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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 273 out of 5,069

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VAERS ID: 1433984 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-21
Onset:2021-06-01
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Smear cervix
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? 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: I took a pap smear exam today. Results will be in 2 weeks.
CDC Split Type:

Write-up: I took the second dose of the Pfizer Covid vaccine at pharmacy on May 21, 2021. My next menstrual cycle was a nightmare. I have been bleeding for 3 weeks straight. I have never had irregular periods. I truly feel this irregular period/heavy bleeding was caused by the vaccine.


VAERS ID: 1434082 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Gingival discolouration, Headache
SMQs:, Anaphylactic reaction (broad), Gingival disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: chest pain, felt like extreme pressure - lasted 4 days solid and went away by itself. bad headache on day 3 after vaccine for 24 hours. gum above teeth turned dark purple a few days after the vaccine and stayed for about a week. went away on its own.


VAERS ID: 1434263 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-13
Onset:2021-06-01
   Days after vaccination:80
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER 8737 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Angiogram abnormal, Deep vein thrombosis, Pulmonary embolism
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Advair 250/50, Metformin, Lisinopril/HCTZ
Current Illness: No
Preexisting Conditions: Mild COPD - Stage 1, DM, HTN, hx of prostate cancer, aortic atherosclerosis
Allergies: NKA
Diagnostic Lab Data: 6/2/21 CT Angiogram 6/3/21 DVT bilateral leg
CDC Split Type:

Write-up: Adverse event was PE and DVT - PE identified on 6/2/21, LEFT LE DVT identified on 6/3/21


VAERS ID: 1434289 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-29
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 051C21A / 1 RA / 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: no
Preexisting Conditions: none
Allergies: no
Diagnostic Lab Data: none
CDC Split Type:

Write-up: The patient made an appointment for Moderna Dose#2 vaccination. After giving her the Moderna vaccination, she pulled her card for me to enter the vaccination Information and then I realized she had her first dose with Pfizer manufacturer. We suggested her to stay in place for more than 30 minutes to for observation. However, the patient is completely fine even after 30 minutes of administration of the vaccine


VAERS ID: 1434503 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-28
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

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

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

Write-up: immunization expired, had been drawn for 24 hours kept in refridge.


VAERS ID: 1434682 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Balance disorder, Cough, Diarrhoea, Fatigue, Headache, Hyperhidrosis, Mobility decreased, Nausea, Neck pain, Pain, Pain in extremity, Sneezing, Throat irritation, Tinnitus, Vision blurred
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydroxyzine Pamoate, Tramadol, cholesterol meds, muscle relaxers, lupus meds
Current Illness: Had COVID-19 (February 16, 2020); lupus; fibromyalgia; MS; nerve issues; high cholesterol
Preexisting Conditions: Lupus; MS; fibromyalgia; nerve issues; high cholesterol
Allergies: Wasps
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Temperature, headache, body aches, very sore right arm (wasn''t moving well), sore neck, scratchy throat, extremely tired, diarrhea (w/2nd shot only), sweating, blurred vision (2nd shot only), tinnitus in right ear (got worse), nausea, cough, sneezing and balance issues got worse (more frequent).


VAERS ID: 1435091 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-06-01
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Electrocardiogram normal, Fibrin D dimer increased, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemorrhage laboratory terms (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (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: Zyrtec, Flonase, sudafed, tylenol
Current Illness: None
Preexisting Conditions: Gastritis, obesity
Allergies: None
Diagnostic Lab Data: Ekg-came out good D-dimer was high. Went to the er and they did not find a blood clot but attributed it to post covid residual Kidneys-good Liver-good
CDC Split Type:

Write-up: Swelling of hands and feet starting 6/5/2021 Started with right pinky, then the full hand. Extreme pain on wrist. On 6/10/21 feet started to swell up...a week later my other hand started to get swollen


VAERS ID: 1435871 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210660897

Write-up: TEMPERATURE EXCURSION OF 4 UNPUNCTURED VIALS AT 19.4 DEGREES FOR PERIOD OF 2 HOURS; 8 DOSES GIVEN FROM THOSE INCORRECTLY STORED VIALS; This spontaneous report received from a pharmacist concerned multiple patients. 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, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUN-2021, the subject experienced 8 doses given from those incorrectly stored vials. On 03-JUN-2021, the subject experienced temperature excursion of 4 unpunctured vials at 19.4 degrees for period of 2 hours. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the temperature excursion of 4 unpunctured vials at 19.4 degrees for period of 2 hours and 8 doses given from those incorrectly stored vials was not reported. This report was non-serious.


VAERS ID: 1436982 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure measurement, Feeling abnormal, Headache, Heart rate, Hypertension, Tachycardia, Vaccination site erythema, Vaccination site rash, Vaccination site swelling
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Hypertension (narrow), Hypersensitivity (narrow), 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: ATOMOXETINE HCL; GUANFACINE HCL; MONTELUKAST
Current Illness: Attention deficit disorder (about 4 years ago and sister who is on the Autism spectrum and has ADHD)
Preexisting Conditions: Medical History/Concurrent Conditions: Seasonal allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210610; Test Name: Blood pressure; Result Unstructured Data: Test Result:127/90; Test Date: 20210610; Test Name: heart rate; Result Unstructured Data: Test Result:111
CDC Split Type: USPFIZER INC2021702332

Write-up: blood pressure 127/90; heart rate of 111; Felt weird; headache; his arm had swelling and redness/Right arm, swelling, redness, rash, bump, at injection site, after second vaccine; his arm had swelling and redness/Right arm, swelling, redness, rash, bump, at injection site, after second vaccine; his arm had swelling and redness/Right arm, swelling, redness, rash, bump, at injection site, after second vaccine; This is a spontaneous report received from a contactable consumer (patient''s mother). A 13-years-old male patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number and Expiration date and NDC number was unknown), via an unspecified route of administration, administered in right arm on 09Jun2021 around 18:00 hours as dose 2, single (at the age of 13-years-old) for covid-19 immunisation. Medical history included ongoing attention deficit disorder (was in fourth grade, around 4 years ago) and patient''s sister also has autism spectrum and attention deficit hyperactivity disorder (ADHD) and patient had seasonal allergy from an unknown date and unknown if ongoing. Patient had no prior vaccinations (within 4 weeks). Patient received no additional vaccines administered on same date of the Pfizer suspect. Concomitant medication(s) included atomoxetine hydrochloride (HCl) (was in fourth grade, around 4 years ago) taken for attention deficit disorder from an unspecified start date and ongoing; guanfacine HCl extended release (was around 3 years ago) taken for an unknown indication, from an unspecified start date and ongoing; montelukast (about 4 and a half years ago) taken for preventing seasonal allergies, from an unspecified start date and ongoing. The patient received first dose of BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number and Expiration date and NDC number was unknown), via an unspecified route of administration, administered in left arm on 18May2021 (in the afternoon) as dose 1, single (at the age of 13-years-old) for covid-19 immunisation and was good after that. Mother stated that doctor, did not want patient to get the Covid vaccine. On 09Jun2021around 18:00 hours, patient had the second dose, and he was good for a few hours, but around 21:30 or 22:00 hours, patient started having a headache that night and headache was on and off. On 10Jun2021 (the next day), when patient woke up, he felt alright, but in the middle of the day around 15:00 hours, his blood pressure was 127/90 and his heart rate was 111 and he was feeling weird and needed to lay down and on the same day around 23:00 hours, events resolved completely. On Jun2021 (5 days after the vaccine), patient had local redness, where the vaccine was injected and also had a little bump/right arm, swelling, redness, rash, bump, at injection site and after he went out in the sun and went outside, the redness was circling his arm. Mother stated that patient did not tell her and then by Friday (11Jun2021), patient had a red rash, and she gave him antihistamine pills and pills helped a somewhat. Mother was not sure if the rash was from the heat or the sun. On 14Jun2021 in the morning, around 10:00 or 11:00 hours, patient had a big red circle, on his arm and it was persisting. Patient had no emergency room and physician office visit. No relevant tests were performed. The patient had not recovered from his arm had swelling and redness/Right arm, swelling, redness, rash, bump, at injection site, after second vaccine and recovered from other events. Information on Lot/Batch number has been requested.


VAERS ID: 1436986 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-03-15
Onset:2021-06-01
   Days after vaccination:78
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Computerised tomogram, Feeding disorder, Thrombosis, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: ROSUVASTATIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cholesterol (History: He took a small dose of Rosuvastatin for his cholesterol)
Allergies:
Diagnostic Lab Data: Test Date: 20210609; Test Name: CAT scan of stomach; Result Unstructured Data: Test Result:Blood clot
CDC Split Type: USPFIZER INC2021702466

Write-up: Lost 10 pounds; diagnosed with a blood clot in his ''stomach''; couldn''t eat; stomach hurt ''bad''; This is a spontaneous report received from a contactable consumer or other Non-health care professional (patients wife). A 68-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/lot number was not reported) via an unspecified route of administration on 15Mar2021 (age at vaccination 68yearsold) as single dose for covid-19 immunization. She doesn''t know which arm he got the vaccine in. Medical history included blood cholesterol from an unknown date and unknown if ongoing History: He took a small dose of Rosuvastatin for his cholesterol (he has taken it for a couple of years, and dose of it was reported as may be 10mg). Prior Vaccinations patient received flu shot but that was always in the fall within four weeks prior to the first administration. Concomitant medications included rosuvastatin (ROSUVASTATIN) taken for blood cholesterol, start and stop date were not reported (He has taken it for a couple of years). Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/lot number was not reported) on unspecified date (was around the beginning of March or maybe late February) for covide-19 immunization. Patients states that in the last 1-2 weeks, her husband started complaining that his stomach hurt badly. This past week, he went to a doctor, had a CT scan on 09Jun2021 and was diagnosed with a blood clot in his ''stomach''. He was being treated at home with Eliquis. her husband''s age is 68 yrs .It was reported that she believes it is because of the pfizer covid vaccine as he was previously healthy prior to the vaccine. Patient had pfizer vaccines as they knew they couldn''t see their grandchild if they didn''t get it. They were kind of forced to. They were perfectly healthy all through Covid and went and did everything they wanted to and never got Covid. They did take vitamins. Then after the shot he has this. Reporter stated that stomach hurt started around the beginning of June, maybe 01Jun2021. He thought it would get better and go away, but he had no clue what it was. It didn''t get better. He had to go see his internist, and they did a CAT scan on 09Jun2021 and that''s when they saw the blood clot. They put him on Eliquis and on Omeprazole for some reason, probably to soothe his stomach. He slept through the night which he hasn''t been able to, but he was now. Reporter stated that patient couldnt started around when all of this started. He just felt pain in his stomach, and he could hardly describe it to her. He quit eating or cut down his eating because he felt full he said. That was probably 04Jun2021 that started. When asked if this has improved, worsened, or is persisting, she states he will eat a little bit about half of what he used to eat. lost 10 pounds on an unspecified date. The clinical outcome of the events was unknown. Therapeutic measures were taken as a result of diagnosed with a blood clot in his stomach, stomach hurt bad. Follow-up attempts are needed. Information on Lot/Batch number has been requested.


VAERS ID: 1436995 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-06-04
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Adverse reaction, Electrocardiogram, Heart rate irregular, Inflammation, Magnetic resonance imaging, Myocarditis
SMQs:, Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), 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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: EKG; Result Unstructured Data: Test Result:showed some irregular heartbeats; Test Date: 202106; Test Name: MRI; Result Unstructured Data: Test Result:inflammation had increased around muscle
CDC Split Type: USPFIZER INC2021702576

Write-up: myocarditis; inflammation around the muscle; it showed some irregular heartbeats; My son had a reaction; This is spontaneous report from contactable consumer (patient''s mother). This consumer reported for a 14-year-old male patient (reporter''s son) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date were not reported), dose 2 via an unspecified route of administration, administered in arm right on 04Jun2021 18:00 (at the age of 14-year-old) as dose 2, single for COVID-19 immunisation. The vaccine was not administered in a military facility. No medical history and concomitant medications not reported. The patient never required a medication or had hospitalized before. The patient did not receive any additional vaccines administered on same date of the suspect drug. Family medical history relevant to events was reported as none. Historical vaccine included bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, on an unspecified date (Batch/Lot Number: unknown) as single for COVID-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient had no adverse event. The reporter reported that her son received his 2nd Pfizer vaccination shot on 04Jun2021 and was subsequently rushed to the hospital via ambulance from school on 07Jun2021. The patient remained inpatient in the hospital in ICU (intensive care unit) unit for (three days and two overnights) until discharge on 09Jun2021. It was confirmed that he developed myocarditis on 07Jun2021 at 13:00 and was linked to the second vaccination shot. The patient was on medications with a serious of appointments. On an unknown date Jun2021, the patient lab test included MRI (magnetic resonance imaging), EKG (electrocardiogram), and they drew blood from him several times. All pointed to inflammation around the muscle. Reporter stated they said for the MRI, the inflammation had increased but not surprising, it was what they had saw with this situation. For the EKG, reporter said unknown results, in terms. It was told it showed some irregular heartbeats. Patient was wearing a cardiac heart monitor. Started wearing on it on 09Jun2021, they discharged him with it. The doctor at the hospital gave the patient prednisone, which he was still on for eight weeks he said, Motrin and Pepcid, which he was still on. Prednisone did changes to wean him off, 30mg. Six tablets twice a day, 08:00 and 20:00. Eventually would go to three tablets twice a day and keep going down. Right known it was six tablets. The pepcid she knew he takes once a day, and motrin 600mg three times a day. The patient visited (emergency room and physician office). The pediatrician required him to follow up with her as well for the event myocarditis. On an unknown date Jun2021, reporter stated that my son had reaction because of vaccination. The reporter clarified that her son was on medicines now with a series of appointments over the next several months, he had a series of appointments. The outcome of the events was myocarditis not resolved and the outcome for other events were unknown. Information on Lot/Batch number has been requested.


