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From the 5/7/2021 release of VAERS data:

Found 188,897 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 29 out of 1,889

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VAERS ID: 1278975 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:2021-03-29
Onset:2021-04-17
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210417; Test Name: Covid-19 test; Result Unstructured Data: Test Result:Positive; Comments: she tested positive for COVID-19 this past Saturday 17Apr2021
CDC Split Type: USPFIZER INC2021431907

Write-up: tested positive for COVID-19; tested positive for COVID-19; This is a spontaneous report from a Pfizer-sponsored program via a contactable consumer (patient, self-reported). This 34-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date: unknown), via an unspecified route of administration on 29Mar2021 as single dose for COVID-19 immunisation. Patient''s medical history and concomitant medications were not reported. On 17Apr2021, Saturday, the patient tested positive for COVID-19. On unknown date in Apr2021, a week ago, the patient tested negative. On 19Apr2021, The patient scheduled to receive the second dose of the vaccine today.The patient wants to know if she should reschedule or proceed with her second dose today. The patient underwent lab tests and procedures which included tested for COVID-19 was positive on 17Apr2021, Saturday. Outcome of the events were unknown. Information about lot and batch number was requested.


VAERS ID: 1279148 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-01-19
Onset:2021-04-17
   Days after vaccination:88
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 1 RA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210417; Test Name: Nasal Swab; Test Result: Positive
CDC Split Type: USPFIZER INC2021437792

Write-up: Positive for Covid on19Apr2021. Exposure to confirmed positive in home; Positive for Covid on 19Apr2021. Exposure to confirmed positive in home; This is a spontaneous report from a contactable other healthcare professional. A 45-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), dose 1 intramuscular in right arm on 19Jan2021 at 13:45 (Batch/Lot Number: EL3247) and dose 2 via an unspecified route of administration on 10Feb2021 (Batch/Lot Number: EL3247), both as single dose for COVID-19 immunization (at the age 45-years-old). The patient''s medical history and concomitant medications. Patient did not receive any other vaccines within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. On 19Apr2021, the patient experienced positive for COVID, exposure to confirmed positive in home. The patient had symptoms, stuffiness and sore throat which started on 18Apr2021. On 17Apr2021, patient underwent lab tests and procedures which included sars-cov-2 test: positive. Outcome of the event was unknown.; Sender''s Comments: Based on the information currently available, lack of efficacy of the suspected vaccine BNT162B2 cannot be completely excluded. However, the efficacy of a vaccine varies from person to person and depends on various other factors.


VAERS ID: 1280886 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-24
Onset:2021-04-17
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Menstrual disorder
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

Write-up: Abnormally heavy bleeding during the menstrual period following the vaccination, including a large blood clot (also abnormal)


VAERS ID: 1281469 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-04-12
Onset:2021-04-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Rectal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASPIRIN 325MG, CYPROHEPTADINE 4MG, SIMVASTATIN 20MG, NORCO 10, LANTUS, CAREDILOL 25MG, LOSARTAN/HCTZ 50/12.5, TRAZODONE 150MG, GABAPENTIN 300MG, LORAZEPAM 1MG
Current Illness: NONE
Preexisting Conditions: DIABETES, HYPERTENSION
Allergies: NONE THAT ARE KNOWN TO THE PHARMACY
Diagnostic Lab Data:
CDC Split Type:

Write-up: BLEEDING PER RECTUM


VAERS ID: 1281497 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-11
Onset:2021-04-17
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood lactic acid increased, Platelet count, Vomiting, White blood cell count
SMQs:, Acute pancreatitis (broad), Lactic acidosis (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Motorola, omprezole, lisinoprol, preventative, diuretic.
Current Illness: Ulcers, blood pressure
Preexisting Conditions: Same
Allergies: None
Diagnostic Lab Data: White blood, platelets,lactase super high.
CDC Split Type:

Write-up: Vomiting


VAERS ID: 1282032 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-03-27
Onset:2021-04-17
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Triam/Hctz, Prozac, Coreg, Benicar, Biotin, Multivitamin, Elderberry, Zinc, Fish Oil, B12, Vitamin D, baby asiprin
Current Illness: rotator cuff bruise
Preexisting Conditions: Hypertension
Allergies: amoxicillin and Lispinopril
Diagnostic Lab Data: Doctor visit 4/15/21
CDC Split Type:

Write-up: Shoulder pain around injection site, deltoid muscle and rotator cuff


VAERS ID: 1282449 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-17
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (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: multivitamin, melatonin
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: I woke up in the morning with a tiny bruise under neat my left eye. I do have a photo. It disappeared the day after.


