National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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 271 out of 8,010

Result pages: prev   172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370   next


VAERS ID: 1685983 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Unknown  
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 - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Feeling cold, Pallor
SMQs:, Hypotonic-hyporesponsive episode (broad)

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

Write-up: Patient reports she had a temperature of 93 degrees. Mother reports this was confirmed via temporal thermometer and oral thermometer. She "felt cold and had pale lips" at the time. She recovered on her own at home without seeking care at that time. She was seen in clinic on 9/9 and had a normal temperature at that time and a normal physical exam.


VAERS ID: 1686021 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-08-30
Onset:2021-09-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 062E214 / 3 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Computerised tomogram abdomen, Laboratory test, Ultrasound abdomen
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amiloride, furosemide, pantoprazole, rivaroxaban, ruxolitinib, sucralfate, vitamin C, vitamin D
Current Illness: none,
Preexisting Conditions: essential thrombocythemia, myelofibrosis, portal vein thrombosis-stable for one year
Allergies: none
Diagnostic Lab Data: CT abdomen 9/5/21 and 9/6/21- unchanged since last test. Ultrasound of abdomen 9/5/21 multiple labs 9/4-9/7
CDC Split Type:

Write-up: excruciating abdominal pain- eased with dilaudid but returned after discharge.


VAERS ID: 1686219 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
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 FC3181 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: patient also threw up on the his first pfzier shot
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Giving 2nd dose Pfizer vaccine and patient threw up after 5 minutes of giving 2nd dose Pfizer


VAERS ID: 1686234 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Washington  
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 - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Fatigue, Headache, Pain in extremity, Peripheral swelling, Vaccination complication
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (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: No
Current Illness: No
Preexisting Conditions: No
Allergies: Muscle relaxer flexerail
Diagnostic Lab Data:
CDC Split Type:

Write-up: I got super tired. Bad headache still to this day. I had swelling and pain in my left arm. All the way down my armpit and it burned. Still hurts. I got covid arm


VAERS ID: 1686236 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Texas  
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: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Rash/ Hives over Head, face, arms, and torso.


VAERS ID: 1686249 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Georgia  
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 014F21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Hypoaesthesia, Injection site rash
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Sexual dysfunction (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: Dizziness, numbness in pinky finger of left hand, and large baseball size red rash around injection site


VAERS ID: 1686429 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Unknown  
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 - / 3 LA / IM

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

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

Write-up: 101.5F fever for two days, fatigue, headache, subnormal fever on day 3, allergic skin reaction, severe tenderness


VAERS ID: 1686432 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: New Jersey  
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 037F21A / 3 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood culture negative, Blood lactic acid, CSF culture negative, CSF test normal, Computerised tomogram head normal, Culture urine negative, Depressed level of consciousness, Echocardiogram, Ejection fraction, Electroencephalogram abnormal, Encephalopathy, Hemiparesis, Lethargy, Moaning, Pyrexia, Rash maculo-papular, SARS-CoV-2 test negative, Scan with contrast normal, Seizure, Somnolence, Status epilepticus, Supraventricular tachycardia, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aubagio, Lexapro, Synthroid, Mirapex
Current Illness: multiple sclerosis; h/o acute COVID-19 (04/2020; pulmonary)
Preexisting Conditions: multiple scleroisis
Allergies: N/A
Diagnostic Lab Data: Specific tests and results unknown to me. Blood, CSF and urine cultures sterile. CSF PCR pathogen panel: negative Echocardiogram ejection :fraciton of 40% COVID-19 PCR: negative
CDC Split Type:

Write-up: Within ~12 hours of receipt of 3rd dose of vaccine on 9/3/21, patietn( who has advanced multiple sclerosis) was noted to be moaning in sleep. Throughout 9/4/21, she was lethargic, somnolent, unresponsive, not verbalizing. On 9/5/21, these symptoms persisting, she was noted to be encephalopathic and to have right hemiparesis and was taken to medical center where she was febrile, experiencing SVT and having electrical status epilepticus (per VEEG). A CT scan of the brain w/wo contrast did not reveal evidence of a CVA. Serum lactate=12. LP (? traumatic) was performed. Empiric broad-spectrum antibiotics (including acyclovir) initiated. Hospitalized in Medical Step-Down Unit. Developed not-specific sparce macular-papular rash on 9/6/21. Seizures treated with Keppra and resolved. Sensorium and right hemiparesis improved/improving; remains hospitalized as of date of this report (9/9/21). Awaiting MRI of the brain (to assess status of MS and acute encephalopathy).


VAERS ID: 1686442 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Washington  
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: Blood test, Chest discomfort, Chest pain, Dizziness, Electrocardiogram, Fatigue, Urine analysis, X-ray
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data: EKG, X-ray, UA, and blood work done in the ER.
CDC Split Type:

Write-up: Dizziness about 5 minutes after shot, general tiredness for two days. Monday started getting some random chest pains, Tuesday I was having chest pains and tightness and went to the ER. Currently still getting random chest paints and feeling very tired and fatigued.


VAERS ID: 1686723 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Lymph node pain, Lymphadenopathy, Neuralgia, Pain, Skin disorder, Tenderness
SMQs:, Peripheral neuropathy (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Swollen, painful lymph nodes in left side of neck and left occipital node stolen to marble- grape size. Extremely painful to the touch. Several smaller lumps spread over left side of scalp. Radiating, sharp/burning nerve pain over left side of scalp.


VAERS ID: 1688841 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray normal, Cough, Dyspnoea, Fatigue, Illness, Pyrexia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? No
Previous Vaccinations:
Other Medications: Zoloft- 100 mg
Current Illness: I had a Cold earlier in the week
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 9/7/21- Negative Covid Test & Chest X-ray
CDC Split Type:

Write-up: On 9/4/21 started feeling very sick- fevered. From 9/5 through today 9/10/21 I have been feeling very fatigued. Cough, shortness of breath, and low grade fever.


VAERS ID: 1689057 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Echocardiogram abnormal, Electrocardiogram normal, Pain, Pulmonary valve incompetence, Pyrexia, Tricuspid valve incompetence, Troponin increased
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Pulmonary hypertension (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No meds
Current Illness: No past medical or surgical history
Preexisting Conditions: None documented
Allergies: No allergies
Diagnostic Lab Data: 9/6 CXR within normal limits. Troponin <0.01. ECHO was within normal limia except for trace physiologic pulmonary and tricuspid valve insufficiency. EKG unremarkable.
CDC Split Type:

Write-up: Patient received second dose of Pfizer vaccine on 9/3/21. On 9/4 reported tactile fever. On 9/5 complained of bodyaches. Was taken to a local hospital with mid-sternal chest pain on 9/6. There, troponin was found to be elevated (value not documented) and was transferred to another hospital. Patient was discharged the following day and instructed to follow up with cardiology.