VAERS ID: 1436996 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-08
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Condition aggravated, Cough, Dysphagia, Endoscopy, Fatigue, Headache, Infection, Musculoskeletal chest pain, Near death experience, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, Sputum increased, Streptococcus test, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Gastric irritation (Typo error: Gastric irrigation as verbatim); Vomiting (Has had vomiting that has been going on and is an underlying issue.)
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: endoscopy; Result Unstructured Data: Test Result:Unknown; Test Date: 20210608; Test Name: Fever; Result Unstructured Data: Test Result:less than 100.4; Comments: very low grade; Test Date: 202106; Test Name: strep test; Test Result: Negative
CDC Split Type: USPFIZER INC2021703018

Write-up: Passed a very large mucous plug; Vomiting; Nose was running; Headache; When she woke up, her throat hurt and she could barely swallow. It was getting worse and worse; Fever; By the second day of antibiotics, she started feeling like whatever infection she had was drying out,; Felt really tired; Throat hurt and could barely swallow; Throat hurt and could barely swallow; Body ache; Chest and ribs hurt from coughing; Chest and ribs hurt from coughing; Coughing; like the shot of death for her. It was hard and hit like nothing had ever been hit before.; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer or other non hcp. A 54-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot number: unknown), via an unspecified route of administration, on 08Jun2021 at 10:00 (at the age of 54-years-old) as dose 1, single for COVID-19 immunization. Medical history included had vomiting that has been going on and was an underlying issue and gastric irrigation. The patient''s concomitant medications were not reported. The patient previously took omeprazole for gastric ulcer and experienced no reaction on previous exposure to drug, hydroxyzine arrow for vomiting and experienced no reaction on previous exposure to drug, famotidine acid reducer for gastritis and experienced no reaction on previous exposure to drug, ondansetron for vomiting and experienced no reaction on previous exposure to drug. The patient experienced by the second day of antibiotics, she started feeling like whatever infection she had was drying out, like the shot of death for her, it was hard and hit like nothing had ever been hit before, felt really tired, throat hurt and could barely swallow, body ache, chest and ribs hurt from coughing, coughing, passed a very large mucous plug, when she woke up, her throat hurt and she could barely swallow. it was getting worse and worse, fever, vomiting, nose was running, headache. Patient knows her immune system was down and patient was on a whole lot of medication right now. Patient had been taking all of these medications for about a month and a half. Had been going through a lot of tests. With vomiting, it could make the mucosal lining thin, which could be a reason for the sore throat. What ever was going on in belly, patient did not know what it was. Something was in there, and it hurts. Patient going for a CT scan. Her NCLEX was scheduled for 04Jul2021 and it was one day that week. Patient was otherwise super healthy and rides bikes and runs. Patient went to the doctor because patient had some underlying issues and was on Z-pack right now. Patient got some antibiotics, Z-Pack, patient really felt like that was what she needed for some kind of infection in her body. On third day of the z-pack and patient was feeling better. Patient had no history of all previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. Patient had no adverse event prior vaccinations, was going through all of the vaccines for nursing school and never had a reaction. Patient had no medical history (including any illness at time of vaccination). Patient had no family medical history relevant to adverse event. Patient did not perform relevant tests. The patient previously took omeprazole, patient had some type of mass in abdomen. Was very painful and can vomit anywhere. The most was 17 times in a day and was projectile. Had helped a little bit. Hydroxyzine can be used for an anti emetic. Got excited a lot when body was stressed, had to take when eczema was flaring. It was helping. Famotidine another gastric medication and taken it at night. Ondansetron Generic form of Zofran. Onset of adverse event was 08Jun2021. On last Tuesday at 10:00, patient got the injection and within 2 hours, patient started to feel really tired. Rides 60 miles a day minimum on bike and couldn''t even get to 30 or forty miles. Patient lied down for a nap and slept for 2 hours. When patient woke up, throat hurt and patient could barely swallow. It was getting worse and worse. The Fatigue set in and nose was running, patient had a headache and low grade fever. Today was first day of feeling better and was able to get out of bed. Patient was not exercising yet, though. had no more body aches, chest, ribs and everything were hurting from all of the coughing. Had a large amount of coughing and passed a humungous, very large mucous plug. From her throat, all the way down to ear, it felt like something had just popped. By the second day of antibiotics, patient started feeling like whatever infection had was drying out, today actually. Patient was going to study now and can think again. Patient can think clearly now, everything was very foggy. Fever was very low grade and was less than 100.4. Occurred 4 hours after administration. Patient went to the doctor for some lab test. Patient had lots of gastric irrigation and had been taking medication. Patient was waiting for an endoscopy. Had vomiting that has been going on and is an underlying issue. Indication: patient did not initially want to get the vaccine. Patient had some underlying things going on and was waiting for tests. Patient was worried about vomiting and stuff patient had been through would affect body. Patient was going to wait until passed NCLEX and was started in the hospital. Patient was going to get vaccinated. It was like the shot of death for her. It was hard and hit like nothing had ever been hit before. Patient did not visit to emergency room or physician office. The patient underwent lab test and procedure which include, endoscopy on Jun2021 result was unknown. Patient had fever less than 100.4 on 08Jun2021. Streptococcus test was negative on Jun2021. Therapeutic measures were taken as a result of by the second day of antibiotics, she started feeling like whatever infection she had was drying out, vomiting which were some antibiotics, Z-pack. The outcome of the event pain recovered, event vomiting not recovered, Infection, pyrexia, rhinorrhea and headache were recovering and rest of the events were unknown. Information about Lot/Batch number has been requested.


VAERS ID: 1437025 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-16
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Feeling abnormal
SMQs:, Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021732864

Write-up: She is not that stable today; She has like a chest pain; This is a spontaneous report from a contactable consumer (patient husband). An unspecified age female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: unknown; formulation: solution for injection; expiration date: unknown), via an unspecified route of administration on 16Jun2021 as unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that the consumer calling for his wife, she had the vaccine yesterday. consumer stated that both had the vaccine (Confirmed as Pfizer Covid 19 vaccine) yesterday, consumer feeling okay, a little fever but he is good, but patient has like chest pain. So, what we should do, should we wait drink some water or go to a like emergency room, is that normal. consumer stated that the patient has like a chest pain in Jun2021, and she was not that stable today on 17Jun2021. consumer stated that they do not think they have expiration date and lot. Yes, they have it, but consumer do not have it here with them. consumer stated that he will call the medical information department. What you think, what should we do, can we go to emergency room better, if we will spend time on phone, we do not know what is going to happen. The outcome of the events was unknown. Information about batch/lot number has been requested.


VAERS ID: 1437302 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-03-16
Onset:2021-06-01
   Days after vaccination:77
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Electrocardiogram, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: metoprolol, vitamin D, iron, lotrel, levothyroxine
Current Illness: none
Preexisting Conditions: na
Allergies: Codeine
Diagnostic Lab Data: EKG and cardiology referral 6/28/21
CDC Split Type:

Write-up: Patient developed extreme tachycardia after COVID infection which resolved after a few months. After receiving both Pfizer COVID vaccines tachycardia returned and patient has had difficult time controlling.


VAERS ID: 1437312 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-06-23
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Extra dose administered, Feeling abnormal, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient received vaccine at a pop up off site clinic
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: NKDA
Diagnostic Lab Data: none
CDC Split Type:

Write-up: There was not an adverse event but the 1st dose of Moderna was given. Patient did not report to nurse or clinic staff that he already received both doses of the Pfizer covid vaccine. Pt was contacted and the below is a conversation that was between the patient and the nurse (filling out this report) Pt came to an offsite Covid Vaccine clinic on 6/23/2021 and asked for information on the Morderna vaccine. I went over all of the symptoms that he could possibly get after the vaccine. Pt asked if there was any more shots needed after the two doses. I explained to pt that at this time there are no other suggested doses after the 2nd dose has been given. Pt chose to get the Moderna vaccine and filled out the form answered all questions and signed for consent. When documenting took place after the vaccine was given it was found that this pt received 2 doses of the Pfizer vaccine. I did call health department and they investigated and confirmed this to be true. I contacted pt and updated him on the above info. Pt stated "I know i had the series of Pfizer. I wanted to get the Moderna as well because I''m scared of this virus and i wanted to be extra immune to it. I did a lot of research about getting multiple covid vaccines. They are doing this in other countries." Nurse advised pt that this is not recommended at this time here in and that this incident will have to be reported to VAERS and that he may be contacted to gather more information. Pt stated "That is fine." Nurse instructed pt that he should not receive the second dose of the Moderna at this time. Pt responded "I wasn''t going to get the second one anyway because it made me sick. I had fever, chills, and felt miserable." Pt was instructed to contact our office if he has any concerns.


VAERS ID: 1437410 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 3533 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Acne cystic, Menstrual disorder
SMQs:

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

Write-up: My menstrual cycle started the day after dose 1 and again after dose 2. My cycles have been very regular. I have also started having cystic acne since I have been vaccinated. I have started having multiple periods in a 28 day cycle. I have never in my almost 40 years of life had cystic acne and multiple menstrual cycles in a months time.


VAERS ID: 1437444 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-30
Onset:2021-06-01
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin, Zoloft, Adderall, BP Meds
Current Illness: None
Preexisting Conditions: Depression, ADHD
Allergies: None
Diagnostic Lab Data: Video call with DR on June 25, 2021. Follow up appt pending.
CDC Split Type:

Write-up: Continuous soreness at injection site. Intermittent tingling from upper arm down to tips of fingers. Have lost significant strength in arm.


VAERS ID: 1437455 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-03-24
Onset:2021-06-01
   Days after vaccination:69
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Lip blister, Oral herpes
SMQs:, Oropharyngeal infections (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: gabapentin
Current Illness: none
Preexisting Conditions: bell''s palsy, hypertension,
Allergies: codeine, Lipitor
Diagnostic Lab Data: none
CDC Split Type: vsafe

Write-up: I got the 2nd vaccine on 3/24/2021 and around 6/1/2021 I got 2 fever blisters on my bottom lip. The fever blisters lasted for 4 to 5 days then it went away.


VAERS ID: 1437573 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 RA / IM

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

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

Write-up: Pt was given 2nd dose vaccine under the age of 12 mother lied on application stating the pts birthdate was incorrect on application when actual birthdate is not as stated on application.


VAERS ID: 1437647 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-22
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437659 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-22
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437669 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437674 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after epiration


VAERS ID: 1437686 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437688 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437691 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437698 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437720 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437727 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 1 LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437754 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-14
Onset:2021-06-01
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 2 RA / IM

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

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

Write-up: Patient presented to the ED and was subsequently hospitalized for syncope and collapse within 6 weeks of receiving COVID vaccination.


VAERS ID: 1437763 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437800 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437801 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-14
Onset:2021-06-01
   Days after vaccination:48
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038A21A / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Injection site discolouration, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 112mcg; Pravastation40mg;losartan 25mg;Apixaban5mg
Current Illness:
Preexisting Conditions:
Allergies: Darvocet Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: injection site swollen and discolored for two to three weeks


VAERS ID: 1437806 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1437936 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-25
Onset:2021-06-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin supplements
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: He has an appointment to see a doctor 7/1/21, we were unable to get in for an appointment before that date.
CDC Split Type:

Write-up: After his first shot he had slight headaches. The day after his shot, 5/26, he felt fine so he played basketball. The next couple of days he continued to doing normal workouts and played basketball, he was never warned by health professionals not to. Within a week of getting the first shot, he would do normal cardio workouts that he had been doing prior to getting the shot, but during the workouts he noticed his heart having almost painful palpitations that he had never noticed before. Now even the slightest increase in his heart rate results in palpitations during normal activity and he has to stop all activity until the palpitations stop.


VAERS ID: 1438063 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Nevada  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ENO217 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Loss of consciousness, Monoplegia
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pravastatin , omeprazole , vitamin D , biotin , natural calm magnesium
Current Illness: none
Preexisting Conditions: none
Allergies: penicillin allergy from cats and dogs , roaches
Diagnostic Lab Data: Radiology Cardiology
CDC Split Type:

Write-up: After first shot I passed out and my body was paralyzed. Before emergency arrived I came to conscious and in 30 second I passed out again. When emergency was already present, paramedics helped me regain my conscious back but my body arms and legs were still paralyzed. Then I was hospitalized


VAERS ID: 1439330 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-30
Onset:2021-06-01
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Myocarditis, 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: sinusitis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Stabbing Chest Pain, Myocarditis or Pericarditis


VAERS ID: 1439536 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Genital herpes, Oral herpes, Pain in jaw, Sinus congestion
SMQs:, Oropharyngeal infections (narrow), Osteonecrosis (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:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Genital herpes (Patient took antiviral medication as a treatment for genital herpes)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210660227

Write-up: HERPES OUTBREAK ON GENITAL AREA; HERPES OUTBREAK ON LIP; SHARP PAIN IN THE RIGHT SIDE OF JAW; CONGESTION; This spontaneous report received from a patient concerned an elderly female. The patient''s height, and weight were not reported. The patient''s past medical history included covid-19 infection, and genital herpes. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 23-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 congestion. On 23-JUN-2021, the subject experienced sharp pain in the right side of jaw. On 25-JUN-2021, the subject experienced herpes outbreak on genital area. On 25-JUN-2021, the subject experienced herpes outbreak on lip. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sharp pain in the right side of jaw on 24-JUN-2021, had not recovered from herpes outbreak on genital area, and herpes outbreak on lip, and the outcome of congestion was not reported. This report was non-serious.


VAERS ID: 1439539 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Decreased appetite, Dizziness, Feeling cold, Headache, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: USJNJFOC20210660343

Write-up: BODY SORENESS; LOSS OF APPETITE; FEELING COLD; WEAKNESS; FEVER-LIKE; HEADACHE; DIZZY; NAUSEATED; 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 not reported, batch number: 1808986, 8782021 expiry: UNKNOWN) dose was not reported, administered on 26-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced dizzy. On JUN-2021, the subject experienced nauseated. On 26-JUN-2021, the subject experienced headache. On 27-JUN-2021, the subject experienced body soreness. On 27-JUN-2021, the subject experienced loss of appetite. On 27-JUN-2021, the subject experienced feeling cold. On 27-JUN-2021, the subject experienced weakness. On 27-JUN-2021, the subject experienced fever-like. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, weakness, body soreness, feeling cold, loss of appetite, fever-like, dizzy and nauseated was not reported. This report was non-serious.


