptoms: Exposure during pregnancy, Mobility decreased, Pain in extremity
SMQs:, Parkinson-like events (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Received 2nd shot last week. 1st shot 3 weeks before. Baby stopped growing last week at 9 weeks. Also after 2nd shot last week my left arm was so sore, I couldn?t lift it up. Lasted overnight and went away.


VAERS ID: 1388848 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-06-10
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Product preparation issue, Syringe issue, Underdose
SMQs:, Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B12, Albuterol INH, Sertraline, Calcium with Vit D, Fluticasone
Current Illness:
Preexisting Conditions: COPD, ANXIETY
Allergies: Ibuprofen, Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was seen on 06/09/21 for her 1st Pfizer vaccine. I went to the med room to draw up this vaccine. I documented on the form in the med room, with the patients sticker. I drew up the vaccine, I accidently drew up the dilute with the 1mL syringe instead of the 3 mL syringe. 1.8mL. I added this to the vaccine and drew up 0.3mL . I then went to get the patient, asked the questions on the form and gave the injection. The Patient then waited the 15mins. It was discovered on 6/10/21 that the wrong syringe was used to draw up the dilute. I spoke with my provider and he stated that he feels the patient got enough of the vaccine to be effective. The patient is returning to the office on June 30th for her 2nd Pfizer vaccine. There were no adverse events with this patient.


VAERS ID: 1388874 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

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

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

Write-up: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING IT ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1388898 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / 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: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOUND THE USE DATE.


VAERS ID: 1388902 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014C21A / 1 LA / IM

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

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

Write-up: 17 year old patient presented to clinic with parent to receive first covid vaccine, patient received Moderna instead of Phizer. Parent was informed and no additional signs and symptoms reported per parent.


VAERS ID: 1388912 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-06-04
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

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

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

Write-up: Patient received 2 doses of Pfizer at Medical Center on 3-27-2021 and 4-17-2021 and then received Janssen at Pharmacy. On the consent form patient answered no to "Have you ever received a dose of a COIVD-19 vaccine?" system was not checked prior to administration.


VAERS ID: 1388950 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / N/A LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: patient denied
Current Illness: patient denied
Preexisting Conditions: patient denied
Allergies: phenol, wheat, gluten, corn, eggs, dairy
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient stated around 7:30pm on the day of vaccination she began having a pounding, racing heart and noted resting heart rate remained at 90bpm for a full 24hrs. Patient states she is still having occasional heart pounding and racing episodes and is taking electrolytes multiple times a day which is helping keep the episodes controlled. Patient has not gone to any healthcare providers nor has the patient had any tests run since the vaccine. Patient states she will continue to do what she is doing at home.


VAERS ID: 1389015 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-17
Onset:2021-06-01
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, Anticoagulant therapy, Blood creatinine increased, Blood electrolytes, COVID-19, Carbon dioxide decreased, Decreased appetite, Fatigue, Fibrin D dimer, Full blood count, Haematocrit increased, Hypoxia, International normalised ratio normal, Malaise, Prothrombin time normal, SARS-CoV-2 test positive, Tachycardia, Troponin normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (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), Pulmonary hypertension (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen, aspirin, atorvastatin, calcium, vitamin D3, clotrimazole, diltiazem, famotidine, mycophenolate, prednisone, pregabalin, tacrolimus, zolpidem
Current Illness: none reported
Preexisting Conditions: non-ischemic cardiomyopathy leading to heart transplant (2009, re-transplant in 2010), hypertension, hyperlipidemia, pre-diabetes, chronic kidney disease, GERD, CMV, zoster, osteopenia
Allergies: none reported
Diagnostic Lab Data: Initial labs: SARS-CoV-2 RNA: positive CBC within normal ranges except: hematocrit 52.6% Electrolytes within normal ranges except CO2 19 mmol/L and creatinine 1.42 mg/dL PT/INR, troponin within normal ranges D-dimer 1750 FEU
CDC Split Type:

Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presented to emergency department (ED) reporting fatigue, malaise, and anorexia. Patient was hypoxemic (oxygen saturation 90%) and tachycardic (pulse 108 beats per minute). Diagnosed with COVID-19 and acute hypoxemic respiratory failure, admitted to hospital, received remdesivir, steroids, anticoagulation, and oxygen. Patient improved and was discharged two days later medically stable.


VAERS ID: 1389042 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / 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: NORCO, LISINOPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389099 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

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

Write-up: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389154 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

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

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

Write-up: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389175 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / 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: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389198 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

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

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

Write-up: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389207 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

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

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

Write-up: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389210 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / 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: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389214 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / 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: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389220 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / 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: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389225 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-10
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 1 LA / IM

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

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

Write-up: No Adverse events occurred , Vaccine given to the wrong age group.


VAERS ID: 1389228 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / 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: IBUPROFEN, PREDISONE, BENADRYL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: VACCINE WAS STORED IN FREEZER LONGER THAN MANUFACTURER RECOMMENDED, CAUSING ITS ADMINISTRATION TO BE BEYOND THE USE DATE.


VAERS ID: 1389305 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Diarrhoea, Migraine, Pain
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: last taken was 6/8/21 pravastatin sodium 20 mg tab. Vit. D.
Current Illness: no
Preexisting Conditions: no
Allergies: dilaudid, toreador, phenytoin and latex gloves.
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Symptom start date (6/09) Symptom start time (9:30PM): Chills, headache/migraine, body aches, loose stools (6/10)


VAERS ID: 1389751 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-28
Onset:2021-06-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure measurement, Impaired work ability, Motion sickness, SARS-CoV-2 test negative
SMQs:, Vestibular disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no prescription
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: negative covid test, doctor check up with blood pressure and temperature taken. Doctor concluded my Motion sickness/vertigo was from vaccine.
CDC Split Type:

Write-up: Motion sickness without motion and vertigo lasting from June 1st through June 10th. Affects ability to function properly at work.


VAERS ID: 1389780 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tamoxifen, Metoprolol, Hydrochlorothiazide, Sertraline, Omeprazole, Advil, Tylenol
Current Illness:
Preexisting Conditions: blood pressure,
Allergies: Kettamine
Diagnostic Lab Data: none
CDC Split Type:

Write-up: fever, tired , blurry vision


VAERS ID: 1390040 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-27
Onset:2021-06-01
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebral venous thrombosis, Deep vein thrombosis, Pulmonary embolism, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Thrombocytopenia, Thrombosis (DVT, PE, Cerebral Vein Thrombosis)


VAERS ID: 1390183 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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: pfizer vaccine kept frozen more than the approved 14 day interval before thawing to administer.