VAERS ID: 1689065 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Fatigue, Nausea, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin; iron
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Covid test (negative results)
CDC Split Type: vsafe

Write-up: He ran fever for one day keeps vomiting everyday with severe fatigue. He started to have bad congestion, sneezing, sore throat, abdominal pain I have given him Flonase, Mucinex, Dayquil and Tylenol. I took him to the clinic he prescribed nausea medication. As of 9/9/2021 he is still still exp the symptoms.


VAERS ID: 1689085 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-01
Onset:2021-09-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Haemorrhage, Rash, Rash erythematous, Rash pruritic, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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: Fluoxetine, Spironolactone
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: swollen red super itchy rash on trunk, extremities and feet . Bleeds when scratched too much.


VAERS ID: 1689172 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK LA / IM

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

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

Write-up: Her allergy reaction was wide rash on her body with the itchiness but no swelling or breathing problem.


VAERS ID: 1689215 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-24
Onset:2021-09-04
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Mouth ulceration, Pain
SMQs:, Severe cutaneous adverse reactions (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Multiple large mouth ulcerations (between 30-40 ulcers). Extremely painful. Have lasted 6 days so far. No sign of improvement.


VAERS ID: 1689219 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-25
Onset:2021-09-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059E21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac flutter, Chills, Dyspnoea, Nausea, Rash
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (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: flu shot
Other Medications: metformin, Plavix, Lipitor hydrchrozide primidone potassium asprin
Current Illness: no
Preexisting Conditions: diabetes
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills , shortness of breath . nausea heart flutter ,rash on left arm


VAERS ID: 1689285 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-01
Onset:2021-09-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Echocardiogram, Electrocardiogram, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Myocarditis with troponin elevation


VAERS ID: 1689380 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-02-24
Onset:2021-09-04
   Days after vaccination:192
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 2 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Aspiration, Asthenia, COVID-19, Chest X-ray abnormal, Cough, Decreased appetite, Infection, Intensive care, Lung opacity, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive, Sputum discoloured
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Norvasc 5mg, Aspirin 81mg, Lipitor 80mg, chlorzoxazone 500mg, Pepcid 40mg, Hydrodiuril, Labetalol 200mg, Flomax
Current Illness: CAD (s/p CABGx4), HTN, pancytopenia, and PUD
Preexisting Conditions: CAD (s/p CABGx4), HTN, pancytopenia, and PUD
Allergies: Hepatitis B Vaccine
Diagnostic Lab Data: COVID 19 PCR positive 8/29/21 Chest Xray: 9/4/21 Worsening patchy opacities in the left lung base, suspicious for aspiration/infection.
CDC Split Type:

Write-up: Patient fully vaccinated to COVID-19 with Pfizer vaccine 2/3/21 and 2/24/21. On 8/26/21 patient developed progressive weakness, poor appetite, fevers, and cough with occasional green phlegm. He presented to urgent care on 8/29 where COVID was confirmed. Given Augmentin and azithromycin for concern of coexisting pneumonia. On 9/4/21 his 02 stats dropped to 80s and admitted to reporting hospital. Chest Xray showed worsening patchy opacities in L lung base. 02 requirements quickly rose to 6L. Currently admitted to ICU.


VAERS ID: 1689383 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-07
Onset:2021-09-04
   Days after vaccination:181
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER6198 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 LA / IM

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

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

Write-up: hospitalization


VAERS ID: 1689390 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-05
Onset:2021-09-04
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: sumatriptan, Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Will be seeing gynecologist on Monday, September 13, 2021 to discuss this topic.
CDC Split Type:

Write-up: I have been in menopause for at least 2 years. No menstrual cycle at all for 2 years. 30 days exactly to the date from getting the vaccine I get a period. It was not just spotting here and there, it was a full period that lasted for one week. This is highly coincidental if you ask me.


VAERS ID: 1689392 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

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

Write-up: Dizziness, light headed


VAERS ID: 1689433 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Arthralgia, Axillary pain, Back pain, Breast pain, Breast tenderness, Burning sensation, Chest X-ray, Chest discomfort, Chills, Fatigue, Headache, Injection site pain, Injection site swelling, Limb discomfort, Malaise, Myalgia, Pain in extremity, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Lipodystrophy (broad), Arthritis (broad), Tendinopathies and ligament disorders (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:
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies: Soy
Diagnostic Lab Data: Covid Testing PCR- 9/9/21 Chest X-Ray - 9/9/21 above test performed at Urgent Care
CDC Split Type:

Write-up: Pain and Heaviness of Left Arm- Injection Site (9/4/21 and 9/5/21) Swollen, Pain, Tender, Burning Sensation of Lymph nodes under Armpits.- Began 9/5/21 and still having symptoms. Since 9/8/21 until current date: Breast Pain and Tenderness Headaches, Joint and Muscle Pains, Chills, Fatigued, Feeling Sick and Run Down, Heaviness Sensation on Chest, Back Pain and Burning Sensation


VAERS ID: 1689473 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Chromaturia, Full blood count, Hyperhidrosis, Laboratory test, Metabolic function test, Pain, Pyrexia, Renal impairment, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Arthritis (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa
Diagnostic Lab Data: U/A, CBC, CMP on 9/07, more labs done on 9/08
CDC Split Type:

Write-up: Started urinating orange urine about 12 hrs after getting 2nd covid shot. Had fever, chills, sweats, body aches, joint pain. I was better on third day post vaccination but urine was still orange. spoke to ID Dr. He ordered labs and urine testing. Labs showed elevated kidney enzymes. I was referred to nephrologist where more tests were done and i''m awaiting results


VAERS ID: 1689489 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-31
Onset:2021-09-04
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Aphasia, Blood test, Chest X-ray, Computerised tomogram head, Headache, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Sexual dysfunction (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Penicillin
Diagnostic Lab Data: CT scan, blood work, chest X-ray (these were all taken 2 days after the incident) since I was scared the day of and just wanted to go home.
CDC Split Type:

Write-up: On Saturday, September 4, 2021, at 3:00pm, I left work and went outside to my car. I noticed that everything seemed really bright. Almost whitewashed. Enough that I felt uncomfortable driving. Then about 10 minutes later, I started feeling a tingling sensation on my right palm. The tingling crept up my fingers and into my finger tips. After a minute or so, my finger tips on my right hand went completely numb. Then I noticed the same tingling feeling start on my lower lip and quickly, it too went numb. I called 911 knowing that something wasn''t right. It was then that I lost all ability to say the words my brain was trying to say. Random words were coming out and then I starting forgetting worlds altogether. Easy things like what I had eaten for lunch or where I was parked was impossible for me to answer. I just couldn''t remember the names. By the time the paramedics came to me, the tingling was gone and my brain to mouth connection was back but my memory was still really bad. That is when I started getting a headache. The headache lasts for about 4 hours or so.