VAERS ID: 1439545 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210660791

Write-up: SHOOTING PAIN DOWN THE ARM; HEADACHE; FEVER; This spontaneous report received from a consumer concerned an 18 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 22-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 shooting pain down the arm. On JUN-2021, the subject experienced headache. On JUN-2021, the subject experienced fever. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shooting pain down the arm, headache, and fever on JUN-2021. This report was non-serious.


VAERS ID: 1439548 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, C-reactive protein, Gait inability, Pain in extremity, Skin discolouration, X-ray
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Blood test; Result Unstructured Data: Normal; Test Name: C-reactive protein; Result Unstructured Data: Normal; Test Name: X-ray; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210660885

Write-up: DECOLORIZATION; COULDN''T WALK; RIGHT THIGH STARTED PAINING; 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 not reported, batch number: 203A21A, expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced decolorization. On JUN-2021, the subject experienced couldn''t walk. On JUN-2021, the subject experienced right thigh started paining. Laboratory data (dates unspecified) included: Blood test (NR: not provided) Normal, C-reactive protein (NR: not provided) Normal, and X-ray (NR: not provided) Normal. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from right thigh started paining, and decolorization, and the outcome of couldn''t walk was not reported. This report was non-serious.


VAERS ID: 1439554 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Nevada  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Injection site pain, Limb mass, Muscle spasms, Muscular weakness, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Back injury; Intervertebral disc bulging
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210661002

Write-up: BACK PAIN GOT WORSE; BODY ACHES AND PAIN; SPASM IN LEGS AND BACK; PAIN IN RIGHT ARM WHERE GOT INJECTION AND GOT WORSE; FEVER; WEAKNESS IN LEG; MASS IN ARM LIKE LUMP; This spontaneous report received from a patient concerned a 38 year old of unspecified sex. The patient''s height, and weight were not reported. The patient''s past medical history included back injury, and bulging discs in back. The patient was previously treated with stem cells nos for back injury. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 204A21A expiry: UNKNOWN) dose was not reported, administered on 03-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced weakness in leg. On JUN-2021, the subject experienced mass in arm like lump. On 04-JUN-2021, the subject experienced body aches and pain. On 04-JUN-2021, the subject experienced spasm in legs and back. On 04-JUN-2021, the subject experienced pain in right arm where got injection and got worse. On 04-JUN-2021, the subject experienced fever. On 07-JUN-2021, the subject experienced back pain got worse. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches and pain, and fever on JUN-2021, had not recovered from back pain got worse, pain in right arm where got injection and got worse, and spasm in legs and back, and the outcome of weakness in leg and mass in arm like lump was not reported. This report was non-serious.


VAERS ID: 1439564 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Insomnia, Sciatica
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: USJNJFOC20210663205

Write-up: CAN''T SLEEP; SCIATICA; 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. 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 APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 2021, the subject experienced sciatica. On JUN-2021, the subject experienced can''t sleep. Treatment medications (dates unspecified) included: tramadol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sciatica, and can''t sleep. This report was non-serious.; Sender''s Comments: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious


VAERS ID: 1439816 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain in extremity, Poor quality product administered, Product preparation error, Product temperature excursion issue
SMQs:, Tendinopathies and ligament disorders (broad), 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: USPFIZER INC2021684832

Write-up: Second dose of Covid-19 vaccine administered greater than 6 hours after vaccine was mixed; Second dose of Covid-19 vaccine administered greater than 6 hours after vaccine was mixed; Second dose of Covid-19 vaccine administered greater than 6 hours after vaccine was mixed; Sore arm; This is a spontaneous report from a contactable pharmacist via Pfizer sponsored program. This report has similar events for 3 patients. This is 2 of 3 reports A 13-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 2nd dose. Formulation: solution for injection, Lot number EW0217) via an unspecified route of administration, on 09Jun2021, single dose (at the age of 13-years-old) for COVID-19 immunization. The patients medical history and concomitant medications were not reported. On 09Jun2021, the patient experienced product temperature excursion issue, poor quality vaccine administered, product preparation error and in Jun2021 the patient experienced pain in arm. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The clinical outcome of the events was unknown. Information on Lot/Batch number has been requested. Follow up (14Jun2021): This is a follow up spontaneous report from a contactable pharmacist. This pharmacist reported for a 13-year-old male patient that: Duplicate AE E-transmitted for report of inadvertent dosing of the vaccine past 6 hour storage in syringe. Caller would like written document sent to email address. Caller states she has not received previous email request. Response: Disclaimer Provided Pfizer has conducted physical and chemical stability studies which have shown that the vaccine maintains all its measured quality attributes when diluted vaccine is stored in polycarbonate or polypropylene syringes for 6 hours at 2 degree C to 30 degree C. Microbiological risk must be considered. Degradation of RNA in the vaccine has been observed when stored for longer than 6 hours in syringes.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2021683146 same reporter, AE and product, different patient;US-PFIZER INC-2021684836 same reporter, AE and product, different patient


VAERS ID: 1439832 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Illness
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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021696741

Write-up: I have been feeling a real sick; Headache; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (COVID-19 VACCINE - MANUFACTURER UNKNOWN, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date in Jun2021 as dose 1, single for covid-19 immunisation. The patient medical history was none. The patient concomitant medications were not reported. On an unknown date in Jun2021, the patient has been feeling a real sick and had headache. Reportedly, patient was on day 5 after first shot (Unspecified Shot) here for the Covid thing and had been feeling a real sick. Patient was little better today, just had a headache and was just wondering if that was normal as patient was on day 5. The outcome of the events was unknown. Follow-up attempts are needed. Information on the lot/batch number has been requested.


VAERS ID: 1439844 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-07
Onset:2021-06-01
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Cough, Dehydration, Eye irritation, Eye pruritus, Feeling cold, Headache, Pyrexia, SARS-CoV-2 test, Throat irritation, Weight
SMQs:, Anaphylactic reaction (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Corneal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TYLENOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arthritis
Allergies:
Diagnostic Lab Data: Test Date: 20210605; Test Name: Really high fever; Result Unstructured Data: Test Result:103.4 Fahrenheit; Test Date: 20210606; Test Name: Really high fever; Result Unstructured Data: Test Result:97.7 Fahrenheit; Comments: 97.7 degrees Fahrenheit was on the higher range for her; Test Date: 202106; Test Name: Really high fever; Result Unstructured Data: Test Result:102.2 Fahrenheit; Test Date: 202106; Test Name: Really high fever; Result Unstructured Data: Test Result:98.7 to 98.9 Fahrenheit; Comments: The rest of the time was 98.7 degrees Fahrenheit or 98.9 degrees Fahrenheit; Test Date: 202106; Test Name: Covid test; Test Result: Negative ; Comments: rapid test; Test Date: 202106; Test Name: Covid test; Test Result: Negative ; Comments: PCR test; Test Date: 202106; Test Name: Weight; Result Unstructured Data: Test Result:under 200 pounds lbs; Comments: recently lost 88 pounds
CDC Split Type: USPFIZER INC2021709621

Write-up: she had a scratchy throat; On Saturday morning, she had a scratchy throat, and she has been coughing more; headache; eyes were itching and burning; eyes were itching and burning; she was so cold; bone-racking chills/ shivering; really high fever of 103.4F; pretty dehydrated; This is a spontaneous report received from a contactable consumer (patient). This 63-year-old female received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: EW0169; Expiry date UNKNOWN), via intramuscular route of administration, in Arm left, on 07May2021 at 13:30 (at the age of 63-year-old), as a single dose, for Covid-19 immunization. The patient medical history included arthritis. The patient''s concomitant medications included Tylenol for arthritis. Patient was previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: EW0169; Expiry date UNKNOWN), via intramuscular route of administration, in Arm left, on 16Apr2021 13:30 (at the age of 63-year-old), as a single dose, for Covid-19 immunization; and Shingrix (She received the first dose of Shingrix about a month before in Feb2021 and 2nd She received the second dose of Shingrix on 18Mar2021). The patient did not receive additional vaccines on same date of the Pfizer Suspect. On 05Jun2021, the patient had really high fever reached up to 103.4 degrees Fahrenheit and she had bone-racking chills and was shivering which lasted whole Saturday night through Tuesday, 08Jun 2021. She could not take a shower because she was so cold. She had to crank up the air conditioning in her room up to 73 degrees, and she thought that was really odd. At home, she normally Kept her air on 68 degrees. She was hot natured. She went to bed that night and woke up late the next morning with a headache on 06Jun2021, and her eyes were itching and burning. She thought it was because of seasonal allergies, and all of the pollen in the air. On the same day (on sunday afternoon), she was so cold. She was sitting in her chair with a heating pad on her back, and two blankets on top of her. Her temperature at that point was 97.7 degrees Fahrenheit. She felt so hot that she kicked everything off, and she still felt hot. She rechecked her temperature, and it was 102.2 degrees Fahrenheit. She took a Tylenol for arthritis and she took that anyways, but she took an extra dose in the middle of the day for her fever. The fever lasted for a while. She checked her temperature a couple of hours later, and her temperature was 103.4 degrees Fahrenheit and clarified that this was on 06Jun2021. It was a pretty quick spike, by that same evening, her temperature was 99.9 degrees Fahrenheit. But that was still feverish for her, normal for her was 96.8-97.2 degrees Fahrenheit. 97.7 degrees Fahrenheit was on the higher range for her. She was freezing all night and woke up in the middle of the night with shivering chills. This was not normal for her. On 06Jun2021, she had headache which lasted all day Tuesday till 08Jun2021. On Monday, 07 Jun 2021, she was in bed bundled up. Her temperature the rest of the time was 98.7 degrees Fahrenheit or 98.9 degrees Fahrenheit. Seriousness criteria: Unknown, she states that is why she called today. She woke up on Wednesday, 09Jun2021, and still had a headache. But once she got to moving around, the headache went away. She thinks she got a headache because she was pretty dehydrated on an unspecified date in Jun2021, and the fever dried her out. The reporter (patient) stated that her husband had Ankylosing Spondylitis, and took an immunosuppressant, so he was a very vulnerable person hence her husband wanted her to get the vaccine, so she went with it. Her and her husband got it at the same time. On an unspecified date in Jun2021, she went to get tested for covid this week. On 12Jun2021 (Saturday morning), she had a scratchy throat, had cough and she had been coughing more. This was infrequent with other symptoms, and she was attributing them to allergies. She thought, she was getting her annual case of bronchitis. The patient stared that her weight was 188.2 pounds and had recently lost 88 pounds and she was happy to say she was under 200 pounds and stated that she had more weight to lose. There was no emergency room and physician Office visits for the events. The patient received treatment for the fever only with Tylenol. The patient underwent lab tests and procedures which included Really high fever showing body temperature at 103.4 Fahrenheit, on 05Jun2021, 97.7 degrees Fahrenheit on 06Jun2021, 102.2 and rest of the time was in between 98.7 to 98.9 on an unspecified date in Jun2021; Covid test got negative for both rapid test and PCR test, on an unspecified date in Jun2021; and weight showed under 200 pounds as recently lost 88 pounds on an unspecified date in Jun2021. The outcome of the events fever of 103.4f (pyrexia) and chills was resolved on 08Jun2021, the outcome for headache was resolved on 09Jun2021, the outcome for cough resolved on an unspecified date in 2021, for throat irritation was resolving while the outcome for eyes were itching and burning, pretty dehydrated, and feeling cold was unknown.; Sender''s Comments: The causal association between the event Pyrexia and Cough and the suspect drug BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern 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: 1439863 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-11
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Agitation, Blood pressure measurement, Chills, Dizziness, Fatigue, Feeling abnormal, Hypotension, Palpitations, Paraesthesia, Pyrexia, SARS-CoV-2 test, Somnolence, Vision blurred
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AMLODIPINE; METOPROLOL
Current Illness: Blood pressure high (Was diagnosed a few years ago, like four or five years ago.)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:123/82; Comments: Normal; Test Name: Covid-19; Test Result: Negative ; Comments: before the first dose
CDC Split Type: USPFIZER INC2021715716

Write-up: Fever; Chills; Feels extremely tired; Feels very sleepy; When doing her daily activities she feels dizzy; She felt like poison was going through her body; Feels like she has low blood pressure; Whenever she starts having activity in her body she feels tingling on her hands, face, and nose; View starts to get cloudy; felt agitated; heartbeat was really fast; This is a spontaneous report from a contactable consumer (patient). A 48-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in left arm on 11Jun2021 (Lot Number: EW0217) at the age of 48-year-old as single dose for covid-19 immunisation. Medical history included ongoing high blood pressure, was diagnosed a few years ago, like four or five years ago, she normally takes her medication whether she does or does not have high blood pressure that way she keeps it under control. Family medical history was none. Concomitant medication(s) included amlodipine taken for high blood pressure from an unspecified start date and ongoing; metoprolol taken for high blood pressure from an unspecified start date and ongoing. Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 administered in Left Arm on 21May2021 (Lot Number: EW0186) at the age of 48-year-old for covid-19 immunisation. Patient did not receive any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. The next day of Pfizer COVID-19 vaccine, on 12Jun2021, patient had a fever, chills, and was really tired and really sleepy. The patient stated that she felt like poison was going through her body, and today she was still waking up and feeling dizzy. The patient stated that she felt like her body has little ants inside of it and it felt like she had low blood pressure. The caller stated that she went to work and her heartbeat was really fast, so she had to go home because she felt like she was going to faint. She said that when doing her daily activities she feels dizzy. The patient asked if this was normal and how long these will last. The patient stated that in the first three days it felt like tiny like bugs were inside of her but that went away. After that, she continued to feel extremely tired and whenever she started having activity in her body she felt tingling in her hands, face, and nose, like tingling all inside her. The patient stated that when she returned to work her body continued to be in movement and her view started to get cloudy and she felt like she was going to pass out and felt her heart beating very hard. The patient stated that she felt like her heart was going out of her body and this happened when she has activity she started feeling dizzy. She said that she was having tingling and it felt like her heart was going to jump out of her body and she also felt very tired, very sleepy and that did not go away. The patient stated that her vaccine was on 11Jun2021 and on that night she started having symptoms. On 12Jun2021, she could not get up and on 13Jun2021 she returned to work and she was feeling like she reported earlier so she had to leave work. The patient stated that she felt agitated when she started doing things and whenever she started an activity she felt like that. The patient stated that she suffered from high blood pressure so she takes amlodipine and metoprolol for high blood pressure. She stated that she took her blood pressure two days ago and it was normal. Patient went and took her blood pressure right now and it was 123/82, which she states was normal. Patient took the test once and tested Covid-19 negative, that was before the first dose. The patient stated that because she was protected from the first dose she did not take another test before the second one because it was just 15 days later. The patient asked will her symptoms go away eventually or does she have to go to the doctor so that they can help her with them. The patient stated that she took paracetamol for her symptoms. The events did not result in Emergency Room or Physician Office. Outcome of the events felt extremely tired, very sleepy, heartbeat was really fast and tingling were not recovered, while unknown for the other events.


