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

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



Case Details (Reverse Sorted by Onset Date)

This is page 270 out of 8,010

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VAERS ID: 1679037 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-01
Onset:2021-09-04
   Days after vaccination:187
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

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

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

Write-up: Tested NAAT positive for COVID 9/4/21 after being fully vaccinated.


VAERS ID: 1679047 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Dyspnoea, Musculoskeletal pain, Musculoskeletal stiffness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Cardiomyopathy (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: Covid-19 in February, 2021.
Preexisting Conditions: None.
Allergies: Codeine.
Diagnostic Lab Data:
CDC Split Type:

Write-up: A warm burning sensation upper back by shoulder on left side where vaccination was given, stiffness in neck. pain in buttock area, shortness of breath.


VAERS ID: 1679083 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-03
Onset:2021-09-04
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cholangiogram, Cholecystectomy, SARS-CoV-2 test positive
SMQs:, Gallbladder related disorders (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was admitted to HCF admitted as observation on 9/3/21 and upgraded to inpatient on 9/5/21 with S/P laparoscopic cholecystectomy with IOC. Patient was tested for COVID-19 and was positive on 9/3/21.


VAERS ID: 1679100 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cold sweat, Dizziness, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Fever at 103 Severe body aches Cold sweats Dizziness Happened at night


VAERS ID: 1679110 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-27
Onset:2021-09-04
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004F21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heart rate increased, Neuralgia, Pain, Pain in extremity, Palpitations, Pruritus, Rash, Skin warm
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: Arm sore for 3-4 days, subsided, then on day 8, rash developed and has spread; pt reports shooting pains, itching, hot to touch; no fever reported; has been taking Benadryl and using hydrocortisone cream; has gotten a little better; still has nerve pain -- pt also reports racing heart/increase heart rate


VAERS ID: 1679126 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Myalgia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prednisone 7mg, lantanoprost 1 drop, famotidine 20mg
Current Illness: Poly Myalgia Rheumatica diagnosed May 2021
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: VOMITING, CHILLS, MUSCLE PAIN, FATIGUE FOR 24 HOURS


VAERS ID: 1679161 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 AR / IM

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

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

Write-up: Intermittent vertigo- suspected vestibular neuritis.


VAERS ID: 1679221 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Nasal congestion, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, K2+D, Multi, Probiotic
Current Illness: none
Preexisting Conditions: none
Allergies: gluten sensitive
Diagnostic Lab Data: none
CDC Split Type:

Write-up: High fever got up to 102.5 even after Tylenol. Chills, shaking. stuffy nose. Lasted exactly 24 hours and was then gone.


VAERS ID: 1679227 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Lymphadenopathy, Physical examination
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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EXAMINATION/ MEDICAL OFFICE VISIT.
CDC Split Type:

Write-up: PATIENT CAME INTO CLINIC TODAY 9/7/21 WITH REPORTS OF A SWOLLEN LYMPH NODE UNDER LEFT ARMPIT.


VAERS ID: 1679240 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-08-24
Onset:2021-09-04
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

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

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

Write-up: Caught covid, not sure if it?s related directly to the vaccine but I took the vaccine and now I have covid


VAERS ID: 1679245 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adverse reaction
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: nuvaring and macrobid (taken as needed)
Current Illness: pt is seeing a cardiologist prior to both vaccines for pre existing condition
Preexisting Conditions: No
Allergies: potentially penicillin
Diagnostic Lab Data: none
CDC Split Type:

Write-up: pt took tylenol on advise of cardiologist


VAERS ID: 1679265 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus, Pain in extremity, Urticaria, Vaccination site reaction, Vaccination site swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Arm presents with red welts and swelling in the upper arm area from the vaccination area to the elbow. Strong pain in the whole arm and itching in the area of the welts.


VAERS ID: 1679280 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048F21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eye pruritus, Pharyngeal swelling, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient had itchy eyes after the first dose and had proactively bought benadryl. Patient started to experience itchy eyes a few minutes after the second dose and began having itching/swelling of the throat after 25 min from the dose. patient has been taking benadryl daily, last dose was yesterday (09/06/21)


VAERS ID: 1679318 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020F21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Autism, seizure disorder, ADHD
Allergies: Depakote
Diagnostic Lab Data: None know by reporter
CDC Split Type:

Write-up: Patient had seizure on 9/04/21 at the following times 9:25am, 12:00am, and 12:36pm. Mother took to ER where they gave fluids and then discharged. After coming home patient had another seizure on 9/4/21 at 6:29pm. Since then no additional seizures, as of time of reporting.


VAERS ID: 1679355 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-29
Onset:2021-09-04
   Days after vaccination:249
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

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

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

Write-up: PATIENT HAD COVID-19 VACCINE DOSE, Dose 1 date: 12/29/ 2020, Dose 2 date: 01/19/2021, AND TESTED POSITIVE TO COVID.


VAERS ID: 1679363 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / UN

Administered by: Public       Purchased by: ?
Symptoms: Blood pressure increased, Blood test normal, Chills, Diarrhoea, Dyspnoea, Feeling hot, Loss of consciousness, Nausea, Pain, Sleep disorder, Urine analysis normal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan 50mg, Magnesium supplements, zinc, omega 3, D3, and probiotics
Current Illness: no
Preexisting Conditions: Hypertension
Allergies: no
Diagnostic Lab Data: Visit to emergency and laboratory 09/06/2021
CDC Split Type:

Write-up: Since the fourth of September I began to feel heat inside, but hen I felt a very strong throbbing inside especially in my back, and it made it hard to breath. I had diarrhea, nausea and chills. Every time I went to sleep I felt like a punch inside me that did not allow me to sleep. There was a time when I felt I needed air and lost consciousness for an instant, it was a sensation I have never experienced. I still need to second dose and it terrifies me because I don''t know if the side effects will be worse. I went to the emergency room because I felt like I was going to die. They told me it was the vaccine. I am hypertensive and my pressure increased because I can identify when it gets high. They did a urine and blood study at the hospital. Thank God everything went well.


VAERS ID: 1679375 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever 100.5, body aches, headache, tired, chills all experienced for 24 hrs the next day after receiving the 2nd covid vaccine. Left arm was sore for 3 days. 1st covid shot I only experienced a sore arm for about 3 days.