VAERS ID: 1689514 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-01
Onset:2021-09-04
   Days after vaccination:156
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: acyclovir 400mg TID alprazolam 1mg daily atorvastatin 10mg daily Symbicort 160/4.5 inhalation BID fluorouracil 0.5% topic BID hydrocortisone 2.5% topical ibuprofen 400mg q8hrs ketoconazole 2% topical shampoo rogaine 5% topical foam mupiroc
Current Illness: None Documented
Preexisting Conditions: Anxiety dyspnea on exertion acute prostatitis UTI caused by Enterococcus COPD Seborrheic dermatitis Skin Lesion Heavy metal expsure depression Herpes simplex
Allergies: Penicillins - Rash
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient contracted COVID after being fully vaccinated


VAERS ID: 1689529 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-25
Onset:2021-09-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Dizziness, Electrocardiogram, Hyperhidrosis, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: 9/9/21- appt w/ physician- ekg and blood work done Referred to Cardiology- pending appt
CDC Split Type:

Write-up: Tachycardia, lightheaded, sweating started at 10 days after vaccine.


VAERS ID: 1689545 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-08-27
Onset:2021-09-04
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Peripheral swelling, Pruritus, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), 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: Ibuprofen
Current Illness: None
Preexisting Conditions:
Allergies: Sulfa and latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: My arm is swollen, itchy and rash and everything is spreading around


VAERS ID: 1689711 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-15
Onset:2021-09-04
   Days after vaccination:81
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Vitamins
Current Illness:
Preexisting Conditions:
Allergies: Penicillin, sulfates, blue cheese
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaginal bleeding (spotting) from two weeks after period


VAERS ID: 1689809 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PFIZER EW0191 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PFIZER EW0191 / 2 LA / SYR

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

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

Write-up: Migrating Hives - Extremely itchy, small welts, migrating from arms, to back, to neck.


VAERS ID: 1689948 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 058E21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Gait disturbance, Vaccination complication
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Hypoglycaemia (broad)

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

Write-up: Patient stated that she had the normal side effects. The sat following the vaccine she was having joint pain. Shed took Tylenol and they went away. On today She stated that the pain is worst it is in her joints. She stated that she can barely walk.


VAERS ID: 1689963 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Asthenia, Chills, Dizziness, Dyspnoea, Extrasystoles, Palpitations, Pyrexia, Tachycardia
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), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Cat and dog fur/hair. Melatonin.
Diagnostic Lab Data: None at this time. I am searching for a primary care physician so that I may get regular check-ups as well as get my heart checked out after experiencing palpitations.
CDC Split Type:

Write-up: Extreme dizziness occurred immediately after the injection. As the dizziness increased my heart started pounding as hard as it could. I began to taste blood in the back of my throat when swallowing saliva. Dizziness kept increasing until the point the I nearly fainted. Breathing became extremely labored. I felt feelings of impending doom. I thought we were going to have to call an ambulance. It felt like I was dying. The episode lasted about 5 minutes, and was the worse 5 minutes of my entire life. Overnight I had the worst chills I have ever experienced. I also had a fever, but the chills were awful and worse than the fever. The next day I was experiencing tachycardia with a pulse of 120 bpm, my normal is around 60 bpm; I was also experiencing heart palpitations and skipped heart beats (I have never felt this before). On the third day I was mostly feeling weak, but still experiencing tachycardia and skipping heart beats/palpitations. By the fourth day I felt somewhat more normal again.


VAERS ID: 1689992 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Pain, Rash, Rash pruritic, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Red, peeling skin rash on left side of face/forehead/neck. Pt states it is getting worse and that it stings and itches. It started the next day following the vaccination. So far, the peeling rash is localized on the left face. It is not on the trunk or extremities. Patient has not tried any treatments or sought medical attention. He tried making an appointment with his primary care provider, but the earliest he could get in is on 9/24/21. I advised him to see a provider at an immediate care facility for further evaluation, due to the reaction not improving and getting worse.


VAERS ID: 1690321 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 LA / IM

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

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, lisinopril, vit d3
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: persistent nausea, headaches, possible fever persisting 5+ days


VAERS ID: 1690534 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-03-23
Onset:2021-09-04
   Days after vaccination:165
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 6T015M20A/OT044 / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: clopidogrel, losartan, levothryoxine ,meoprolol, amlodipinne besylate, atorvastatin, tamsulosin, vitamin D, vitamin C, Magnesium
Current Illness:
Preexisting Conditions: heart disease
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bell''s Palsy


VAERS ID: 1690544 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-04
Onset:2021-09-04
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006D21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Cardiac ventricular thrombosis, Computerised tomogram thorax abnormal, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram, Full blood count, Heart rate increased, Nausea, Pulmonary thrombosis, Thrombosis, Troponin, Ultrasound Doppler abnormal, Urine analysis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations: MODERNA VACCINE 1/21/2021 SHINGLES 79 YRS OLD
Other Medications: SIMVASTATIN, OMEGA 3, VITAMIN C, VITAMIN D, BIOFLEX,HERBLAXATIVE
Current Illness: NONE
Preexisting Conditions: ARTHRITIS
Allergies: BACTRIM
Diagnostic Lab Data: SEPT 5 CT SCAN , EKG,ECHO, TROPONIN BLOOD TEST SEPT 6 EKG, ECHO, CBC, URINE TEST, ULTRA SOUND LEGS SEPT 7 EKG,PTT SEPT 8 ECHO, CBC
CDC Split Type:

Write-up: 2 EPISODES OF SHORTNESS OF BREATH, LIGHTHEADED, RAPID HEARTRATE, NAUSEA. WENT TO ER AND CT SCAN SHOWED MULTIPLE BLOOD CLOTS IN LUNGS AFFECTING RT VENTRICLE, BLOOD CLOTS IN LEFT LEG. TRANSFERRED PER AMBULANCE TO ANOTHER HOSPITAL. MASSIVE BLOOD CLOT AFFECTING RT VENTRICLE-HEART. EKOS DONE TO BREAK UP CLOTS. STARTED ON BLOOD THINNER, COMPRESSION STOCKINGS.HEPARIN DRIP FOLLOWUP WITH PULMONOLOGIST, CARDIOLOGIST, HEMATOLOGIST


VAERS ID: 1692314 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PROCARDIA [NIFEDIPINE]; VITAMIN D [VITAMIN D NOS.]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high (High blood pressure.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101162200