VAERS ID: 1439873 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-08
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Anxiety, Asthenia, Body temperature, Chills, Dyspnoea, Fatigue, Feeling hot, Heart rate increased, Hunger, Hypoaesthesia, Malaise, Muscle spasms, Nausea, Pain in extremity, Panic attack, Paraesthesia, Pyrexia, Respiratory alkalosis, Somnolence, Tremor, Urinary tract infection, X-ray
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: High cholesterol (She doesn''t take a medicine for that. It is genetic and runs in her family.)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: Temperature; Result Unstructured Data: Test Result:100.6 Fahrenheit; Test Date: 202106; Test Name: Temperature; Result Unstructured Data: Test Result:100.5 Fahrenheit; Test Date: 202106; Test Name: Temperature; Result Unstructured Data: Test Result:100.1 Fahrenheit; Test Date: 202106; Test Name: Temperature; Result Unstructured Data: Test Result:99 Fahrenheit; Test Date: 202106; Test Name: Temperature; Result Unstructured Data: Test Result:104 Fahrenheit; Test Date: 202106; Test Name: X-ray; Result Unstructured Data: Test Result:Unkonown result; Comments: x-ray of lungs and organs and nothing seems wrong
CDC Split Type: USPFIZER INC2021716537

Write-up: Urine infection; anxiety attack; panic/anxiety attack; Her body started tingling and was numb; her body started tingling and was numb; The end of her hand cramped up; I don''t know how to breathe/short of breath; whole body started shaking; Racing heart beat; Feels like throwing up; had a fever; She reports she began to feel tired/she was weary and tired; didn''t feel well at all; body felt warm; Hands hurt; Felt chilled; stomach was tight; She might have respiratory alkalosis; She woke up hungry and weak; She woke up hungry and weak; Sleepy; This is a Spontaneous report from a contactable consumer (patient husband) reported for a patient (reporter''s wife). A 41-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown) via an unspecified route of administration, in left arm on 08Jun2021 at 13:00 (at the age of 41-year-old) as dose 1, single for covid-19 immunisation. Medical history included ongoing high cholesterol. She did not take a medicine for that. It was genetic and runs in her family. The patient''s concomitant medications were not reported. No additional vaccines administered on same date of the pfizer suspect. The patient did not receive any vaccines within four weeks prior to the vaccination. Caller was a consumer calling on behalf of his wife. Patient was present for this call. She was having a serious side effect from the Pfizer Covid-19 Vaccine. Wife reported that she received the first dose of the Pfizer Covid-19 vaccine on 08Jun2021 Tuesday at 13:00. Wife reported was getting home around 15:00 and went to shower. At around 14:30 she started to feel tired and her body felt warm. She was really really tired and can''t stand up. It started when she came home after the vaccine. She got hungry and started shaking and it was hard to breathe again. She reported, she began to feel tired, did not feel well at all, took a nap and also felt chilled. She stated she didn''t check her temperature. She reported she thought she would feel better the next day, but she felt worse. She stated she checked her temperature and had a fever, so she took some Tylenol. She reported she still felt tired. She reported that last Friday (11Jun2021 at 10:30) in the morning when she woke up, she felt like she did not know how to breathe and my stomach was tight. On Friday 4 days later (on 11Jun2021) she developed shortness of breath, It was about the same. She used brown bags to inhale and exhale and they didn''t work. Husband reported, his wife started to feel short of breath, her body started tingling and was numb It started last Friday 11Jun2021 morning at around 10:30, the end of her hand cramped up. Her two hands cramped. It happened 3 or 4 times which was why they called the ambulance. He stated that was serious and we had to call an ambulance. He reported that the medic came and checked her temperature and oxygen and said she had no problem, and it was an anxiety attack. Husband reported he did not know why she had this as she had never had before now. She has had no anxiety problems or mental problems in her life. The doctor said to breathe slowly and relax. The hand cramps happen 4 or 5 times a day, and she had to try relaxing a little bit. It will calm her body shaking but she still had shortness of breath. Husband reported that after the medic left, she was still feeling uncomfortable about an hour later and they went to urgent care where the doctor reported she might had respiratory alkalosis. Caller reported that the doctor didn''t do any blood tests but gave her hydroxyzine 50 mg for allergies and maybe she had a panic/anxiety attack that put her to sleep. She went to sleep and felt better, but as soon as she woke up she would shake and the shortness of breath would came back. She woke up hungry and weak, and when she had some food she will feel a little better but was not breathing well. Husband stated that was okay for 2 days. He reported that on Saturday (12Jun2021), they went to family doctor for check-up. That doctor also thinks she had an anxiety attack and gave her anxiety medication alprazolam 2.25 mg and gave her something for heartbeat and also propranolol for a racing heartbeat. The hydroxyzine, alprazolam, and propranolol are in amber colored pharmacy bottles. Alprazolam expiration date was Feb2022, Propranolol expiration date was Sep2022. She saw the doctor today. She was taking that medicine for her heart. Husband stated a medicine to slow down heartbeat. Husband reported she had a severe attack Monday (14Jun2021) again and went to the ER. He reported the hospital gave her lab tests to check on body and physically everything looked okay to them. He reported they did x-ray of lungs and organs and nothing seems wrong. He stated seems weird. Husband reported they went to family doctor again today (16Jun2021) and took more medication. The doctor advised wife to go to a psychiatrist. Husband reported they went there, and psychiatrist did assessment and thinks she did not have psych problems as psych problems wont give her fever and she reportedly had 11 days of fever until now. He stated, it did not go away, no one can help her, they had anxiety pill on their hands but nothing was helping her breathing, they did not understand what causes this. Wife reported her whole body started shaking every morning when she woke up and sometimes in the afternoon she started shaking again and took anxiety medication. Husband asked why the doctor did not give her breathing medication? We had inhaler but it did not help. Earlier they went to saw psychiatrist and the psychiatrist asked them to call pfizer to guide them what to do. Husband states we went to 3 different physical doctors and went to psychiatrist and it''s not psych problem, psych problem won''t give fever. They went to different departments and they had no idea what to do. They want to find out more about it. They seek help from different doctors but they did not have solution. Wife reported her temperatures around 100.6F, 100.5F, 100.1F, and 99 something. Wife stated a lot of time it was 99 something. She had the fever again the next day on 09Jun2021. Last night her temperature was 100.4 or 100.5, and this morning it was 99 something. She had not taken Tylenol yet. She didn''t feel good at all. She felt cold and then was hot the next day. She felt really tired and checked her temperature. Her fever had continued for 11 days now. She took Tylenol before bed and it brought it back to normal 98 or 97. She went to the hospital on Monday (on 16Jun2021) and they said she probably had a urine infection. Today the family doctor gave her some antibiotics. Her stomach felt tight when she started getting shortness of breath. It was tight like she didn''t know how to breathe. She felt like throwing up sometimes. It started Friday. When she came back after the shot she was weary and tired, chilly, sleepy, and her hands hurt. Then she couldn''t breathe. She stated they didn''t go anywhere this whole year not even grocery store, they shop online. They only went in the backyard that''s it. Her first time was to get vaccine. Caller''s question was if these symptoms have been reported before and what should they do? He read the description on the product and none of that what she experienced. She went to her family doctor and to the ER. She went to so many different doctors and also a psychiatrist with no solution. His wife was experiencing shortness of breath and her whole body was shaking. He asked if Pfizer has heard anything about these side effects before. Reporter seriousness for events reported as unspecified. The events resulted in emergency room and physician office visit. Patient was not hospitalised. Outcome of events I don''t know how to breathe/short of breath, whole body shaking, her body started tingling and was numb, The end of her hand cramped up, She reports she began to feel tired/she was weary and tired, didn''t feel well at all, had a fever, racing heart beat, feels like throwing up, hands hurt, body felt warm was not recovered and outcome of other events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1439882 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-14
Onset:2021-06-01
   Days after vaccination:48
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 2 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Diarrhoea, Fall, Gait inability, Headache, Illness, Peripheral swelling, Thrombosis, Vomiting
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (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:
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 INC2021717455

Write-up: Feet and legs swollen, left worse than right; Started walking around that it was doing the damage it was doing until he figured out he couldn''t walk; Sick; Throwing up; Diarrhea/Diarrhea was reported as worsened; Headache; Got out of bed one day and fell to the floor; Blood clots in both legs; This is a spontaneous report from a contactable consumer (the patient). A 59-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: EW0153), via an unspecified route of administration, administered in right arm on 14Apr2021 (at the age of 59-years-old) at hospital as a single dose for COVID-19 immunisation. The patient''s medical history and his family history were reported as none. There were no concomitant medications. The patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) via an unspecified route of administration, administered in right arm on 24Mar2021 (at the age of 59-years-old) as a single dose for COVID-19 immunisation and experienced sick, headache, throwing up, diarrhea, fell, feet and legs swollen, left worse than right and he couldn''t walk. No other vaccinations. On an unspecified date in Jun 2021, the patient experienced blood clots in both legs and on unspecified date the patient experienced sick, throwing up, diarrhea/diarrhea was reported as worsened, headache, started walking around that it was doing the damage it was doing until he figured out, he couldn''t walk, got out of bed one day and fell to the floor and feet and legs swollen, left worse than right. The consumer stated that "he has been sick with both shots. Stated after the last shot he got blood clots in both legs and just got back from the doctor, stated the doctor said that the blood clots were caused by the vaccine. Consumer stated he went to see the doctor yesterday, 15Jun2021 at 09:00. Caller stated that after the first and second dose he has been throwing up, had diarrhea, a headache, and did not realize that when he started walking around that it was doing the damage it was doing until he figured out he couldn''t walk, states one of the days, exact date not provided, he got out of bed one day and fell to the floor, stated then he realized what happened, stated it has been going on for a good while, stated his feet and legs swollen, started about 4 weeks ago, exact start dates of all events unknown. Stated he can hardly walk due to the swelling. Stated they gave him a medication for the diarrhea, exact name unknown. Stated they are treating the blood clots with Eliquis, two pills in the morning and two in the evening." Event Blood clots in both legs was required physician office visit. Therapeutic measures were taken as a result of blood clots in both legs, diarrhea/diarrhea was reported as worsened. The outcome of events blood clots in both legs, diarrhea/diarrhea was reported as worsened, headache, started walking around that it was doing the damage it was doing until he figured out, he couldn''t walk and feet and legs swollen, left worse than right was not recovered whereas the outcome of sick and got out of bed one day and fell to the floor was unknown, throwing up was recovering.


VAERS ID: 1439885 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Heart rate irregular, Muscle spasms, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ASPIRIN (E.C.); LORAZEPAM
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021724747

Write-up: Severe swelling of lower legsPain in entire legs constant worse when using stairsCramping severe tonightIrregular heart beatTired other pains off and onThis has been on going since my vaccine an; Severe swelling of lower legsPain in entire legs constant worse when using stairsCramping severe tonightIrregular heart beatTired other pains off and onThis has been on going since my vaccine an; Severe swelling of lower legsPain in entire legs constant worse when using stairsCramping severe tonightIrregular heart beatTired other pains off and onThis has been on going since my vaccine an; Severe swelling of lower legsPain in entire legs constant worse when using stairsCramping severe tonightIrregular heart beatTired other pains off and onThis has been on going since my vaccine an; Severe swelling of lower legsPain in entire legs constant worse when using stairsCramping severe tonightIrregular heart beatTired other pains off and onThis has been on going since my vaccine an; This is a spontaneous report from a contactable consumer (Patient). A 38-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection; Batch/Lot Number: Unknown) via an unspecified route of administration in right arm on 01Jun2021 at 07:30 as dose 1, single (at the age of 38-years-old) for COVID-19 immunization at Doctor''s office/urgent care. Medical history included Penicillin allergy from an unknown date and unknown if ongoing. Concomitant medications included acetylsalicylic acid (ASPIRIN (E.C.), Baby Aspirin) and LORAZEPAM taken within 2 weeks for an unspecified indication, start and stop date were not reported. Prior to vaccination the patient was not diagnosed with COVID-19 and not received any other vaccines within 4 weeks. On 01Jun2021 at 08:00, the patient experienced severe swelling of lower legs, pain in entire legs constant worse when using stairs, cramping severe tonight, irregular heartbeat, tired other pains off and this has been ongoing since she took the vaccine and is not getting better. The adverse event leads to visit Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. No prolonged hospitalization and no treatment received for events. Since the vaccination, the patient has not been tested for COVID-19. Patient was not recovered from events. Information on the lot/batch number has been requested.