VAERS ID: 1282452 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-11
Onset:2021-04-17
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Pulmonary hypertension (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: norgestimate-ethinyl estradiol (SPRINTEC, 28, ORAL)
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: CTA Chest 4/30/21
CDC Split Type:

Write-up: Bilateral pulmonary embolism


VAERS ID: 1284657 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-17
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Ageusia, Anosmia, Migraine, Muscular weakness, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Taste and smell disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GABAPENTIN
Current Illness: Abstains from alcohol; Concussion (5 years ago); Convergence insufficiency; Drug allergy; Migraine; Non-smoker; Post concussion syndrome
Preexisting Conditions: Comments: The patient did not had any drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210422; Test Name: COVID-19 virus test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210454098

Write-up: SEVERE MIGRAINE; RIGHT ARM WEAKNESS; LOSS OF TASTE; LOSS OF SMELL; This spontaneous report received from a patient concerned a 49 year old female. The patient''s weight was 125 pounds, and height was 160 centimeters. The patient''s concurrent conditions included migraine, history of concussion, post concussion syndrome, eye convergence inefficiency due to concussion, regelan and penicillin allergy, non alcohol user, and non smoker, and other pre-existing medical conditions included the patient did not had any drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. Concomitant medications included gabapentin for severe migraine. On 17-APR-2021, the subject experienced loss of taste. On 17-APR-2021, the subject experienced loss of smell. On 22-APR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Negative. On 23-APR-2021, the subject experienced severe migraine. On 23-APR-2021, the subject experienced right arm weakness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from loss of taste, loss of smell, severe migraine, and right arm weakness. 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: 1284777 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-16
Onset:2021-04-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Deafness, Dizziness, Musculoskeletal chest pain, SARS-CoV-2 test, Tinnitus
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Vestibular disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210419; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC2021432991

Write-up: Loss of hearing in left ear; Dizziness more than 24 hours after; loud tinnitus; Deep pain in left side upper abdomen/ lower ribcage.; Deep pain in left side upper abdomen/ lower ribcage.; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male consumer received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 16Apr2021 at 14:15 at single dose in left arm for COVID-19 immunisation at the age of 29-year-old. Medical history and concomitant medications were unknown. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 24Mar2021 at 13:00 in left arm for COVID-19 immunisation at the age of 29-year-old. On 17Apr2021 at 16:00, the patient experienced loss of hearing in left ear, loud tinnitus, deep pain in left side upper abdomen/ lower ribcage, dizziness (also reported as more than 24 hours after). The patient was no treated due to the events. On 19Apr2021, nasal swab resulted negative. The patient did not recover from the events. Prior to vaccination, the patient was not diagnosed with COVID-19; since the vaccination, the patient has not been tested for COVID-19. Information on the lot/batch number has been requested.


VAERS ID: 1284832 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-28
Onset:2021-04-17
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: SARS-CoV-2 test, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210416; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC2021448670

Write-up: Big Blood Clot in left leg; This is a spontaneous report from a non-contactable consumer (Patient). A 80-years-old female patient (Non-pregnant) received bnt162b2 (Pfizer-Biontech COVID-19 vaccine, Solution for injection), via an unspecified route of administration on 28Mar2021 11:00 as single dose for COVID-19 immunisation. The patient medical history included allergies to Demerol. The patient''s concomitant medications were not reported. On 17Apr2021 21:30 patient experienced big blood clot in left leg. Patient was hospitalized for 2 days. The patient underwent lab tests and procedures which included Nasal swab test results negative on 16Apr2021. Treatment received for the adverse event was blood thinners. The outcome of event was Not recovered. No follow-up attempts are possible; information about lot/batch number cannot been obtained


VAERS ID: 1284852 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-16
Onset:2021-04-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 2 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Body temperature, Computerised tomogram, Disease recurrence, Fatigue, Pain in extremity, Pancreatitis, Pyrexia, SARS-CoV-2 test, Vaccination site rash
SMQs:, Acute pancreatitis (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
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: SAM-E
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Pancreatitis
Allergies:
Diagnostic Lab Data: Test Name: Blood test; Result Unstructured Data: Test Result:Unknown; Test Date: 20210417; Test Name: fever; Result Unstructured Data: Test Result:101.2; Test Name: CT Scan; Result Unstructured Data: Test Result:Unknown; Test Date: 20210421; Test Name: Nasal Swab/COVID 19 ALLINA MOLECULAR PCR; Result Unstructured Data: Test Result:Negative
CDC Split Type: USPFIZER INC2021464995