Write-up: Swollen lymph node on left side where injection was given near neck and collar bone with some soreness; Swollen lymph node on left side where injection was given near neck and collar bone with some soreness; This is a spontaneous report from a contactable consumer, the patient. A 40-year-old female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: ER8735) via an unspecified route of administration on 02Sep2021 at 15:45 (at the age of 40-years-old) as a single dose for COVID-19 immunisation. Medical history included high blood pressure. The patient had no known allergies. 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 COVID vaccine. Concomitant medications included nifedipine (PROCARDIA) and vitamin d (MANUFACTURER UNKNOWN); both for unknown indications from unknown dates and unknown if ongoing. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: FD8448) via an unspecified route of administration on 11Aug2021 at 15:30 (at the age of 40-years-old) as a single dose for COVID-19 immunisation. On 04Sep2021 at 09:45, the patient experienced swollen lymph node on left side where injection was given near neck and collar bone with some soreness. The adverse events resulted in emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events swollen lymph node on left side where injection was given near neck and collar bone with some soreness was unknown at the time of this report.


VAERS ID: 1692319 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Hyperhidrosis, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: PAXIL [PAROXETINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety; Fruit allergy; Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101162230

Write-up: Sweating; Feeling nauseous; Vomited; Slight headache; This is a spontaneous report from a non-contactable consumer, the patient. A 21-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the right arm on 03Sep2021 (at the age of 21-years-old) as a single dose for COVID-19 immunisation. Medical history included anxiety, allergy to penicillin and plums. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included paroxetine hydrochloride (PAXIL) for an unknown indication from an unknown date and unknown if ongoing. The patient previously received meningococcal vaccine (reported as meningitis) (MANUFACTURER UNKNOWN) on 20Jul2021 for meningitis. On 04Sep2021 at 11:00 in the morning, the patient started sweating, feeling nauseous, then vomited and currently had a slight headache. The events did not result in doctors 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 sweating, feeling nauseous, vomited and slight headache were resolving at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 1692356 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ESTRADIOL;NORGESTIMATE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy NOS (Known allergies: Yes)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101170699

Write-up: Lower extremity body aches 24 hours following second injection; Severe headache starting 24 hours after second injection and mild lingering headache for 96 hours following the second injection.; This is a spontaneous report from a non-contactable consumer, the patient. A 29-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 left arm on 03Sep2021 at 18:30 (at the age of 29-years-old) as a single dose for COVID-19 immunisation. Medical history included unspecified allergy and medical history was reported as not applicable. 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 COVID-19 vaccine. Concomitant medications included estradiol/norgestimate (MANUFACTURER UNKNOWN) from an unknown date for an unknown indication 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 left arm on 13Aug2021 at 18:00 (at the age of 29-years-old) as a single dose for COVID-19 immunisation. On 04Sep2021 at 18:00, the patient had mild lingering headache for 96 hours following the second injection. On 04Sep2021 at 18:30 (24 hours following second injection), the patient experienced lower extremity body aches and severe headache. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the events. The clinical outcome of the event severe headache starting 24 hours and mild lingering headache for 96 hours following the second injection, lower extremity body aches 24 hours following second injection was recovering at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 1692382 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Facial pain, SARS-CoV-2 test
SMQs:, Glaucoma (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210827; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC202101181810

Write-up: Whole face pain within 12 hours after vaccine. Hurt to even make any facial expressions for 4 days without relief.; This is a spontaneous report from a contactable consumer, the patient. A 14-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FF2588) via an unspecified route of administration in the left arm on 03Sep2021 at 19:00 (at the age of 14-year-old) as a single dose for COVID-19 immunisation. The patient had no medical history. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient had no known allergies. The patient did not receive any medication within two weeks of vaccination. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0198) via an unspecified route of administration in the right arm on 11Aug2021 at 14:00 (at the age of 14-year-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 04Sep2021 at 07:00, within 12 hours after vaccination, the patient experienced whole face pain and hurt to even make any facial expressions for 4 days without relief. The present day was day 5 and slowly dissipating. The whole face pain did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the whole face pain. On 27Aug2021, the patient underwent lab tests and procedures, which included Nasal Swab SARS CoV-2 test and the result was negative. Since the vaccination, the patient had been tested for COVID-19. The clinical outcome of the event whole face pain within 12 hours after vaccine, hurt to even make any facial expressions for 4 days without relief was recovering at the time of this report.


VAERS ID: 1692870 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-02
Onset:2021-09-04
   Days after vaccination:64
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 054C21A / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Injected limb mobility decreased, Injection site pain, X-ray
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Xray taken at Urgent Care, on July 31st 2021
CDC Split Type:

Write-up: 30 Hrs after receiving injection, started having sore arm at site of injection. soreness persisted for 3 weeks. During the 4th week, unable to move right arm. No lifting strength. Went to Urgent Care Facility on July 31th, received x-ray and 5 day prescription for steroid pills. Pills helped very little. On Aug 3 went to a clinic. Received Cortisone injection in right arm. After One month had about 50% movement. I Schedule another appointment for Sept 14th 2021.


VAERS ID: 1692917 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Burning sensation, Injection site rash, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports arm burning with a rash around injection site 2 days after injection. Patient reports passing out 2 and 3 days after injection.


VAERS ID: 1692953 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-22
Onset:2021-09-04
   Days after vaccination:256
Submitted: 0000-00-00
Entered: 2021-09-11
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-19 VACCINE Dose 1 date: 12/22/2020 ,Dose 2 date: 01/13/2021, AND TESTED POSITIVE TO COVID.


VAERS ID: 1693000 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-19
Onset:2021-09-04
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood potassium decreased, Blood test, Cardiac stress test, Computerised tomogram normal, Electrocardiogram normal, Electroencephalogram, Generalised tonic-clonic seizure, Magnetic resonance imaging, Syncope, Urine analysis normal
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Hypokalaemia (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Tests are ongoing. MRI scheduled for September 14 and EEG is scheduled for September 21st. CT Scan performed shortly after the event on September 4th came back unremarkable Blood tests on September 4th came back with slightly lower potassium levels. Follow up EKG, blood and urine lab tests on September 7 with Cardiologist and Primary Physician was unremarkable. Cardiology stress test performed on September 10 was unremarkable
CDC Split Type:

Write-up: Healthy 36 year old adult with no prior symptoms suddenly collapsed and suffered a Tonic Clonic Seizure (Grand Mal Seizure) lasting about 11 minutes.