VAERS ID: 1439911 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-12
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Lip swelling, Lymphadenitis
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021727638

Write-up: Lips are swelling up; bottom lip; Lymph node are inflamed; Had a little bit of tiredness and stuff like that; This is a spontaneous report from a contactable consumer (patient wife). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 12Jun2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that the patient had the Pfizer shot last Saturday (12Jun2021) and his lips were swelling up right now, his bottom lip, his lymph node were inflamed. The patient had a little bit of tiredness and stuff like that but today (16Jun2021) his lips swell up like just now about an hour. Reporter need the information as far as how to proceed, if patient took Benadryl but reporter trying to figure out to take him in or call a doctor or what. Reporter wanted to know, its after hour so what do they do. Reporter was advised to contact the Healthcare professional. Outcome of the events was unknown. Information about batch/Lot number has been requested.


VAERS ID: 1439923 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Dizziness, Nasal dryness, Vertigo
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (narrow), 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:
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 INC2021733475

Write-up: Nose was so dry; Lot of vertigo; Very dizzy; Felt so weak; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE,Solution for injection,Batch/Lot number was not reported), via an unspecified route of administration on 09Jun2021 as DOSE 1, SINGLE for covid-19 immunisation .Medical history and concomitant medications were not reported.The patient experienced lot of vertigo and very dizzy on Jun2021 with outcome of recovered ,felt weak on Jun2021 with outcome of unknown , nose dry on 17Jun2021 with outcome of unknown. Follow-up (18Jun2021):This female patient reported for herself that she felt dizziness for 3 days from a unspecified date after taking 1st dose of Pfizer covid19 vaccine. Caller was unsure if she can take the 2nd dose. Information on the lot/batch number has been requested.


VAERS ID: 1439931 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-07
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Celiac disease; Clotting disorder (Verbatim: Blood clotting Disorder); Thyroid disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021733986

Write-up: Migraine; Fever; Headache; Body ache; Chills; Blood pressure high; This is a spontaneous report from a contactable consumer or other non HCP (patient, self-reporting). A 44-year-old patient of an unspecified gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection Batch/Lot number: EW0177, Expiration Date: 31Aug2021), via an unspecified route of administration in arm on 07Jun2021 as dose 2, single for COVID-19 immunisation. The patient medical history included thyroid disorder, coeliac disease, blood clotting disorder. Concomitant medication included levothyroxine taken for thyroid disorder. The patient historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, LOT#EW0182, Expiration date: 21Aug2021), via an unspecified route of administration on 14May2021 as single dose for COVID-19 immunization and no reaction was experienced. On 07Jun2021, the patient experienced migraine, fever, headache, body ache, chills, blood pressure high. Patient stated, he just wanted to report the side effect. Patient reported that "I received the second vaccine on 07Jun2021 and I had Migraine, 12 hours after the (second shot) shot, it started with fever, headache, body ache, chills for 2 days and then after the 2 days headaches did not go away and had just got progressively worst, he went to my Primary Care Doctor and he gave to me the Migraine medication. Patient added, I never had Migraines. This was the first time I have ever had. That was also a side effect my blood pressure was high right now but Doctor said it was because of the headache". Therapeutic measures were taken as a result of migraine. The outcome of the events fever, body ache, chills was recovered on 09Jun2021, outcome of events headache, blood pressure high was not recovered and unknown for other events. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1439939 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-05
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Dizziness, Dizziness postural, Fatigue, Feeling abnormal, Loss of personal independence in daily activities, Movement disorder, Nausea, Pain in extremity, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021734281

Write-up: experienced tiredness; dizziness; nausea; Sometimes she cannot get up, feels like someone is pushing her back down; Worried about getting the second dose of the Covid 19 Vaccination; States it is really bad and strange; The inside of her head will start spinning; Caller mentions her dizziness again. States sometimes she cannot get up because it feels like someone is pushing her down; She has not been driving for 5 days now because the dizziness comes suddenly; Soreness in arm; This is a spontaneous report from a contactable consumer or other non hcp. A 63-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in Arm Left on 05Jun2021 (Batch/Lot Number: EW0191) as DOSE 1, SINGLE for covid-19 immunization. The patient medical history included Historical Vaccine INFLUENZA VACCINES; she gets the flu shot every year with no adverse events. The patient''s concomitant medications were not reported. The patient experienced dizziness and Nausea on 13Jun2021, experienced tiredness on 17Jun2021, she has not been driving for 5 days now because the dizziness comes suddenly, soreness in arm and worried about getting the second dose of the coved 19 vaccination, states it is really bad and strange and the inside of her head will start spinning on Jun2021, sometimes she cannot get up, feels like someone is pushing her back down on 13Jun2021, caller mentions her dizziness again. states sometimes she cannot get up because it feels like someone is pushing her down on Jun2021. Upon the follow-up received on 18Jun2021 reporter gave consent to contact. NDC number and expiry date of Covid 19 Vaccination were unknown. Vaccination Facility Type was Pharmacy/Drug Store. Vaccine was not Administered at admin Facility. There was no history of all previous immunization with the Pfizer vaccine considered as suspect. No Additional Vaccines Administered on Same Date of the Pfizer Suspect. No AE required as visit to Emergency Room or Physician office. There was no prior vaccination within 4 weeks. There was no Family Medical History Relevant to AE and no Relevant Tests were performed. Outcome of event for the event soreness in arm was recovered on an unspecified date, Outcome of the events nausea, dizziness and sometimes she cannot get up, feels like someone is pushing her back down was not recovered and unknown other events.


VAERS ID: 1439943 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-15
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0155 / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Vulvovaginal burning sensation
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: LORATADINE; FLONASE ALLERGY RELIEF
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy; Heartbeats irregular; High cholesterol (Caller states cholesterol medication is 145 mg once in the morning); Migraine (she used to take Topamax for migraines); Sinus infection
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021734347

Write-up: couple days after started having some burning on her vaginal area, mainly on the outside of her vagina; This is a spontaneous report from a contactable consumer (patient). A 52-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in Arm Right on 15Jun2021 (age at vaccination: 52 years) (Batch/Lot Number: EW0155) as DOSE 1, SINGLE for covid-19 immunization. The patient past medical history included high cholesterol (patient stated cholesterol medication is 145 mg once in the morning), irregular heartbeat, allergy, migraine (she used to take Topamax for migraines) and sinuses. Stated she took high cholesterol pills, nose spray, and sinus pills. No family medical history relevant to adverse event. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was none. Concomitant medication included Loratadine (Has been taking for years) taken for sinusitis, fluticasone propionate (FLONASE ALLERGY RELIEF) (Has been taking for years, only takes when the fall is starting) taken for allergy and sinus. No additional vaccines administered on same date of the pfizer suspect. The patient did not receive any other vaccine within 4 weeks prior to covid-19 vaccination. Several years ago, may have been in her middle-forties, there was adverse event prior vaccinations due to flu shot of unknown brand and it made her more sick and she felt like dying, her body shut off. On an unspecified date, it was reported a couple days after started having some burning on her vaginal area, mainly on the outside of her vagina. She wanted to know if this is caused by the vaccine or if it had been reported before. The patient received the first dose of the vaccine on 15Jun2021 and a couple days after started having some burning on her vaginal area, mainly on the outside of her vagina. She wanted to know if this is caused by the vaccine or if it had been reported before. Adverse event did not required emergency room and physician office visit. Patient stated the shot was easy, her daughter got the second one, the Pfizer, she was more tired than usual but she okay now, her daughter got the second shot at the same time as the patient got her first one. Patient clarified this was her first dose. Investigations/Treatment: she was going to wait a couple of days, because she read on some of these, that sometimes, by it being so early, and she just got it, and sometimes can take a few days to do what it''s got to do. There were no relevant tests. The event outcome was not recovered. Additional information has been requested.


VAERS ID: 1439950 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-08
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abnormal dreams, Dizziness, Fall, Hyperhidrosis, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; COPD; Rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021734927

Write-up: rash developed on my neck it was widespread/rash got worse; itching; dizziness worse; sweating profusely; having crazy fever dreams; fell while walking through the house due to the dizziness; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 42-years-old female patient (patient was not pregnant at the time of vaccination) received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: ew0179, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 08Jun2021 at 17:30 pm (age at vaccination was 42 years) as 1st dose, single for COVID-19 immunization. Medical history included rheumatoid arthritis, COPD and asthma. Concomitant medications were not reported. The patient received other medications within 2 weeks of vaccination. The patient previously took Doxycycline and experienced allergy. The facility where the most recent COVID-19 vaccine was administered was Pharmacy or Drug Store. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient got the Pfizer vaccine for COVID on last Tuesday 08Jun2021. Last Wednesday the rash started. On 09Jun2021 at 08:00 am, a rash developed on patient''s neck. On 10Jun2021, it was widespread, so she went to urgent care. Thursday it was so bad she went to urgent care got a steroid shot and bumped her daily steroids up to 20 mg and steroid cream three times a day. She got a steroid shot, 20mg of oral steroids for the next week and a steroid cream for the itching. The rash got worse over the weekend. On Monday, the dizziness started. She fell. Sunday night/Monday morning the dizziness woke her up many times and she was sweating profusely and having crazy fever dreams. Monday morning she fell while walking through the house due to the dizziness. She called her husband home from work to help her. They went to see her PCP, at 2 that day, the 14th. He added hydroxyzine 25 mg every 6 hours to help knock this thing out. Her husband came home and took her to PCP and he added hydroxyzine 25 mg four times a day. It didn''t get better to the dermatologist -on Wednesday. Doubled steroids added more antihistamines. No improvement. She needed help. Tuesday it was worse, they called the PCP again he said go to a dermatologist. On Wednesday the 16th she went. He doubled the steroids to 20mg twice a day. Advised that she go to intern6-18 Friday the 18th she went, internal medicine. She got IV shot solumedrol. Referred to ER. The adverse events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The patient received treatment with rx meds, 2 shots so far. The device date was reported as 18Jun2021. The outcome of the events was not resolved. No follow-up attempts are needed. No further information is expected. Follow-up (18Jun2021): New information received via a contactable consumer (patient) included: Updated the clinical course.


VAERS ID: 1439954 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-25
Onset:2021-06-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Cough, Deafness, Nasal congestion, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (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: ZOLOFT
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021734970

Write-up: This is a spontaneous report from a contactable consumer reported for himself. A 37-years-old male patient received second dose of bnt162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration, administered in Arm Left on 25May2021 at 11:00 as dose 2, single (at age of 37-years old) for COVID-19 immunization. Concomitant medication included sertraline hydrochloride (ZOLOFT). The patient previously took first dose of bnt162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration, administered on an unspecified date as single dose for COVID-19 immunization, and there was no reaction on previous exposure to drug. The patient had drug allergy to omeprazole (PRILOSEC). The patient did not receive any other vaccine within 4 weeks prior to the COVID-19 vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient not tested for COVID-19. On 01Jun2021 at 12:00 AM, the patient experienced hearing loss in right ear, right upper stomach pain, fever, chills, cough, and congestion. No treatment was received for all events. The outcome for all events was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1439968 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Arthritis, Body temperature, Gait disturbance, Inappropriate schedule of product administration, Joint swelling, Limb discomfort, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Dementia (patient''s mother is starting to get dementia and is getting to the stage where she is aggressive and lies all the time); Diabetes (patient''s mother); Hypertension (patient''s mother)
Allergies:
Diagnostic Lab Data: Test Date: 20210617; Test Name: Temperature; Result Unstructured Data: Test Result:100.4
CDC Split Type: USPFIZER INC2021738807

Write-up: Ran a little fever; The patient''s joint pain has come back again 3 other times; Every 3-4 days after that shot, the patient''s knee is all swollen and everything/joints were swollen; that the patient is still limping but he had her on crutches.; Second dose of Covid-19 vaccine received less than 21 days after first dose; joints were inflamed; Other leg is all messed up in the same area in the joints; This is a spontaneous report from a contactable consumer (reporter''s wife). A 56-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via unspecified route of administration on an unspecified date in Jun2021 (Lot number and expiration date was not reported) as single dose for COVID-19 immunization. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient''s medical history was not reported. Family history included patient''s mother suffers from diabetes and high blood pressure and starting to get dementia and is getting to the stage where she is aggressive and lies all the time. The patient''s concomitant medication was not reported. Patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 28May2021 for COVID-19 Immunization and it was reported as 3-4 days after the first dose the wife''s joints were swollen and inflamed then after 3-4 days the left knee also became swollen and inflamed. These were also experienced on the second dose. He is calling to know if these have been reported before. On an unspecified date in Jun2021 patient had both doses of the Pfizer-BioNTech COVID-19 Vaccine. 3-4 days after the first dose the wife''s joints were swollen and inflamed then after 3-4 days the left knee also became swollen and inflamed. These were also experienced on the second dose. It was reported as patient was treated the swollen and inflamed joints for the patient with ibuprofen, Tylenol, ice, and also wrapped it and the swelling and inflammation went away within 3-4 days. Patient''s left knee then started to get swollen and the inflammation and swelling is all related to joints and mobility. She was reported that it was the same as the wrist, the patient''s left knee was starting to get swollen and she took care of the patient on that one the same way, with Tylenol, ibuprofen, ice, and wrapped it. The patient got a second shot of the Covid-19 vaccine and now her other leg is all messed up in the same area in the joints. It was reported as patient got the second shot of the Covid-19 vaccine probably about a week ago, and within maybe 4 days her other knee is now swollen. The patient went to the clinic after her joint issues and the clinic staff gave the patient a cortisone shot and its relieved the pain and everything for a little bit. Patient''s joint pain has come back again 3 other times. Other leg is all messed up in the same area in the joints and the patient got the second Covid-19 shot and she''s wounded again with the other knee and inflammation and swelling in the patient''s knee came back. Second dose of Covid-19 vaccine received less than 21 days after first dose. Patient is still limping but he had her on crutches. Patient was visited to physician office. It was reported as after receiving second dose patient''s temperature was 100.4 on 17Jun2021 and the patient was treated with Tylenol to reduce the fever. She hasn''t had a fever since. The outcome of event (fever) was recovered on 17Jun2021 and (limb discomfort, Joint pain and Limping) was not recovered and unknown for other events. Information on lot number/ batch number has been requested.