VAERS ID: 1390191 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-06-01
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pruritus, Skin indentation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Small indentation in the arm The area also itches


VAERS ID: 1390361 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-25
Onset:2021-06-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Aphthous ulcer
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

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

Write-up: About a week after receiving, second dose I noticed a canker sore on my inner lip. It healed and another one appeared. Now, more than 2 weeks later, I have multiple mouth sores inside my lips and underneath my tongue.


VAERS ID: 1390681 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821288 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210605028

Write-up: VACCINE KEPT IN THE FREEZER THAWED OVERNIGHT AND KEPT IN THE FRIDGE TILL VACCINATION; POOR QUALITY DRUG ADMINISTERED; This spontaneous report received from a pharmacist concerned a 61 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1821288 expiry: UNKNOWN) dose was not reported, administered on 01-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 01-JUN-2021, the subject experienced the vaccine kept in the freezer thawed overnight and kept in the fridge till vaccination. On 01-JUN-2021, the subject experienced poor quality drug administered. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the vaccine kept in the freezer thawed overnight and kept in the fridge till vaccination and poor quality drug administered was not reported. This report was non-serious. This case, from the same reporter is linked to 20210605104, 20210605120 and 20210605009.


VAERS ID: 1391014 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Dizziness, Dyspnoea, Ear pain, Headache
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hearing impairment (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PFIZER INC2021648662

Write-up: sharp pain that was radiating from the back side of her left ear; Headache; brief sensation of a frozen face on the left side; also felt shortness of breath and she felt dizzy; also felt shortness of breath and she felt dizzy; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0180), via an unspecified route of administration in the left arm on 01Jun2021 as first dose, single for COVID-19 immunization. Medical history and concomitant medications were not reported. On 01Jun2021 (approximately after 30 minutes), the patient experienced brief sensation of a frozen face on the left side, she also felt shortness of breath and felt dizzy. Patient also experienced sharp pain that was radiating from the back side of her left ear and even though the frozen feeling went away after a few seconds to a minute or so the pain lasted for longer. On 02Jun2021, patient felt that pain from time to time. The patient reported that the frozen face feeling started 30 minutes after she was given the COVID vaccine and lasted for less than one minute. Probed for outcome of the sharp pain and she said that currently it was less sharper compared to yesterday, it was a little bit more dull compared to yesterday (01Jun2021). It was not frequent but she could feel it from time to time. She said these went away when the frozen face was gone. The patient stated that she had never experienced this kind of frozen face before. She was on medication but it was a medication that she had been taking and she didn''t think that she had ever experienced this before. The only symptoms that she could feel on the day of reporting (02Jun2021) was a slight headache, but she took Tylenol and it had been helping. She felt like maybe she had a fever kind of but she took Tylenol and she did not actually had a fever. The outcome of the brief sensation of a frozen face on the left side, felt shortness of breath and felt dizzy was recovered on 01Jun2021 while for the other events was unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1391034 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Pain in extremity
SMQs:, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021655915

Write-up: pain in the arm; anxious; This is a spontaneous report from a contactable consumer (patient''s husband) via Medical Information Team. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number was not reported), via an unspecified route of administration on an unspecified date in Jun2021 as single dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. On an unspecified date in Jun2021, the patient experienced pain in the arm, anxious. It was reported that a local Pharmacist recommended to take 220 mg of Aleve, an NSAID, for any pain in the arm. She was asking if it was okay that she took Aleve since they usually recommend Tylenol for Moderna COVID shots. They noted that she was fine and only took the medicine because she was anxious and wanted to take it just in case. They were asking if this could weaken the shot or the vaccine. Reporter stated, She just had a question she got Pfizer vaccine (Unspecified vaccine) the first dose today and she is doing fine. Reported that one of her friend recommended that she take an Aleve to help with any arm pain or anything like that and then the local pharmacist said that they don''t recommend to take Aleve, just take Tylenol. If she took an Aleve is that a problem or not. The outcome of events was unknown. Information about lot/batch number has been requested.


VAERS ID: 1391035 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Illness, Malaise, Pain, Pyrexia, Vaccination site pain, Vaccination site swelling
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021656447

Write-up: sick; pain in shoulder; the place where they did injection is little bit swollen and feel pain; the place where they did injection is little bit swollen and feel pain; pain was getting stronger; fever; not feeling well; This is a spontaneous report received from a contactable consumer (patient) via a Medical Information Team. A 54-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Lot Number: EW0179) via an unspecified route of administration on 04Jun2021 as 2nd, dose single for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient historical vaccine included first dose of BNT162B2 (COVID Pfizer vaccine; lot number: EW0172) received three weeks ago, on an unspecified date for COVID-19 immunization and experienced little bit pain. It was reported that, the patient received the Pfizer Covid vaccine second dose yesterday (04Jun2021) and today (05Jun2021) he felt sick and pain in shoulder. The place where they did injection was little bit swollen and feel pain in Jun2021. Before he received three weeks was okay was no problem, but this time it was kind of bothering him, the pain was getting stronger and fever in Jun2021. The patient was not feeling well in Jun2021, and he do not want to be bothered and was not feeling well right now. The outcome of the events was reported as unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1391044 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Epistaxis, Impaired work ability, Throat irritation
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021657148

Write-up: Having nose bleeds/ nose bleeds as really heavy nose bleeds noting it is like a crime scene; Scratchy throat; Not able to go to work; This is a spontaneous report from a contactable consumer. This consumer (mother) reported for a 15-year-old male patient (son) that he received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: UNKNOWN) via an unspecified route of administration on 01Jun2021 as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Reporter stated that her 15-year-old son had his first dose of the Pfizer covid 19 vaccine this past Tuesday, on 01Jun2021. He was fine on Tuesday and Wednesday and started with a scratchy throat on Thursday, on 03Jun2021. He started having nose bleeds on Friday, on 04Jun2021. She described the nose bleeds as really heavy nose bleeds noting it was like a crime scene. Her son has never had this before and stated they keep coming on. On an unspecified date in Jun2021, he was not able to go to work. She wanted to know if there have been any reports of nose bleeds and stated they have all had the vaccine and had nothing like this. Outcome was unknown for all the events. Information on the lot/batch number has been requested.