VAERS ID: 1679376 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Injection site erythema, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AMLODIPINE LYRICA LIALDA WELLBUTRIN SR ZOLOFT TRILEPTAL HUMALOG INSULIN EDARBYCLOR LISINOPRIL
Current Illness:
Preexisting Conditions: HYPERTENSION BIPOLAR DISORDER TYPE 2 TYPE 2 DIABETES MELLITUS MAJOR DEPRESSIVE DISORDER
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Macular erythema at the injection site Urticaria began to form on the arms and face Difficulty breathing


VAERS ID: 1679387 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 UN / IM

Administered by: Private       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: n/a
Current Illness: n/a
Preexisting Conditions:
Allergies: n/a
Diagnostic Lab Data: N/a
CDC Split Type:

Write-up: The vaccine refrigerator went out of allowed temperature, crept up from 8 C to 12 C over a period of 16 hours. Vaccine was being stored at 2-8C for the allowed 30 days in the refrigerator. Patient was given a dose of the vaccine After the refrigerator temperature excursion.


VAERS ID: 1679537 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Flank pain, Immediate post-injection reaction, Injection site pain, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine 20 mg, Lamotrigine 50mg, OTC Iron supplement, OTC Magnesium supplement. All taken at night (night before vaccination, night of vaccination, etc)
Current Illness: None
Preexisting Conditions: Have no recovered taste or smell from having COVID in December 2020.
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain in left arm at site of injection immediately following shot. Lasted four days. Severe body pain particularly in both upper arms, middle of quads, toes and flanks on backside. This started the night of vaccination. Last four days. Fever and chills day two, three and four. Highest recorded was 100.7 degrees. Treatment for all events consisted of Acetaminophen 2,000 mg three different times during the long weekend.


VAERS ID: 1679736 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Lymphadenopathy, Pharyngeal swelling, Pyrexia, Rash
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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 states she had the following symptoms -throat swelling -rash neck/chin -fever -diarrhea -swollen lymph node She said all this happened the day before and that she slept for the rest of the day. 4 days later she is much better and not showing any symptoms


VAERS ID: 1679747 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 3 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Chills, Diarrhoea, Fatigue, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 50 mcg Aspirin 81 mg Vitamin D 3 1000 units Osteo Biflex Ibuprofen 600 mg
Current Illness: Mone
Preexisting Conditions: Hypothyroid Mild intermittent asthma
Allergies: None known
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Intermittent sharp, crappy abdominal pain, followed by loose stools. Several hours later shaking chills, low grade fever (100). Fatigue. Symptoms resolved within 36 hours.


VAERS ID: 1679957 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301308A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cellulitis, Erythema, Fatigue, Injection site paraesthesia, Pain, Pyrexia, SARS-CoV-2 test negative, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Pertussis vaccine, allergic reaction, 1994
Other Medications: None
Current Illness: Asthma, anemia
Preexisting Conditions: Iron deficient Anemia
Allergies: Pertussis vaccination, macrobid, betadine
Diagnostic Lab Data: Covid test negative, physical exam
CDC Split Type:

Write-up: Swelling, COVID ARM, redness that spreads continuously days after injection, fever, soreness, tingling sensation at injection site, body aches, fatigue, cellulitis that needs to be treated with antibiotics


VAERS ID: 1679959 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FO8448 / 2 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Axillary pain, Fatigue, Headache, Lymphadenopathy, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (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: Swelling at injection site and itching with Flu vaccine one time
Other Medications: Losartan, Fluoxetine, Omeprazole DR, Loratadine, Vitamin D, Potassium Chloride ER, Euthyrox, Furosemide, Fluticasone Propionate, Calcium Carbonate, Magnesium Oxide, Zinc Sulfate Monohydrate, Calcium Ascorbate, Women?s 50+ One A Day,
Current Illness: Jone
Preexisting Conditions: Htn, hypothyroidism, asthma, depression
Allergies: Ampicillin, Iodine, Latex
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swelling in right axilla, pain in right axilla, swelling in right side of neck under mandible., fatigue, headache


VAERS ID: 1680137 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-08-18
Onset:2021-09-04
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: 17 days after vaccine I had serious menstrual cramps, ovarian pain and heavy bleeding two weeks before I was even due to menstruate which is all very unusual for me..


VAERS ID: 1680140 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram head, Facial paralysis, Headache, Hypoaesthesia, Muscle twitching
SMQs:, Peripheral neuropathy (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine, HCTZ, MVI
Current Illness: None
Preexisting Conditions: HTN, dyslipidemia, neurofibromatosis type II
Allergies: Chanticleer-sensitivity, Lactose
Diagnostic Lab Data: CT scan head on 9/7/21
CDC Split Type:

Write-up: Left sided facial numbness, facial twitching near corners of mouth, left sided headache, then mild facial droop with smiling noted


VAERS ID: 1680280 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Feeling hot, Rash macular, Swelling face
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Allergic reaction to my face, swollen, red, blotchy. My head became really hot as well


VAERS ID: 1680290 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 058E21A / 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: patient was given moderna Covid 19 shot which is not indicated for his age


VAERS ID: 1681477 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-09-04
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pain in extremity, Peripheral swelling, Swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (Patient drinks alcohol occasionally.); Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Blood donor; Comments: The patient had no known allergies and no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210909134

Write-up: SWELLING IN THE LEFT ARM; SWELLING AT THE SITE THAT THE BLOOD WAS DRAWN FROM (NOT THE SITE THAT SHE GOT HER INJECTION IN); I FEEL LIKE I GOT SOCKED IN MY ARM, IT WAS HARD TO LIFT IT/ ARM PAIN; This spontaneous report received from a patient concerned a 54 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included: blood donor, and concurrent conditions included: occasional alcohol user, and non smoker, and other pre-existing medical conditions included: The patient had no known allergies and no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 02-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 04-SEP-2021, the patient experienced swelling in the left arm. On 04-SEP-2021, the patient experienced swelling at the site that the blood was drawn from (not the site that she got her injection in). On 04-SEP-2021, the patient experienced i feel like i got socked in my arm, it was hard to lift it/ arm pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from swelling in the left arm, and swelling at the site that the blood was drawn from (not the site that she got her injection in), and the outcome of i feel like i got socked in my arm, it was hard to lift it/ arm pain was not reported. This report was non-serious.; Sender''s Comments: V0 : Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.


VAERS ID: 1681488 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-09-04
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Influenza
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: The patient had no medical history, no known allergies, and no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210904; Test Name: Body temperature; Result Unstructured Data: 101.5 F
CDC Split Type: USJNJFOC20210910726

Write-up: FLU SYMPTOMS; This spontaneous report received from a patient concerned a 63 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: non smoker, and non alcohol user, and other pre-existing medical conditions included: The patient had no medical history, no known allergies, and no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 04-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 04-SEP-2021, the patient experienced flu symptoms. Laboratory data included: Body temperature (NR: not provided) 101.5 F. Treatment medications included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu symptoms on 05-SEP-2021. This report was non-serious.