VAERS ID: 1693003 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Headache, Injection site discolouration, Myalgia, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Excedrin migraine
Current Illness: nothing
Preexisting Conditions: nothing
Allergies: Sulfa Drugs, Latex, contrast dye
Diagnostic Lab Data:
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA. Fever, chills , nausea, vomiting, diarrhea, headache, muscle aches, extreme weakness, and dizziness in the first 72 hours. The subsequent 72 hours I''ve experienced diarrhea, extreme dizziness, body aches, and skin discoloration in the injection site.


VAERS ID: 1693035 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-02
Onset:2021-09-04
   Days after vaccination:155
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: positive test 09/2021


VAERS ID: 1693044 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-20
Onset:2021-09-04
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (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: CMV colitis
Preexisting Conditions: heart transplant
Allergies:
Diagnostic Lab Data: CBC
CDC Split Type:

Write-up: Vaccine induced thrombocytopenia Continuous drop in platelets from $g 200 to 6 . Platelet nadir reached on 09/09/2021 Mild echymoses Received IVIG (1gm/kg x2 and and Dexamethasone (40 mg x4)


VAERS ID: 1693072 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-02-26
Onset:2021-09-04
   Days after vaccination:190
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain, Neck pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)

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

Write-up: It''s been over 6 months since my 2nd Moderna shot, in my left arm. Because for a week now I have been experiencing pain in the same place as the vaccination, which has resulted in weird tingling down to my left and and up into my neck, I am filling out the VAERS form to report this. This first happened last Saturday for a short time. Since then it''s happened overnight on Wednesday, as well as Thursday, and on Friday night the tingling went into my hand and was palpable enough that it kept me awake. Then last night it was both tingling and sore, into my neck. At this moment I can feel it in my upper arm radiating into my neck. I don''t think it''s such a big deal, but if it helps the regulatory authorities with determining effects of the vaccine, I''m going ahead and sharing my issue.


VAERS ID: 1693110 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: New York  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Facial paralysis
SMQs:, Taste and smell disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

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

Write-up: Patient lost sense of taste within 2 days of the vaccine and developed partial facial paralysis of the right side within 4 days of receiving the vaccine


VAERS ID: 1693152 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-08-30
Onset:2021-09-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: atorvastatin, nifedapine, asa, atenolol, amlodipine, lisinopril
Current Illness:
Preexisting Conditions: hx of breast ca, atrial fib, htn, hyperlipid
Allergies: no true allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: left deltoid red warm itchy palm sized rash


VAERS ID: 1693174 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-08-03
Onset:2021-09-04
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, Angiogram, Cardiac arrest, Echocardiogram, Mechanical ventilation, Pulmonary embolism
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), 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, venous (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nicoderm
Current Illness: Gastritis HTN
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: 9/4/21 CTA Chest 9/5/21 Transthoracic Echocardiogram
CDC Split Type:

Write-up: Bilateral Pulmonary Embolism Unprovoked Sudden Cardiac Arrest Acute Hypoxemic Respiratory Failure Ventilator Dependent Respiratory Failure Critical


VAERS ID: 1693183 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-08-28
Onset:2021-09-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram head, Headache, Magnetic resonance imaging head, Subarachnoid haematoma, Subdural haematoma
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Accidents and injuries (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, 4 days
   Extended hospital stay? No
Previous Vaccinations: Tetanus gave swelling and redness. Unknown date and brand name.
Other Medications: acetaminophen (TylenoL) 325 mg tablet Take 650 mg by mouth every 6 hours if needed for Pain. 9/11/2021 at AM albuterol HFA (ProAir HFA) 90 mcg/actuation inhaler Inhale 1 Puff by mouth every 6 hours if needed. Past Month at Unknown time all
Current Illness:
Preexisting Conditions: A fib, CHF, DM II, pulmonary hypertension, OSA, gout, asthma, hypertension, hyperlipidemia, PE
Allergies: Furacin [Nitrofurazone] Furacin [Nitrofurazone] Horse Serum [Horse/equine Containing Products] Indocin [Indomethacin] Indocin [Indomethacin] Tetanus Antitoxin Tetanus Antitoxin
Diagnostic Lab Data: head CT (9/5/21), brain MRI (9/6/21)
CDC Split Type:

Write-up: Moderna Booster given 8/28/21. Around 9/1/21 she developed headache. Admitted to hospital 9/5/21 with spontaneous subdural hematoma and subarachnoid hematoma. Bleeds were attributed to warfarin and aspirin 81mg and not the vaccine. (but just to be careful, I''m submitting this report).


VAERS ID: 1693248 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cough, Dyspnoea, Gastrointestinal disorder, Lung disorder, Migraine, Pain, Pain in extremity, Palpitations, Pyrexia
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), 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: Covid 19 moderna 5/27/21
Other Medications: Bupropion
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sore arm, fever, chills & body aches, migraine type headache, nausea. These symptoms lasted 48 hours. It was followed by feeling of shortness of breath the feeling of a racing heart & easily winded with a tickle in lungs that makes me cough (These symptoms started tuesday 9/7 & I''m still dealing with them) I needed to use the inhaler that was prescribed to me after the 1st dose of vaccine when I had same reaction & symptoms. I also have had digestive issues since 9/8 w/loose stool to date.


VAERS ID: 1693254 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-21
Onset:2021-09-04
   Days after vaccination:136
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Biopsy, Postmenopausal haemorrhage, Vaginal haemorrhage
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Effexor (75 mg), Claritin, Flonase, Botox each 90 days for migraine, Toradol, Phenergan and Cambia (all 3 as needed for migraine).
Current Illness: Only chronic migraine
Preexisting Conditions: Chronic migraine
Allergies: Avelox, Penicillin, Ampicillin, Ubrelvy, Gabepinten, Topamax, Eucalyptus, Lavender.
Diagnostic Lab Data: On Tue., Sept. 7th I visited my OBGYN, for a consult and pelvic exam and while there she gave me the option of having a biopsy that day or when we do the ultrasound as soon as available. I opted to do the biopsy on 9/7 and ultrasound is scheduled for Tuesday, Sept. 14th.
CDC Split Type:

Write-up: I went to the bathroom, wiped and had tremendous amounts of blood on the toilet paper. I also experienced abdominal cramps on the left and right sides. This bleeding went on heavily through the time I got in with my OBGYN on Tue., Sept. 7 for assessment. I treated the whole time with tampons and pads. I was soaking through a couple of tampons an hour. Very scary for a 57 year old woman who has been in menopause for 10+ years.


VAERS ID: 1693279 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-01-11
Onset:2021-09-04
   Days after vaccination:236
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Malaise, 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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine breakthrough, symptomatic. Inpatient admit 9/4-9/10.


