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

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



Case Details (Reverse Sorted by Onset Date)

This is page 271 out of 5,069

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VAERS ID: 1418100 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418134 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 - / -

Administered by: Private       Purchased by: ?
Symptoms: Exposure during pregnancy, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

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

Write-up: I AM PREGNANT I AM 33 WEEKS PREGNANT. IT HAS BEEN A HEALTHY PREGNANCY AND I HAVE NEVER HAD TO GO TO THE EMERGENCY ROOM FOR ANY DISCOMFORT MY DUE DATE IS AUGUST 12,2021. YESTERDAY I WAS VACCINATED AGAINST COVID AND SO FAR I HAVE NOT HAD ANY ADVERSE REACTIONS TO THE VACCINE.


VAERS ID: 1418351 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418366 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418392 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418409 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418412 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1418619 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Vaccine positive rechallenge
SMQs:

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

Write-up: Patient came in for and received 2nd dose. She described dizzy spells she has experienced over the last few weeks since receiving the first dose. She gets dizzy multiple times a day for approximately 5 - 10 minutes at a time, then it goes away. Frequency and severity have not changed over time.


VAERS ID: 1418647 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Pain at Injection Site-Mild


VAERS ID: 1418666 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 - / 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client reports dizziness after the first few minutes after the first dose and that he did not report it and it resolved on its own within 15-20 minutes.


VAERS ID: 1419015 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-23
Onset:2021-06-01
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test normal, Chest pain, Dry throat, Electrocardiogram normal, Heart rate increased, Oropharyngeal pain
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Received blood test and EKG both came out OK according to doctor.
CDC Split Type:

Write-up: Chest pain made worse with any form of exercise also developed throat pain, soreness, dryness. Took a week off work to rest and felt better after doctor prescribed metoprolol and aspirin. Metoprolol for high heart rate and aspirin for chest pain. Went back to work on 6/22/21 and felt fine until around 12AM when chest started hurting again. Have not taken second dose of vaccine due to symptoms. Went to 3 doctors and only one believes me when i say it is because of the vaccine. Have not been able to help or give advice with symptoms aside from the medication I am currently taking.


VAERS ID: 1419031 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 - / IM

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

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

Write-up: Client reports that the following morning after getting his COVID 19 Pfizer vaccoine that we woke up with facial numbness above the nose and that is lasted 2 days, but Tylenol assisted with it.


VAERS ID: 1419744 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, Pyrexia, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210634102

Write-up: CONVULSION; FEVER; INAPPROPRIATE SCHEDULE OF VACCINE ADMINISTERED; This spontaneous report received from a consumer via social media by company representative concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose (1 total), start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 14-JUN-2021, the patient received second dose of covid-19 vaccine ad26.cov2.s vaccine (inappropriate schedule of vaccine administered), On 14-JUN-2021, the patient experienced convulsion after a couple of hours of getting the vaccine and was hospitalized. On JUN-2021, the patient experienced fever, and was hospitalized (date unspecified). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, and the outcome of convulsion and inappropriate schedule of vaccine administered was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210634102-covid-19 vaccine ad26.cov2.s-convulsion. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20210634102-covid-19 vaccine ad26.cov2.s-fever. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1419759 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Headache
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: Blood test; Result Unstructured Data: Seems fine; Test Date: 202106; Test Name: CAT scan; Result Unstructured Data: Seems fine
CDC Split Type: USJNJFOC20210642948

Write-up: PERSISTENT HEADACHE TOP OF SKULL AND FOREHEAD; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 10-JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUN-2021, the subject experienced persistent headache top of skull and forehead. Laboratory data included: Blood test (NR: not provided) Seems fine, and CAT scan (NR: not provided) Seems fine. Treatment medications (dates unspecified) included: paracetamol, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from persistent headache top of skull and forehead. This report was non-serious.


VAERS ID: 1419772 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Eye swelling, Feeling hot, Pruritus, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: USJNJFOC20210644880

Write-up: SWOLLEN FACE; LEFT EYE WAS VERY SWOLLEN SO IT WAS DIFFICULT TO SEE OUT OF IT; ITCHY FACE; HOT FACE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, expiry: UNKNOWN) dose was not reported, administered on 17-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced swollen face. On JUN-2021, the subject experienced left eye was very swollen so it was difficult to see out of it. On JUN-2021, the subject experienced itchy face. On JUN-2021, the subject experienced hot face. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the swollen face, hot face, left eye was very swollen so it was difficult to see out of it and itchy face was not reported. This report was non-serious.


VAERS ID: 1419848 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Heart disease, unspecified
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Chest pain; Pericarditis; This spontaneous case was reported by a consumer and describes the occurrence of PERICARDITIS (Pericarditis) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Family history included Heart disease, unspecified. In June 2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Jun-2021, the patient experienced CHEST PAIN (Chest pain). In June 2021, the patient experienced PERICARDITIS (Pericarditis) (seriousness criterion medically significant). The patient was treated with IBUPROFEN for Adverse event, at a dose of High dose, qid. At the time of the report, PERICARDITIS (Pericarditis) and CHEST PAIN (Chest pain) outcome was unknown. No relevant concomitant medications were provided. Reportedly, the patient experienced chest pain and went to the hospital where he was diagnosed with pericarditis. Treatment medication also included steroids. Company Comment: This case concerns a male of unknown age hospitalized with a serious unexpected event of pericarditis, and nonserious chest pain. Event onset during the week following second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender''s Comments: This case concerns a male of unknown age hospitalized with a serious unexpected event of pericarditis, and nonserious chest pain. Event onset during the week following second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.


VAERS ID: 1419897 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Cerebral disorder, Depression, Diarrhoea, Feeling abnormal, Insomnia, Nausea, Nervousness
SMQs:, Acute pancreatitis (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety; Automobile accident; Depression; Disability (due to her car wreck); Insomnia; Traumatic brain injury (on medication); Unemployment (due to her car wreck)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021664981

Write-up: vaccine affected her brain/brain got overloaded /has a lot of things stirring in her brain; had more pronounced insomnia, anxiety, depression and culture anxiousness/couldn''t sleep at all/this was different; had more pronounced insomnia, anxiety, depression and culture anxiousness/ Anguish/ over anxious; had more pronounced insomnia, anxiety, depression and culture anxiousness; Feeling weird/whole week she felt mentally/didn''t feel like herself/felt this vaccine affected her brain; Diarrhea; Nausea; scared; This is a spontaneous report from a contactable consumer (patient) reported for herself that a 57-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 01Jun2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. Medical history included insomnia, anxiety, depression and culture anxiousness since she suffered from traumatic brain injury after car wreck and its severity, she is recovering, and on medication. She was unemployed and on disability due to her car wreck and she had a degree in marketing. She used to work for financial banking services prior to her traumatic brain injury. Concomitant medication included unspecified medication for traumatic brain injury after car wreck. Patient received her first dose of the Pfizer Covid-19 vaccine on 01Jun2021 and since then has had more pronounced insomnia, anxiety, depression and culture anxiousness (she had these since she had a traumatic brain injury). Her psychologist told her to receive the second dose of the vaccine but patient is wondering if it is okay to just get the one and not the second. Patient stated that she is kind of a weird case. She got her first dose on 01Jun2021 at a local health department and immediately started feeling weird, not during the day but at night. She couldn''t sleep at all, but she does have insomnia but this was different. She has insomnia, anxiety and depression and so she was overanxious. She had a lot of weird side of effects, not like throwing up but she did have diarrhea and nausea since 01Jun2021. Here''s the bottom line, the whole week she felt mentally. Patient interrupted herself stating remember she had a brain injury, she felt this vaccine affected her brain and she didn''t feel like herself. Patient is scared because of the way it made her feel. She stated that she has a lot of things stirring in her brain and causing her a lot of mental anguish, depression and anxiety and this vaccine made it even weirder. She stated everyone in family had had the vaccine with no problems. Patient stated that her side effects have gone away and part of it is because she is missing her mom and lost her dad in 2019, patient stated that she has not recovered from this and they were like peas in pod and the vaccine has amped up these things and how to relate to this. It irritated her when she cannot talk. She has a college degree. She stated she wouldn''t know how to relay this to the doctor. Her brain got overloaded and that was another problem. She takes medicine for this as well. Patient stated that she is beginning to feel stupid for calling, because she can understand people that have arm pain and stuff. Patient interrupted herself again and said she would just shut up. Outcome of the events was unknown. Information on batch/lot number has been requested.