VAERS ID: 1439972 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-27
Onset:2021-06-01
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Condition aggravated, Dermatitis contact, Full blood count, Platelet count, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (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: Poison ivy rash (this last year)
Preexisting Conditions: Medical History/Concurrent Conditions: Idiopathic thrombocytopenic purpura
Allergies:
Diagnostic Lab Data: Test Name: Complete blood count; Result Unstructured Data: Test Result:Unknown results; Test Date: 202106; Test Name: Platelet check; Result Unstructured Data: Test Result:drops
CDC Split Type: USPFIZER INC2021739019

Write-up: 7 days after to see my platelets drops; A very mild case of Poison Ivy/started and got little worse; A very mild case of Poison Ivy/started and got little worse; This is a spontaneous report from a Pfizer. A contactable consumer (patient) reported for herself that a 71-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: unknown), dose 1 via an unspecified route of administration, administered in left arm on 27May2021 as single dose for COVID-19 immunisation. Medical history included Idiopathic thrombocytopenic purpura (ITP), ongoing poison Ivy (got this last year). Concomitant medications included vitamins and supplements (unspecified). Patient was supposed to get the second dose of the Pfizer Covid-19 Vaccine 18Jun2021 or 19Jun2021 (today or tomorrow) but she has a very mild case of poison ivy and she was asking if she could still get the second dose or if that will matter to get the second dose. She has it now, probably Poison Ivy started maybe 3-4 days ago in Jun2021. She said it started and got little worse, she did put some cream on it but she got this (case of Poison Ivy) last year too. Started with the same cream that the Doctor gave her and it was little better now. She had platelet check for her ITP before she got the first shot and 7 days after to see her platelets drops in Jun2021. Also tested Complete blood count (unknown results) on an unspecified date. The outcome of the event very mild case of poison ivy/ started and got little worse was reported as recovering; unknown for another event. Information regarding the Lot/Batch number has been requested.


VAERS ID: 1439977 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-09
Onset:2021-06-01
   Days after vaccination:84
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / 2 - / OT
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Escherichia infection, Urinary tract infection, Urine analysis
SMQs:, Infective pneumonia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Drug allergy (Manifested as Rash.); Ear infection; Nonsmoker
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: Dipstick culture; Result Unstructured Data: Test Result:Escherichia coli and urinary tract infection
CDC Split Type: USPFIZER INC2021739241

Write-up: Urinary tract infection; Escherichia coli infection; This is a spontaneous report from a contactable consumer (patient). A 56-year-old female patient received second dose of BNT162B2 (BNT162B2, Solution for injection, Lot number: EN6208), intramuscularly, on 09Mar2021, as a single dose for COVID-19 immunisation. The patient received Adalimumab (HUMIRA 40MG/0.4ML, Solution for injection in pre-filled pen) at an unknown dose subcutaneously from an unspecified date in May2021 for rheumatoid arthritis. Medical history included ear infection (started Jan2021), non-tobacco user, non alcohol user and sulfa drugs allergy manifested as rash. Concomitant medications were not reported. The patient previously received first dose of BNT162B2 (Lot Number: EN6201), intramuscularly, on 16Feb2021 as single dose for COVID-19 immunisation with no reaction on previous exposure to vaccine. The patient''s past medications include SULFA and Etanercept (ENBREL). In Jun2021, the patient experienced urinary tract infection and Escherichia coli infection. The patient went to an urgent care due to urinary tract infection on 09Jun2021. Physician asked her to skip Adalimumab when was informed about the infection. On 04Jun2021, therapy with Adalimumab was discontinued. She had a shot of COVID 19 vaccine before at least one symptom happened therefore COVID-19 VACCINE was considered as co-suspect product. It was unknown if patient was enrolled in a COVID-19 Vaccine Trial. The patient was treated with Clarithromycin (MACROBID). Relevant Laboratory & Other Diagnostic Tests included Dipstick culture performed in Jun2021 that confirmed there was Escherichia coli and urinary tract infection. Outcome of the events was unknown. The reporter''s causality for the events of urinary tract infection and Escherichia coli infection with BNT162B2 was not related and with Adalimumab was no reasonable possibility. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1439996 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-16
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Body temperature, Chills, Fatigue, Myalgia, Nasopharyngitis, Pain, Pain in extremity, Peripheral swelling, Pyrexia, Rash, Rash erythematous, Rash pruritic
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: Body temperature; Result Unstructured Data: Test Result:101
CDC Split Type: USPFIZER INC2021741209

Write-up: Very strange rash on her right hand above the wrist and inside of the arm/ Rash on her left breast; Rash, several bumps as they are very itchy; Rash on her left breast which after few hours become like a very red blood; High fever; Muscle pain; Whole body was hurting/ everything was hurting; Swollen hands; Feet were hurting; Shivering; She did not have much power/ Shutting down; Very tired; Catching cold; This is a spontaneous report from a contactable consumer (patient herself). A 55-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0168), via an unspecified route of administration in left arm on 16Jun2021 (at the age of 55-year-old) as dose 2, single for COVID-19 immunization. The patient''s medical history and concomitant medications were none. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: ER8736), via an unspecified route of administration on 26May2021 (at the age of 55-year-old) as dose 1, single for COVID-19 immunisation. It was reported that, reporter stated, yes, she would like to report unusual reaction to the Pfizer that she got on 16Jun2021. Patient know that it was normal to have fever, shingles etc. but she got a very strange rash on her right hand above the wrist and inside of the arm on 17Jun2021. The rash look like a chicken pox. Rash, several bumps as they are very itchy on 17Jun2021, and she was not touching them and also, she have rash on her left breast which after few hours become like a very red blood on 17Jun2021. Still experiencing: Reporter stated, no. First was a high fever on 17Jun2021 and she felt like a muscle pain on 17Jun2021, everything was hurting like swollen hands on 17Jun2021, the feet were hurting on 17Jun2021, whole body was hurting on 17Jun2021. Patient got shivering and high fever on 17Jun2021. Patient took the Tylenol, she did not have much power on 17Jun2021. Patient was like a very tired on 17Jun2021 but in the few hours she have to repeat that Tylenol because the fever return it and in the evening in the same situation, she was shutting down on 17Jun2021, she had fever she have 101. Patient took the Tylenol, she took the nap. When she woke up, she noticed the rashes. It was in the afternoon. The rashes appeared on her right arm and on her breast. No fever she took the Tylenol at 8:00 clock. Patient slept without any problems during the night. Patient still feel like she was catching cold on an unspecified date in Jun2021, but it was like 20% not that much and she do not thought so she take Tylenol. This should be noted that itchy portion to warn other people taking the vaccine so that they would be aware of such things. No investigation assessment. The patient underwent lab test and procedure which included body temperature: 101 on an unspecified date in Jun2021. The patient was treated with Tylenol for the events shivering, feet were hurting, swollen hands, whole body was hurting/ everything was hurting, muscle pain, high fever. The outcome of the events rash, high fever, muscle pain, swollen hands, shivering was resolving and unknown for the other events. Information on lot/batch number was available. Additional information has been requested.


VAERS ID: 1440002 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Unknown  
Location: Indiana  
Vaccinated:2021-06-14
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Fear, Insomnia, Pain, Peripheral swelling, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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 INC2021741679

Write-up: Then the swelling got worse and worse; Itchy; Swelling under my armpit; It was very painful; Couldn''t ''sleep; I was scared; This is a spontaneous report from a contactable consumer (patient, self-reported). A 48-year-old patient of an unspecified gender received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EW0167 and expiry date was not reported), via an unspecified route of administration, in Deltoid Left, on 14Jun2021 (age at vaccination: 48 year), as a single dose for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, in Deltoid Left, on 24May2021 (age at vaccination: 48 year), as a single dose for COVID-19 immunization and no reaction. The patient reported that the patient was calling to report that the patient had an adverse reaction to the Pfizer Vaccine for COVID-19 virus. The patient got the second shot on Monday. On an unspecified date in Jun2021, it felt itchy and that was okay but when the patient got home, the patient started having some swelling under my armpit. So, each day since Monday it got worse. Today, the patient had to go to the doctor so that they could see, you know patient was scared. The patient did not know if it was breast cancer or a tumor or what. The patient would like to know if it was just a reaction to the vaccination. The patient stated, Monday, 14Jun2021, that was when it started and then it accelerated and then the swelling got worse and worse. The patient went to see the doctor because patient couldn''t ''sleep'' and it was very painful. The doctor prescribed some pain medicines like Ibuprofen, 800 mg, one every 8 hours. The doctor told the patient to put a warm comfort on it. Outcome of the event I was scared was reported as unknown and for all other events, it was not recovered. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1440004 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-02
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH D21JBED / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Nasopharyngitis
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021741708

Write-up: Having cold; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER -BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 02Jun2021 (Lot Number: D21JBED; Expiration date: Unknown) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient reported as thinking of getting a cold on an unknown date in Jun2021. The patient wanted to know about getting second dose when having cold. The outcome of the event was unknown. The patient was scheduled to receive second dose of vaccine on 23Jun2021 13:00. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1440008 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-18
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Illness, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021741983

Write-up: They both woke up at 4:00 in the morning vomiting and its been 6 hours of non stop throwing up; Extremely ill; This is a spontaneous report from a contactable consumer (patient''s parent) reporting same event(s) under the same suspect product(s) for 2 patients (reporter''s children). This is one of two reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), solution for injection: Lot/Batch number: unknown) via an unspecified route of administration on 18Jan2021 as single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. On 19Jun2021, the caller stated that both woke up at 4:00 in the morning and were vomiting. The patient stated that it has been 6 hours of nonstop throwing up. The caller stated that her children were extremely ill. The caller stated that she just doesn''t know who else to call, what to do about the events other than going to the emergency room. The caller stated that she took the same dose along with them at the same time and felt just fine. Caller was asking whether this was like a normal occurrence happening to all the people. The outcome of the events was unknown. Information on the lot/batch number has been requested.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2021741920 same reporter/drug/event, different patient


VAERS ID: 1440018 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021746814

Write-up: Legs starting hurting me and my feet felt a little like tingling and I still kind of feel that; Legs starting hurting me and my feet felt a little like tingling and I still kind of feel that; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 09Jun2021 (the patient stated Batch/Lot number was EVZ0171 or it was EW0171 maybe or EVZ0171, did not know and expiration date was not reported; pending clarification) as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number and expiration date was not reported) as dose 1, single for covid-19 immunization. The patient reported that legs started hurting and feet felt a little like tingling and patient still kind of feels that. The patient reported the event onset as about 12 days ago but like few hours after the patient got vaccine (in Jun2021). The outcome of the event legs started hurting was unknown, while outcome of felt a little like tingling was not recovered. Information about batch/lot number has been requested.


VAERS ID: 1440025 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-04
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: 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? 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 INC2021748827

Write-up: bilateral catharsis; This is a spontaneous report from a contactable consumer (patient) reporting herself. A 29-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection (Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 04Jun2021 as dose 1, single for covid-19 immunisation. The patient medical history was concomitant medications not reported. It was reported, stated, consumer on the line who has experienced a serious adverse reaction according to her and her ophthalmologist said that she had a "bilateral catharsis" (further not clarified). The patient wanted to know if she can get her second dose. She received the first dose of Pfizer Biotech Covid-19 Vaccine on 04Jun2021, and her next dose is tomorrow. Follow-up on (21Jun2021), it was reported that, patient is yet to know if she can get her second dose. The outcome for the event was unknown. Information on lot/batch number has been requested.


VAERS ID: 1440041 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-18
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure measurement, Malaise, Nausea, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high (high blood pressure a year ago and experienced the same symptoms of nausea, vomiting and everything.)
Allergies:
Diagnostic Lab Data: Test Name: Blood pressure measurement; Result Unstructured Data: Test Result:Normal
CDC Split Type: USPFIZER INC2021749945

Write-up: This is a spontaneous report from a contactable consumer. A consumer (patient) of unspecified age and gender received unknown dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number, NDC number, UPC number and expiry date were reported as unknown) via an unspecified route of administration on 18Jun2021 at approximately 13:00 in afternoon as dose number unknown, single for COVID-19 immunization. Medical history included high blood pressure which was diagnosed a year ago and the patient had nausea, vomiting and all same symptoms which occurred after vaccination. The patient concomitant medications were not reported. On 19Jun2021 the patient was not feeling too good and on 20Jun2021 it was even worse as the patient experienced vomiting all day and it seemed to become worse. It was not subsiding as the patient thought it would. The patient asked was this a typical side effect of blood pressure and checked blood pressure which was normal. The patient was wondering if whole nausea thing was picked up since morning and had gotten worse during the day. The patient also experienced some soreness and stuff on an unspecified date in Jun2021. The patient underwent lab tests and procedures which included blood pressure measurement as normal. The outcome of all the events was not resolved. Follow-up attempts are possible. Information about lot/batch number has been requested.


VAERS ID: 1440042 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia, Vaccination site mass
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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: Allergy (Verbatim: Allergy); Arthritis (Verbatim: Arthritis); GERD (Verbatim: GERD)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021750125

Write-up: Have a bump in the area where she got the injected; Tingling in her nerves, like weird stimulations in her nerves/tingling from arm to the neck; numbness in arm; This is a spontaneous report from Pfizer-sponsored program via a contactable consumer (patient). A 58-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0173, and expiry date: not reported)dose 1, via an unspecified route of administration, administered in arm on Jun2021 (at the age of 58years) as single dose for covid-19 immunisation. Medical history included arthritis, gastrooesophageal reflux disease (GERD), allergy. The patient''s concomitant medications were taking medications for GERD and for allergies (she had allergies and arthritis). No investigation assessment done. The patient had received her first dose in the beginning of Jun2021 and she was experiencing side effects as like tingling in her nerves, like weird stimulations in her nerves (start date: Jun2021) and she also had like still have a bump in the area where she got the injected (start date: Jun2021) with the COVID 19 vaccine, and she told the tingling all the way from the injection site into her full arm into like a finger and then all the way back into her neck. The patient was experiencing some side effects such as tingling in the nerves, bump at injection area, numbness in arm (start date: Jun2021), and tingling from arm to the neck. Events were being still experienced and, it was actually seemed to be getting worst. It was still the same, like she said it seemed to be getting a little bit worse, the more she used her arm like it seemed to be more persistent and was not ''intermittent'' anymore. No treatment was done for events. The outcome of events was not recovered.