VAERS ID: 1681698 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-09-01
Onset:2021-09-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Confusional state, Dizziness, Fatigue, Mood altered, Nasopharyngitis, Oropharyngeal pain, Sinusitis, Tonsillar hypertrophy, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Vestibular disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft, meclizine, rizatriptan, albuterol,
Current Illness: N/A
Preexisting Conditions: Asthma and chronic bronchitis
Allergies: Penicillin
Diagnostic Lab Data: MRI ...appt next week results on oct 15 2021
CDC Split Type:

Write-up: Fatigue, cold, sore throat and swollen tonsils, confusion, dizziness, gertie, vomiting, sinusitis, moodiness


VAERS ID: 1682140 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Body temperature, Chills, Dry mouth, Migraine, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: CLARITIN [LORATADINE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Food allergy (Known allergies: Poppy seeds)
Allergies:
Diagnostic Lab Data: Test Date: 20210904; Test Name: Body temperature; Result Unstructured Data: Test Result:101.5 degrees; Comments: At 06:00
CDC Split Type: USPFIZER INC202101152764

Write-up: All over body and joint pain; Migraine; Dry mouth; Chills; Fever of 101.5 degrees; All over body and joint pain; This is a spontaneous report from a contactable consumer, the patient. A 25-year-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the right arm on 03Sep2021 at 14:30 (at the age of 25-years-old) as a single dose for COVID-19 immunisation. Medical history included asthma and allergy to poppy seeds. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included loratadine (CLARITIN) and women''s probiotic (unspecified); for unknown indication from unknown date and unknown if ongoing. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the right arm on 13Aug2021 at 14:30 (at the age of 25-years-old) as a single dose for COVID-19 immunisation. The patient previously received sulfamethoxazole/trimethoprim (BACTRIM) and experienced drug allergy. On 04Sep2021 at 06:00, the patient experienced fever of 101.5 degrees, chills, all over body and joint pain, migraine and dry mouth. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events fever of 101.5 degrees, chills, all over body and joint pain, migraine and dry mouth were not resolved at the time of the report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 1682143 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-09-01
Onset:2021-09-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysphonia, Laryngitis
SMQs:, Parkinson-like events (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101152917

Write-up: Hoarse voice; Laryngitis; This is a spontaneous report from a contactable healthcare professional, the patient. A 40-year-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the right arm on 01Sep2021 at 13:00 (at the age of 40-years-old) as a single dose for COVID-19 immunisation. Medical history included penicillin allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications were not reported. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on an unknown date as a single dose for COVID-19 immunisation. On 04Sep2021 at 12:00, the patient experienced hoarse voice and laryngitis. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events hoarse voice and laryngitis were not resolved at the time of this report. The lot number for BNT162b2 was not provided and will be requested during follow up.


VAERS ID: 1682175 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-01
Onset:2021-09-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011D21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Injection site erythema, Injection site pain, Injection site swelling, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)

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

Write-up: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium.


VAERS ID: 1682181 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bone pain, Chills, Fatigue, Pain, Pain in extremity
SMQs:, Osteonecrosis (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: PFIZER (1) - TIRED, CHILLS, HEADACHE, SORE ARM
Other Medications: NONE
Current Illness: AFTER 1ST VACCINE GOT COLD WHICH TURNED INTO BRONCITIS
Preexisting Conditions: NONE
Allergies: NSAIDS
Diagnostic Lab Data:
CDC Split Type:

Write-up: ACHING BONE PAIN IN LEFT FOREARM, NOT JOINT PAIN - COMES AND GOES. SEEMS TO BE FURTHER APART AS TIME GOES BY. ALSO HAD THE NORMAL TIRED, CHILLS AND PAIN IN ARM FROM INJECTION AS THE FIRST ONE DID.


VAERS ID: 1682202 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nausea, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: at approx 4:30pm started to feel nauseous and vomited x4. Rash appeared approx Sunday morning under my breasts, still there on 9/8/21 (but has not spread to any other area)


VAERS ID: 1682409 (history)  
Form: Version 2.0  
Age: 93.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-02-11
Onset:2021-09-04
   Days after vaccination:205
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: sleep apnea
Allergies: NKDA
Diagnostic Lab Data: Covid test
CDC Split Type:

Write-up: Breakthrough case-


VAERS ID: 1682413 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-02-09
Onset:2021-09-04
   Days after vaccination:207
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, Chills, Computerised tomogram thorax abnormal, Dyspnoea, Exposure to SARS-CoV-2, Lung infiltration, Oxygen saturation decreased, Pyrexia
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, vitamin D, eliquis, lasix, omeprazole, ventolin
Current Illness:
Preexisting Conditions: Paroxysmal atrial fibrillation Essential hypertension GERD
Allergies: risedronate
Diagnostic Lab Data:
CDC Split Type:

Write-up: 84-year-old female with paroxysmal atrial fibrillation on Eliquis who presented to the ER with complaints of worsening shortness of breath. She reports that she went to a outpatient clinic and was found that her oxygen level was low so she was sent to the ER for further evaluation. She is found to be Covid positive. She reports she received 2 doses of the Pfizer vaccine earlier this year. She lives alone but reports she was probably exposed because several members of her church had Covid. She had fevers and chills. Denies nausea or vomiting. Denies any chest pain. Patient received Remdesivir, steroids, antibiotics, supplemental O2 (15 LPM non rebreather) CT study 2 days ago showed no pulmonary embolus, bilateral infiltrates consistent with pneumonia?Covid. Patient still hospitalized at time of report.