VAERS ID: 1419910 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-16
Onset:2021-06-01
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Penile pain, Penile swelling, Phlebitis superficial
SMQs:, Angioedema (broad), Hypersensitivity (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: METFORMIN; ATORVASTATIN CALCIUM; SYNTHROID
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hypercholesterolemia; Hypothyroidism; Type 2 diabetes mellitus
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021666764

Write-up: Mondor''s disease penile; Peripheral penile vein swelling appeared, with little uncomfort and pain; Peripheral penile vein swelling appeared, with little uncomfort and pain; This is a spontaneous report from a contactable pharmacist (patient). A 60-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in left arm on 16May2021 at 15:15 (Batch/Lot Number: EW0177) as single dose 2 for COVID-19 immunisation. Medical history included type 2 diabetes mellitus, hypercholesterolemia, and hypothyroidism. The patient has no known allergies. Concomitant medications included metformin; atorvastatin calcium; levothyroxine sodium (SYNTHROID); all taken for an unspecified indication, start and stop date were not reported. Historical vaccination included BNT162B2 given on 18Apr2021 for COVID-19 immunization at the age of 60 years old (brand: Pfizer, lot number: EW0169, administration time: 3:15 PM, dose number: 1, vaccine location: left arm). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Approximately 20 days after receiving the second dose, peripheral penile vein swelling appeared with little uncomfort and pain. Ibuprofen helped when taken. Event was ongoing. The patient believed it was Mondor''s disease penile. The reporter was curious if COVID19 vaccine causes this disease. All events occurred on 01Jun2021 with outcome of not recovered. Treatment received for the events was ibuprofen. The events were reported as non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Based on the limited in formation provided and due to an unsuitable temporal association, the company, at the present time, deems there is not a reasonable possibility that the reported Mondor''s disease, with associated signs and symptoms, are related to BNT162B2 administration. The impacts of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1419911 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-04
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE8F37 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Endoscopy, Pain in extremity, Syncope, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy (Allergies); Asthma; Chest tightness; Infection (treated with antibiotics)
Allergies:
Diagnostic Lab Data: Test Date: 20210215; Test Name: Endoscopy; Test Result: Negative
CDC Split Type: USPFIZER INC2021667779

Write-up: Left arm got sore; Shivering and shaking; Shivering and shaking; weak; her body just collapsed to floor; This is a spontaneous report from a contactable nurse (patient herself, retired LPN). A 72-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in the left arm on 04Jun2021 at 13:00 at the age of 72 years old (Batch/Lot Number: FE8F37, Expiration date: unknown) as dose 1, single for COVID-19 immunization. The vaccination facility type was a pharmacy/drug store; the vaccine was not administered at military facility. The patient weighed the odds of getting COVID-19 versus getting the vaccine. Relevant medical history included allergies and asthma, both from an unknown date and unknown if ongoing and tightness in her chest and maybe she had caught a bug with congestion treated with antibiotics, both from Feb2021 to an unspecified date. The patient''s concomitant medications were not reported. The patient previously used her beclometasone dipropionate (QVAR inhaler). The patient had no family medical history relevant to adverse events (AEs). The patient had no history of previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines were administered on same date of the Pfizer suspect. The patient had no prior vaccinations (within 4 weeks). The patient stated she got the Pfizer vaccine last Friday, 04Jun2021 at 13:00, and at 23:00 she started shivering and shaking. She stated she took 1 acetaminophen (TYLENOL) and went to bed and first Tylenol helped. The patient stated she woke up and didn''t know what time it was, but she was shivering and shaking again. She stated she had the Tylenol bottle in her hand and a cup of water and her body just collapsed to the floor on an unspecified date in Jun2021. She didn''t know if her whole body shook or collapsed her to floor. She said that it seemed like her whole body shook a little bit, but she was not sure. The patient stated she could not get up. She tried to get up and waited for a bit and then was able to get herself up. The patient stated she did some research the day prior reporting and didn''t see anything about the collapsing, but she knew the shivering and shaking were to be expected. She stated this was very scary and she couldn''t control it. The patient was scared to death to get the second one. The patient stated she worked in a nursing home until it closed, and then they moved her to assisted living. The patient stated that by her research, she knew this was common side effect. She hoped she could be told more information to see if its safe to get the second vaccine. For the events shivering and shaking, the patient stated that sometimes she would stay up to watch a movie. She woke up and it had started again. She wasn''t sure if it was after midnight on 04Jun2021 or if it was 05Jun2021 when it resolved. She stated she came in to get the Tylenol and she collapsed on her way back to bed and she was lucky she didn''t hit her head. She knew at 2300, she got it to stop and as far as she remembered, the second time she went off to sleep. The patient said that the Tylenol got it under control. She was not shivering and shaking by the next morning. For the event collapse, the patient stated it could have been 05Jun2021. She stated she didn''t faint at all and thought her body shook all over. She stated it took her whole body down and the bottle of Tylenol and water flew everywhere. She said that it was very scary. The patient had allergies and asthma and heard if you have COPD or lung issues that it could be much worse. The patient stated she told the pharmacist this before she received her first shot. She stated she had an endoscopy on 15Feb2021 and woke up and everything went fine, everything was negative. Later, on an unspecified date in Feb2021 she had tightness in her chest after she woke up. She called the GI doctor and they said she did so well through the endoscopy, that maybe she had caught a bug. She stated she later did some research and found that 5 percent of people got sick afterwards. She did end up taking 4 bottles of antibiotics and the congestion and everything came back. She stated she told the pharmacist the date of last pill and said everything was ok to get the shot. She stated she took her last pill on 17May2021. The patient mentioned taking her QVAR inhaler. The patient wanted to know if someone could tell her if its safe to get her second dose. The patient said that she was weak all day the day after she collapsed on an unspecified date in Jun2021. On an unspecified date, left arm got sore. The AEs did not require a visit to emergency room or a physician office. Therapeutic measures were taken as a result of shivering and shaking. The patient recovered from shivering and shaking on an unspecified date in Jun2021; she recovered from the event "her body just collapsed to floor" on an unspecified date; while the outcome of the rest of the events was unknown.; Sender''s Comments: Based on temporal association and profile of the product, the contributory role of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) to reported events is possibly related.


VAERS ID: 1419936 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-30
Onset:2021-06-01
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Drug ineffective, SARS-CoV-2 test
SMQs:, Lack of efficacy/effect (narrow), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (Verbatim: We both had Covid initially in February.)
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: Covid-19; Result Unstructured Data: Test Result:Positive
CDC Split Type: USPFIZER INC2021714362

Write-up: We both vaccinated in April, two shots in April. We both had Covid initially in February. He had now tested positive for Covid in June.; SARS-CoV-2 test positive; This is a spontaneous report from a contactable consumer. This consumer (patient wife) reported for a 49-year-old male patient(reporter husband) that received bnt162b2 (Pfizer-BioNTech Covid-19 Vaccine Formulation: Solution for injection, Batch/Lot Number: EW0153, Expiration Date: 31Jul2021) via an unspecified route of administration in right arm on 30Apr2021 as 2nd dose, single dose for covid-19 immunisation. Medical history included covid-19 from Feb2021 to an unknown date (Verbatim We both had Covid initially in February). The patient previously received first dose of BNT162B2 (Formulation: Solution for injection, lot number: ER8730) on 10Apr2021 for Covid-19 immunization. On Jun2021, the reporter stated seriousness for we both vaccinated in april, two shots in april. We both had Covid initially in February and he had now tested positive for Covid in June after being fully vaccinated and the instance was as much, all of its severe as first episode of Covid and reporter stated that showing vaccine was not affective for my husband. We both had Covid in February So we had to wait April to get vaccinated and then he unfortunately had it again in the end of may, 1 week of June. The patient underwent lab tests and procedures which included sars-cov-2 test positive on Jun2021. The outcome of the events were unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1420120 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site swelling, Pain in extremity
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:
Current Illness: Leg injury
Preexisting Conditions: Medical History/Concurrent Conditions: Leg pain; Comments: Received pain medication for leg injury prior to vaccination.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210646716

Write-up: RECURRENT LEG PAIN; SWELLING IN AREA OF INJECTION; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. The patient''s past medical history included leg pain, and concurrent conditions included leg injury, and other pre-existing medical conditions included received pain medication for leg injury prior to vaccination. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 19-JUN-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On JUN-2021, the subject experienced recurrent leg pain. On JUN-2021, the subject experienced swelling in area of injection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the recurrent leg pain and swelling in area of injection was not reported. This report was non-serious.


VAERS ID: 1420209 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1420246 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1420284 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-13
Onset:2021-06-01
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

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

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

Write-up: Extreme tired and fstigue. Headache and fever persisting for weeks now. Heart feels stressed


VAERS ID: 1420391 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-11
Onset:2021-06-01
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure fluctuation
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: losartan, zantadine, hyrocodone, gabapentin, ambien
Current Illness:
Preexisting Conditions: HTN, back surgery
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: blood pressure drops at different times throughout the day (70/45). working with cardiologist for evaluation and reasoning, has been tapering off HTN medications


VAERS ID: 1420628 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-07
Onset:2021-06-01
   Days after vaccination:86
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Computerised tomogram, Computerised tomogram abnormal, Influenza like illness, Pneumonia, Pulmonary thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: no
Allergies: n/a
Diagnostic Lab Data: got cat scan done at the ER which showed blood clots on his lungs.
CDC Split Type:

Write-up: June 15th he developed flu like symptoms turn into pneumonia


VAERS ID: 1420631 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: No adverse event
SMQs:

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

Write-up: Patient marked the box to have never received the covid vaccines. Later noted off CAIRS patient received pfizer vaccine on 5/3/21 and 4/5/21. no reaction/symptoms reported.