Write-up: Acute Idiopathic Pancreatitis; Acute Idiopathic Pancreatitis; fatigue; fever 101.2; sore arm; red rash at injection site; This is a spontaneous report from a contactable consumer (patient). A 57-years-old male patient received the second dose of bnt162b2 (Pfizer- BioNTech COVID 19, Lot Number: ER8731), via an unspecified route of administration, administered in right arm on 16Apr2021 13:30 (at the age of 57-years-old) as single dose for Covid-19 immunization. Medical history included Acute Idiopathic Pancreatitis. Concomitant medications included Centrum Silver multivitamin and ademetionine (SAM-E). The patient previously received the first dose of bnt162b2 (Pfizer- BioNTech COVID 19, Lot Number: ER2613), via an unspecified route of administration, administered in right arm on 26Mar2021 13:15 (at the age of 57-years-old) as single dose for Covid-19 immunization. Within 24 hours of receiving the second dose of bnt162b2 on 17Apr2021, the patient experienced fatigue, fever 101.2, sore arm, red rash at injection site. Five days after receiving the second dose of bnt162b2, on 21Apr2020, the patient was rushed to the hospital at 15:00 with Acute Idiopathic Pancreatitis. The events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event). The patient was hospitalized for 3days from 21Apr2021 to 24Apr2021. The patient underwent lab tests and procedures which included Nasal Swab/COVID 19 ALLINA MOLECULAR PCR on 21Apr2021 with negative result, CT scan on unspecified date with unknown result, and blood tests on unspecified date with unknown result. Therapeutic measures were taken as a result of the events which included fluids and pain medication. The outcome of the events were recovering.


VAERS ID: 1288416 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-17
Onset:2021-04-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW1064 / 2 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Condition aggravated, Confusional state, Fatigue, Memory impairment, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Epilepsy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021439962

Write-up: increased seizure activity/mini seizures; increased seizure activity/mini seizures; confusion and memory issues; confusion and memory issues; fatigue/tired; This is a spontaneous report from a contactable consumer. A 17-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 17Apr2021 09:00 (Lot Number: EW1064) as SINGLE DOSE (at age of 17 years old) for covid-19 immunisation. Medical history included epilepsy (interactable epilepsy) from an unknown date and unknown if ongoing. There were no concomitant medications. Historical vaccine information included BNT162B2 dose 1 on 25Mar2021 09:00, lot number as ER8733, in the left arm for COVID-19 immunisation(at age of 17 years old). On 17Apr2021, the patient experienced increased seizure activity, fatigue/tired, confusion and memory issues. After the 2nd shot, about 4-5 hours, he experienced increased seizure activity and it has progressed to today, today he is a little bit better but it has progressed to point he is having a lot of confusion and memory issues. He has several different types of seizures but he has what are called mini seizures, the blank stare, the confusion. Nothing has stopped completely, he isn''t back to his baseline as far as his seizures. He always has seizures, daily so she is calling about the increased activity and when she says his baseline she means he has not returned back to his baseline activity, but he is doing better than yesterday. Saturday, Sunday, and Monday were horrible. Today he started to get back to his normal self. The events did not require a visit to the Emergency Room or Physician Office. Outcome of the increased seizure activity/mini seizures, confusion and memory issues were recovering. Outcome of fatigue/tired were not recovered.


VAERS ID: 1289796 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-03-24
Onset:2021-04-17
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Back pain, Muscle spasms, Sciatica
SMQs:, Retroperitoneal fibrosis (broad), Dystonia (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: Shingles vaccine which was coupled with a flu shot, sick for days
Other Medications: Took her regular prescriptions at night (did not disclose them)
Current Illness:
Preexisting Conditions:
Allergies: Sulfa, Naproxen, Z-pack- Azithromycin, latex
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I experienced after my J&J vaccine, sciatica pain with sever low back pain and cramps. To this day I am still having the sciatica pain. I do not know if my symptoms are related to the vaccine.


VAERS ID: 1290649 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-17
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, Gabapentin, Alogliptin, Steglatro, Atorvastatin, Lisinopril
Current Illness:
Preexisting Conditions: Diabetes, high blood pressure
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately one week after vaccine symptoms began; Severe Abdominal Pain & Shortness of Breath


VAERS ID: 1290769 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-04-16
Onset:2021-04-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Retinal vein occlusion, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: possible central retinal vein ablasion; left eye vision was only like 5% of his vision; severe headache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of RETINAL VEIN OCCLUSION (possible central retinal vein ablasion) and VISUAL IMPAIRMENT (left eye vision was only like 5% of his vision) in a 39-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 16-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Apr-2021, the patient experienced HEADACHE (severe headache). On an unknown date, the patient experienced RETINAL VEIN OCCLUSION (possible central retinal vein ablasion) (seriousness criteria hospitalization and medically significant) and VISUAL IMPAIRMENT (left eye vision was only like 5% of his vision) (seriousness criterion hospitalization). At the time of the report, RETINAL VEIN OCCLUSION (possible central retinal vein ablasion) and VISUAL IMPAIRMENT (left eye vision was only like 5% of his vision) had not resolved and HEADACHE (severe headache) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Relevant concomitant medications was reported. Treatment information was not provided. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1291200 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-10
Onset:2021-04-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / UNK LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021439500

Write-up: I''ve developed bell''s Palsey; This is a spontaneous report from a contactable consumer. A 40-years-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration, administered in Arm Left on 10Apr2021 (Batch/Lot Number: EW0162) as a single dose for covid-19 immunisation. Medical history and concomitant medications were not reported. The patient did not have any other vaccinations within 4 weeks. The patient reported that on 17Apr2021, he developed bell''s palsey. The outcome of the event was not reported. The patient did not have COVID prior to vaccination not was tested post vaccination.