VAERS ID: 1682421 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-08
Onset:2021-09-04
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Acute respiratory failure, Atrial fibrillation, Blood lactic acid increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated, Convalescent plasma transfusion, Cyanosis, Dyspnoea, Feeling hot, Hypotension, Ischaemia, Livedo reticularis, Myocardial infarction, Pneumonia, Positive airway pressure therapy, Posture abnormal, Productive cough, Respiratory failure, SARS-CoV-2 test positive, Sputum discoloured, Suffocation feeling, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (narrow), Angioedema (broad), Lactic acidosis (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Supraventricular tachyarrhythmias (narrow), 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), Embolic and thrombotic events, arterial (narrow), Dystonia (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (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: APAP, aspirin, plavix, cyclobenzaprine, mucinex, meloxicam, pravastatin, trelegy
Current Illness:
Preexisting Conditions: chronic hypercapnic respiratory failure with home astral device previously, obesity hypoventilation syndrome, hypertension, nonobstructive CAD, COPD, diabetes, chronic A. fib anticoagulated on Eliquis, extensive vascular disease and ongoing tobacco use
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Presented to the ER via EMS with dyspnea. Patient reports waking to a smothering sensation without chest pain. Felt extremely short of breath even with his home 2 L oxygen. He called EMS. He was found to be satting 82% on his home O2 by EMS. He was noted to be cyanotic with mottling and tripoding. EMS brought him in emergently on their positive pressure ventilation. In the ER rapid Covid test is positive. Chest x-ray with findings of right basilar pulmonary infiltrate. He is dyspneic with minimal conversation. He is alert and oriented x3. He reports a several day history of progressive shortness of breath. He was seen by his primary pulmonologist last week and was started on a NEW medication, although he is unable to recall name of the medication. He states he was unable to afford the prescription and has never started on the medication. Patient reports a several day history of feeling "hot." He did not take his temperature. He reports a new productive cough of yellow sputum. He reports having Covid-19 last year, and following infection he received 2 doses of Pfizer COVID-19 vaccine. Patient is in A. fib with RVR. Heart rates ranging 110-124. He denies any CP. He received bolus of IV Cardizem in the ER. Initiated Cardizem drip at 10MG/h and vancomycin. Assessment: Acute on chronic hypoxic/hypercapnic respiratory failure, on 2 L nasal cannula at home with history of astral use Right-sided PNA/pulmonary infiltrate A. fib with RVR Hypotension COVID-19 pneumonia Elevated lactate Elevated troponin, likely type II MI 2/2 demand ischemia in setting of acute respiratory failure, A. fib with RVR, and pneumonia Mild AKI COVID-19: Steroids, remdesevir started. Supplemental O2 given. convalescent plasma given. empiric antibiotics for pneumonia. 9/7/2021: O2 titrated down to 3LPM and cardizem drip stopped and transitioned to oral cardizem Patient still admitted at time of report.


VAERS ID: 1682444 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3180 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Dry mouth, Feeling abnormal, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad), Hypoglycaemia (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: Olmesartan 40mg (once daily) Metoprolol 50mg (once daily) Vitamin D3 Allergy Tablets
Current Illness: None
Preexisting Conditions: High Blood Pressure Mental Disabilities
Allergies: Seroquel
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Bad feeling running throughout body, broke out in sweat as if she was going to faint, dry mouthed and after 45 minutes she started to feel better.


VAERS ID: 1682447 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-16
Onset:2021-09-04
   Days after vaccination:172
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 1 AR / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 AR / SYR

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

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

Write-up: POSITIVE COVID


VAERS ID: 1682449 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-01-13
Onset:2021-09-04
   Days after vaccination:234
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: DM 2 , Asthma, breast Ca, obesity
Allergies: unknown
Diagnostic Lab Data: Covid swab
CDC Split Type:

Write-up: Breakthrough case


VAERS ID: 1682512 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Palpitations, Pyrexia, Sleep disorder, Vaccine positive rechallenge
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), 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: Same symptoms as with the second dose. Heart palpitations, shortness of breath, chest pressure. 20 years of age during both the
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Dust, wool, animal fur.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heart palpitations, chest pressure, slightly shortness of breath. Occured after two days after the first dose of Pfizer vaccine - 26.04.2021. (dd/mm/yyyy) Heart attack like pain during nighttime for the first week. Symptoms gradually disappeared after a month. Got the second dose of the Pfizer vaccine - 04.09.2021. Same symptoms were noticed in the same day, during night time. Pain gets worse while laying down, unable to sleep properly. Slight fever, no fatigue, no swelling, no coughing. This is my fifth day after the vaccine and the heart palpitations along with other symptoms are here, only slightly reduced. Otherwise a healthy 20 year old young male.


VAERS ID: 1682541 (history)  
Form: Version 2.0  
Age: 93.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-07
Onset:2021-09-04
   Days after vaccination:120
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Cough, Fatigue, Pyrexia, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omeprazole, hydrocortisone neomycin gtts, verapamil, Atorvastatin, hydrochlorothiazide, latanoprost opht, atenolol, losartan, flecainide,
Current Illness: none
Preexisting Conditions: UTI, debility, heel ulcer, CAD, HLD, pulmonary HTN, Ataxia,
Allergies: Amoxicillin, ampicillin, Macrobid, nitro-dur, sulfonamides
Diagnostic Lab Data: Rapid COVID
CDC Split Type:

Write-up: Fatigue, weakness, cough and fever


VAERS ID: 1682570 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025C21A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Chest pain, Chills, Hot flush, Tinnitus, Vision blurred, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril
Current Illness: just a back injury from work
Preexisting Conditions: none
Allergies: NSAIDS
Diagnostic Lab Data:
CDC Split Type:

Write-up: hot flashes and chills, uncontrollably vomiting, ringing in ears, chest pain and pain on the middle of the back between shoulder blades, blurred vision. All symptoms lasted 12-24 hours


VAERS ID: 1682585 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-01
Onset:2021-09-04
   Days after vaccination:215
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M2OA / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002A21A / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: None stated.


VAERS ID: 1682601 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-03-03
Onset:2021-09-04
   Days after vaccination:185
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acetaminophen (Tylenol Arthritis Pain) 650 Mg Oral Tbsr Acyclovir (Zovirax) 400 Mg Oral Tablet Albuterol Hfa (Proventil;Ventolin Hfa) 90 Mcg/Actuation Inhl Inhaler Ascorbic Acid (Vitamin C) 1,000 Mg Oral Tab
Current Illness:
Preexisting Conditions: Chronic low back pain CLL (chronic lymphocytic leukemia) COVID-19 virus detected Deep vein thrombosis (DVT) Duodenal nodule Essential hypertension Kidney stone MRSA (methicillin resistant Staphylococcus aureus) Multiple myeloma Thyroid cancer CLL (chronic lymphocytic leukemia) Thyroid cancer Immunosuppression Gross hematuria Aortic valve insufficiency Aortic root dilation Prostatic hypertrophy
Allergies: Bee Sting (Nic) Revlimid [Lenalidomide] Zometa [Zoledronic Acid]
Diagnostic Lab Data:
CDC Split Type:

Write-up: POSITIVE COVID TEST 8/31/21


VAERS ID: 1682623 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-01-29
Onset:2021-09-04
   Days after vaccination:218
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

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

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

Write-up: Patient developed COVID-19 requiring hospitalization post-vaccine.