VAERS ID: 1420638 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Patient marked the box to have never received the covid vaccines. later noted off system patient received Jassen March 2021. no reaction noted.


VAERS ID: 1421046 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Dyspnoea, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

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

Write-up: After the shot got extremely shortness of breathe and sick but still got the second shot and breathing got worse. It is slowly getting better but is not all the way back to normal just yet.


VAERS ID: 1421064 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421074 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421118 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421162 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421312 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-03-15
Onset:2021-06-01
   Days after vaccination:78
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044AZ1A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Arrhythmia, Atrial fibrillation, Dyspnoea, Electrocardiogram, Lethargy
SMQs:, Anaphylactic reaction (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yes, Lipitor, Eliquis, pheneturide Lasik, metoprolol, tamurosen.
Current Illness: No
Preexisting Conditions: Partial lung removal Dec 2019, Atrial Fibrillation
Allergies: Seasonal hayfever
Diagnostic Lab Data: EKG: showed afib, EKG: prior to cardioversion- normal
CDC Split Type: vsafe

Write-up: I went into arrhythmia. I felt out of breath, lethargic, anxious. I called the doctor and sent him an ECG that I did on my watch. He said I was in a fib. We watched it for a few days, and then went in to the doctor. They did an EKG and determined I was indeed in afib. They switched my medication which did not really help. I began having intermittent episodes of the arrhythmia. I went back to the doctor and I was still in afib. They scheduled me for a cardioversion. When I went in for the procedure, they ran tests that determined I was not in afib. I was releases and I have been okay since.


VAERS ID: 1421320 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test normal, Culture stool negative, Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

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

Write-up: I have had diarrhea since I received the vaccine 6 times a day. I checked in with my doctor and he ordered bloodwork and collected a stool sample, both results came back normal. I am now being referred to an enterology doctor. I drinking electrolyte mix daily.


VAERS ID: 1421386 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

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

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

Write-up: Parent or Guardian appeared to knowingly fill out a consent form with the incorrect year of birth and specifically wrote down the wrong age. Essentially it appears we were intentionally mislead about his age. Will not be giving second shot until patient turns 12.


VAERS ID: 1421391 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421507 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1421547 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-18
Onset:2021-06-01
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Discomfort, Musculoskeletal chest pain, Pleurisy, Vaccine positive rechallenge
SMQs:, Systemic lupus erythematosus (broad)

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

Write-up: patient started to experience pain and discomfort by the rib cage starting 06/01/2021 it progressively got worse after the 2nd dose 06/15/2021.Pt was seen by urgent care physician and was diagnosed with pleuritis and was give a steroid shot and tablets.


VAERS ID: 1421783 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-05-26
Onset:2021-06-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 1 RA / IM

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

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

Write-up: patient came to pharmacy to get her second dose. when asked how the first dose was she stated that she had a red area all the way to just above the elbow on the arm that she was given the vaccination. she states that she called her dr''s office and was told to put a cold compress on the area and it got better. i called to verify with the dr''s office and was told that pt called them on 6/1/2021 and states that she has a red swollen area at the site and was advised to put cold pack on it and take ibuprofen. dr''s nurse called back and states that dr advises that it is ok to continue with 2nd dose to just give at a different geographical location


VAERS ID: 1421812 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-05-25
Onset:2021-06-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW01105 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Alopecia, Asthenia, Back pain, Balance disorder, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular 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? Yes, 19 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Potassium; Diuretic; Pepcid; Vitamin C; Vitamin D; Zinc; Multivitamins
Current Illness:
Preexisting Conditions: Long Covid-19 symptoms including Kidney problems
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I tested positive on 01/22/2021 and hospitalized on 01/27/2021. I was critically ill and spent time in the ICU. I was released to rehab on 02/15/2021 and released to home care on 03/08/2021. I had care until April 04/20/2021. I had still been having some weakness and I was on Oxygen at night. I was told I did not need it anymore. My lungs were clear in early May when I saw the Pulmonologist. I got the first dose of my vaccine one week later. I had flu like symptoms for 24 hours. After I got the second dose of the vaccine my legs seemed to be weaker, and I felt very unsteady on my feet. It started one week after the second dose. I felt like it was a setback. During that week I also started to have hair loss. My hair has been coming out in clumps. I have ordered a wig. It has been four weeks and I still have back pain and weakness. I am not sure if my symptoms are due to Covid-19 or if is the vaccine. I have improved a little.


VAERS ID: 1422045 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422059 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422072 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422081 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bedridden, Dizziness, Fatigue, Feeding disorder, Gait inability, Laboratory test, Smear cervix, Urinary retention, Vomiting, Vulval disorder, Vulvovaginal pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: June 4 & 10 - hep b service syphilis, hiv-1/2 , hsv type 1, 2, hsv pcr, wound culture, bhep b, surface, core surface antigen, hpe chlamydia Trachomatis Genital cutler, smereP
CDC Split Type:

Write-up: Threw up shortly after second dose, Extremely tired, Unable to eat for days, Lightheaded, Lesions on vulva. Pain, unable to walk. Pain, unable to use bathroom. Unable to leave bed.


VAERS ID: 1422083 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422327 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422331 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422510 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422545 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422553 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422759 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422770 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422838 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1422850 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Headache
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (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: Percocet, promethazine, hydroclorothiazide, amlodipine, tizanidine,allopurinol, pantoprazole, potassium, paroxetine. Vitamin c, d3, b - complex
Current Illness: None
Preexisting Conditions: Lupus, fibromyalgia, degenerative disc disease, high blood pressure
Allergies: Sinus and hayfever
Diagnostic Lab Data:
CDC Split Type:

Write-up: A week or two after the second injection, I started experiencing headaches and my blood pressure stays elevated


VAERS ID: 1423021 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Drooling
SMQs:, Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: METFORMIN; LISINOPRIL; TAMSULOSIN
Current Illness: Blood pressure high; Diabetes
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210645616

Write-up: EXCESSIVE DROOLING/SLOBBERING; This spontaneous report received from a patient concerned a 70 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included diabetes, and high blood pressure, and other pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 205A21A expiry: 07-AUG-2021) dose was not reported, administered on 05-JUN-2021 for prophylactic vaccination. Concomitant medications included metformin for diabetes, lisinopril for high blood pressure, and tamsulosin. On JUN-2021, the subject experienced excessive drooling/slobbering. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from excessive drooling/slobbering. This report was non-serious.


VAERS ID: 1423123 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Confusional state, Dizziness, Gait disturbance, Pallor, Presyncope, Vertigo
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021705697

Write-up: thought she was having a stroke; Not able to walk on her own; almost fainted/about to passed out; Dizzy/felt very dizzy; Confused; Very pale; Vertigo; This is a spontaneous report from a contactable consumer (patient reported for herself). A 50-years-old female patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: EW0182, Expiration date: 02Jun2023, NDC number was unknown), via an unspecified route of administration, administered in left arm on 09Jun2021 as 1st dose, single for covid-19 immunisation. Patients had no medical history (including any illness at time of vaccination) and had no relevant family medical history. No concomitant medications were used by the patient. Patient had no prior vaccinations (within 4 weeks). Patient was going on vacation, so her daughters wanted her to get the vaccination. On an unspecified date of Jun2021, in the evening patient noticed she was dizzy. It got worse by an unspecified date of Jun2021. On unspecified date of Jun2021, patient''s coworker sent her to the emergency room because they thought she was having a stroke and noticed that she was confused and very pale and about to passed out. Patient also called the nurse in charge and they also thought she was having a stroke because she was confused. Patient felt very dizzy. Patient was eating lunch and got up to get an apple and almost fainted. Patient was not hospitalized, she waited 7 hours in the emergency room and left without being seen. Patient stated it was a long wait, and a lot of people were waiting, and she asked before she left and there were still 10 people in front of her. On unspecified date of Jun2021 in morning, patient noticed that she was not able to walk on her own and she was still dizzy. On an unspecified date of Jun2021, patient went to see one of the doctors at the clinic. Doctor could not see her, but a nurse practitioner saw her and prescribed her something for vertigo. Patient stated that she was confused lately. Patient had emergency room visit and no physician office visit. No relevant tests were performed. The outcome of all the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1423251 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-14
Onset:2021-06-01
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 2 - / -