VAERS ID: 1391055 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Hypersensitivity, Nausea
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 INC2021658684

Write-up: I am little sick to my stomach; Dizzy; being dizzy that''s a severe allergic reaction; This is a spontaneous report from a contactable consumer or other non hcp (patient). A female patient of unspecified age received bnt162b2 (BNT162B2, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 04Jun2021 as unknown, single dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient stated that she was little confused, when got her shot yesterday, she was little sick to her stomach and then she was dizzy, being dizzy that''s a severe allergic reaction, should she need to call 911. The outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1391075 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Malaise, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021659370

Write-up: Fever; Not feeling well; This is a spontaneous report from a contactable consumer or other non hcp. This consumer (patient) reported that a patient of unspecified age and gender received bnt162b2 (BNT162B2, Batch/Lot number: EW0183), via an unspecified route of administration on 04Jun2021 as 2nd dose, single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unknown date in Jun2021, the patient experienced fever and not feeling well. It was reported that consumer stated "I actually got my second Pfizer dose yesterday (04Jun2021) and I was having some fever so, I wanted to know can I take Tylenol or Advil or there was any preferred medicine which I need to take to reduce the fever." The outcome of both events was unknown. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1391097 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Balance disorder, Blood pressure measurement, Dyspnoea, Feeling abnormal, Head discomfort, Heart rate increased, Hot flush, Hypotension, Palpitations, Photosensitivity reaction, Rash, Respiratory rate, Scab, Sensitivity to weather change
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: Blood pressure; Result Unstructured Data: Test Result:124/78; Comments: Blood pressure went down to 124/78 and so his blood pressure has been better since the vaccine: Caller stated this started either 12May2021 or 13May2021; Test Date: 2021; Test Name: Blood pressure; Result Unstructured Data: Test Result:119/26; Comments: the blood pressure has even been 119/26; Test Date: 2021; Test Name: Blood pressure; Result Unstructured Data: Test Result:126/74; Comments: The blood pressure has been 126/74; Test Date: 2021; Test Name: Pluse rate; Result Unstructured Data: Test Result:86,; Comments: 86,87,90 the pulse rate has been a little elevated.; Test Date: 2021; Test Name: Pluse rate; Result Unstructured Data: Test Result:87; Comments: 86,87,90 the pulse rate has been a little elevated.; Test Date: 2021; Test Name: Pluse rate; Result Unstructured Data: Test Result:90; Comments: 86,87,90 the pulse rate has been a little elevated.; Test Date: 2021; Test Name: Pluse rate; Result Unstructured Data: Test Result:114; Comments: his pulse rate was 114 and 120 was the highest.; Test Date: 2021; Test Name: Pluse rate; Result Unstructured Data: Test Result:120; Comments: his pulse rate was 114 and 120 was the highest.
CDC Split Type: USPFIZER INC2021661422

Write-up: Caller stated he got the second shot two days ago and that next day he had a rash.; when he is in a hot room like 78 degrees with the window open he can not take the heat like he used to; Hot flashes; rash got bright pink, patient stated within that second day of getting the first dose it was pink, then it came back again after the second dose and now the rash was healing; Scrapes in hands little dots now and skin peeled away got worse. Still a little pink on pinky but have little scabs. Last time felt tight but not it is stinging; felt like he was drugged; pulse rate has been a little elevated; Palpitations: Caller stated this started the same day 10 to 12 hours after getting the first shot. Caller stated it was getting somewhat better but after the second shot it got worse.; getting out of breath was reported as worsened; felt like there was pressure in his skull; he felt like he was going sideways and had to grab onto rail for 30 seconds to a minute so would not fall ove; Blood pressure went down to 124/78 and so his blood pressure has been better since the vaccine; This is a spontaneous report from a contactable consumer (patient, self-reported). A 52-year-old patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: EW0183; expiry date: 31Aug2021) via unspecified route of administration in left arm on 01Jun2021 as single dose of COVID-19 immunization. The patient''s medical history and concomitant medications was not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: EW0173; expiry date: 31Aug2021) via unspecified route of administration in left arm on 11May2021 as single dose of COVID-19 immunization and experienced palpitations, felt like he was drugged, felt like there was pressure in his skull, getting out of breath, rash got bright pink, respiratory rate was somewhere around 16, blood pressure went down to 124/78 and so his blood pressure has been better since the vaccine, pulse rate has been a little elevated, on his first finger, the thumb, there was a rash that started bubbling up below the middle knuckle. On an unspecified date in Jun2021, after second dose of vaccination, the patient experienced palpitations, getting out of breath like when he was walking up and down the stairs especially when carrying laundry or a garbage can and he never had this problem doing that unless he had an upper respiratory infection and prior to the vaccine he was perfectly fine, palpitations was reported as worsened, getting out of breath was reported as worsened, rash on his left side where he got the shot on his hand, specifically the top of hand and on his first, second, third, fourth, and fifth finger was reported as worsened, on his first finger, the thumb, there was a rash that started bubbling up below the middle knuckle was reported as worsened, crack in the knuckle area on the second finger was reported as worsened, rash got bright pink was reported as worsened, felt like he was drugged, Blood pressure went down to 124/78 and so his blood pressure has been better since the vaccine, pulse rate has been a little elevated, felt like there was pressure in his skull, felt like he was going sideways, and on 01Jun2021 experienced hot flashes. On 02Jun2021, he was in a hot room like 78 degrees with the window open he cannot take the heat like he used to. On an unspecified date in Jun2021, patient stated that palpitations got worse after the second shot it was started on the same day of first shot of vaccination, 10 to 12 hours after getting the first shot. The patient stated it was getting somewhat better but after the second shot it got worse. On 03Jun2021, that next day of vaccination, patient had a rash and explained that on his first finger, the thumb, there was a rash that started bubbling up below the middle knuckle, this stopped a week to ten days after the first dose and then it came back after the second. Patient had a crack in the knuckle area on the second finger: patient stated he was scheduled for the dose around 12:20 and they had to get more vaccines and so he had to get it around 3:00pm. The patient stated this started to feel bad in the first two hours. For the event of rash got bright pink, patient stated within that second day of getting the first dose it was pink, then it came back again after the second dose and now the rash was healing. Scrapes in hands little dots now and skin peeled away got worse. Still a little pink on pinky but have little scabs. Last time felt tight but not it is stinging. For the event "felt like he was drugged" patient stated this started within 4 hours of first dose, he started to feel better in 5 days and then 10 days after he was completely better and stated he got this again from the second shot and it was getting better but the more he exerts himself the slower he feels but he does not feel like he is on anesthesia. The patient stated that his pulse rate has been a little elevated, stated on the following day after first dose his pulse rate was 114 and 120 was the highest. He stated after the first dose it was between 116 to 120 and after the second dose it was slightly elevated like 90 or something. The patient stated but his pulse rate has been 86, 87, 90 so the pulse rate has been a little elevated. The patient reported he also had hot flashes. He felt like there was pressure in his skull, 10 to 12 day after the first vaccine and this got better, then within 7 to 10 days after the second shot he got it again and he anticipates that for 7 to 10 days he will have to deal with the same crap. The patient felt like he was going sideways, this stopped within two days after the first dose and then it happened within one day or a day in half after the second shot. The patient stated that hot flashes lasted a day or day in a half. The other problem he had noticed is when he is in a hot room like 78 degrees with the window open, he cannot take the heat like he used to. Reportedly, after the second shot they had the patient sit for 15 minutes and so he went to the hospital main area after to get a pass to eat and he felt like he was going sideways and had to grab onto rail for 30 seconds to a minute so would not fall over. He stated the first hour or so after the vaccine he felt like he was drug and he even had caffeine and got his car cleaned, but he felt like his body was behind him like woozy to stomach like in slow motion with exertion and it felt like he was drugged. The patient stated he just wished the vaccine dosage had a high of like if it was 0.3 maybe should be 0.2. The patient stated there should be a different regimen based on height and weight. The outcome of the event "hot flush" was resolved on 01Jun2021, for the event "Palpitations: The patient stated this started the same day 10 to 12 hours after getting the first shot. The patient stated it was getting somewhat better but after the second shot it got worse", "getting out of breath was reported as worsened", "The patient stated he got the second shot two days ago and that next day he had a rash", "he felt like he was going sideways and had to grab onto rail for 30 seconds to a minute so would not fall over", "felt like there was pressure in his skull", "Blood pressure went down to 124/78 and so his blood pressure has been better since the vaccine", "felt like he was drugged", "pulse rate has been a little elevated", "when he is in a hot room like 78 degrees with the window open he cannot take the heat like he used to" was not resolved and for the event "Scrapes in hands little dots now and skin peeled away got worse. Still a little pink on pinky but have little scabs. Last time felt tight but not it is stinging" was unknown, for the event "rash got bright pink, the patient stated within that second day of getting the first dose it was pink, then it came back again after the second dose and now the rash was healing" was recovering.