VAERS ID: 1682628 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046C21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chills, Headache, Injection site swelling, Malaise, Pyrexia, Rash, Rash erythematous, Skin tightness
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Shot received 9/4/21 at 3:00pm, approx. 8:30 pm malaise & fever began, along with headache. By 9/5/21 fever increased to 102? and sustained for most of the day despite Tylenol 1000 mg every 4 hours, fever maxed at 102.8?. On 9/6/21 increased swelling of the arm with the injection site was noted and a red rash, as of today 9/8/21, the rash is still spreading with tightness and pain but no itching. Malaise, chills and fever have subsided but return in waves, usually in the evening. Some chest pressure has occurred. Recovery is on-going.


VAERS ID: 1682633 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006D21A / 3 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol, Aspirin 81mg, Symbicort, Clopidogrel 75mg, Cyclobenzaprine 5mg, Daliresp 500mcg, Gabapentin 300mg, Duo-neb, Loratadine 10mg, Montelukast 10mg, Multivital oral, Pembrolizumab 25mg/mL, Rosuvastatin 20mg
Current Illness: Lung Cancer
Preexisting Conditions: COPD
Allergies: Osteoporosis medication- medication is unknown, causes swelling of the tongue
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Redness and swelling on the left upper arm area that extended to the bend of her elbow and started the night of 9/4/21. Patient stated she was taking Aleve 1x in the morning and applying cold packs to the area though out the day. Discussed with patient to take Aleve 2x a day and to apply cold pack for 10-15 minutes and then remove it for at least 30 minutes and repeat if needed. Patient stated she was feeling better when contacted on 9/7/21. Instructed patient to contact Health Department if she was not feeling better by Friday 9/10/21.


VAERS ID: 1682651 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Fatigue, Hyperaesthesia, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever, fatigue, upset stomach, sensitivity to touch, sore muscles


VAERS ID: 1682666 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-05
Onset:2021-09-04
   Days after vaccination:183
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012A21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Atelectasis, COVID-19, Chest X-ray abnormal, Diarrhoea, Fatigue, Infection, Lung infiltration, SARS-CoV-2 test positive
SMQs:, Interstitial lung disease (narrow), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, vit D, flonase, mirabegron, tacrolimus
Current Illness: no
Preexisting Conditions: CKD stage 4, cirrhosis s/p liver transplant 2016 on immunosuppression therapy, GERD, HTN, and hypothyroidism
Allergies: nkda
Diagnostic Lab Data: PCR + 9.4.2021 CXR: 1. Atelectasis versus early infiltrate in the left lower lobe. 2. Minimal atelectasis in the right lower lobe.
CDC Split Type:

Write-up: breakthrough case- w/ diarrhea and fatigue/weakness


VAERS ID: 1682753 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-26
Onset:2021-09-04
   Days after vaccination:221
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 2 LA / IM

Administered by: Work       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: 9/8/21 SARS-COV2 NAAT positive
CDC Split Type:

Write-up: COVID positive $g14 days post vaccine series.


VAERS ID: 1682758 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Obesity, ADHD, Elevated ALT, History of Viral Encephalitis
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Maculopapular rash began on right arm and spread throughout the body 1-2 days after the second vaccination. No fevers, pain, itchy or joint pain was involved. Rash is asymptomatic.


VAERS ID: 1682768 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Myalgia, Nausea, Pyrexia
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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, Ibuprofen
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa, PCN
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Fever, Headache, Myalgias, Stomach Cramping, Nausea, Diarrhea


VAERS ID: 1682798 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-25
Onset:2021-09-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 RA / SYR

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

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

Write-up: Covid confirmed on 9.4.2021


VAERS ID: 1682834 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-04
Onset:2021-09-04
   Days after vaccination:123
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Endotracheal intubation, Exposure to SARS-CoV-2, Foreign travel, Intensive care, SARS-CoV-2 test positive
SMQs:, Angioedema (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LIAT positive for COVID 9/4/21.
CDC Split Type:

Write-up: Hospitalization for COVID with required intubation. Family out of the country with COVID, patient was with family and had family ill with COVID and some expired there. Patient wanted to return there but required intubation in ICU.


VAERS ID: 1682896 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-02-25
Onset:2021-09-04
   Days after vaccination:191
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002A21A / UNK - / -

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

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

Write-up: Covid positive due to positive household member


VAERS ID: 1682918 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A218 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood magnesium, Chest X-ray, Electrocardiogram, Feeling hot, Full blood count, Hyperhidrosis, Hypotension, Loss of consciousness, Metabolic function test, Nausea, Pregnancy test urine, Troponin, Urine analysis
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (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: Gabapentin, Cyclobenzaprine, Lexapro
Current Illness: NA
Preexisting Conditions: NA
Allergies: PCN
Diagnostic Lab Data: BAMP, CBC, HS Troponin, magnesium level, urine pregnancy, urinalysis, ECG12 lead, XR chest
CDC Split Type:

Write-up: 11:30pm on day of dose 9/4, I felt nauseous. I got up from my desk to walk about 15 steps to the bathroom and lost consciousness. In coming to, I was hot and sweaty. When EMTs arrived my bp was 80/a number I don?t remember but low. Bs was 114


VAERS ID: 1682920 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048F21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Erythema, Feeling hot, Oedema, Swelling, Ultrasound scan abnormal, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Pt began experiencing warmth and hives at around 3pm on Saturday. She took a Benadryl and felt better. By Monday, it became more hot and swollen, felt weak/non-functional. She went to ER in which she works and got an ultrasound revealing edema. They gave her a Rocephin shot and it has improved but still a little red.


VAERS ID: 1682936 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-01-22
Onset:2021-09-04
   Days after vaccination:225
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 010M20A / 2 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan; Magnesium; Eliquis; Vitamin D; Daily vitamin; Amlodipine
Current Illness: none
Preexisting Conditions: hypertension, peripheral vascular disease, obesity, polyarthriits, cardiac pacemaker
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: productive cough of yellow-green sputum and low grade fevers. starting 9/4/21


VAERS ID: 1682994 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Headache, Hypoaesthesia, Hypoaesthesia oral
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Arthritis (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid Provigil Vitamin D Zyrtec
Current Illness:
Preexisting Conditions: Multiple Sclerosis Hashimoto?s Thyroiditis
Allergies: Soy Latex Aspartame Melons Metals Eucalyptus
Diagnostic Lab Data:
CDC Split Type:

Write-up: Numbness in face: mostly in left side extending all the way to the ear; some on right side of face Numb lips Numb tongue Joint pain Significant Fatigue Mild to moderate headaches


VAERS ID: 1683000 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Electrocardiogram normal
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa
Diagnostic Lab Data: EKG 9/04/2021
CDC Split Type:

Write-up: Chest pain started upon waking at 10am, took to Urgent Care at 12pm, EKG administered (normal), sent home on Ibuprofen. Chest pain continued for 2 days, Ibuprofen administered throughout. Day 3 resolved.