VAERS ID: 1291311 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-02
Onset:2021-04-17
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Seizure, Urine output
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ISOTRETINOIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Acne
Allergies:
Diagnostic Lab Data: Test Name: Blood test; Result Unstructured Data: Test Result:couldn''t find anything wrong; Test Name: CAT scan of her brain; Result Unstructured Data: Test Result:couldn''t find anything wrong; Test Name: Urine test; Result Unstructured Data: Test Result:couldn''t find anything wrong
CDC Split Type: USPFIZER INC2021443006

Write-up: This is a spontaneous report from a contactable consumer (patient''s father) via Medical Information team. A 16-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in the right arm on 02Apr2021 at 10:15 (batch/lot number and expiration date were unknown) as a single dose for COVID-19 immunization. The vaccination facility type was reported as a "drive thru COVID-19 vaccine clinic." The patient''s parents thought it was best for the patient to take the Pfizer COVID-19 vaccine, since she was eligible to get it so she would be protected. Relevant medical history included acne on the face from an unknown date and unknown if ongoing. Concomitant medication included isotretinoin taken for acne on the face, which she took for almost 3 months from an unspecified start date to 19Apr2021. The patient had no history of previous immunization with the Pfizer vaccine, since this was her first dose. There were no additional vaccines administered on the same date of the Pfizer suspect vaccine. The patient had no prior vaccinations (within 4 weeks) and had no adverse events (AEs) following prior vaccinations. The patient had no family medical history relevant to the AEs. On 17Apr2021 at about 16:15 in the afternoon, the patient experienced seizure. It was further reported that the patient had a side effect after receiving the Pfizer COVID-19 vaccine; the patient had a seizure 15 days after receiving the vaccine. The reporter was asking if seizure had been reported with the vaccine. The reporter had no idea for sure if it was the vaccine, but he wanted to let Pfizer know. The reporter was hoping the patient would be okay and it won''t happen again. The patient would see her physician at the time of the report on 21Apr2021 in a few hours. They would listen to the doctor at the appointment, and they had an appointment with the neurologist to see if she should get the second dose on Friday. They didn''t know yet. The reporter didn''t have the vaccination card with him. The patient had no conditions other than this event. The patient went to the emergency room for the event on an unspecified from which she had blood tests, urine tests, and a computerized axial tomography (CAT) scan of her brain and they said they couldn''t find anything wrong at that time. They needed to follow up with the hospital in the area to see a neurologist, which they would be doing the following day. They told them to follow up with the neurology department at their Hospital and told them until they find out more information; the patient could do what she needed to do, but she couldn''t drive a car. The reporter asked if Pfizer has had any reports of this and wondered if there had been other reports of seizures. The outcome of the event was unknown. Information on the batch/lot number has been requested.


VAERS ID: 1291318 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-27
Onset:2021-04-17
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 INC2021449174

Write-up: passed out; This is a spontaneous report from a contactable consumer, the patient, from a Pfizer-sponsored program Covax Support. A male patient of an unspecified age received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 27Mar2021 (Batch/Lot number was not reported) as a single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient passed out on 17Apr2021. The patient was supposed to get the vaccine on 17Apr2021 but he passed out on that day and he missed the shot. The outcome of event, passed out, was unknown. The lot number for the vaccine, BNT162b2, was not provided and will be requested during follow up.


VAERS ID: 1291333 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Utah  
Vaccinated:2021-04-16
Onset:2021-04-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dehydration, Diarrhoea, Fatigue, Feeding disorder, Nausea, Near death experience, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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 INC2021458514