Administered by: Public       Purchased by: ?
Symptoms: Cardiac flutter
SMQs:, Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (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: Albuterol inhaler
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Brief fluttering of heart many times throughout the day, no other symptoms, ongoing but with less frequency


VAERS ID: 1423310 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-26
Onset:2021-06-01
   Days after vaccination:67
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006B21A / 2 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Ataxia, Blood folate normal, Blood thyroid stimulating hormone normal, Laboratory test normal, Magnetic resonance imaging head normal, Neurological symptom, Vertigo, Vitamin B12 normal
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: METOPROLOL TARTRATE 100 MG Oral tablet 180 tablet apixaban 5 mg Oral Tab tab cholecalciferol, vitamin D3, 50 mcg (2,000 unit) Oral Tab diltiazem (CARDIZEM) 30 MG Oral tablet 10 tablet lisinopriL 5 MG Oral tablet meclizine 25 m
Current Illness: None
Preexisting Conditions: Nephrolithiasis Osteoarthritis of left knee Benign prostatic hyperplasia Type 2 diabetes mellitus Essential hypertension Atrial fibrillation Localized osteoarthritis of left shoulder S/P shoulder hemiarthroplasty, left
Allergies: ace inhibitors, eggs
Diagnostic Lab Data: as above
CDC Split Type:

Write-up: covid 19 vaccination moderna 2/26 and 3/26/21. Pt presenting with unusual neurological symptoms on 6/1/21.. Wife video recorded his ataxia on her phone to show neurology on follow up. His feeling of spinning which only occurs when lying still and resolves with movement of his head and sitting up is unusual. Physical therapy notes no ataxia however pt reports they did not test tandem walking or standing on one leg which he is unable to do and was recorded by wife on her phone. atypical presentation of vertigo. Only occurs when lying completely still in bed, does not worsen with head movement and resolves with sitting up. Lifelong non smoker/non drinker. Labs all normal. No vomiting, nystagmus, recent illness or uri, no sinusitis/mastoiditis on mri brain. No acute abnl of mri brain or cta head or neck. No recent medication changes. Pt consistently in sinus rhythm. No fever. No past hx of covid 19. Case reviewed with neurology. Recommending trial of meclizine and PT. Out pt follow up with neurology for further work up if persists. MRI cervical spine will need to be done as out pt. Tsh, b 12, folate normal.


VAERS ID: 1423331 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-05-04
Onset:2021-06-01
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Dyspnoea, Echocardiogram, Pericardial effusion
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lasix, adcirca, ASA, KCL, mycophenolate, nexium, and opsumit
Current Illness: none
Preexisting Conditions: Pulmonary hypertension
Allergies: none
Diagnostic Lab Data: Echocardiogram 6/15/21, CXR 6/1/21
CDC Split Type:

Write-up: Pericardial effusion, shortness of breath, started within 2 weeks after 2nd vaccine


VAERS ID: 1423371 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 AR / IM

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

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

Write-up: Error: Improper Storage (temperature)


VAERS ID: 1423411 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-28
Onset:2021-06-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bronchial secretion retention, Bronchitis, Chest X-ray abnormal, Cough, Dyspnoea exertional, Rash, SARS-CoV-2 test negative, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None known; no prior respiratory issues. No history of smoking or asthma
Allergies:
Diagnostic Lab Data: Covid test negative (6/4/2021) Chest x-ray (6/10/2021) showed no damage but some mucus
CDC Split Type:

Write-up: Bronchitis with some fluid/mucus in lungs resulting in frequent, painful cough. Symptoms actually started one day prior to second dose and continued to worsen, prompting an urgent care visit. Experienced coughing fits and shortness of breath when active Treated with 1 round of Z-pak (6/11-6/16, somewhat effective), 1 round of prednisone (6/22-current), with virtussin to suppress cough and al albuterol rescue inhaler. Patient also had a concurrent rash/hives at onset, assumed to be an allergic reaction to a new soap. Treated with OTC antihistamines and aloe vera and went away on its own.


VAERS ID: 1423492 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-26
Onset:2021-06-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / IM

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

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

Write-up: Pt noticed the 2 gland swell at left subclavicular area up few days after the first vaccine. Per pt, it had gone down but the it still there, and it has been 3 weeks already


VAERS ID: 1423497 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-03-23
Onset:2021-06-01
   Days after vaccination:70
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Chest X-ray normal, Chills, Computerised tomogram head normal, Cough, Electroencephalogram normal, Movement disorder, Nasal congestion, Neurological examination normal, Oropharyngeal pain, Paralysis, Pyrexia, Rhinorrhoea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: acute kidney injury, exray showed no acute cardioplumonary disease. Head CT unrevealing,EEG normal neuro exam normal.
CDC Split Type:

Write-up: medical hx for atrial fibrillation, chf, hx of cardiac arrest, CAD, hypertension, prostate cancer, hypothyroidism, presents to ER after an episode of inability to move for over one hour, unable to move extremeties but was able to talk. reported that had a cough on friday but no sob or hypoxia and did not report fever or chills to hospital, although did report those to investigator. Discharged on 6/3/2021. symptoms of fever, chills, runny nose/congestion, sore throat and cough began on 5/25, none of these symptoms present upon hospitalization on 6/1/21.


VAERS ID: 1423522 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-05-28
Onset:2021-06-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Neuropathy peripheral
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin 81 mg
Current Illness: None
Preexisting Conditions: h/o colon CA Neuropathy
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports an exacerbation of peripheral neuropathy after receiving first covid vaccination. Patient has had in but reports this is worse that before There has been no further medication intervention for this event


VAERS ID: 1423610 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Emotional disorder, Hyperhidrosis, Pallor, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: DIZZINESS, PALE, DIAPHORETIC, BLURRED VISION, LAUGHING AND CRYING AT SAME TIME. ICE PACK APPLIED AND PT WAS FEELING FINE AFTER SOMETIME.


VAERS ID: 1423635 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-14
Onset:2021-06-01
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO171 / 1 - / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Hyperhidrosis, Hypoaesthesia, Myalgia, Nausea, Paraesthesia, SARS-CoV-2 test, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, biotin, lutein
Current Illness: Sun cancer prevention because of freckles produced in childhood
Preexisting Conditions: Non-cancerous cancer, lump removed from right breast in April 2005
Allergies: Sodium, shrimp, ham, soy sauce, turmeric, some peppers like jalape?o and hotter
Diagnostic Lab Data: June 22nd 2021 @ 3:10pm SARS-COV-2 RNA, QL, RT PCR (COVID-19)
CDC Split Type:

Write-up: Muscle aches and pain included tingling or numbness started June 1st 2021. A couple days later, I did the CDC Checker. It stated I had the flu and to quarantine for 10days and take influenza vaccination. Pain started at 11 on 1 to 10 scale. Today, it?s at 1 on a scale of 1 to 10. Mostly pain, a lot of sweating, nausea, vomited 4 times and everything else is over. I did a TeleDoc visit, however, it was an LPN versus doctor. So I didn?t take her advice and go to hospital. When I could drive went to CVS drivethru minute clinic


VAERS ID: 1423822 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-06-23
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

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

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

Write-up: Patient has not experienced an adverse event. Patient got the Pfizer COVID vaccine after intentionally witholding information of a previous COVID vaccine. Information of previous COVID administration was obtained while billing the Pfizer vaccine administration through his insurance. He said he decided to get it because he heard Dr. TV saying a booster vaccination may be required after getting the vaccine.


VAERS ID: 1423856 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-06-23
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

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

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

Write-up: Patient has not experienced an adverse event. Patient got the Pfizer COVID vaccine after intentionally witholding information of a previous COVID vaccine (Johnson & Johnson). Information of previous COVID administration was obtained while billing the Pfizer vaccine administration through his insurance. He said he decided to get it because he heard Dr. on TV saying a booster vaccination may be required after getting the J & J vaccine.


VAERS ID: 1423876 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-26
Onset:2021-06-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Antinuclear antibody, Asthenopia, C-reactive protein, Differential white blood cell count, Dizziness, Ear pain, Fatigue, Full blood count, Gaze palsy, Metabolic function test, Musculoskeletal stiffness, Nasal congestion, Palpitations, Red blood cell sedimentation rate, Rhinalgia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Corneal disorders (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prograf, Cellcept, Prednisone, Aspirin, Cod Liver Oil and VitaminD
Current Illness:
Preexisting Conditions: Kidney and Pancreas transplant
Allergies: Tetanus, Grapefruit and Amoxicillan
Diagnostic Lab Data: Antinuclear antibodies with reflex titer, C-reactive protein, CBC with diff, Comprehensive metabolic profile and Sedimentation rate, automated. Low sodium.
CDC Split Type:

Write-up: Dizziness, vomiting, diarrhea, headache on the left side, stiff eyes, ear ache left ear, heart racing, tired easily, left shoulder stiff, muscles on left side of upper back very tense, left wrist sore, left nostril swollen and sore inside and swelling of the face mostly on the left side. Doctor visit, prescribed promethazine and told to take acetaminophen. Labs were ordered.