VAERS ID: 1683008 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Body temperature increased, Chills, Dizziness, Fatigue, Pain, Poor quality sleep
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Restless sleep night of vaccination. Morning after vaccination developed severe chills, light headed, temp 101, body aches, extreme fatigue remainder of that day and evening. Tylenol helped lower temp. Slept thru night. Next day felt well enough to drive home. Fatigue main symptom that day.


VAERS ID: 1683019 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-01
Onset:2021-09-04
   Days after vaccination:215
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 2 RA / IM

Administered by: Work       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: 9/7/21 SARS-COV2 NAAT positive
CDC Split Type:

Write-up: COVID positive $g14 days post vaccine series.


VAERS ID: 1683024 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F214 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria, Injection site warmth, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Serevent, Pulmicort,leflunomide,Ferrex Iron,omeprazole
Current Illness: none
Preexisting Conditions: Rheumatoid Arthritis (recent diagnosis), tendonitis in hip,osteoarthritis,asthma,Barrett''s esophagus,GERD,diverticulosis,Raynaulds syndrome, lichen sclerosis
Allergies: Neosporin,codeine
Diagnostic Lab Data: none
CDC Split Type:

Write-up: The day after shot it looked like there was an area under the skin that was holding fluid. Then two days after my shot my arm looked like it had a hive about 2x3 inches. It was red, swollen, hot and painful. I took Sudafed for that day and the next. I also iced it but only on 2nd day after shot. Today, 6 days after, it is no longer swollen but still slightly red, and somewhat hot and painful to the touch. It looks like a giant "birth mark" and still looks a bit like the vaccine pooled in that area under my skin. Arm still sore.


VAERS ID: 1683055 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Erythema, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: SWOLLEN, RED, PAINFUL ARM, MINOR BLISTERING THAT DEVELOPED WITHIN 3 DAYS OF DOSE. PATIENT APPLIED ICE AND TOOK IBUPROFEN. AGREED WITH TREATMENT, ADVISED PT COULD ALSO TAKE BENADRYL


VAERS ID: 1683066 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-01
Onset:2021-09-04
   Days after vaccination:187
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Hospitalisation
SMQs:

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: BMI 58.06
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: hospitalization for IVF, on RA so no remdesivir or dexamethasone


VAERS ID: 1683198 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-25
Onset:2021-09-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 AR / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram pulmonary normal, Anticoagulant therapy, Back pain, Catheterisation cardiac, Dyspnoea, Echocardiogram, Hypoxia, Magnetic resonance imaging heart, Myocarditis, Oedema peripheral, Tachycardia, Troponin, Ultrasound Doppler, Vein disorder
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: Troponin Echocardiogram Left heart catheterization Cardiac MRI LE Ultrasound bilateral
CDC Split Type:

Write-up: Back pain, Shortness of breath, hospitalization, cardiac cath r/o MI which was negative, CTA chest initially indeterminate for PE then repeat was negative after being on hepairn infusion. LE edema showed popliteal vein slowing consistent with precursor of DVT. Patient placed on xarelto and discharged for outpatient cardiac MRI r/o mycocarditis. Total hospital time 3 days. Patient was tachycardic and hypoxic with back pain, despite negative imaging suspicion for VTE/DVT/PE was very high. Now suspicion elevated for myocarditis


VAERS ID: 1683265 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

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

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

Write-up: Hot flashes, dizziness and headaches 5 days after the injection.


VAERS ID: 1683319 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Pain, Product administered at inappropriate site, Skin disorder
SMQs:, Anaphylactic reaction (broad), Drug abuse and dependence (broad), Hypersensitivity (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Pt stated skin was rasied, red mark, and lots of pain. Pt believes this was due to improper placement of immunization. awaiting more information at this time from the patient.


VAERS ID: 1683338 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-08-27
Onset:2021-09-04
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 LL / IM

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

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

Write-up: Full body rash.


VAERS ID: 1683494 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046C21A / 1 LA / IM

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

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

Write-up: On Saturday 9/4/21 in the evening after she received her covid shot, the patient had numbness in her leg below the knee.


VAERS ID: 1683699 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301308A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Fatigue, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site urticaria, Injection site warmth, Lethargy, Mobility decreased, Nausea, Pain in extremity, Somnolence
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: A flu vaccine 14 years ago gave me flu like symptoms
Other Medications: Duloxotine 15mg once per day
Current Illness: Prior: sinusitis and seasonal allergies
Preexisting Conditions: PCOS, menorrhagia, arthritis, herniated discs, osteoarthritis of the lower spine, obesity.
Allergies: Tetracyclines, iodine, bees
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Four hours after receiving my second vaccination shot on September 4 I started noticing a small batch of hives around the injection site. After about eight hours they disappeared and a hard red bump appeared the size of a Pea. My arm became very painful over time getting worse and by the second day was not functioning at 100%. By Sunday afternoon the Pea size lump had expanded. It had grown to the size of a golf ball was hard hot to the touch and read. It also became extremely itchy. By Monday around noon, the lump grew to the size of a lime still hard red itchy and hot to touch. Tuesday the redness had minimized but continued to be warm to the touch hard the same size and itchy. Wednesday no change in lump status but severe diarrhea has ensued with no change of diet. Nausea follows an extreme bout of diarrhea. From the date of injection fatigue and sleepiness has been present but not extreme lethargy.


VAERS ID: 1683759 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30130BA / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Headache, Pain, Pyrexia, Vaccination site pruritus, Vaccination site rash
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 INC202101168738

Write-up: Day 3 itchy injection site and showed rash after itching at injection site.; Day 3 itchy injection site and showed rash after itching at injection site.; Day 2-4 low grade fever; Headache; Joint pain; Achy; This is a spontaneous report from a contactable consumer, the patient. A 12-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: 30130BA) via an unspecified route of administration in the right arm on 03Sep2021 at 09:00 (at the age of 12-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient had no known allergies. Prior to vaccination, it was unknown whether the patient was diagnosed with COVID-19. Concomitant medications included unspecified antibiotics for an unknown indication from an unknown date and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 04Sep2021 at 07:00, day 2-4 the patient experienced low grade fever, headache, joint pain and achy. On 05Sep2021, day 3 patient experienced itchy injection site and showed rash after itching at injection site. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events low grade fever, headache, joint pain, achy, itchy injection site and showed rash after itching at injection site was unknown at the time of this report. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1683912 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 062E21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Induration, Pain in extremity, Pruritus, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothroxine Amitriptyline Atorvastin Vitamin D Emergen -C Immune +
Current Illness: None
Preexisting Conditions: Mitral Valve Prolapse
Allergies: Flagyl and other sulfur based medications
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Arm sore and itchy Friday 9/3/21 Arm sore, itchy, swollen, hard and hot to the touch on Saturday 9/4/21 Arm back to normal 9/7/21


VAERS ID: 1683914 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abdominal distension, Migraine, Mood swings, Muscle spasms, Pain, Premenstrual syndrome
SMQs:, Acute pancreatitis (broad), Dementia (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad)

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

Write-up: Severe Premenstrual like symptoms. Severe mood swings, cramps, body aches, migraines and bloating. Menstruation does not occur until 16 of the month. PMS starts several days before.