VAERS ID: 1391133 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-02
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cystitis, Pain, Urinary tract infection
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021665106

Write-up: I have whole long UTI or bladder infection/Bladder or urinary infection; I have a full grown infection; It really hurts; I have whole long UTI or bladder infection/Bladder or urinary infection; I have a full grown infection; This is a spontaneous report from a contactable consumer or other non hcp (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 02Jun2021 as 2nd dose, single dose for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as 1st dose, single dose for COVID-19 immunization. It was reported that the patient had second vaccination on 02Jun2021 and prior to that and during that time, patient had no urinary tract infection symptoms or bladder irritation of any kind and now had whole long urinary tract infection or bladder infection on an unspecified date in Jun2021. The patient wondering because now had a full-grown infection. The patient asked was that a side effect anyone had reported previously. The patient wanted to find out if that was associated. The patient stated that need to get taken care of because it really hurts. The outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1391161 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-04
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Anxiety, Arthralgia, Blood test, Chills, Dizziness, Dyspnoea, Feeling abnormal, Flatulence, Headache, Illness
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Arthritis (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: SIMETHICONE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Gas in stomach (while taking Simethicone)
Allergies:
Diagnostic Lab Data: Test Name: Blood test; Result Unstructured Data: Test Result:everything was fine; Comments: she did not receive the test because her doctor told her that everything was fine and that everything was under regulation
CDC Split Type: USPFIZER INC2021666094

Write-up: feeling a little bit sick; feels a little bit funny once she got the vaccine; her head is hurting, Headache; shoulder is hurting; a little bit of trouble breathing; also feels in her stomach; sometimes like it is Anxiety attack; She started to fall asleep, she started to have Shivers; Dizzy; gas problems reappear; This is a spontaneous report from a contactable consumer or other non hcp (patient''s son). A 47-years-old female patient (reporter''s mother) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0179; Expiration Date: 31Aug2021) via an intramuscular route of administration arm left on 04Jun2021 as 1st dose, single dose for COVID-19 immunization. Medical history included some gas problems from an unknown date and unknown if ongoing while taking Simethicone. Patient has not had any vaccine in 4 weeks prior COVID vaccinations. Concomitant medication(s) included simeticone (SIMETHICONE, 125 mg; twice a day, one in the morning, one in the night; Chew Capsule), indication for Simethicone, Reporter stated, well it''s also related to her symptoms because she feels, well she used to have the symptoms before she spoke to the doctor and she told her that it was some gas problems and the doctor told her that she could take this medication. But after she started taking it and then she stopped feeling it but then after she got the shot, she had started to reappear all the symptoms again. And now she has started to take the Anti-gas medication and the Aspirin pill. On 04Jun2021, the patient experienced feels a little bit funny, head is hurting, her shoulder is hurting and she had a little bit of trouble breathing, she also feels in her stomach, headache, feels sometimes like it is Anxiety attack, maybe and she feels them almost like in period, started to fall asleep, she started to have shivers, dizzy and on an unspecified date in Jun2021, experienced gas problems reappears. Reporter stated, calling for mom, she was feeling a little bit sick. She was feeling, well we got our Pfizer Vaccine on Friday and ever since then caller''s mom had been telling me that she feels a little bit funny once she got the vaccine. It was like her head was hurting, her shoulder was hurting and she has a little bit of trouble breathing. She said that she also feels in her stomach. Reporter stated, she was still concerned about the side effects that she has, that she was feeling right now. The patient underwent lab tests and procedures on an unspecified date in Mar2021 she did not receive the test because her doctor told her that everything was fine and that everything was under regulation. Therapeutic measures were taken with 81 milligrams for the Aspirin and for the Ibuprofen it is its 220 milligrams. She says that the Aspirin she took it on the night that she had the vaccine. She is telling me that whenever she started to fall asleep, she started to have Shivers and she started to feel a little bit Dizzy. And for the Ibuprofen, she had it on the morning after, so June 5th and on the night of the June 5th and today morning. The outcome of the events was not recovered.