Write-up: felt like she was actually dying, and she has been close to dying; Severe nausea and vomiting/severe nausea unable to eat without vomiting for 24 hours; Severe nausea and vomiting; unable to eat without vomiting for 24 hours; fatigue; Severe and uncontrollable diarrhea; got really severely dehydrated; moderate fevers; This is a spontaneous report from a non-contactable consumer. A 27-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 16Apr2021 (Lot Number: ER8731) as SINGLE DOSE for covid-19 immunisation. The patient''s medical history was not reported. There were no concomitant medications. On 17Apr2021, the patient experienced severe nausea and vomiting- vomited every 5 to 10 minutes for 12 hours, severe nausea unable to eat without vomiting for 24 hours, fatigue so severe. She had Severe and uncontrollable diarrhea- more than 12 times in 12 hours- almost constant. She felt like she was actually dying, and she has been close to dying. She got really severely dehydrated. She also had moderate fevers. It''s been days and she have not recovered. All of the events experience occurred on 17Apr2021. The patient did not received any treatment for all of the events. The patient was not pregnant. The patient does not have COVID prior vaccination and the patient has not been tested for COVID post vaccination. Outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1291608 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-17
Onset:2021-04-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Diarrhoea, Dysmenorrhoea, Faeces discoloured, Foreign body in gastrointestinal tract, General physical health deterioration, Nausea, Pallor, Pyrexia, Skin tightness, Somnolence, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: face feels like it''s tightening; painful menstrual period; Pale as a ghost; severe non-stop diarrhea since the day she got her vaccine; little stomach bug; Cannot keep eyes open at work; diarrhea has been all kinds of colors(now orange)/black when she was taking Pepto-Bismol; Fainted; Anxiety high; general health bad; Nausea; consistent low grade fever (100F to 100.4F); This spontaneous case was reported by a non-health professional (subsequently medically confirmed) and describes the occurrence of SYNCOPE (Fainted) in a 24-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 17-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Apr-2021, the patient experienced SYNCOPE (Fainted), ANXIETY (Anxiety high), GENERAL PHYSICAL HEALTH DETERIORATION (general health bad), NAUSEA (Nausea) and PYREXIA (consistent low grade fever (100F to 100.4F)). On 18-Apr-2021, the patient experienced FAECES DISCOLOURED (diarrhea has been all kinds of colors(now orange)/black when she was taking Pepto-Bismol). On 19-Apr-2021, the patient experienced SOMNOLENCE (Cannot keep eyes open at work). On 20-Apr-2021, the patient experienced DIARRHOEA (severe non-stop diarrhea since the day she got her vaccine) and FOREIGN BODY IN GASTROINTESTINAL TRACT (little stomach bug). On 28-Apr-2021, the patient experienced SKIN TIGHTNESS (face feels like it''s tightening), DYSMENORRHOEA (painful menstrual period) and PALLOR (Pale as a ghost). At the time of the report, SYNCOPE (Fainted) had resolved, SOMNOLENCE (Cannot keep eyes open at work), SKIN TIGHTNESS (face feels like it''s tightening), ANXIETY (Anxiety high), GENERAL PHYSICAL HEALTH DETERIORATION (general health bad), FAECES DISCOLOURED (diarrhea has been all kinds of colors(now orange)/black when she was taking Pepto-Bismol), FOREIGN BODY IN GASTROINTESTINAL TRACT (little stomach bug), DYSMENORRHOEA (painful menstrual period), PALLOR (Pale as a ghost), NAUSEA (Nausea) and PYREXIA (consistent low grade fever (100F to 100.4F)) outcome was unknown and DIARRHOEA (severe non-stop diarrhea since the day she got her vaccine) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. Treatment medications include Pepto-Bismol (bismuth subsalicylate) for diarrhea for 1.5 days (unknown dose/frequency). Patient waited out 20 minutes post-vaccination and then went to the bathroom. When she came out of bathroom she fainted, paramedics were summoned. Mother took patient to Emergency Room(ER) 20 April 2021, after taking her first to urgent care (who directed mother to take patient to the ER), ER sent her home saying it was just a little stomach bug, but no one else in the family got this "bug". Patient''s last test for Covid-19 was on Monday (26-Apr-2021) and results came back negative on 28-Apr-2021. Company comment: The event of faeces discolored is assessed as unlikely due to mRNA-1273 administration but due ingesting Pepto-Bismol. Based on the current available information and temporal association between the use of the product and the start date of the other events, a causal relationship cannot be excluded. Pyrexia and nausea are consistent with the product established safety profile.; Sender''s Comments: The event of faeces discolored is assessed as unlikely due to mRNA-1273 administration but due ingesting Pepto-Bismol. Based on the current available information and temporal association between the use of the product and the start date of the other events, a causal relationship cannot be excluded. Pyrexia and nausea are consistent with the product established safety profile.


VAERS ID: 1293427 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-11
Onset:2021-04-17
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / N/A LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Platelet count normal, Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase
Current Illness:
Preexisting Conditions:
Allergies: Biaxin
Diagnostic Lab Data: Had blood platelets checked on April 20th with normal results. Had visit with PCP and also had normal examination. Was referred to ENT to be seen on May 11, 2021.
CDC Split Type:

Write-up: Constant ringing in ears.