VAERS ID: 1424128 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-04
Onset:2021-06-01
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Coronary artery thrombosis, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt had a heart attack + a blood clot found in her heart in the weeks following her vaccine


VAERS ID: 1424149 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-06
Onset:2021-06-01
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Fatigue, Intermenstrual bleeding, Mood swings, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Depression (excl suicide and self injury) (broad), Vestibular 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: Sprentec; Lexapro; Wellbutrin; CBD ; Vit D;
Current Illness: No
Preexisting Conditions: HPV-dormant
Allergies: Milder allergy to Melon; Latex; Septra
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: I first started to experience very mild spotting and it seemed very irregular because I was taking my birth control on time. I also had Cramps; fatigue and dizziness and mood swings. Like I was getting a period without the period. Then the same symptoms happened a week later. I called the doctor to get phone appt with GYN Dr. I was not pregnant; she thought it might be hormonal imbalance and said to give it another month to see if it happened again. I have been on this same birth control for 10 years. Yesterday, June 23, I started having the same symptoms but I haven''t started with any of the spotting yet so I had cramps; fatigue and dizziness and mood springs. Today, I''m not experiencing these symptoms.


VAERS ID: 1424329 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-06
Onset:2021-06-01
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 02R1A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Headache, Joint stiffness, Neck pain, Pain in jaw, Trigeminal neuralgia
SMQs:, Demyelination (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take Lexapro daily that I have been on for decades only.
Current Illness: No
Preexisting Conditions: I have chronic fatigue and also a weaken immune system.
Allergies: I am allergic to Penicillin and Tylenol with Codeine.
Diagnostic Lab Data: X-rays and will be following up with some blood work once I go in for my annual checkup.
CDC Split Type: vsafe

Write-up: I was having pain from my neck all the way to my ear, temple, upper/lower jaw bones, right eye, really bad pain in my neck. I went to the Chiropractor and the neck calmed down but the rest of the pain did not stop in the other areas. The pain was so bad in my jaw bones and I could not talk. After going to the Chiropractor without getting any relief the following day I made medical appointments with my Dentist and Doctor. My Doctor said that said that she was glad that I tried to rule the pains out by going to the Chiropractor. Dr. ordered a series of X-rays on my jaws on 06/07/2021 and the X-ray clinic took them on 06/10/2021. I was diagnosed with trigeminal neuralgia and ruled out any structural thing or anything else going on with me (no way that there was any way that I was causing tension by turning my head and if the nerves were following where my pain was occurring). I have to let one of my colleagues takeover after talking too long because it starts to get stiff or sensitive. I''m adjusting around it right now.


VAERS ID: 1424399 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-17
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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

Write-up: Patient stated that a red itchy spot appeared on injection site after a few days.


VAERS ID: 1424631 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-05-07
Onset:2021-06-01
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: HIV test false positive
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Try ads for PREP
Current Illness: None
Preexisting Conditions: None
Allergies: Nome
Diagnostic Lab Data: False positive HIV Elisa 4 test 3 weeks after vaccine followed by indeterminate differential assay despite high (100%) PREP adherence and no exposure. False positive confirmed by multiple negative ELISA 4 tests in weeks following and multiple negative hiv rna screenings in week following. No symptoms. Elisa 4 positive June 1st with differential assay indeterminate on same sample. June 4 Elisa negative. June 8 hiv rna negative and no viral load, June 18 Elisa 4 negative and June 18 rna negative and no viral load
CDC Split Type:

Write-up: False positive HIV Elisa 4 test 3 weeks after vaccine followed by indeterminate differential assay despite high (100%) PREP adherence and no exposure. False positive confirmed by multiple negative ELISA 4 tests in weeks following and multiple negative hiv rna screenings in week following. No symptoms


VAERS ID: 1425821 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Headache, Lymphadenopathy, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: Test Date: 20210617; Test Name: Body temperature; Result Unstructured Data: 102; Test Date: 20210618; Test Name: Body temperature; Result Unstructured Data: 100
CDC Split Type: USJNJFOC20210644881

Write-up: SWOLLEN LYMPH NODES; SORE THROAT; BODY ACHE; CHILLS; MASSIVE HEADACHE; FEVER; This spontaneous report received from a patient via a company representative concerned a 29 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on MAY-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On JUN-2021, the subject experienced swollen lymph nodes. On JUN-2021, the subject experienced sore throat. On JUN-2021, the subject experienced body ache. On JUN-2021, the subject experienced chills. On JUN-2021, the subject experienced massive headache. On JUN-2021, the subject experienced fever. On 17-JUN-2021, Laboratory data included: Body temperature (NR: not provided) 102. On 18-JUN-2021, Laboratory data included: Body temperature (NR: not provided) 100. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills, massive headache, swollen lymph nodes, sore throat and body ache was not reported. This report was non-serious.


VAERS ID: 1425825 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood glucose increased, Chest pain, Herpes zoster, Neuralgia
SMQs:, Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Diabetic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: Sugar blood level increased; Result Unstructured Data: Almost 400 than previous 300(units were not reported)
CDC Split Type: USJNJFOC20210645572

Write-up: SHINGLES ON BACK; NERVE PAIN / LEFT SIDE NERVE PAIN IN CHEST; CHEST PAIN; SPIKING SUGAR FROM 300 TO 400; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. The patient''s concurrent conditions included diabetic. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: not reported) dose was not reported, administered on 23-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUN-2021, the subject experienced spiking sugar from 300 to 400. On JUN-2021, the subject experienced chest pain. Laboratory data included: Sugar blood level increased (NR: not provided) Almost 400 than previous 300 (units were not reported). On 16-JUN-2021, the subject experienced shingles on back. On 16-JUN-2021, the subject experienced nerve pain / left side nerve pain in chest. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from shingles on back, nerve pain / left side nerve pain in chest, chest pain, and spiking sugar from 300 to 400. This report was non-serious.; Sender''s Comments: V0: Medical assessment comments not required as per standard procedure as the case is assessed non serious.


VAERS ID: 1425855 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210651090

Write-up: SORE ARM; NAUSEA; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 22-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced sore arm. On JUN-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the nausea and sore arm was not reported. This report was non-serious.


VAERS ID: 1425898 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-09
Onset:2021-06-01
   Days after vaccination:53
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Heart rate abnormal, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Dehydration (broad)

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

Write-up: Short of breath in recent weeks, heart rate on June 9,2021 was up to 135 resting rate, abnormal heart rhythms (extreme fast or slow beating)


VAERS ID: 1425931 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-06-01
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood culture negative, Catheter placement, Computerised tomogram abdomen, Confusional state, Culture urine negative, Decreased appetite, Dysuria, Electrolyte depletion, Gastric volvulus, Gastrooesophageal reflux disease, Haematemesis, Hiatus hernia, Hypokalaemia, Hypomagnesaemia, Hyponatraemia, Hypophagia, Laparoscopic surgery, Nausea, Occult blood positive, Robotic surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Chronic kidney disease (broad), Hypoglycaemia (broad), Hypokalaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: vitamin D, vitamin B12, metoprolol 25mg/d, pravastatin , omeprazole
Current Illness: None
Preexisting Conditions: Hx recurrent urinary tract infections, HTN, gerd
Allergies: None
Diagnostic Lab Data: as above
CDC Split Type:

Write-up: Pt was vaccinated on 3/9/21 and 4/6/21 with Pfizer vaccines. Prior to her recent hospitalization she or the daughter had no knowledge of her severe hiatal hernia but she did admit to early satiety and poor po intake for a few months. Patient is an 84-year-old female with a past medical history significant for hypertension, hyperlipidemia, recurrent urinary tract infections who presented to the emergency room on 6/1/2021 due to some dysuria, frequency, nausea, vomiting and increased confusion. She denied any fever or chills or any abdominal pain but did report some acid reflux symptoms and poor appetite. she was ultimately admitted with a suspected urinary tract infection. She was also profoundly electrolyte depleted with hypokalemia, hypomagnesemia and hyponatremia due to poor p.o. intake. She was started on IV fluids and electrolyte repletion was also started on Rocephin based on her old cultures and subsequently admitted. Patient''s urine and blood cultures ultimately produce no growth and a urinary tract infection was ruled out. She was found the day after admission with a large amount of black emesis covering her sheets. When questioned patient reported that she had been vomiting during the night. Stool OB was ultimately positive. Her DVT prophylactic heparin was discontinued. She was started on IV Protonix. CT of the abdomen pelvis was ordered. CT revealed nearly the entire stomach was above the left hemidiaphragm with air-fluid levels but there was no significant distention seen. The case was discussed with our general surgical team and the decision was made to transfer the patient to a higher level of care for a GI/EGD evaluation .She was transferred on 6/3/21. She was ultimately discharged on 6/7/21 home after being found to have a gastric volvulous. On 6/21 she returned for Robotic-assisted laparoscopic repair of a giant hiatal hernia with Bilateral placement of pleural pigtail catheters as both pleural linings were densely adhesed to the hernia sac. The plan was to discharge her home on 6/25/21.