VAERS ID: 1391166 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-06
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Headache, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021666234

Write-up: Arm got sore; Headache; Tiredness; Muscle pain; This is a spontaneous report from a contactable consumer (patient). This is report 1 of 2. Caller also reported information for her husband who is the patient in report 2 of 2. A female patient of an unspecified age received BNT162B2 (PFIZER-BIOTECH COVID-19 VACCINE, solution for injection, Lot number: unknown), via an unspecified route of administration on 06Jun2021 as single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced minor side effects after vaccination. On 06Jun2021, the patient arm got sore on night. On an unspecified date in Jun2021, the patient experienced headache, tiredness and muscle pain. She thought these were just normal symptoms and called to ask if she can take Ibuprofen to see if she could knock this headache and muscle pain out. The outcome for the events was unknown. Information on the lot/batch number has been requested


VAERS ID: 1391179 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021666592

Write-up: skin irritation or hives; Rash; hives like skin irritation; This is a spontaneous report from a contactable consumer. This unspecified age and gender patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot number and expiry date was unknown) via an unspecified route of administration as a single dose for COVID-19 immunization. Medical history was not reported. Concomitant medications were not reported. On an unspecified date patient experienced minor hives like skin irritation below the injection site and rash. Patient stated that I do not need any medical assistance. Outcome of the events was unknown. Information about lot/batch number has been requested.


VAERS ID: 1391197 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New York  
Vaccinated:2021-04-28
Onset:2021-06-01
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210601; Test Name: COVID-19; Test Result: Positive
CDC Split Type: USPFIZER INC2021670715

Write-up: I tested positive on June 1st; I tested positive on June 1st; This is a spontaneous report from a contactable consumer (patient) via a Pfizer sponsored program. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number and Expiration date was not reported), via an unspecified route of administration on 28Apr2021 as 2nd dose, single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Previously patient took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 07Apr2021 for COVID-19 immunization. It was reported that patient got the Pfizer Vaccine on 07Apr2021, second shot on 28Apr2021. Patients wife and patient visited another country. Patients wife has the Johnson & Johnson vaccine. Patients wife tested positive for COVID-19 on 26May2021. Patient tested positive on 01Jun2021 and Patients wife''s aunt, who had one shot of Sinovac, tested positive a few days later. That''s three vaccinated people spreading it to each other. Patient wanted to make aware of this, as the vaccines seem to be ineffective at preventing infection by whatever strain we got. The outcome of the events was unknown. Information about batch/Lot number has been requested.


VAERS ID: 1391201 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-06
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Heart rate, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (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: Test Date: 202106; Test Name: heart rate; Result Unstructured Data: Test Result:124; Comments: it was going up to like 124, 131, 124, 128, 133 and I just got scared; Test Date: 202106; Test Name: heart rate; Result Unstructured Data: Test Result:131; Test Date: 202106; Test Name: heart rate; Result Unstructured Data: Test Result:124; Test Date: 202106; Test Name: heart rate; Result Unstructured Data: Test Result:128; Test Date: 202106; Test Name: heart rate; Result Unstructured Data: Test Result:133
CDC Split Type: USPFIZER INC2021670930

Write-up: heart rate was going up; and was on a resting rate but it was going up; This is a spontaneous report from a contactable consumer or other non-Health Care Professional. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number and Expiry date: Unknown), dose 2 via an unspecified route of administration on 06Jun2021 07:00 as 2ND DOSE, SINGLE DOSE for covid-19 immunization. The patient medical history was not reported. The patient''s concomitant medications were not reported. On Jun2021 the patient experienced heart rate was going up; and was on a resting rate but it was going up. The patient underwent lab tests and procedures which included heart rate: 124 on Jun2021 it was going up to like 124, 131, 124, 128, 133 and I just got scared, heart rate: 131 on Jun2021, heart rate: 124 on Jun2021, heart rate: 128 on Jun2021, heart rate: 133 on Jun2021.The outcome of event was unknown.


VAERS ID: 1391210 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Chills, Diarrhoea, Myalgia, Nausea, Pain in extremity, Pyrexia, Vaccination site swelling, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: body temperature; Result Unstructured Data: Test Result:slight temp; Comments: having a slight temp the day after her vaccine
CDC Split Type: USPFIZER INC2021675223

Write-up: fever; nausea; vomiting; diarrhea; mild arm soreness; mild swelling at injection site; mild to moderate chills; mild to moderate muscle aches; This is a spontaneous report from a Pfizer Colleague from a contactable pharmacist (patient parent). A 15-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTEC COVID-19 VACCINE, Solution for injection, Lot Number and expiry date were not reported via an unspecified route of administration on 04Jun2021 (at the age of 15-years-old) as single dose for COVID-19 immunization. Patient did not have known drug allergies. Patient did not have any chronic medical conditions. Patient''s medical history included the first dose of bnt162b2 vaccine. The patients concomitant medications were not reported. In Jun2021, patient experienced mild arm soreness, mild swelling at injection site, mild to moderate chills, mild to moderate muscle aches, and having a slight temp the day after her vaccine. On 07Jun2021, the patient started experiencing fever, nausea, vomiting, and diarrhea. The clinical outcome of all events was unknown. Information about batch/lot number has been requested


VAERS ID: 1391282 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-04
Onset:2021-06-01
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abortion induced, Exposure during pregnancy, Ultrasound antenatal screen abnormal
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)

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

Write-up: 16 week Anatomy scan showed crembrem hyplasia amnd fluid in ventricles that resulted in pregnancy termination


VAERS ID: 1391310 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Pain
SMQs:, Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Joint Pain-Mild, Additional Details: Pt claimed that after 6 days after vaccination, his left arm is still sore when moved. He also claimed that he is limited mobility of his left arm due to the vaccine with out feeling some level of pain.