VAERS ID: 1440047 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Protein urine present
SMQs:, Acute renal failure (broad), Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021753352

Write-up: high protein in urine; This is a spontaneous report from a contactable consumer (patient''s father). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and expiry was not reported), via an unspecified route of administration on an unspecified date in Jun2021 as dose number unknown, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient had the PFIZER COVID VACCINE less than 2 weeks ago in Jun2021 and went to his doctor for a regular annual check-up and for the first time, he had high protein in his urine on an unspecified date in Jun2021. The outcome of event was unknown. Follow up attempts are needed; Information on lot number/batch number has been requested.


VAERS ID: 1440059 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Circumstance or information capable of leading to medication error, Lymphadenopathy
SMQs:, Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021756628

Write-up: She is asking if it''s okay to take it further than her scheduled 2nd dose; she has lymphadenopathy; This is a spontaneous report from a non-contactable consumer (patient) via a Pfizer sponsored program. A 73-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch/lot number and expiration date: not reported), via an unspecified route of administration on 09Jun2021 as dose 1, single for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. On an unknown date in Jun2021, the patient experienced lymphadenopathy. The clinical course of the events was reported as she received the 1st dose of our COVID-19 vaccine last 09Jun2021 and scheduled for the 2nd dose on 08Jul2021 (29 days apart). She claimed that her daughter just read about the new update that it was okay to take the 2nd dose within a maximum of 42 days. If this was so, she was asking if it was okay to take it further than her scheduled 2nd dose because she had lymphadenopathy (as long as it would not exceed 42 days). She was also asking if there would be side effects when she did take the 1st dose and not knowing that it might affect people with swelling of the lymph nodes. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1440070 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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 INC2021764324

Write-up: Developed Covid Foot; feet were swollen and red and typically for Covid toes; Developed Covid Foot; feet were swollen and red and typically for Covid toes; This is a spontaneous report from a contactable physician. This physician reported for a 76-year-old male patient that he received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown, expiration date: not reported) via an unspecified route of administration on an unspecified date in Jun2021 (Exact date of the first vaccine unknown, it was about 7 days ago) as dose 1, single for COVID-19 immunisation (at the age of 76-year-old). The patient medical history and concomitant medications were not reported. The patient got the PFIZER COVID 19 VACCINE, and after about 24 hours on an unspecified date in Jun2021, developed pink-red feet with swelling, especially toes and especially great toes, very similar to Covid foot- toes that been seen with the actual disease, had improved significantly since then, now the question was he needed the second vaccine and were worried about the above reaction to the first dose of vaccine. The patient''s feet were swollen and red and typically for Covid toes (start date: Jun2021). The patient had Covid feet (start date: Jun2021), and the toes were involved. It was reported that slowly it had improved significantly, but the patient was due for his second shot and he was worried about if he will have more issues with the second shot. The patient had significantly improved, about 90% improved and could get the information about the Covid vaccine later if needed. The patient wanted to get some help and information with how to proceed with the second vaccination. Reporter''s seriousness for the events was medically significant. The outcome of both the events was resolving. Information on the lot/batch number has been requested.; Sender''s Comments: Based on the plausible temporal relationship, the association between the events of swelling of feet and redness and the suspect product of BNT162B2 cannot be completely ruled out. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern 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: 1440081 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021766792

Write-up: pain under her armpit where her lymph nodes are in the injection arm; radiated from where the shot was given up and around her armpit and it had been super painful; radiated from where the shot was given up and around her armpit and it had been super painful; This is a spontaneous report from a contactable consumer (patient''s mother). A 13-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and expiration date was not reported), dose 1 via an unspecified route of administration on 21Jun2021 as dose 1, single dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient''s mother stated her daughter received the Pfizer COVID vaccine on 21Jun2021 (on Monday evening of this week). The patient had been experiencing pain under her armpit where her lymph nodes were, in the injection arm (on Jun2021). It radiated from where the shot was given up and around her armpit and it had been super painful for her on 23Jun2021 (today). The reporter would like to know if this will subside or what should she do about it. The patient''s mother stated since this was possibly due to a robust immune response, she had heard that the second dose would produce more side effects than the first. The patient''s mother would like to know if this was true and should she expect the same type of reaction with the second dose. The patient''s mother would like to know if her daughter should receive the second dose of the vaccine. The outcome for all events was not recovered. Information related to batch/Lot no. was requested.


VAERS ID: 1440088 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-06-14
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Muscle spasms, Pain
SMQs:, Dystonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021767774

Write-up: Muscle spasms under right arm near rib cage; Based on that right arm, up under the arm area, having maybe a little pain there; This is a spontaneous report from a contactable consumer (for himself). This 64-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EW0150, Expiry Date: Unknown), dose 2 via an unspecified route of administration, administered in the Arm Right on 14Jun2021 (at the age of 64-year-old) as DOSE 2, SINGLE for covid-19 immunisation (Didn''t want to get Covid, family getting it). The patient''s medical history wand concomitant medications were not reported. Patient had received first dose of vaccine bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: ER2613), dose 1 via an unspecified route of administration, administered in the Arm left on 24MAY2021 (at the age of 64-year-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient experienced muscle spasms under right arm near rib cage on Jun2021, based on that right arm, up under the arm area, having maybe a little pain there on Jun2021. Patient reported that, after first dose he experienced "sinus problems". It was reported that, Patient went back to get the second dose Pfizer Covid 19 shot last week, it was the 24th. he has mixed up his days and it was about 2 weeks ago the patient received the second dose Pfizer Covid 19 shot. He Had severe sinus problems after first dose. Patient told lady who gave him first dose Pfizer Covid 19 shot that he had severe sinus problems and had to go to the G1doctor to get a shot. he had asthma. She said normally some people have sinus problems. He said, it started to get in the patient''s chest, and got congestion in his chest. Patient stated, severe sinus problems maybe like 2 to 3 days after the he received the first dose Pfizer Covid 19 shot, maybe later, maybe longer. Could had been the weather change. The lady the patient spoke to at the vaccination facility who gave him his first dose Pfizer Covid 19 shot said a lot of people complain about the weather and the patient''s symptoms may go away. Patient stated the sinus problems went away. He took some sinus medication, and the sinus problems went away and went away completely. After his second dose, he reported that he experienced muscle spasms under right arm near rib cage, denied any swelling and explained that this resolved in 2-3 days later. Patient just got the second dose Pfizer Covid 19 shot in his other arm and was not having pain in the arm. But based on that right arm, up under the arm area the patient was having maybe a little pain there. Patient stated he may have to go to the doctor. Patient stated, it might be related to the Pfizer Covid 19 Shot or it might be something else. Patient was trying to figure out if this pain is something caused by the Pfizer Covid 19 shot. Patient reported that, based on that right arm, up under the arm area, having maybe a little pain there, began maybe like 3 or 4 days after the he received the second dose Pfizer Covid 19 shot. Sometimes the caller moves the arm in a certain type of way and maybe gets like a gas pocket or not. stated it was not hurting, hurting. He was wondering if it may be from the Pfizer Covid 19 shot. The pain was improving every day. Patient wanted to know if one of the side effects might be gas and to know what most people complain of. Reporter seriousness for the event was Unspecified. Outcome of the having maybe a little pain there was recovering, and rest of the events were unknown. Follow-up attempts are needed; Additional information has been requested.


VAERS ID: 1440091 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-22
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Feeling cold, Inappropriate schedule of product administration, Myalgia, Off label use, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021771620

Write-up: Date of first vaccination: First dose: 2 April 2021 Second dose: 22 ''June'' 2021; Date of first vaccination: First dose: 2 April 2021 Second dose: 22 ''June'' 2021; Muscle ache; Joint pain; Extreme cold like fever; Extreme cold like fever; This is a spontaneous report from a contactable consumer reporting for himself. A 20-years-old male patient received his second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number and expiration date were not reported), via an unspecified route of administration on 22Jun2021 as single dose (at age of 20-years old) for covid-19 immunization which was administered outside of the range 19 - 42 days after the first dose. The patient previously took first dose of BNT162B2 (solution for injection, Batch/Lot number and expiration date were not reported), via an unspecified route of administration on 02Apr2021 for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that, after getting the second dose on 22Jun2021 (yesterday), he experienced a side effect like muscle ache, joint pain and extreme cold like fever on unspecified date in Jun2021. Consumer added, he was just trying to figure out symptoms were that he was experiencing if he needed to go to the ER or not. The outcome of all events was unknown. Information regarding the lot/batch number has been requested.


VAERS ID: 1440094 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Oregon  
Vaccinated:2021-06-10
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Hair disorder, Headache, Hypersensitivity, Insomnia, Pain, Pain in extremity, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021775299

Write-up: headache; chills; felt body pain; hair ached; small bumps; arm pain; itchiness; with an allergy in my left arm,; I can''t sleep anymore because the itching doesn''t allow me; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on 10Jun2021 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. It was reported that She was vaccinated on 10Jun2021, at pharmacies and wanted get vaccinated with Pfizer because she felt confidence and safeness with it. That same night she started with symptoms, arm pain and a slight itchiness along with an allergy in my left arm, on Friday she noticed small bumps on her arm which increased in number every hour, the itchiness was overwhelming. Saturday and Sunday she felt body pain, headache, chills, even my hair ached, she had been told that this was normal, the symptoms, she did not care, those days she could not leave home. Likewise her allergy and itchiness got worse. Allergy started to appear in the left leg and then continued to the right side. She went to the pharmacy where she was vaccinated to ask for help and explanation if this was normal, big surprise, they told me this was not their problem and she had to go to my primary physician. Without letting her give an explanation. She was and immigrant, she did not have health insurance in this country and did not handle language very well either. A lady saw what was happening and she helped her acting as an interpreter, she saw her so distraught that she gave her a phone number for people with no health insurance, she called and told them what happened to her, but she couldn''t get any help. They gave me as well a hospital address for people with no insurance, she immediately went to the site to ask for help, explained what happened to her and she told them she don''t have insurance but she must see a Dr, she showed them how was my allergy and they agreed to treat me, she was admitted. She told them she had no money to pay the hospital bill and they told me that the bill would come home. After a while, an assistant saw me, not a Dr, she told her everything, took off my clothes and showed her how my skin was with the allergy, she didn''t dare to touch me, just observed the itchiness and damage on my skin. She told me that patient should go where she was vaccinated, she told her, she came from there and what they told me at the pharmacy withheld. She was a little surprised but didn''t give me a solution either. She asked her if she should take the 2 dose and she said that she couldn''t answer that, the ones in charge in this case, (withheld), they should make that decision. She prescribed a cream to apply on my body and nothing else. she left the hospital very sad because nothing she did got me clear answers or some solution to my problem. she went to the pharmacy for the cream and oh surprise, two tubes of clobetasol propionate 0.05% they sent me have a cost of $225 which she didn''t have, pharmacy asked if she had health insurance and she said no and one of the girls from the pharmacy got a coupon to give me a discount, asked me if she want the two creams or just one, she said give her only one and the cost of that cream with that coupon was $67. she didn''t have the money and told them that she would come back next day. Next day she bought it and she started the application but didn''t have any improvement. she got a call from the hospital on Tuesday, they told her that a Dr saw my chart and he would change the cream. she told them she was upset because they made me buy something that wasn''t for my allergy problem, then send me another and without having health insurance in this country. She had been using the cream called triamcinolone acetonide 0.1%, she can''t sleep anymore because the itching doesn''t allow me and already spread to the rest of my body. Outcome of the event headache, chills, felt body pain, hair ached was recovered on 13Jun2021, Outcome of the event itchiness was not recovered. Outcome of the other events was unknown.


VAERS ID: 1440106 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-06
Onset:2021-06-01
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Eye irritation, Eye pain, Headache, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PLAVIX; ASPIRIN (E.C.)
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 INC2021782699

Write-up: shooting (Left) eye pain/more into the corner of her eye, whole head hurting; Could not even focus out of her left eye; irritating; shooting (Left) eye pain/more into the corner of her eye, whole head hurting; This is a spontaneous report from a contactable consumer via Pfizer. (Patient, reported for self). A 64-years-old female patient received first dose of BNT162B2 (Pfizer-BioNTech mRNA Covid-19 Vaccine, Formulation: Solution for injection, Lot number: EW0175, Expiration date: 31Aug2021), via an unspecified route of administration on 06May2021 as dose 1, single for COVID-19 immunisation. The patient medical history was not reported. The patient concomitant medications includes: clopidogrel bisulfate (PLAVIX) taken at 75 mg, 1x/day (one time a day by mouth) and acetylsalicylic acid (ASPIRIN (E.C.) taken at 81 mg, 1x/day (one time a day by mouth) both from unspecified dates for indication: Stents and ongoing. It was reported that after receiving the first dose of Covid vaccine the patient''s eye has had shooting pain every now and then since the vaccine, her whole head was hurting, has been to multiple healthcare providers, wants to report and wants to know if other people have experienced this as well, also wants to know whether to take second dose or not as well. It was reported that the patient has seen her primary for this event, two ER (Emergency Room), two urgent care doctors and an eye doctor and no one knows what was going on. The patient stated that the extreme eye pain started between the 13th and the 19Jun2021, exact date unknown, clarifies the pain was in the left eye, felt like someone was just stabbing her in the eye, it would come when it wanted, the pain would shoot into her eye. Her doctor numbed her eye and pain kept shooting through her eye, it is unbearable. Could not even focus out of her left eye, noticed the pain is a little better but keeps getting the shooting pains into the eye, more into the corner of her eye, it is so irritating. Patient clarified that she received the vaccine on 06May2021 and has not received second dose yet. No investigation Assessment was reported. Patient enquired how long symptoms should last after the vaccine, has anyone else reported this symptom, should she get the second dose. The clinical outcome of the events shooting (Left) eye pain/more into the corner of her eye, whole head hurting had not recovered, and the outcome of other events were unknown.