VAERS ID: 1684499 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017E21A / 1 LA / IM

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

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

Write-up: Systemic: Allergic: Itch Generalized-Severe, Additional Details: Patient had the vaccine given on 9/2/21 and she was observed for 15 minutes with no reaction, patient came back in on 9/8/21 to repoert that about a day or two after getting the vaccine she developed a rash from the neck to belly button that stayed for about 2 days. she just took benadryl and did not contact dr.


VAERS ID: 1684712 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045B21A / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Fatigue, Headache, Hypophagia, Malaise, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 9/3 Booster received. 9/4 she developed malaise, fever, headache, nausea, and abdominal pain. Treated with acetaminophen, clear liquids, antacids, rest. 9/5 not tolerating oral intake, low grade fever, nausea, and vomiting.. received IV fluids with vitamins. 9/6 still symptomatic, more IV fluids. 9/7 still symptomatic treated with acupuncture, homeopathy. Now fatigued but afebrile.


VAERS ID: 1684763 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Coccydynia, Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 1. Soreness around injection site within 3 hrs. Still sore. 6 days later. 2. Swollen and sore lymphnodes in the left armpit . Started day after injection. Still sore 6 days later but soreness is lessening. 3. Day 2 after injection sore tail bone for no reason. Day 6 soreness almost gone.


VAERS ID: 1684798 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-31
Onset:2021-09-04
   Days after vaccination:247
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

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

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

Write-up: PATIENT HAD PFIZER COVID VACCINE Dose 1 date: 12/31/2020, Dose 2 date: 01/21/2021, AND TESTED POSITIVE TO COVID ON 9/4/21.


VAERS ID: 1684808 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-11
Onset:2021-09-04
   Days after vaccination:116
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 contracted COVID-19 after being fully vaccinated.


VAERS ID: 1685061 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Unknown  
Location: Maryland  
Vaccinated:2021-08-27
Onset:2021-09-04
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017E21H / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Furuncle, Hyperhidrosis, Lacrimation increased, Rash, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Lacrimal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Methadone. 20 mg once a day.
Current Illness: None
Preexisting Conditions: None
Allergies: None. Never.
Diagnostic Lab Data: Went to pharmacy. They said it was common?? Got a Rx for z pack, picking it up today.
CDC Split Type:

Write-up: Horrible rash like I have poison ivy, eyes won?t stop watering, 2 nights after the shot I woke up at 1:20am, bed was soaking wet from sweat, my arms and legs were shaking. Lasted for 2 hours, thank god hasn?t come back. But this rash, boils whatever it is is driving me crazy. Is this normal? I was so hesitant on getting this, should have listened to my gut. But my mom was so worried I said ok.


VAERS ID: 1685069 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Peripheral swelling, Pyrexia, Rash, Rash pruritic, Swelling face
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: The patient received his 2nd dose of the Pfizer Covid Vaccine at Pharmacy on 9/4/2021. The patient reports he had a fever of 102 F that afternoon approximately 4 hours after the vaccine. On day two post vaccine he noticed some swelling in the right side of his face. He called a telehealth doctor and was instructed to take Benadryl. He did this and his symptoms improved. He states he had a itchy rash on his back and arms that appeared on 9/5/2021, he had his wife apply lavendar oil for several days in a row the rash has dissipated. On 9/8/2021 the patient states he had right sided facial swelling again with swelling in his feet bilaterally. He did not take any medication for these symptoms and came to Redicare on 9/9/2021. He was treated with 8mg of dexamethasone and was instructed to start 10 mg of prednisone daily on 9/10/2021 x 10 days. Follow up with his PCP, go to ER if any breathing difficulty, change in mentation


VAERS ID: 1685086 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004F21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Head discomfort, 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: no
Current Illness: no
Preexisting Conditions: autoimmune thyroiditis
Allergies: bacterium, penicillin, adhesive to tape, naproxen, formaldehyde
Diagnostic Lab Data: no
CDC Split Type:

Write-up: rapid heart rate, left temple pressure,


VAERS ID: 1685116 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-26
Onset:2021-09-04
   Days after vaccination:221
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 9/7/21 SARS/COV-2, NAAT positive
CDC Split Type:

Write-up: BREAKTHROUGH COVID


VAERS ID: 1685140 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-05
Onset:2021-09-04
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007B21A / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046B21A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: History of brain injury, HF
Allergies: Penicillin, benadryl, codeine, reglan
Diagnostic Lab Data: COVID + 9/5/2021
CDC Split Type:

Write-up: Breakthrough COVID first dose 4/7/2021 75-year-old woman Patient was off long-term resident in another skilled nursing facility but she recently was diagnosed with COVID-19 infection for which they needed to transfer the patient to a facility that accepts patients with COVID-19 infection. She was transferred to skilled nursing facility just 24 hours ago. Patient spent only a day at facility in were they found that she was having hypoxia for which they decided to bring the patient to the hospital for further evaluation and treatment


VAERS ID: 1685179 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Montana  
Vaccinated:2021-03-04
Onset:2021-09-04
   Days after vaccination:184
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 2 LA / IM

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

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

Write-up: Diagnosed and hospitalized with COVID while fully vaccinated


VAERS ID: 1685301 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-20
Onset:2021-09-04
   Days after vaccination:168
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, Hypoxia, Pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Patient is a 61-year-old white female who is vaccinated with Johnson & Johnson COVID-19 vaccine. Presents to the ER with complaints of shortness of breath generalized aches and pains over the last week. She obtained a home kit in tested positive for COVID-19. She went to get Regeneron today and was told because she is hypoxic she needs to go to the ER. She was found have oxygen saturation of 86% at ER presentation. She has been home the last week. Denies any further fevers or chills. Denies any nausea vomiting. Denies loss stasis smell. No other active complaints at this time. She is a nonsmoker.