VAERS ID: 1391409 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dry skin, Skin warm, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Pt complained of dizziness & lightheadedness after 1st pfizer injecction, brief period of syncope today. Skin warm & dry, mom says her daughter has passed out previously after lab work injection. BP 94/63 P68 RR16 O2 sat 100%. Symptoms quickly resolved after a few minutes of laying down. alert/oriented, left with her mom ambulatory/ stated she was feeling better, skin warm & dry, no cyanosis noted per nurse.


VAERS ID: 1391413 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 c/o mild itching, red raised rash to her front upper chest/ bright red after 2nd pfizer dose, no swelling to throat, no difficulty swallowing. BP 111/74 HR 89 RR 20 O2 sat 98%.Benadryl 25mg given at 1655. Rash on chest appeared to be fading with less itching


VAERS ID: 1391917 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Computerised tomogram thorax, Full blood count, Peripheral swelling, Pulmonary embolism
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine, hctz, losartan, ppi
Current Illness:
Preexisting Conditions: htn
Allergies: lisinopril
Diagnostic Lab Data: chest ct, cbc
CDC Split Type:

Write-up: the day after vaccine patient w left leg swelling- 4 days later diagnosed with pulmonary embolus.


VAERS ID: 1391921 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-28
Onset:2021-06-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Presented to MD office with rash on right buttocks and posterior thigh lesions are consistent with Herpes Zoster, site cultured,pt prescribed Valcyclovir.


VAERS ID: 1391938 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-19
Onset:2021-06-01
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 2 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Back pain, Blood test, Chills, Chromaturia, Hepatic enzyme increased, Malaise, Pyrexia, Sluggishness, Urine odour abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: Tylenol , certirzine, lisinopril
Current Illness: none
Preexisting Conditions: HTP hx of cancer
Allergies: NONE
Diagnostic Lab Data: labs 6/11/2021
CDC Split Type:

Write-up: elevated liver enzymes since moderna vaccines/ ALT/AST both elevated since vaccine. Pt notes that he is still not feeling well. He notes that he has had a slight fever (99.5-101F) along with chills. He notes that he was able to go to golf and play however, he still feels sluggish. He notes that when he breathes, his back is in a lot of back, all over, and his urine is very dark in color and very strong smelling. Denies urinary burning, frequency, or urgency. No loss of smell, no loss of taste. Denies shortness of breath, chest pain, nausea, or vomiting.


VAERS ID: 1392137 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Chest X-ray abnormal, Electrocardiogram abnormal, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (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? Yes
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: none.
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: ECG, CXR, IV ketorolac and admission for monitoring.
CDC Split Type:

Write-up: Pericarditis


VAERS ID: 1392478 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-23
Onset:2021-06-01
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

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

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

Write-up: Patient developed herpes rash on left foot about 1 week after vaccine.


VAERS ID: 1392485 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient was a new customer at pharmacy so medications are unknown
Current Illness: medical history unknown
Preexisting Conditions: not known
Allergies: no known allergies
Diagnostic Lab Data: none
CDC Split Type:

Write-up: No adverse events were reported


VAERS ID: 1392544 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-12
Onset:2021-06-01
   Days after vaccination:50
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Vertigo
SMQs:, Vestibular disorders (narrow)

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

Write-up: Beginning June 1st I have had vertigo every morning, it is going on 2 weeks now. I have no other symptoms that would lead to believe I have an infection of any kind.


VAERS ID: 1392587 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-24
Onset:2021-06-01
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram, Blood test, Chest pain, Dyspnoea, Electrocardiogram, Pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Esomeprosol, Lisinopril, Atorvastatin, Vitamins C&D, Zinc, Baby aspirin
Current Illness:
Preexisting Conditions: Cluster headaches, GERD (Barret;s syndrom)
Allergies: None
Diagnostic Lab Data: EKG, CT scan of arteries, blood work (routine and looking for clots).
CDC Split Type:

Write-up: Shortness of breath and chest pains after routine workout at the gym. Got worse thru the day. Went to ER in the evening. Tests for heart attack and blood clots were negative. Sent me home next morning feeling slightly better. Next night (6/2) woke up at 3 am with shooting pains in right leg below knee. Back to ER where they repeated heart tests and did sonogram of leg. All normal. Sent me home again. Symptoms continue to this day with slight improvement. Have follow ups scheduled with Cardio and Pulmonary.


VAERS ID: 1392683 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

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

Write-up: Rapid heartrate started 13 hours (11:00pm on 6/1/2021) after vaccine was administered (10:00am 6/1/2021) and lasted consistently for 18 hours (5:00pm on 6/2/2021), even while sleeping through the night.


VAERS ID: 1392757 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-28
Onset:2021-06-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Chest pain, Coagulation test normal, Deep vein thrombosis, Electrocardiogram abnormal, Fibrin D dimer increased, Haemoptysis, Imaging procedure abnormal, Pain in extremity, Peripheral swelling, Pleuritic pain, Pulmonary embolism, SARS-CoV-2 antibody test, Sinus tachycardia
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Was taking tylenol q4 for 3-4 days prior to today for pain Also took 1-2 doses of naproxen at home OCP use for a month prior to today
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: D Dimer 4000 Normal coags COVID IGG 184 AU/ml EKG sinus tachy
CDC Split Type:

Write-up: Patient vaccinated on 5/28. She reported having pleuritic chest pain and hemoptysis 3 days after that lasted about a week. Then after she developed right leg pain and swelling x 3 days. Seen at our ER 6/11- studies show DVT of the common femoral vein and other veins of the right lower extremity. Also had b/l pulmonary emboli. Started on lovenox treatment and pending thrombectomy by vascular surgeons in 2 days. (In addition she also had admitted to OCP use for a month prior to this event; no reported FH of clotting disorders)


VAERS ID: 1392787 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-28
Onset:2021-06-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014C21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Burning sensation, Discomfort, Lymph node pain, Lymphadenopathy, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (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: none
CDC Split Type:

Write-up: 4 days after the vaccine I woke up with My left arm lymph nodes (under arm/armpit area) swollen and painful. This constant pain that felt like acute pressure under my arm lasted 4 days. The swelling started going down after the 4 the day making it more comfortable to sleep and stretch my arm. Prior to that even if reached my arm out to grab something, I would feel a pinch and a burning sensation on the left arm lymph node. I did not take any medication because I did not know what would make it better or worse or how long this pain would last. The control website or any other site informed me about the swelling of the lymph node or what to do to relive the pain. The only thing I did was switch to an organic deodarant and place cold compressions on my under arm.