VAERS ID: 1426109 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-12
Onset:2021-06-01
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Oligomenorrhoea
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility 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: multi vitamin, Zyrtec, melatonin
Current Illness: none
Preexisting Conditions: endometriosis (2004) , uterine fibroids (2008), fibromyalgia (2009)
Allergies: none known
Diagnostic Lab Data: none. not even a CBC to check for anemia.
CDC Split Type:

Write-up: The day after my vaccine I started my period. It was close to my usual cycle. It was rather light flow but for a normal duration. 23 days later began another period. It''s early. I am now on day 21 of an active flow. On Day''s 7-9 I experienced extremely heavy flow, soaking overnight pads in a matter of 2 hours, and experience large blood clots. On day 14 I caught medical attention at my normal primary care clinic through their walk-in services. I was given birth control and told that at my age this was just to be expected. No lab work was performed.


VAERS ID: 1426141 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-05
Onset:2021-06-01
   Days after vaccination:57
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Biopsy breast, Blood test, Bone scan, Breast cancer, Breast mass, Computerised tomogram, Mammogram, Ultrasound scan
SMQs:, Breast malignant tumours (narrow), Non-haematological malignant tumours (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: Yes
Current Illness: No
Preexisting Conditions: Breast cancer
Allergies: Yes
Diagnostic Lab Data: Biopsy, Sonogram, Mamma gram, Blood work, Bone scan, Cat scan
CDC Split Type: vsafe

Write-up: Found a lump in my left breast. Went to doctor and found it was cancer. I was in remission for 15 years before that date.


VAERS ID: 1426438 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 1 LA / IM

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

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

Write-up: The parent falsified the child''s birthdate to make it look like he was 12 years old and eligible to receive the covid vaccine. There was no known adverse reaction.


VAERS ID: 1426443 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dry mouth, Nervousness, Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: A few minutes after the shot I starting feeling faint and heart racing. Mouth was dry and felt nervous.


VAERS ID: 1426486 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-22
Onset:2021-06-01
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown to pharmacy, patient reported being on a blood pressure medication
Current Illness: Unknown health history
Preexisting Conditions: Patient mentioned having been on blood pressure medications
Allergies: NKDA
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Patient reported elevated blood pressure and heart palpitations at her doctor''s visit on 6/1/21 @8:15 am. She made 2 trips to the ER for elevated blood pressure/heart palpitations on both 6/7 (MD follow up on 6/8) and 6/10 which included an admission to the hospital for 4 days. Patients thinks it is due to the vaccine as nothing else has changed.


VAERS ID: 1426766 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Fatigue, Headache, Hypersomnia, Oropharyngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (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: Hydrocortisone, Metoprolol, Fludrocortisone, Cholesterol, Euthyrox,
Current Illness: None
Preexisting Conditions: Addison''s disease
Allergies: Narcotics
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: Extreme fatigue, headache, sore throat, and high fever. The high fever ran for a few days. I had no appetite. I slept a lot.


VAERS ID: 1426793 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028A21A / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: INHALE ONE PUFF BY MOUTH EVERY FOUR HOURS AS NEEDED


VAERS ID: 1426904 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute kidney injury, Deep vein thrombosis, Pulmonary embolism, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021676670

Write-up: Large burden of DVT/PEs; Large burden of DVT/PEs; Associated acute kidney injury and fevers; Associated acute kidney injury and fevers; This is a spontaneous report from a contactable physician. An adult female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on May2021 (Batch/Lot number was not reported) as dose 2, single for COVID-19 immunisation. The patient had no relevant medical history. Concomitant medication included drospirenone, ethinylestradiol (YASMIN) taken as birth control pills, start and stop date were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unspecified date for COVID-19 immunization. The patient diagnosed with COVID-19 prior to vaccination. The patient experienced large burden of DVT/PEs noticed approximately 1 month after vaccination in Jun2021 and associated acute kidney injury and fevers. Events resulted in visit to Doctor or other healthcare professional office/clinic and Emergency room/department or urgent care. Patient was hospitalized for the events. Treatment received included anticoagulation + IVC Filter. Outcome of the events was recovering. The patient had not been tested for COVID-19 since the vaccination. Information on the lot/batch number has been requested.; Sender''s Comments: Based on temporal association, a contributory role of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) to the reported events cannot be excluded. The impacts of this report on the benefit/risk profile of the product and on the conduct of the study are evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concerns identified as part of this review, as well as any appropriate actions in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1426935 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-10
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Appetite disorder, Blood test, Fatigue, Lymphadenopathy, Pain in extremity, Peripheral swelling, Pyrexia, Vaccination site erythema, Vaccination site swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VERAPAMIL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure; Drug allergy (I am allergy type person with some medicines); Insect bite allergy (I tend to have reactions from insect bites and different things like that); Multiple allergies (Tend to have reactions from insect bites and different things like that)
Allergies:
Diagnostic Lab Data: Test Date: 20210608; Test Name: Blood work; Result Unstructured Data: Test Result:Unknown
CDC Split Type: USPFIZER INC2021692035

Write-up: My arm was hurting; It''s not as bad but it''s still red and swelling is still there; I have been having Temperature; Swelling and redness in my arm; Arm is still sore; Swelling in my arm in both areas at the injection site and in my lymph nodes; Swelling in my arm in both areas at the injection site and in my lymph nodes; Been very tired for last several days; My appetite is not normal; This is a spontaneous report from a contactable consumer or other non hcp. A 68-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: ER8737), via intramuscular route of administration, administered in Deltoid Left on 10Jun2021 09:40 (at the age of 68-year-old) as single dose for covid-19 immunisation. Medical history included blood pressure from an unknown date and unknown if ongoing, Patient stated I am allergy type person with some medicines, I tend to have reactions from insect bites and different things like that, multiple allergies from an unknown date and unknown if ongoing. Concomitant medication included verapamil (Verapamil) taken for blood pressure measurement, start and stop date were not reported. The patient experienced swelling in my arm in both areas at the injection site and in my lymph nodes on 10Jun2021, patient stated been very tired for last several days and my appetite is not normal on Jun2021. Patient want to inquire How long would these last? Any recommendations on what to do? During the day on Thursday it was ok but later in the evening by Friday am at 3am I woke up and my arm was hurting. Patient stated It has lasted for 3 days now and it''s not as bad but it''s still red and swelling is still there. "Swollen lymph nodes (lymphadenopathy), which generally resolved within 10 days, is likely to have resulted from a robust vaccine-elicited immune response. Patient stated "I just received my first COVID shot on Thursday. I have been having Temperature and swelling and redness in my arm it seems to be going away, but today the arm is still sore, it still feels warm on 10Jun2021. Date for Second COVID shot: Consumer stated "Supposed to get 01Jul2021.Therapeutic measures were taken with "Tylenol" as a result of the events swelling in my arm in both areas at the injection site and in my lymph nodes, been very tired for last several days, it''s not as bad but it''s still red and swelling is still there, i have been having temperature swelling and redness in my arm, arm is still sore. The patient underwent lab tests and procedures which included blood test: unknown on 08Jun2021. Outcome of event was unknown for event Swelling in my arm in both areas at the injection site and in my lymph nodes and for all events outcome was not recovered.


VAERS ID: 1426958 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pain
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: Fibromyalgia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021696631

Write-up: Woke up in a lot of pain; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose number unknown, single for covid-19 immunisation. Medical history included ongoing fibromyalgia. The patient concomitant medications were not reported. The patient reported that two weeks ago (from the day of the report) she got the Pfizer Covid-19 vaccine shot, no exact date provided, and for about a week she did not have any side effects, but on 01Jun2021, she woke up in a lot of pain, has not improved and it has been 10 days. The patient said that she does have fibromyalgia, which was a pain disorder, was feeling quite well before she got the vaccine. The patient stated she was going to go see a doctor for the second time tomorrow. The patient also said that she feels like she had a bad case of the flu, took a lot of courage to get the vaccine, was so happy not to have side effects until now (as reported). The outcome of the event was not recovered. Information on the lot/ batch number has been requested.