VAERS ID: 1693328 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-27
Onset:2021-09-04
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness
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: Influenza Vaccine (with egg) at age 41
Other Medications: Allegra 180 MG; 2 allergy shots per week
Current Illness: Nothing noted including any significant allergies within month prior or at time of vaccination. My allergy shots I had not received for 7 days prior to the COVID vaccination and waited to take next allergy shots until 8 days after.
Preexisting Conditions: Allergies. Regulary monitored and treated by an allergist.
Allergies: Eggs, Milk, Mustard, Steroids, Ibuprofen, Penicillin, many preservatives in some foods and medicines. I have had a reaction to the flu shot when accidentally given the flu vaccination with egg in it. Result - 24 hours of tightness in chest when breathing.
Diagnostic Lab Data: Current episodes of dizziness for the past week, but I have not had any tests at this time.
CDC Split Type:

Write-up: On the 8th day after the 1st dose of the vaccine, I became dizzy when laying down on my back and upon sitting up. This has continued for a week whether laying on my back with a spinning fewling in my head with or without my eyes closed as well as when going to pick something up on the ground whether in a standing or sitting position. This has occurred approximately 2 to 3 times daily that I have noticed.


VAERS ID: 1693369 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 8448 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Hypersomnia, Injection site pain, Mobility decreased, Myalgia, Night sweats, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (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: ambien, xanex, gabapentin, Womens vitamins, CBD
Current Illness: None
Preexisting Conditions: allergies
Allergies: nickel
Diagnostic Lab Data: non, too tired and achy to move
CDC Split Type:

Write-up: extreme muscle ached and pains, tired non stop for the 9th day now. This was the worst, I could not function. I slepp 24/7 wigh aches and pains chills 3 days/ nights. night sweats like broke a fever but no fever that I know of. soreness of injection site for 7 days


VAERS ID: 1693458 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FL3182 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain upper, Anxiety, Chills, Decreased appetite, Diarrhoea, Dizziness, Dry mouth, Fatigue, Feeling abnormal, Feeling hot, Feeling jittery, Head discomfort, Lymphadenopathy, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Dizziness. Diarrhea. Prolong brain fog. Stomach pain. Heating effects in body. Swollen lymph node. Extreme tiredness. Dry mouth. Upset stomach. Loss of appetite. Heavy head. Fever. Chills. Jitters in body. Anxiety.


VAERS ID: 1693506 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-08-21
Onset:2021-09-04
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Injection site bruising, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (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: Chronic headaches, migraines, pseudotumor cerebri in remission
Allergies:
Diagnostic Lab Data: In communication with pcp about this. May have visit this week and get labs may go to urgent care
CDC Split Type:

Write-up: Began having bruising and petechiae on both right and left thighs, which I?ve never had before and I usually don?t bruise easily at all. The bruise at the site of injection was massive too and lasted over 2 weeks. Started sept 4


VAERS ID: 1693657 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-09-01
Onset:2021-09-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Headache, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: None
Preexisting Conditions: Headache, inflammation, asthma
Allergies: Sulfa, codeine, pneumonia vaccine and the cold
Diagnostic Lab Data: Covid test 9/10/21
CDC Split Type:

Write-up: Continuing shortness of breath and headache.


VAERS ID: 1693839 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-30
Onset:2021-09-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Muscle spasms, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (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: IUD; Maybe Advil or Benadryl , Multi Vitamin; I can''t say for sure what OTC I may have taken at the time.
Current Illness: Migraine (I usually I have one once a month.)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I currently have an IUD. I got it around March 2021. I have started bleeding/spotting and cramping since the shot. I had these side effects of course when I first had the IUD procedure but these side effects have been gone for months. Before the IUD I was on the Depo shot and never had a period. At the time of writing this, I have not called my doctor. I was cramping last night and did not bleed or spot any yesterday. I do not have a copay with my health insurance policy so I will call my doctor''s office this morning but if it is going to cost money for me to go in the office just to tell them about what is going on I will not go.


VAERS ID: 1694259 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-18
Onset:2021-09-04
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Postmenopausal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (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: no tests
CDC Split Type:

Write-up: Post menopausal bleeding approximately 18days after injection. I have not had a period for over a year and a half until after the Covid vaccine. bleeding has been for at least 9 days so far.


VAERS ID: 1694353 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-03-06
Onset:2021-09-04
   Days after vaccination:182
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: School       Purchased by: ?
Symptoms: COVID-19, Malaise, 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: None
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: My son and I both had the J&J vaccine on March 6th and now have tested positive for Covid-19. I have been ill for 10 days and still counting. We don''t have a lot of faith in the J&J vaccine, is there a possibility that we could get the same vaccine my wife received (Moderna), who tested negative despite having direct contact? Wondering if it is safe to switch vaccines as it appears the J&J is not effective after six months. Any guidance would be appreciated!


VAERS ID: 1694365 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-19
Onset:2021-09-04
   Days after vaccination:169
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Ageusia, Anosmia, Cough, Headache, Respiratory tract congestion, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Runny Nose, Lose of Taste and Smell, Headache, Congestion and Cough


VAERS ID: 1694366 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-05-13
Onset:2021-09-04
   Days after vaccination:114
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 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 employee


VAERS ID: 1694383 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Oral pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data: None were done, but i was given percaset, and anti inflammatory medicine to assist with the pain. It is not working
CDC Split Type:

Write-up: Extreme oral pain for over a week now


VAERS ID: 1694420 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-20
Onset:2021-09-04
   Days after vaccination:196
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9264 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Chills, Infection, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HTN AND HYPERLIPIDEMIA
Allergies:
Diagnostic Lab Data: POSITIVE SARS-COV-2 BY PCR
CDC Split Type:

Write-up: Note that this case meets vaccine breakthrough criteria. KNOWN FAMILY EXPOSURE, SXS INCLUDE GENERALIZED WEAKNESS, CHILLS, SUBJECTIVE FEVER


VAERS ID: 1694449 (history)  
Form: Version 2.0  
Age: 99.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-02-23
Onset:2021-09-04
   Days after vaccination:193
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031L20A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045A21A / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
SMQs:, Guillain-Barre 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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nitroglycerin, protonix, Lipitor, eliquis
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Positive covid on admission
CDC Split Type:

Write-up: Weakness


VAERS ID: 1694469 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-09-01
Onset:2021-09-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 - / -

Administered by: Work       Purchased by: ?
Symptoms: Headache, Hyperaesthesia, Injection site pain, Lethargy, Neck pain, Pain, Pain of skin, Rash, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Extremely painful shot compared with first two. Started having overall body aches and severe headache and neck pain., feel like having meningitis that lasted for 3 days. It didn?t response to Advil, and Tylenol doesn?t work for me. Feeling lethargic, skin is painful to touch. One week on, after took a nap, woke up with body rash(red spots) all over my trunk and thigh areas. Took hydrocortisone cream and Zyrtec.