VAERS ID: 1392795 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045B21A / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Fall, Loss of control of legs, Muscular weakness, Nausea, Pyrexia, Vomiting, Walking aid user
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ?Glimepiride 2 MG Tablet 1 tablet with breakfast or the first main meal of the day Orally every 12 hours ?metFORMIN HCl 500 MG Tablet 2 tablet with a meal Orally every 12 hours ?Metoclopramide HCl 10 MG Tablet 1 tablet before meals Orally T
Current Illness: n/a
Preexisting Conditions: Diabetes, hypertension
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: After he had the second Moderna vaccine 045B21A at Clinic on 06/01, he had some errands to do after getting home he took a nap for 4-5 hours and after while trying to get up and out of his bed he fell did not have control of his leg. He was able to walk with the help of his wife but he has to use a walker to ambulate as he feels his legs are weak. Weakness is worse on the left. He also experienced fever, nausea, vomiting, and diarrhea.


VAERS ID: 1392842 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Crying, Dizziness, Dyspnoea, Loss of consciousness, Syncope, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: After getting a vaccine, patient was advised to sit for 15 more minutes. As soon as he left the immunizing room, he fainted for couple of seconds. Then regained consciousness but had shaky hands, SOB, and in tears. He was provided with water and asked he may take off the mask if breathing is difficult. Taking the mask ease the breathing a little, but still SOB. Gave him a brown paper bag to breath into and as him to take deep breath in & out. He did that few times, then regained his normal breathing. Saw him looking down to his phone, which I told him to lift his head up to his eyelevel to decrease the dizziness. Was situated for about at least 30 minutes, then he said he was feeling better and he wants to leave as his friend is outside to pick him up and left.


VAERS ID: 1392895 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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: INCORRECTLY STORED VACCINE WAS ADMINISTERED TO PATIENT; HAD TO RE-VACCINATE


VAERS ID: 1392917 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-06
Onset:2021-06-01
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Injection site pain, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient states she had rash and soreness at injection site 1 month after 1st dose of vaccine.


VAERS ID: 1393028 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-10
Onset:2021-06-01
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Generalised anxiety disorder, Hypertension, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), 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: DIM supplement, Rhodiola, ashwaganda
Current Illness: None
Preexisting Conditions: Overweight
Allergies: No known allergies.
Diagnostic Lab Data: None yet.
CDC Split Type:

Write-up: Episodes of generalized, unexplained anxiety with onset about 2 1/2 weeks after vaccination. Episodes of anxiety are frequent and accompanied by tachycardia and high blood pressure.


VAERS ID: 1393211 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-11
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: levonorgestrel 0.15mg daily Vit D3 1250mg once weekly
Current Illness: None
Preexisting Conditions: n/a
Allergies: NKDA
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Patient received #1 dose Pfizer Covid vaccine on 5/21/2021 and inadvertently received #2 dose of Moderna Covid vaccine today.


VAERS ID: 1393229 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-02-22
Onset:2021-06-01
   Days after vaccination:99
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Headache, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: xeralto, folbic, septra ds
Current Illness: none
Preexisting Conditions: blood clots, small persistent infection fm barnacle scrape
Allergies: morphine?
Diagnostic Lab Data:
CDC Split Type:

Write-up: three months after vaccination i came down with a headache, fluctuating fever (97-102) queasy stomach, loss of energy. syptoms have lasted for three days now


VAERS ID: 1394319 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-02-01
Onset:2021-06-01
   Days after vaccination:120
Submitted: 0000-00-00
Entered: 2021-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebral venous sinus thrombosis, Headache, Magnetic resonance imaging head abnormal
SMQs:, Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: benazepriL (Lotensin) 20 mg tablet Take 20 mg by mouth daily. fluticasone propionate (Flonase) 50 mcg/actuation nasal spray levothyroxine (Synthroid) 100 mcg tablet pravastatin (Pravachol) 40 mg tablet tamsulosin (Flomax) 0.4 mg 24 hr c
Current Illness: no acute illness
Preexisting Conditions: htn, BPH
Allergies: NKDA
Diagnostic Lab Data: MRI brain done at hospital
CDC Split Type:

Write-up: pt with very bad headache two weeks ago. now in hospital with very large cerebral sinus thrombosis


VAERS ID: 1394325 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, No adverse event
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: Patient received second dose on 06/01/2021 of the vaccine 14 days after receiving the first dose on 05/18/2021. Patient did not report any adverse events.


VAERS ID: 1394402 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / 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: It was discovered the pfizer vaccine was not removed from the freezer to the refrigerator after 14 days in the freezer. After contacting Pfizer, the vaccine was not viable after 17 days. The vaccine was administered to the patient after the 17 day timeframe.


VAERS ID: 1394559 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW01011 / 1 LA / IM

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

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

Write-up: Vaccine gives 6/4, now have shingles. Symptoms started 6/10, full blown by 6/12.


VAERS ID: 1394601 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-11
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Herpes simplex
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Herpes 2 outbreak


VAERS ID: 1394606 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Cerebrovascular accident, Dysphemia
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (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: buproprion, cymbalta, lisinopril, protonix
Current Illness: none
Preexisting Conditions: hypertension
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Stuttering began shortly afterwards and persists. Now with evidence of a stroke.


VAERS ID: 1394612 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood glucose, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram, Fatigue, Full blood count, Headache, Metabolic function test, Mononucleosis heterophile test, Palpitations, Urine analysis
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Nonr
Preexisting Conditions: Nonr
Allergies: Nonr
Diagnostic Lab Data: EKG, Chest X-ray, CBC, CMP, Mono test, UA w culture, blood glucose
CDC Split Type:

Write-up: Fatigue - rapid heart rate when standing up, exceeds 120bpm when walking or standing and then goes down when lying, chest pain, severe headache, shortness of breath. All tests to rule out other causes negative


VAERS ID: 1394759 (history)  
Form: Version 2.0  
Age: 102.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-02
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Incorrect product formulation administered, No adverse event
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: At 1021, patient was given 0.3 mL of Pfizer vaccine mixed with 1.4 mL NS (instead of 1.8 mL) IM on left arm. Patient is bedbound and was given the vaccine at home. Patient was observed for 30 minutes and did not have any symptoms during the observation period. Patient''s caregiver was given details of event and info about responding to adverse reactions when a healthcare professional is not present.