VAERS ID: 1426959 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-05
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Swelling, Vaccination site pain
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021696642

Write-up: My body is like blowing up like a balloon, like my dad used to take cortisone and prednisone his body will blow up; sometimes people who take contraception or birth control their body blows up; arm was swollen; The only normal side-effect I got in the area they shot it, I had little bit of pain for few days; This is a spontaneous report from a contactable consumer (patient). This is the first case out of two cases in which the reporter is reporting for himself. A patient of unspecified age and gender received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: Unknown), via an unspecified route of administration on 05Jun2021 as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in Jun2021, the patient''s body was like blowing up like a balloon and in the area, they shot it had little bit of pain for few days. Clinical course included: consumer stated that patient took the vaccine probably about a week or two ago (05Jun2021) and all of a sudden body seems to be like blowing up. Now, patient was not eating an overly amount, anything out of ordinary, but everything was getting tight on patient and cannot figure out why, except that the only difference was that the patient took the vaccine. It does not hurt or anything but wanted to know, was that a possible side effect, so it''s more like body getting swelling. Like patient''s dad took prednisone or cortisone and his body blew up and like sometimes women who takes contracepts or whatever, birth control, it happens to them too. So, patient do not understand like patient was trying to figure out why was patient body, why pants are getting tighter. Why did patient felt like body was getting swollen like blowing up and wanted to know if that was a possible side effect. The patient''s arm was swollen and that was it, patient felt fine, but pants kept getting tighter and tighter (like way more tighter than usual and thinking of rest of the body, all clothes, why it was tightening) and felt like blowing up like a balloon and cannot figure it out, it was not like that patient eating any differently, patient just cannot figure it out. So, patient was just asking, was that a possible side effect that will go away. The only normal side-effect the patient got in the area they shot it, patient had little bit of pain for few days, but it was not all of this, so cannot understand why patient body was blowing up. The patient second dose was on the 26Jun2021. The outcome of the events was unknown. Information on the lot/ batch number has been requested.


VAERS ID: 1427122 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-11
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, Fatigue, Feeling abnormal, Pain
SMQs:, Taste and smell disorders (narrow), Dementia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Bronchitis (I get bronchitis a lot); Cough (I had a cough about a week prior to getting the shot but I get bronchitis a lot); Sickness (I just get sick at anything but I had no other symptoms other than cough)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021707404

Write-up: Lost my sense of taste and smell; Lost my sense of taste and smell; Body is achy; I felt pretty lousy; Very tired; This is a spontaneous report from a contactable consumer (Patient). A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EW0181; Expiration Date was reported as 11Jun2021), via an unspecified route of administration on 11Jun2021 (reported as Friday evening) as single dose for COVID-19 immunization. Medical history included cough from unspecified date in Jun 2021 reported as about a week prior to getting the shot but get bronchitis a lot and gets sick at anything but had no other symptoms other than cough, bronchitis. The patient concomitant medications were not reported. It was reported that the patient took vaccine on Friday evening and felt pretty lousy all weekend and actually had almost every symptom of COVID right now, so she asked what happen if got the shot if you already had COVID. Patient stated that she lost sense of taste and smell, body is achy, very tired Patient stated that she get sick at anything but had no other symptoms other than cough and usually gets bronchitis. But then after the vaccine I started getting all the mentioned symptoms. The outcome of the events was unknown. Consumer was unwilling to complete the report. Hence, limited information available. No follow up attempts are possible. No further information is expected.


VAERS ID: 1427134 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-06-05
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: COQ-10
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021711163

Write-up: his hands and feet and legs were just itching and burning all day almost; little pain; his hands and feet and legs were just itching and burning all day almost; little pain; his hands and feet and legs were just itching and burning all day almost; little pain; his hands and feet and legs were just itching and burning all day almost; little pain; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 51-years-old male patient received bnt162b2 (BNT162B2, solution for injection) via an unspecified route of administration, administered in Arm Left on 05Jun2021 09:41 (Batch/Lot Number: ER8731) as 2ND DOSE, SINGLE DOSE for covid-19 immunisation (51-years-old at the time of vaccination). The patient medical history was not reported. Concomitant medication included ubidecarenone (COQ-10) taken for an unspecified indication. Patient had no prior vaccination. No family history of itchy hands and legs. The patient previously took first dose of BNT162B2 on 15May2021 (Age-51-year-old) (Batch/Lot Number: ER8733) for covid-19 immunisation with no reaction (No events reported). Consumer stated, he had second shot Pfizer Covid vaccine on 05Jun2021 and when he woke up that morning his hands and feet and legs were just itching and burning all day almost in jun2021 (About two days, 14Jun2021 (not clarified)).Consumer was informed about Pfizer Medical Information department. Patient did not receive any treatment for the events. The clinical outcome of the events was not recovered. Information on lot/batch number was available. Additional information has been requested.


VAERS ID: 1427139 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-15
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Chills, Diarrhoea, Feeling hot, Hyperhidrosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210616; Test Name: Fever; Result Unstructured Data: Test Result:99.9, 101, 102,102.3; Comments: she woke up kind of warm with 99.9, fever like 101, fever again at around 5'' O clock, check out her temperatures she is 102.3
CDC Split Type: USPFIZER INC2021714388

Write-up: She started having fever like 101 and I give her Tylenol, it helped a little bit; she started having high fever again at around 5''Oclock came back around 102; she is shivering a lot as well; She started having fever like 101 and I give her Tylenol, it helped a little bit; she started having high fever again at around 5''Oclock came back around 102; she is shivering a lot as well; She started having a lot of sweats; she felt warm and sweat; this morning she woke up kind of warm with 99.9; She started having a lot of sweats; she felt warm and sweat; this morning she woke up kind of warm with 99.9; she had also Diarrhea; This is a spontaneous report from a contactable consumer (patient''s mother). A 23-year-old female patient received second dose of BNT162B2 (Solution for injection, NDC/UPC number: Unknown, Expiry date: Unknown) via an unspecified route of administration on 15Jun2021 as single dose for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 (at age of 23 years) for COVID-19 immunization and no reaction was reported on previous exposure to vaccine. On 15Jun2021, the patient started having a lot of sweats; she felt warm and sweat; and morning she woke up kind of warm with 99.9. She started having fever like 101 and was given TYLENOL (NDC/UPC number: Unknown, Expiry date: Unknown) which helped a little bit; she started having high fever again at around 5''O clock came back around 102; she was shivering a lot as well. She also had diarrhea and had taken her to the emergency room. Reporter stated, "her daughter had Pfizer, the second shot yesterday afternoon and last night she started having a lot of sweats. So, she felt warm and sweat which we thought was going to pass. But then, morning she woke up kind of warm with 99.9 and then she thought it was going to pass. But then she started having fever like 101 and she gave her TYLENOL (captured as suspect), it helped a little bit. But that afternoon she started having high fever again at around 5''O clock came back around 102. So, she took another 2 TYLENOLs, and it was already 10:17, was not sure, 10:25 and she just check out her temperatures she was 102.3. So, her question was should she take her to emergency room because she was shivering a lot as well". Reporter was requested to take the patient to the nearest emergency room or contact a healthcare provider. Reporter was informed to contact Pfizer Medical Information Department as well. However, the department was closed currently. Further probing could not be done as reporter did not want to share further information. Hence, limited information was available over the call. Reporter seriousness was reported as unspecified. Outcome of the event sweating and diarrhea was unknown, whereas other events was not recovered. Information related to batch/Lot no. was requested.


VAERS ID: 1427140 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-15
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Therapeutic response unexpected
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: BUSPIRONE; TOPAMAX; OXYBUTYNIN; LAMICTAL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma (Verbatim: Asthma); COPD (Verbatim: COPD); Depression; Epilepsy (Verbatim: epileptic)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021714404

Write-up: I could walk those miles, I can breath better/ there was positive everything today there was no negative in what I am feeling today/ I feel so excited that I feel so good; This is a spontaneous report from a contactable female consumer (patient) reported for herself. A 62-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EW0182) via an unspecified route of administration on 15Jun2021 10:30 as 2nd dose, single for COVID-19 immunisation. Medical history included COPD, asthma, epileptic, depression all from an unknown date and unknown if ongoing. Concomitant medications included buspirone (BUSPIRONE) 10 mg taken for depression, start and stop date were not reported; topiramate (TOPAMAX) 200 mg twice a day taken for an unspecified indication, start and stop date were not reported; oxybutynin (OXYBUTYNIN) 15 mg once a day taken for an unspecified indication, start and stop date were not reported; lamotrigine (LAMICTAL) (Lamictal 150 mg, this is at the evening, and then I get 100 in Lamictal) taken for an unspecified indication, start and stop date were not reported. Historical vaccine includes bnt162b2 (LOT no.: EW0176) on 25May2021 for COVID-19 immunisation. On an unspecified date the patient reported that I had my second vaccination today and a lot have side effects and I had none of those today it was the opposite. I had lot of miles up to 4 miles I have to walk I had no choice. I could walk those miles, I can breathe better. I guess there was positive everything today there was no negative in what I am feeling today, and I find myself. That is just gone away. I just have my daughters know that I was going to let you guys know this is such the positive thing I got (Incomplete word) this morning. I am just excited that I feel so good. The clinical outcome of the event was unknown.