VAERS ID: 1440454 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-01
Onset:2021-06-01
   Days after vaccination:92
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Disorientation, Muscle spasms, Neurological symptom, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 175 mcg PO daily
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Neurological deficit - brief moments of complete disorientation- not knowing where I was, or what I was doing. These instances were brief and temporary but did not occur EVER prior to the vaccine. I have also experienced involuntary muscle spasms, and intermittent tremors. I am 45 with no underlying conditions other than hypothyroidism


VAERS ID: 1440465 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-12
Onset:2021-06-01
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 - / SYR

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

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

Write-up: Chest pain and heart burning


VAERS ID: 1440533 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Dizziness, Feeling abnormal, Headache, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: High grade Fever, headache, chills, body aches, sore throat, foggy and dizzy feeling


VAERS ID: 1440675 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Contusion, Peripheral swelling, Rash macular, Rash pruritic
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ambien, atenolol, crestor, amlodipine besylate, allopurinol, 81 mg aspirin, collace, biotin, vitamin D3, co-q-10
Current Illness:
Preexisting Conditions: psoriatic arthritis, heart, fybromyalgia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: red blotch with lump on left arm, black and blue marks left leg, itchy little bumps, top left foot, very black and blue on top of right foot going on to toes took pictures on my cell phone


VAERS ID: 1440756 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-06-09
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 3 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin 81 MG tablet Atorvastatin 10MG Tab Buspirone 10 MG tab Citalopram 20 MG tab Famotidine 20 Mg tablet Flonase Allergy Relief 50mcg Hydrochlorothiazide 25 mg tablet Nitrostat 0.4 Sublingual tab Risperdal Consta 25mg/2 mL: Triamcinolon
Current Illness: patient screen negative for any illnesses- has no prior history of illness 30 days prior
Preexisting Conditions: Hypertension mental health issues
Allergies: No know allergies
Diagnostic Lab Data: none
CDC Split Type:

Write-up: No symptoms - staff checked in with patient and patient denied any issues with receiving the 3rd dose


VAERS ID: 1440824 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1440829 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-21
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / UNK LA / IM

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

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

Write-up: vaccine given after expiration


VAERS ID: 1440980 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-10
Onset:2021-06-01
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / UNK UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Atrial fibrillation, Cardioversion
SMQs:, Supraventricular tachyarrhythmias (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient hospitalized for atrial fibrillation with RVR and underwent a cardioversion within 6 weeks of receiving COVID vaccination.


VAERS ID: 1441093 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-06-26
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 - / IM

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

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

Write-up: vaccine error - administered 40 minutes after 6 hour expiration date . I contacted manufacture and they confirmed vaccine was still good. Doses are keep in vial and drawn up at time of administration


VAERS ID: 1441121 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-31
Onset:2021-06-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Chills, Echocardiogram, Feeling cold, Pyrexia, Thymus disorder
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamins
Current Illness: None / Not known
Preexisting Conditions: None / Not known
Allergies: None / Not known
Diagnostic Lab Data: Testings (ECG, echo-cardiogram) were performed at a cardiologist''s office on Jun 24, 2021 to check for myocarditis or pericarditis -- those were not confirmed / were not sever enough at the time to diagnose. Most likely origin of pain and discomfort was thymus.
CDC Split Type:

Write-up: In about 12-14 hours after the 2nd dose of the Pfizer/BioNTech vaccine developed sever fever, chills, violent shivering. In about 24-26 hours after the vaccination chest pain/discomfort/pressure started, predominantly on the left side, and continued on and off with moderate severity until the end of June, the pain started to subside as of Jul 1, 2021.


VAERS ID: 1441308 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Electrocardiogram abnormal, Feeling hot, Hypoaesthesia, Muscle twitching, Pain, Pain in extremity, Tendonitis, Ultrasound Doppler
SMQs:, Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: flu shot about 7 years ago
Other Medications: none
Current Illness: no
Preexisting Conditions: fibromyalgia
Allergies: bactrim
Diagnostic Lab Data: ekg showed abnormalities. doppler was fine
CDC Split Type:

Write-up: developed sensations of heat from head to toe initially. in the evening developed twitching in limbs and numbness in the face for about 2 weeks. the third week developed tendonitis in feet with pain shooting up wards of left leg calf and arm


VAERS ID: 1441339 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-29
Onset:2021-06-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood test, COVID-19, Cardio-respiratory arrest, Coronary arterial stent insertion, Echocardiogram, Electrocardiogram, Feeling cold, Impaired work ability, Intensive care, Laboratory test, Myocardial infarction, SARS-CoV-2 test positive, Seizure, Tremor, Vaccination complication
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Convulsions (narrow), Embolic and thrombotic events, arterial (narrow), Parkinson-like events (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Other ischaemic heart disease (narrow), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Flomax (nightly for shy bladder) Monthly Testosterone Shots
Current Illness: None
Preexisting Conditions: None except for Shy Bladder and LowTestosterone
Allergies: Clindamyacin for Sinus Infections 2 yrs. ago
Diagnostic Lab Data: Every 3 yrs. an EKG wasdone as well as 4 Echo Cardiogram, extensive blood work, etc, etc. for 3 full days. Let go on the Thursday of the same week to go home to rest for two weeks. Heis returningto work on July 5, 2021. Theyare calling him a"miracle man". They stated they actually saw his heart healing itself. I kid you NOT!!!
CDC Split Type:

Write-up: Patient had an adverse reaction from the second shot on n 5/29/21 He began to shake violently as if having a seizure. Extremely cold and extremely weak. We did a tremendous amount of prayer worldwide and also treated appropriately with fluids and blankets. On 6/14/21, my husband suffered a massive heart attack and coded for 3-4 minutes in the ER. He was then hospitalized in the ICU/COVID Unit (that''s right, they said he was COVID positive). No way! He also had COVID in April as well as myself (wife). He was administered many many tests over and over and they put two stents in his right artery totheheart.


VAERS ID: 1441818 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 UN / IM

Administered by: Public       Purchased by: ?
Symptoms: No adverse event, 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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: A vaccine dose was administered to a homebound patient. The dose was prepared and stored in a portable cooler with a data logger by health department. Paramedics administering the dose did not recognize the cooler temperature was below the temperature storage range of the vaccine. The vaccine was administered without adverse effects to the patient during the 30 minute period the patient was observed.


VAERS ID: 1441820 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 UN / IM

Administered by: Public       Purchased by: ?
Symptoms: No adverse event, 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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: A vaccine dose was administered to a homebound patient. The dose was prepared and stored in a portable cooler with a data logger by the Health Department. Paramedics administering the dose did not recognize the cooler temperature was below the temperature storage range of the vaccine. The vaccine was administered without adverse effects to the patient during the 30 minute period the patient was observed.


VAERS ID: 1441821 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 UN / IM

Administered by: Public       Purchased by: ?
Symptoms: No adverse event, 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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: A vaccine dose was administered to a homebound patient. The dose was prepared and stored in a portable cooler with a data logger by the local Health Department. Paramedics administering the dose did not recognize the cooler temperature was below the temperature storage range of the vaccine. The vaccine was administered without adverse effects to the patient during the 30 minute period the patient was observed.


VAERS ID: 1441891 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-08
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 - / SYR

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Plaquenil, Topiramite, Oxcarbazepine,
Current Illness: Lupus
Preexisting Conditions: Lupus
Allergies: Sulfa
Diagnostic Lab Data: Enlarged heart. Myocarditis developed. Determined from the 1st Pfizer vaccine.
CDC Split Type:

Write-up: Went to ER. Stayed in Cardiac Ward. 3 days. Treated with heparin, nitro drip. Several test done.


VAERS ID: 1441909 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-19
Onset:2021-06-01
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Fatigue, Night sweats, Pyrexia
SMQs:, Anaphylactic reaction (broad), 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: Ritalin 20mg, 3x daily
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Several weeks after vaccination, had mild cough, fatigue, and fever whenever tired, usually at night. Cough and night sweats still recurring when fatigued 5 weeks after vaccination.


VAERS ID: 1442291 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Diarrhoea, Dyspnoea, Feeling abnormal, Fibrin D dimer, Heart rate, Heart rate increased, Influenza like illness, Lymphadenopathy, Magnetic resonance imaging head, Renal pain, Thrombosis, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Contrast media reaction
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: MRI brain; Result Unstructured Data: normal; Test Date: 202106; Test Name: Diagnostic ultrasound; Result Unstructured Data: normal; Test Date: 20210610; Test Name: Heart rate; Result Unstructured Data: elevated over 100 at rest (for 4 days); Test Date: 20210614; Test Name: Heart rate; Result Unstructured Data: decreased to a healthier range; Test Date: 20210621; Test Name: Fibrin D dimer; Result Unstructured Data: elevated
CDC Split Type: USJNJFOC20210660381

Write-up: POSSIBLE BLOOD CLOT ISSUE; ELEVATED HEART RATE (OVER 100 AT REST); KIDNEY PAIN; NO APPETITE; FLU LIKE SYMPTOMS; SWOLLEN GLANDS IN NECK; SERIOUS BRAIN FOG; DIARRHEA; SHORTNESS OF BREATH; This spontaneous report received from a patient concerned a 52 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included allergy to contrast dye. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, expiry: unknown) dose was not reported, 1 total, administered on 10-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-JUN-2021 after getting vaccination, the patient experienced elevated heart rate of over 100 at rest for four days. On an unspecified date in JUN-2021 after vaccination, the patient also experienced shortness of breath, headache, kidney pain, diarrhea, no appetite, flu-like symptoms, swollen glands in neck, aches and pains and had severe fatigue. On 14-JUN-2021, after four days of vaccination, the patient heart rate decreased to a healthier range but shortness of breath, headache, swollen glands, extreme fatigue and diarrhea continued. The patient also had serious brain fog. On 21-JUN-2021, after 11 days of vaccination, the patient had a severe shortness of breath and the patient''s PCP (primary care physician) directed patient to visit an emergency room in a hospital. The patient took blood test and showed an elevated d-dimer indicating possible blood clot issue. The patient could not perform lung CT (computed tomography) or angiography due to a severe allergy to contrast dye. The patient also had an MRI (magnetic resonance imaging) of brain and ultra sound of the legs and the results were normal. The patient was on day 16 post vaccination at the time of this report. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from elevated heart rate (over 100 at rest) on 14-JUN-2021, had not recovered from flu like symptoms, swollen glands in neck, possible blood clot issue, serious brain fog, and diarrhea, and the outcome of shortness of breath, kidney pain and no appetite was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0- 20210660381-Covid 19 Vaccine ad26.cov2.s-Possible blood Clot. 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).


VAERS ID: 1442299 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210660759

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a patient via a company representative concerned an 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) 1 total, dose was not reported, on an unspecified date in MAY-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 an unspecified date in JUN-2021, the patient was diagnosed with Covid-19 and was sick for few days. Patient experienced suspected clinical vaccination failure. He was on rest at time of reporting. He was well with no medical condition. It was not known how he was diagnosed with Covid and which test was used. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the suspected covid-19 infection, suspected clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000184096 The suspected product quality complaint has been confirmed to be non voided based on the PQC evaluation/investigation performed.; Sender''s Comments: V0-20210660759-Covid-19 vaccine ad26.cov2.s-Suspected clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1442308 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Bronchitis
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: Abstains from alcohol; Non-tobacco user
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210661215

Write-up: BRONCHITIS; This spontaneous report received from a health care professional concerned a 71 year old female. The patient''s weight was 86 kilograms, and height was 148 centimeters. The patient''s concurrent conditions included no tobacco use, and abstains from alcohol. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUN-2021, the subject experienced bronchitis. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of bronchitis was not reported. This report was non-serious. This case, involving the same patient is linked to 20210405798.; Sender''s Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1442315 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hypersensitivity, Purpura, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (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: USJNJFOC20210661863

Write-up: RASH OF BLOOD COMING TO SURFACE OF SKIN; RASH ON ARMS AND FOOT; ALLERGIC REACTION TWICE; This spontaneous report received from a patient via a company representative concerned a 58 year old of unspecified 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 not reported, batch number: 1808986 expiry: UNKNOWN) dose was not reported, administered on 11-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced rash of blood coming to surface of skin. On JUN-2021, the subject experienced rash on arms and foot. On JUN-2021, the subject experienced allergic reaction twice. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the allergic reaction twice, rash of blood coming to surface of skin and rash on arms and foot was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1442320 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210662412

Write-up: SORE BODY; SORE ARM; This spontaneous report received from a patient concerned an 85 year old of unspecified 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 not reported, batch number: Unknown) dose was not reported, administered on 25-JUN-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 sore body. On JUN-2021, the subject experienced sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the sore arm and sore body was not reported. This report was non-serious.


VAERS ID: 1442332 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210664224

Write-up: ADMINISTRATION OF IMPROPERLY STORED VACCINE; OUT OF SPECIFICATION PRODUCT USE; This spontaneous report received from a pharmacist concerned multiple patients. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1821286 expiry: UNKNOWN) dose was not reported, administered on 01-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 01-JUN-2021, the subject experienced administration of improperly stored vaccine. On 01-JUN-2021, the subject experienced out of specification product use. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the administration of improperly stored vaccine and out of specification product use was not reported. This report was non-serious.


VAERS ID: 1442342 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-01
Onset:2021-06-01
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Heart rate increased, Myoclonus, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Duloxetine 60 mg, hydroxyzine 25 mg, Vitamin B-complex, fish oil
Current Illness: Vulvodynia
Preexisting Conditions: Vulvodynia
Allergies: Codine, Amoxicillin, Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mycolonus and elevated heart rate/tachycardia 8-weeks following vaccine.


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