VAERS ID: 1294658 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-16
Onset:2021-04-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Cold burn, Dizziness, Electric shock sensation, Hypoaesthesia, Insomnia, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Food allergy (Cannot digest bananas or avocados)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021442273

Write-up: On the 3rd day I also woke up with left side of my face feeling a slight but noticeable cold burn mainly above my left eyebrow and left cheek bone; Arm is still sore; palms of my hands feeling as if they were on fire. The back of my neck and upper back felt like they had a really bad sunburn 8 days post vaccine; parasthesia/pins and needles in my left arm and legs; Felt lightheaded for 4 full days after the shot beginning 20 hours after the shot; facial numbness/my left arm became numb/the numbness moved to various parts of my body; Constant electrical buzz and vibration in my body for the first week which made it impossible to sleep; impossible to sleep; This is a spontaneous report from a contactable consumer (reporting for himself). A 34-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 16Apr2021 at 11:30 (Batch/Lot Number: EP7533) as single dose for COVID-19 immunization. Medical history included allergy (cannot digest bananas or avocados). The patient''s concomitant medications were not reported. On 17Apr2021 at 08:00, the patient felt very strong lightheaded for 4 full days, with some facial numbness, woke up with left side of his face feeling a slight but noticeable cold burn mainly above his left eyebrow and left cheek bone. After lightheadedness, his left arm became numb. The numbness moved to various parts of his body. It would leave the left arm, then move to my right arm, then it would move to my neck and throat (skin only). The patient had constant electrical buzz and vibration in my body for the first week which made it impossible to sleep. The electrical buzz in the front part of his head between his eyes. Along with the arm numbness (parasthesia), the patient woke up with palms of his hands feeling as if they were on fire. The back of his neck and upper back felt like they had a really bad sunburn on 24Apr2021 (reported as 8 days post vaccine). On an unspecified date, the patient''s arm was still sore. The patient had doctor or other healthcare professional office/clinic visit. The patient also visited emergency room/department or urgent care. The patient was hospitalized for 1 day. The patient did not received treatment for the events. The patient was not diagnosed with COVID-19 prior to vaccination and has not been tested for COVID-19 since the vaccination. The outcome of the event cold burn was recovering while not recovered for the other events. Information about Lot/batch number was available. Further information has been requested.


VAERS ID: 1294679 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-17
Onset:2021-04-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anaphylactic shock, Blood pressure increased, Blood pressure measurement, Dysphagia, Loss of consciousness, Oropharyngeal discomfort, Paraesthesia
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), 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 (broad), Hypertension (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic reaction; Allergy to arthropod sting
Preexisting Conditions: Medical History/Concurrent Conditions: Anaphylactic reaction; Itchy scalp
Allergies:
Diagnostic Lab Data: Test Name: BP; Result Unstructured Data: Test Result:BP was 150 over 90; Comments: 150 something over 90; Test Name: BP; Result Unstructured Data: Test Result:159 over 90; Comments: something over 90 she thinks she heard 159 before they gave her the Benadryl
CDC Split Type: USPFIZER INC2021443994

Write-up: anaphylactic shock; I started to pass out; tingle in her lip/her tongue was tingling; her BP was 150 something over 90 she thinks she heard 159 before they gave her; her throat is starting to close up; trouble swallowing; This is a spontaneous report from a contactable consumer (patient). A 57-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in left arm on 17Apr2021 at 14:45 (Batch/Lot Number: EW0162), at the age of 57 year, as single dose for COVID-19 immunization. Medical history included anaphylactic reaction to spider bites, pruritus, ongoing hypersensitivity, ongoing allergy to arthropod sting. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously took Lortab [hydrocodone bitartrate;paracetamol] and experienced drug hypersensitivity, singulair and experienced drug hypersensitivity. Concomitant medication included neocell super collagen, 6g collagen six per day as supplement. On 17Apr2021 the patient experienced anaphylactic shock, reported as medically significant. The patient reported "I started to pass out. She had tingle in her lip/her tongue was tingling. Her BP was 150 something over 90 she thinks she heard 159 before they gave her; her throat was starting to close up, she had trouble swallowing. She went to the hospital straight from the clinic where she received the vaccine. The patient reported the following: she went for shot at 14:30 and they didn''t take her in until like 14:45. Patient stated after the shot, she sat down and knew she had to wait for at least 30 minutes because 10 years ago she had a couple events of anaphylactic shock due to spider bites. So patient stated she knew she should wait. Patient stated she started reading her book and had trouble swallowing at 5 minutes later, but she decided to keep reading book. Patient stated that 10 minutes she started to feel a tingle in her lip and then she started paying attention. Patient stated she then went over to the staff and found someone who was not busy and explained to them what was happening. Patient stated that staff member walked her over to the nurses station and at that time her tongue was tingling and this is not even 15 minutes later. The patient stated they gave her 10 ml of Benadryl and at about 15:05 at about 15:20 they had to give her the epinephrine because her throat was starting to close up and they called 911. The patient stated unfortunately the epi didn''t; it may have slowed it down but she started to pass out. She don''t know what her oxygen level was at that point. The patient recalled that her BP was 150 something over 90, she thinks she heard 159 before they gave her the Benadryl or at the same time. The patient stated once the EMT''s showed up they gave her an IV and gave her steroids and that stopped her throat from closing and they gave her oxygen and that made her feel so much better. The patient stated it''s like reliving the story here and her throat is starting to close up, patient clarified she is just choking up thinking about it and denied that her throat is actually closing up during call. The patient stated they did a lot of testing after did not show any signs of clotting which was good. Patient stated she did have trouble breathing, and they checked heart and her heart was fine. Patient states her throat, that is the part she needs to talk with her doctor about. Her throat didn''t start to completely relax. Patient stated it was still tight on Sunday and Monday and that was a little concerning for her, but as far as lab work, no. Patient stated she was not admitted to the hospital, she spent 5 hours in the emergency room (ER) for observation and got sent home with an epi pen which she is not going to get and steroids which she finished yesterday. Patient stated she is not going to get the EpiPen because she does not foresee any need for it due to the amount of money it costs. Patient stated it costs $232 dollars and that is just too much, not to mention the amount of money she will have to give to hospital for the bill due to this event. Patient stated she is pretty clear that she won''t or shouldn''t get the next shot. The clinical outcome of Anaphylactic shock was recovered on 20Apr2021. The clinical outcome of her throat is starting to close up was not recovered. The clinical outcome of the remaining events was unknown.