VAERS ID: 1694535 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-19
Onset:2021-09-04
   Days after vaccination:228
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Delivery, Exposure to SARS-CoV-2, Fatigue, Oropharyngeal pain, Pain, Pregnancy, Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Normal pregnancy conditions and outcomes (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: POSITIVE SARS-COV-2 BY PCR
CDC Split Type:

Write-up: This case meets vaccine breakthrough criteria. KNOWN EXPOSURE TO COVID+ COWORKER. TOOK HOME TEST 9/4 AND CONFIRMED IN CLINIC/WITH ADMISSION BY PCR. ADMITTED TO LABOR AND DELIVERY, DELIVERED BABY 9/5. SXS INCLUDE BODY ACHES, FATIGUE, RHINORRHEA, SORE THROAT.


VAERS ID: 1694542 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-31
Onset:2021-09-04
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 9639902 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cervical dilatation, Exposure during pregnancy, Premature delivery
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (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: Labatelol, digoxin, baby aspirin, prenatal vitamins. A couple days before I got a blood thinner injection and switched to Metropolal
Current Illness: No, only going into SVT sometimes due to my ASD heart condition but I was taking medicine for it.
Preexisting Conditions: Hypertension, Atrial Septal Defect since birth
Allergies: None
Diagnostic Lab Data: Cervical test showed I was dilated at a 6 when I went into hospital to check for bleeding.
CDC Split Type:

Write-up: My due date was December 17th but I had my baby at 25 weeks 1 day on September 4th. She weighed 1 lb 11 oz. She''s currently fighting for her life in the level 4 NICU.


VAERS ID: 1694543 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-01-05
Onset:2021-09-04
   Days after vaccination:242
Submitted: 0000-00-00
Entered: 2021-09-13
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: 01/5/2021, Dose 2 date:01/26/2021, AND TESTED POSITIVE TO COVID.


VAERS ID: 1694584 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 2 LA / IM

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

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

Write-up: pharmacist called and stated that pt rcvd 2 different vaccines


VAERS ID: 1694591 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-11
Onset:2021-09-04
   Days after vaccination:116
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Computerised tomogram head, Magnetic resonance imaging head
SMQs:, Hearing impairment (broad)

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

Write-up: lips started looking like stroke . went to doctor and was diagnosed with bell palsy


VAERS ID: 1694686 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-05
Onset:2021-09-04
   Days after vaccination:152
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 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 household contact


VAERS ID: 1694700 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-01
Onset:2021-09-04
   Days after vaccination:156
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017B21A / UNK - / -

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

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

Write-up: Covid positive contact unknown


VAERS ID: 1694725 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site swelling, Pain in extremity, Vaccination site pain, Vaccination site pruritus
SMQs:, 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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Day of vaccine usual soreness in right arm Day 2-8 very itchy in upper arm around vaccine site but nothing visual. Day 9 large swelling appeared at injection site Immense itching and very painful. I have taken an occasional Benadryl and Ibuprofen


VAERS ID: 1694765 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Dyspnoea, Electrocardiogram normal, Prothrombin time normal, Troponin normal
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: hypertension, sleep apnea
Allergies: aspirin, morphine, penicillin
Diagnostic Lab Data: EKG, chest radiograph, protime and troponin, all within normal range
CDC Split Type:

Write-up: chest pain, dyspnea,


VAERS ID: 1694795 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037521A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pre-existing condition improved
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: High Blood Pressure
Preexisting Conditions: 3 Uterine Fibroids (Hysterectomy March 2021) Ptsd, Asthma
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have been suffering for about 1 year with hot flashes. Approximately 5-8 per day and 3-4 at night that were awakening. I took my 1st Moderna vaccine and nothing happened until after the 2nd dose of Moderna. The effects were almost immediate, that same night I slept completely though the night (minus my bladder and PTSD issues) without 1 hot flash!!!!! I am so happy and spreading the news.


VAERS ID: 1694804 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-24
Onset:2021-09-04
   Days after vaccination:192
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ACETAMINOPHEN, MAALOX, ATORVASTATIN, CALCIUM WITH VITAMIN D, CARAFATE, CODEINE-GUIFENESIN, DILTIAZEM, FAMOTIDINE, FLUTICASONE SPRAY, FUROSEMID, LEVALBUTEROL AEROSOL, MULTIVITAMIN, NITROGLYCERIN, OMEPRAZOLE, POTASSIUM CHLORIDE, PREDNISONE, P
Current Illness: MULTIPLE URINARY TRACT INFECTIONS
Preexisting Conditions: ANEURYSM OF ASCENDING AORTA, ASTHMA, ATRIAL FIBRILLATION, BICUSPID AORTIC VALVE, ESOPHAGEAL REFLUX, HYPERLIPIDEMIA, NEUROGENIC BLADDER, OSTEOARTHRITIS, SICK SINUS SYNDROME, ESSENTIAL TREMOR, UTI
Allergies: AZITHROMYCIN, BACTRIM, MORPHINE, NOVOCAIN, PROCARDIA, SULFA
Diagnostic Lab Data: ABBOTT ID NOW COVID-19 VIRUS MOLECULAR TEST POSITIVE ON 9/4/21
CDC Split Type:

Write-up: HOSPITALIZATION FOLLOWING FULLY IMMUNIZED FOR COVID


VAERS ID: 1694954 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-09
Onset:2021-09-04
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Goitre, Oropharyngeal pain, Thyroid mass, Ultrasound thyroid abnormal
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypothyroidism (broad), Hyperthyroidism (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: Vitamin D and Calcium, magnesium
Current Illness: None, off and on common headaches
Preexisting Conditions: None
Allergies: Not that I know
Diagnostic Lab Data: Ctscan and ultrasound
CDC Split Type:

Write-up: About 4-5 weeks after the vaccines, an ultrasound detected enlarge thyroid and a nodule. My throat hurts. I had a complete physical I April of 2021 and had no symptom. No detection of any problem with my thyroid.


VAERS ID: 1695041 (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: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA HRSA053EZ1A / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Chills, Gingival swelling, Headache, Noninfective gingivitis, Pain, Pyrexia
SMQs:, Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Gingival disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: body aches for 2 days , chills for 2 days , fever that was 101.6 for 2 days , head ache for 6 days, gums(top) swollen inflamed for 6 days


VAERS ID: 1695045 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New York  
Vaccinated:2021-02-05
Onset:2021-09-04
   Days after vaccination:211
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache, Myalgia, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/14/21 2nd dose02/05/21 Diagnosed covid positive:09/07/21 Symptom onset:09/04/21 Exposure:Home Symptoms:fever, cough, fatigue, muscle aches, sore throat,chills, runny nose HA.