VAERS ID: 1427160 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-14
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Axillary pain, Balance disorder, Dry mouth, Fatigue, Influenza like illness, Lymphadenopathy, Malaise, Nasopharyngitis, Neck pain, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021716114

Write-up: arm soreness; really tired; slight fever; cold/flu like symptoms; achy/sore at night/pain all the way up her neck and throat, shoulder and under arm pits; like lymph nodes are swollen; drowsy; dry mouth; doesnt feel like herself; her equilibrium off; cold/flu like symptoms; pain all the way up her neck and throat, shoulder and under arm pits; pain all the way up her neck and throat, shoulder and under arm pits; pain all the way up her neck and throat, shoulder and under arm pits; pain all the way up her neck and throat, shoulder and under arm pits; This is a spontaneous report from a contactable consumer reporting for herself. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: not reported), via an unspecified route of administration on 14Jun2021 as SINGLE DOSE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Approximately on an unspecified date in Jun2021, the patient experienced arm soreness, really tired, slight fever, cold/flu like symptoms, achy/sore at night/pain all the way up her neck and throat, shoulder and under arm pits, feels like lymph nodes are swollen, drowsy, her equilibrium off, she does not feel like herself, she was in so much pain she does not feel safe to drive, and has dry mouth/cotton mouth. Clinical course of the events was reported as follows: Caller received the first dose this past Monday the 14Jun2021. She did report several adverse events. She was very shocked that she has had all of these adverse reactions after the first dose because she had been told that most people did not have an issue with the first dose. She reported she was in so much pain she does not feel safe to drive and have other people experienced these side effects. It started yesterday afternoon when it was in her system for about 24hrs. It got worsened this morning when she woke up at 6. She slept most of the morning away. She got up at 6 and got up every hour after that. She felt better after She took Tylenol and Alee, put on some cream, and was using a heating pad. The outcome of all events was unknown. No PQC involved. Information on Lot/Batch has been requested.


VAERS ID: 1427164 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-13
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia
SMQs:, 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:
Current Illness: Lung cancer (She was diagnosed with lung cancer about a year ago and is still in treatment)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021716210

Write-up: joints are very sore and achy/Joints really hurt after second dose; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 13Jun2021 (at the age of 78-year-old) as 2nd dose, single for COVID-19 immunization. Medical history included lung cancer (she was diagnosed with lung cancer about a year ago and was still in treatment). The patient''s concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on an unspecified date, 1st dose, single for COVID-19 immunization and was ok. The patient stated that she received the second dose of the Pfizer BioNTech Covid-19 vaccine on 13Jun2021. On an unspecified date, the patient experienced joints are very sore and achy. She had an effect from the second dose. She did not know what to take and wanted to ask Pfizer what she could take. The patient stated that now her joints are very sore and achy. The patient stated that her HCP referred her to Pfizer to see what she can take for joint soreness. The patient asked what she can take for soreness in her joints. The patient stated that first one was ok, and with the second one, her joints really hurt. The patient declined to receive any further information over the phone regarding her side effects in relation to the Pfizer Covid-19 vaccine. Referred to healthcare professional for further guidance. The outcome of the event was unknown. Information on the lot/batch, further information has been requested.


VAERS ID: 1427176 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-13
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthma, Epistaxis, Feeling abnormal, Headache, Nervousness, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021716520

Write-up: Bloody noses/ Nose bleeds; Runny nose; headache; Little bit of Asthma; Her grandson is nervous about this; Pretty upset; This is a spontaneous report from a contactable consumer or other non hcp (the patient''s grandmother). A 15-year-old male patient received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number unspecified, expiration date unspecified), via an unspecified route of administration on 13Jun2021 as single dose for covid-19 immunization. The patient previously received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number unspecified, expiration date unspecified), via an unspecified route of administration on an unknown date in May2021 as single dose for covid-19 immunization. The patient medical history was not reported. There were no concomitant medications. On 14Jun202, the patient had a headache and a runny nose and then the following day the patient had 4 bloody noses during the day and one at night. The patient is continuing to have bloody noses. On an unknown date in Jun2021, the reporter also stated that the patient might have a little bit of asthma. The reporter mentioned that the patient was pretty upset, nervous and he had the nose bleeds they are a lot, not just a little drip. The patient was treated with Advil for headache. The outcome of the events nose bleeds was reported as not recovered; runny nose was reported as recovering while other events were reported as unknown at the time of report. Information on the lot/batch number has been requested.


VAERS ID: 1427201 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / 1 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Condition aggravated, Influenza like illness, Malaise, Pain in extremity, SARS-CoV-2 test
SMQs:, Guillain-Barre syndrome (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Lyme disease (for about 20 years now)
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (The caller had Covid back in DEC2020.); Pneumonia (The caller had double pneumonia and the caller recovered from this.)
Allergies:
Diagnostic Lab Data: Test Date: 202012; Test Name: Covid-19; Result Unstructured Data: Test Result:positive
CDC Split Type: USPFIZER INC2021724791

Write-up: All of a sudden the caller''s arm was not getting better, the caller''s arm was getting worse; Felt sick for a few days; That arm was a little sore; The caller woke up and felt like really bad like the flu; Everything on the caller ached the callers little finger nails and joints; The caller wanted to do things and tried to get up and do something but had no energy; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 75-years-old female patient received bnt162b2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number: EW0202), via intramuscular in left arm on 01Jun2021 at 11:00 as 1st dose, single for COVID-19 immunization (75 years at the time of vaccination). Medical history included ongoing lyme disease for a bout 20 years now. The patient was tested positive for COVID-19 on an unknown date in Dec2020 to an unknown date. The patient had double pneumonia from an unknown date and the patient recovered from this. The patient had flu shot and never had any problems with the flu shot. The patient''s concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. On 01Jun2021, post vaccination the patient experienced arm was a little sore, all of a sudden the patient''s arm was not getting better, the patient''s arm was getting worse. The patient was not able to put her arm behind her back. The patient stated the arm soreness woke the patient up in the night. On 02Jun2021, patient felt sick for a few days. On an unspecified date in Jun2021, the patient woke up and felt like really bad like the flu. Everything on the patient ached, little fingernails and joints. Everything was aching, the patient felt blah like the flu. The patient wanted to do things and tried to get up and do something but had no energy. The patient had to lay back down. The patient stated that this lasted 4 days. The patient tried to do something and had no energy, was weak and just wiped out like the patient had the flu. When the patient had Covid (back in Dec2020) and was in the hospital with Covid, the doctor told the patient to remember that the Covid symptoms can linger for quite a few months. The patient stated that she could still have effects. Patient thought maybe because she had Covid, is she was still having effects after. The patient had to visit the doctor due to the events. The doctor checked the patient and said the arm wasn''t red and the arm looked a little swollen and told the patient to keep a check on the arm. The patient had reported that the second dose for the vaccination has been scheduled on 22Jun2021 and the patient was concerned about if she should take it or not. Outcome of felt sick for a few days was recovered on 06Jun2021, arm was a little sore was not recovered while for the other events was unknown. Information on lot/batch number was available. Additional information has been requested.


VAERS ID: 1427210 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Georgia  
Vaccinated:2021-06-11
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Ocular hyperaemia, Oral pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (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: Medical History/Concurrent Conditions: Fish allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021725771

Write-up: broke out in hives; I will just get tired, it seems like I need to go to sleep; mouth starts itching; I get a reaction in my eyes like they turn red; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 11Jun2021 (Batch/Lot Number: EW0168) as single dose for COVID-19 immunisation. Medical history included allergic to fish. The patient''s concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 14May2021 (Batch/Lot Number: EW0179) for COVID-19 immunisation and patient didn''t get any reaction from the first one. The patient stated that patient was just not really, had second shot on Friday, patient think it was the 15Jun2021. The patient was allergic to fish and right now patient had this kind of complicated. The patient was super allergic to fish and fish odor and mouth started itching, patient got a reaction in eyes like they turn red and patient also broke out in hives yesterday (15Jun2021). The hive went away but the hive just return in last 30 minutes. The patient meant, their place today, patient had dinner around, fish or any fish odor (statement incomplete), patient did not know if it''s patient sensitivity to things that patient might be allergic to changing because patient ate in a ''barb'' with peanuts in it and patient could deal with Covid shots every once in a while. It would just hit patient. The patient would just get tired you know it seems like patient need to go to sleep, it might be hard to determine what it was, this hives would go away but it''s still on the backside. Consumer stated that can''t rule that one, patient don''t think they are, but patient really didn''t want to take a chance but patient had the second shot on 11Jun2021. Outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.


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