VAERS ID: 1294684 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-17
Onset:2021-04-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anaphylactic reaction, Anaphylactic shock, Asthma, Blood count abnormal, Body height, Bone pain, Chest pain, Dyspnoea, Rash, Rash macular, Skin discolouration, Swelling, Swelling face, Tachycardia, Throat irritation, Throat tightness, Urticaria, White blood cell count, White blood cell count increased
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma (Diagnosed at 4 years old and it is usually controlled with medications.); Ehlers-Danlos syndrome
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: Test Name: Height; Result Unstructured Data: Test Result:155cm; Test Date: 20210426; Test Name: Blood work; Result Unstructured Data: Test Result:Elevated; Comments: All White Blood Cell Counts Elevated
CDC Split Type: USPFIZER INC2021444126

Write-up: face and neck swells; face and neck swells; Tachycardia; feels like she is having an asthma attack.; blotch; blood counts continue to become worse; asthma worse; White blood cell counts are all elevated; A lot of bone pain; some trouble breathing; chest pain; dark purple on face; Ginormous welts/Rash or welt 1.5 inches by 1 inch on cheek; Itching in back of throat; anaphylactic reaction; anaphylactic shock; ginormous rash on her daughter''s face that comes and goes and then it will be on her chest , face, neck and shoulders and migrates wherever; throat feels tight; This is a spontaneous report from a contactable consumer (patient''s mother) and consumer (patient) via a Pfizer-Sponsored Program, . A 22-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection) via an unspecified route of administration on 17Apr2021 at 09:10 (at the age of 22-years-old) as a single dose in the right arm for COVID-19 immunization. Medical history included penicillin allergy from an unspecified date and unspecified if ongoing, asthma from an unspecified date (diagnosed at 4 years old and it is usually controlled with medications) and ongoing and Ehlers-Danlos syndrome from 2019 and ongoing. Concomitant medications were reported as none. The patient did not receive any additional vaccines on the same date as the COVID-19 vaccination and did not receive any vaccinations within 4 weeks prior to the COVID-19 vaccination. The patient previously received the flu shot on an unspecified date for immunization and experienced allergic to flu shot preservative and the patient previously received Biaxin on an unspecified date for an unspecified indication and experienced allergy. On 17Apr2021 at 09:12 the patient experienced anaphylactic reaction and anaphylactic shock; on 17Apr2021 the patient experienced throat feels tight, ginormous rash on her daughter''s face that comes and goes and then it will be on her chest , face, neck and shoulders and migrates wherever; on 18Apr2021 the patient experienced ginormous welts/rash or welt 1.5 inches by 1 inch on cheek, itching in back of throat; on 20Apr2021 the patient experienced dark purple on face; on 24Apr2021 the patient experienced some trouble breathing and chest pain; on 25Apr2021 the patient experienced a lot of bone pain; on 26Apr2021 the patient experienced white blood cell counts are all elevated and on unspecified dates the patient experienced face and neck swells, tachycardia, feels like she is having an asthma attack, blotch, blood counts continue to become worse and asthma worse. The reporter called to report that her daughter received the first dose of the COVID-19 vaccine on 17Apr2021 and that her side effects started two minutes later (also reported as 4 minutes later). The patient experienced anaphylaxis and anaphylactic shock. She stated that her daughter continued to have anaphylactic reactions and had to go to the hospital every day since then. The clinical course was reported as follows: her daughter and her husband went to get the vaccine together on 17Apr2021. They went to a facility giving the Pfizer vaccine, and the reporter stated that her daughter was asked, and she did tell them, that she could not receive the flu vaccine that had the additives in it because she was allergic to it. The reporter stated that her daughter was not taking the flu shot for years. She stated that her daughter was allergic to Biaxin but could take Zithromax because of the different additives. They had no idea what the preservative was, but it was obviously in the flu shot so they stopped getting the flu shot until they stopped putting the preservative in the vaccine. The reporter stated that her daughter received the COVID-19 vaccine and within two minutes her daughter told her dad that she was having a hard time breathing. Her daughter walked over to the city EMS who were on site and told them that she was having a hard time breathing. They treated her and then took her to hospital via ambulance. She was treated at the hospital and they were hesitant to discharge her because they were worried about her bounce back. This was exactly what has happened. Every night since the vaccine she has had to take her daughter into the hospital. Every day was a nightmare of either EpiPen injections, Tagamet, Benadryl or prednisone and ended up in the ER every day, where they give her IV Benadryl and send her home. The caller stated that her daughter''s