VAERS ID: 1695047 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

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

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

Write-up: I felt dizzy and like I was going to pass out. I also had slight blurred vision. EMT needed to be called. Then 4 days later I was in the ER for another dizziness event. Still dealing with the dizziness.


VAERS ID: 1695480 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Alaska  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Generalised tonic-clonic 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: briviact, onfi
Current Illness: None
Preexisting Conditions: Refractory epilepsy on briviact, onfi and s/p VNS
Allergies: dilantin - rash
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient had a total of four GTC seizures starting 9/04/2021 at 12:14 am, 1:31 am, 6:31 am and then 6:30 pm.


VAERS ID: 1695492 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Headache, Hypoacusis, Sensory disturbance, Vision blurred, Visual impairment
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Optic nerve disorders (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: Adderall XR 10mg Davigo 10mg Magnesium Threonate
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none yet
CDC Split Type:

Write-up: Chest pain on left side: - daily occurrence - doesn''t last long, but occurs regularly and frequently throughout the day Noticeable increase in difficulty hearing and understanding people. Noticeable decrease in vision. Blurred vision. Noticeable increase in headaches and tension across the entire skull.


VAERS ID: 1695498 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037F21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions:
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT CAME TO PHARMACY AND SAID JUST GOT OUT OF ER BECAUSE MYOCARDITIS


VAERS ID: 1695509 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Peripheral swelling, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swelling of hands and feet Large rash on arms, legs and back


VAERS ID: 1695826 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-30
Onset:2021-09-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anaemia, Diarrhoea, Dizziness, Dyspnoea, Laboratory test, Pyrexia, Transfusion, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Over 57 medical tests and lab results. starting august 30, 2021 Too many to list on this form please contact me
CDC Split Type:

Write-up: vomiting, diareha, fever,, faintness, shortness of breath, hospitalization requiring blood transfusion systomatic anemia


VAERS ID: 1696079 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 UN / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Pallor
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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: DIZZYNESS WITH LABS AND OTHER VACCINES
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT BECAME PALE. STARTED TO FAINT. PATIENT WAS LAID ON BED . WATER GIVEN. VITALS OBTAINED BP 111/59,P 51, RESP 18. PATIENT ALERT AND ORIENTED.


VAERS ID: 1696337 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Impaired quality of life, Migraine
SMQs:, Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Morphine
Diagnostic Lab Data: My doctor recommended a CT scan last night - so I will be getting one today.
CDC Split Type:

Write-up: I am having debilitating migraines for over a week almost every day. This is effecting my every day life.


VAERS ID: 1696362 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-09-02
Onset:2021-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / SYR

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

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

Write-up: Burning and itching on forehead. Redness and rash on forehead.


VAERS ID: 1696598 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-09-03
Onset:2021-09-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 062E21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Mobility decreased, Pain
SMQs:, Parkinson-like events (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: Losartan, Hydrochlorothyozide
Current Illness: None
Preexisting Conditions: High Blood Pressure
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Entire body ached for 24 hours, difficult to move. Self medicated with 800 milligrams of ibuprofen to relieve symptoms


VAERS ID: 1696675 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Vermont  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / 1 LA / SYR

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

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

Write-up: 1 to 8 hour after injection was fatigue 8 hours after the injection there was fatigue, fever, chills, body aches, headache 4 days after to present- occasional feelings of anxiety that did not pre-exist


VAERS ID: 1696764 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: The night after second vaccine (9/4/2021) patient developed hives with itching on chest, abdomen, back, neck, and bilateral arms. Seen at clinic 10 days post vaccine, with the same symptoms.


VAERS ID: 1696888 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-01-28
Onset:2021-09-04
   Days after vaccination:219
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / 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? 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: Covid-19 test
CDC Split Type:

Write-up: Employee tested positive for COVID-19 after being fully vaccinated


VAERS ID: 1696898 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-08-25
Onset:2021-09-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Muscle twitching
SMQs:, Dyskinesia (broad), Dystonia (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: Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: facial twitching that has lasted 2 weeks and continues to be an issue.


VAERS ID: 1696998 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939902 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Burning sensation, Paraesthesia, Rash, Rash erythematous, Rash macular, Rash papular, Urine analysis
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Level thyroxine, trazodone, Effexor, Amerge, Tylenol, Multivitamins, calcium citrate
Current Illness: None
Preexisting Conditions: Migraines, hypothyroidism
Allergies: Aspirin, morphine.
Diagnostic Lab Data: Blood and urine tests were done 09/14/2021.
CDC Split Type:

Write-up: Received my second dose of Moderno on September 4, 2021 at approximately 11 AM. At approximately 8 PM I noticed raised red bumps on both of my hips going down my thighs, lower legs, feet, and toes. They are on the anterior and posterior areas of legs. they were itchy and they hurt. As the days have wore on I have developed more of these red blotches when they are starting, I feel it tingling and burning and when they are starting when visible they?re red areas which itch. Clothing on my legs and shoes irritates them more


VAERS ID: 1697941 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 062E21A / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Lymph node pain, Lymphadenopathy, Pruritus, Skin swelling, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Venlafaxine 150mg, venlafaxine 75mg, bupropion 100mg, Gabapentin 600mg
Current Illness:
Preexisting Conditions: Disabled with myalgic encephalomyalitis and fibromyalgia currently.
Allergies: Codeine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red swelling and hot to touch (roughly 4 inches in diameter)for 4 days following injection. On 2nd day post shot I experienced major swelling in lymph node region under left arm. Extreme discomfort and itched and hurt like crazy.


VAERS ID: 1700118 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-09-01
Onset:2021-09-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / 1 LA / SYR

Administered by: Public       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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin 81 mg Benicar HCT 20-12.5 mg
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Keflex
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Woke up early hours of the morning of Sept. 4th with severe itching around arm pits and inner thighs. Got up and notice a rash. Since it has spread to underneath my breast , buttocks, and inner elbow (left side). I was treating it with Benadryl and Cortisone cream. Had a Dr. Appt for follow up on Hypertension on the 9th and mentioned it to my dr. He said he read where that this is happening to females that is taking the Modern. He prescribed Xyzal for me to take. I am also taking Dryl Itch Relief cream, Gold Bond with Lidocaine, Jock Itch Cream, Butenafine Hydrocholride Cream 1%. I have started last night soaking in Epson salt. I am trying to find relief as this is miserable. Hope to find a remedy soon as I was told this could happen again on the second dose.


Result pages: prev   172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=271&PERPAGE=100&ESORT=ONSET-DATE&REVERSESORT=ON&VAX=COVID19&DIED=No

Government Disclaimer on use of this data


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