VAERS ID: 1685308 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Feeling abnormal, Hyperhidrosis, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: I received my shot at about 1 p.m. on Sept. 4, at a pharmacy. When I returned home, I began noticing unusual brain fog and fatigue around 5 p.m., which quickly led to dizziness and fainting. Once the dizziness and fainting occurred, I began sweating profusely. I laid down in front of a fan and increased hydrating with water and juices. I continued to experience brain fog and mild light headedness the following day (Sept. 5), before it seemed to subside later that evening.


VAERS ID: 1685354 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH W0185 / UNK - / IM

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

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

Write-up: received vaccine and approximately 12 hours later large amount of swelling in right armpit- same side as injection. this swelling was painful and persisted for 72 hours with the large amount of swelling, and now is a small amount and much less painful


VAERS ID: 1685393 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Body temperature increased, Dyspnoea, Feeling hot, Hypersensitivity, Pharyngeal swelling, Tremor, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: na
Preexisting Conditions: na
Allergies: no
Diagnostic Lab Data: Monitored vitals, administered tylenol and released once temperature subsided to 100.1 approx 60 minutes later
CDC Split Type:

Write-up: She received her 2nd vaccine shot on Thur 9/2 at 1600. Saturday morning 9/4 at 11:30 she had a severe allergic reaction. Her throat swelled up, she couldn''t breath, broke out in hives and was shaking uncontrollably. 911 was called, paramedics arrived, administered aid and checked her vitals. They recommended she hydrate, rest and take tylenol. 30 min later she started to experience the same issues but this time became very hot. We took her to the closest urgent care and when she checked-in her temp had spiked to over 104 degrees.


VAERS ID: 1685462 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-27
Onset:2021-09-04
   Days after vaccination:189
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012M20A / 1 UN / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001A21A / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Adenovirus test, COVID-19 pneumonia, Chlamydia test negative, Coronavirus test negative, Dyspnoea, Enterovirus test negative, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Mycoplasma test negative, Oxygen saturation decreased, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test negative, Viral test negative
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID PCR test performed on 9/5/21 and was negative. Full respiratory panel was done on 9/5/21 and following were negative: Adenovirus PCR Coronavirus HKU1 PCR (not COVID19) Coronavirus NL63 PCR (not COVID19) Coronavirus 229E PCR (not COVID19) Coronavirus OC43 PCR (not COVID19) Influenza A PCR Influenza A H1 PCR Influenza A H1 2009 PCR Influenza A H3 PCR Influenza B PCR Metapneumovirus PCR. Parainfluenza 1 PCR Parainfluenza 2 PCR Parainfluenza 3 PCR Parainfluenza 4 PCR Resp Syncytial Virus PCR Rhinovirus/Enterovirus PCR Chl pneumoniae PCR. Mycopl pneumoniae PCR
CDC Split Type:

Write-up: Patient presented to facility with SOB. Patient was diagnosed twit COVID pneumonia on 8/17/21. Patient has been to ED multiple times with same complaints. Pt admitted after O2 sats were in the low 70s.


VAERS ID: 1685468 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-28
Onset:2021-09-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous, Blood test, Exposure during pregnancy, Haemorrhage in pregnancy, Human chorionic gonadotropin decreased, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Fertility 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: Prenatal vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: Codeine
Diagnostic Lab Data: Blood test to check HCG level performed on Wednesday September 8th 2021 due to the bleeding. Results indicated that I suffered a miscarriage.
CDC Split Type:

Write-up: I obtained the first dose of the Covid 19 Pfizer vaccine on Saturday August 28 2021 after discovering that I was pregnant the same day. My blood test was drawn to check my HCG levels on Tuesday August 31st 2021 and Thursday September 2nd 2021 and results showed that pregnancy was progressing normally based on the levels obtained these two days. On Saturday September 4th 2021 I started to bleed (light bleeding, spotting). It happened in the morning then stopped a bit and it happened again in the afternoon. I experienced light bleeding and spotting again on Sunday September 5th 2021. On Monday September 6th I continued to experience light bleeding during the day but the the flow of blood increased at night. I contacted my doctor on Monday September 6th she advised me to get another blood test to check my HCG level on Wednesday September 8th 2021. On Tuesday September 7th the bleeding became heavy like a period. I continued to bleed heavily on Wednesday September 8th 2021. I got my blood test done on Wednesday September 8th 2021 per my doctor''s instruction. Today Thursday September 9th 2021 I got my results back and my HCG level dropped to non pregnant level. I spoke with my doctor''s nurse today Thursday September 9th and after she reviewed the HCG number she informed me that I had suffered a miscarriage. I am still experiencing bleeding today Thursday September 9th 2021.


VAERS ID: 1685471 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Headache, body chills, nausea, body weakness


VAERS ID: 1685550 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / IM

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

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

Write-up: Rash developed the day after vaccination. Rash is erythematous and pruritic. Rash began in left axilla and flexor surface of left elbow and has spread to include parts of the left chest, back, and abdomen. Benadryl has helped some but rash continues to progress. Patient was seen at Hospital ER and by her PCP.


VAERS ID: 1685565 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-05
Onset:2021-09-04
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1283 / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Diarrhoea, Dyspnoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastatin 10 mg, Aspirin 81mg, Plaquenil 400mg, Vitamin C 500mg, Omega -3 4,000mg, Synthroid 125mg,
Current Illness:
Preexisting Conditions: Hyperlipidemia, Hypertension, Rheumatoid arthritis, Thyroid disease
Allergies: N/A
Diagnostic Lab Data: SARS COV2 COVID19 PCR POSITIVE
CDC Split Type:

Write-up: FULLY VACCINATED, SEVERE COVID-19 CASE. DIAHHREA, SHORTNESS OF BREATH.


VAERS ID: 1685596 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-03-03
Onset:2021-09-04
   Days after vaccination:185
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6206 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 2 LA / IM

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

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

Write-up: unknown


VAERS ID: 1685640 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-09-01
Onset:2021-09-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Cyanosis, Dizziness, Dyspnoea, Pallor, Visual impairment
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Patient runs cross country. On Saturday, after a 2 mile run, her lips were blue, face was pale and she had difficulty breathing and recovering from her run. She began having a cough with light exertion that is still persistent. Tuesday, while in PE at school, she reported black dots in the corners of her vision that slowly got larger. She thought she was going to pass out. During this Tuesday episode, she reported vision changes including faces glowing bright white and flickers swirling around her vision. We have kept her from running since Tuesday.


VAERS ID: 1685714 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-16
Onset:2021-09-04
   Days after vaccination:141
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030L20A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030L20A / 2 RA / IM

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

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

Write-up: unknown


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