VAERS ID: 1394769 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-06-01
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cough, Oropharyngeal discomfort
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: occasional throat tickle causing dry cough


VAERS ID: 1395025 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
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: Patient received her 1st dose on 6/1, 9 hours later she fainted. She has no medical conditions and no history of fainting.


VAERS ID: 1395126 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: hx of fainting at md office
Other Medications: none reported
Current Illness: none reported
Preexisting Conditions: none reported
Allergies: none
Diagnostic Lab Data: None reported. Just did a follow-up with pcp per mom
CDC Split Type:

Write-up: Fainting, became alert after a few seconds


VAERS ID: 1395250 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-27
Onset:2021-06-01
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)

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

Write-up: Can?t remember the exact dates, just now found out that you can report adverse reactions. The issue i had was what felt like my heart working hard when i laid down for bed a couple nights. One time i put a heart rate monitor one because it felt like my heart rate was very high but the monitor showed normal.


VAERS ID: 1395288 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-22
Onset:2021-06-01
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Ear pain
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prescription: Valtrex (only when needed. not regularly) Multivitamin, Lysine Supplement, Red Marine Algae Supplement
Current Illness: Common Cold one week prior
Preexisting Conditions: Genital Herpes
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I got a mild case of Bell''s Palsy. My face did not droop but I could not lift the left side of my face at all. I could not fully smile or flare my nostrils. I also had an earache but no ear infection. I am 10 days into having Bell''s Palsy and I have seen an improvement in the movement of my face after one week of Prednisone. But there is still a long way to go before I fully recover.


VAERS ID: 1395311 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Amnesia, Anxiety, C-reactive protein, Confusional state, Diarrhoea, Feeling abnormal, Full blood count, Hypersomnia, Metabolic function test, Neutrophil count
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Noninfectious diarrhoea (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: Levothyroxine, women''s multivitamin
Current Illness: upper respiratory infection
Preexisting Conditions: Hashimoto''s hypothyroid
Allergies: n/a
Diagnostic Lab Data: CBC, CRP, Seg, kidney, liver, thyroid blood work collected on June 3
CDC Split Type:

Write-up: Developed intense brain fog, confusion, memory loss, diarrhea, sleeping 10-12 hrs per day plus 2 naps per day. Was to the point that I was reaching out to touch my family members to make sure they were really standing in front of me. As an RN myself, I was very worried. Lasted for a total of 5-6 days and then completely went away. No history of mental illness other than anxiety. Was seen by PCP on day 2 of symptoms. Scheduled for MRI of the brain and complete lab work collected. No signs of inflammation or infection. If symptoms continued then would have prescribed course of steroids but symptoms went away on June 7th. 2nd dose of vaccine was on June 1st.


VAERS ID: 1395330 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Montana  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210619418

Write-up: EXPIRED VACCINE USE; This spontaneous report received from a health care professional concerned multiple patients. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUN-2021, the subject experienced expired vaccine use. The action taken with covid-19 vaccine was not applicable. The outcome of expired vaccine use was not reported. This report was non-serious. This report was associated with product quality complaint: 90000182243. The suspected product quality complaint has been confirmed to be to be voided (no PQC was identified) based on the PQC evaluation/investigation performed.


VAERS ID: 1395534 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN XD98B / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Cerebral venous sinus thrombosis, Cerebrovascular accident, Computerised tomogram head, Magnetic resonance imaging head
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: Brain CT 07.06.2021 Brain MRI 09.06.2021
CDC Split Type:

Write-up: Cerebral Venous Sinus Thrombosis Stroke


VAERS ID: 1395915 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-15
Onset:2021-06-01
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood test, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer, Full blood count, Laboratory test, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Simvastatin, Amaryl, Metformin, Losartan
Current Illness: None
Preexisting Conditions: Diabetes, Hypertension, Hyperlipidemia
Allergies: Lisinopril
Diagnostic Lab Data: Chest x-ray; Chest CT; Lab work, including D-Dimer, CBC, and Chemistry panel 6/3/21
CDC Split Type:

Write-up: Patient developed shortness of breath with bilateral pulmonary emboli. He was hospitalized on 6/3/21 to 6/4/21 and was discharged home on blood-thinning medication.


VAERS ID: 1395942 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-29
Onset:2021-06-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Full blood count abnormal, Ophthalmological examination abnormal, Retinal vein occlusion, Thrombocytopenia
SMQs:, Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Embolic and thrombotic events, venous (narrow), Optic nerve disorders (broad), Corneal disorders (broad), Retinal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: 06/01/2021 Ophthalmology examination 06/01/2021 CBC
CDC Split Type:

Write-up: Central Retinal Vein Occlusion 1 day after receiving second dose of Pfizer vaccination + Thrombocytopenia


VAERS ID: 1396046 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-31
Onset:2021-06-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: C-reactive protein normal, Chest X-ray normal, Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram Q waves, Electrocardiogram abnormal, Full blood count normal, Metabolic function test normal, Pain, Pyrexia, Red blood cell sedimentation rate normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro 10mg
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin and latex
Diagnostic Lab Data: CXR: NAD EKG: subtle ? Q wave V1-2 CBC, CMP, ESR, CRP are normal Will arrange for echocardiogram to check pump function Consider need for functional heart testing pending course Activities as tolerated pending course with symptoms reviewed ? electrocardiogram ? XR, chest, 2 view ? US, echocardiogram, transthoracic, complete, w/ color flow ? CBC with differential/platelet ? comprehensive metabolic panel ? erythrocyte sedimentation rate by westergren method ? C reactive protein, QN, serum or plasma
CDC Split Type:

Write-up: 12 hours after second Pfizer vaccine dose - Fever, body pain , chest pressure, 24 hours. Chest pressure and Dyspnea on exertion continues June 1 - present day of June 14th Severe dizziness begins on June 12th


VAERS ID: 1396051 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Autoimmune disorder, Fibromyalgia, Headache, Hypoaesthesia, Neuralgia, Paraesthesia, Rheumatoid arthritis
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Arthritis (narrow), Immune-mediated/autoimmune disorders (narrow)

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

Write-up: Fibromyalgia and rheumatoid arthritis worsens. Skin tingles and numbness continue. The nerve pain from the autoimmune disorders magnify to the point of severe pain. Headaches are unbelievable and still have them. Symptoms of fibromyalgia gets worse by the day.


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