symptoms start with ginormous welts and then an itching to the back of the throat. She had seen a ginormous rash on her daughter''s face that came and went and then it would be on her chest, face, neck and shoulders and migrated wherever. She saw dark purple on her daughter''s face yesterday before she went to the ER. Her skin will blotch, and she will say that her throat feels tight like when she had a reaction to penicillin. She stated that her daughter used to get this when she they would give her penicillin; she would have that reaction every time she got penicillin and they finally said she was allergic to it. The caller states that after those symptoms started, she called EMS and they took her to a hospital. The caller stated she took her daughter to another hospital and they medicated her with IV Benadryl and fluids. Her primary care doctor told the emergency room staff to discharge the patient and that he would give her specific medications to go home with. He called in the medications, but they did not work. He gave her specific medication that did not work, half of her face was turning purple. The purple face was then replaced by an area approximately 1 inch wide on cheek between temple and the jaw. It was 1.5 inches long and was red and looked like a rash or welt. The patient would take an inhaler when she started to have breathing difficulties. That was when the reporter was like "here she goes again". It felt like it almost made her asthma worse and had to treat that as well. There was a little oddity when they did blood work on her daughter and her white blood count was high and was probably her body reacting to the COVID-19 vaccine. So, she went back to the hospital. The nurses said there was nothing they could do for her, and she needed to find an allergist. The reporter stated that she was tired of the ER visits and wanted her daughter to get better. She stated that she doubled the dose of her daughter''s Tagamet. She stated that the patient''s face and neck swells and she would get tachycardia. The reporter stated that she would not take her daughter to the hospital anymore. The hospital did not think it could be related to the vaccine, but she had not done anything else. The reporter wanted to report this event because she did not think people were taking this seriously. She stated that no one believed it was related to the vaccine, so they were not getting help. She wanted to know if this was a side effect and what could she do about it. She also inquired on whether her daughter should get the second shot. She stated that her daughter would not get the second shot. She had heard that if you had any reaction to the vaccine, then you should not receive the second dose. Her daughter''s doctors have told her to receive the second vaccine. The reporter also stated that she wondered if this was some mast cell activation due to Ehlers-Danlos syndrome. The reporter also asked if Pizer made a preservative free vaccine. Upon follow-up received on 27Apr2021, the patient called to report that she was still experiencing side effects from the anaphylactic reaction and it had been 10 days since administration. She was told it would last about 4-10 days and then be gone, but it had continued, and it had been over 10 days. She had no new symptoms, other than a lot of bone pain. The bone pain made it feel like her bones were shattering. She went to the ER yesterday where they did blood work and said that all of her white blood cell counts were elevated. The anaphylaxis lasted from 17Apr2021 and subsided in that sense on 24Apr2021. Since then she still had the chest pain, some trouble breathing, and felt like she was having an asthma attack. She had been back and forth to the ER several times since 17Apr2021. The ER kept ruling her symptoms as a reaction to the vaccine. She had been using epinephrine as needed. The patient stated that she was not planning on receiving the second dose due to her reaction. She wanted to know where she should go from here. She wanted to know if this would last forever and how much longer could her symptoms last. The clinical outcomes of the events ginormous welts/rash or welt 1.5 inches by 1 inch on cheek, itching in back of throat and a lot of bone pain were not recovered/not resolved; dark purple on face was recovered/resolved on 21Apr2021; outcomes of all other events were unknown.


VAERS ID: 1294707 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-04-16
Onset:2021-04-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Atrial fibrillation, Dehydration, Dizziness, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Atrial fibrillation (Verbatim: Atrial Fibrillation); Coronary artery disease (Verbatim: Coronary artery disease); Diabetes (Verbatim: Diabetes)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021446641

Write-up: Lightheaded and dizzy; Nauseous; Dehydrated; Lightheaded and dizzy; Atrial fibrillation with rapid ventricular response; Not feeling well; This is a spontaneous report from a contactable consumer. A 79-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 16Apr2021 at the age of 79 years old, (Batch/Lot Number: EW0164) as SINGLE DOSE for covid-19 immunisation, and dose 1 via an unspecified route of administration, administered in Arm Left on 19Mar2021 Batch/Lot number was E or F, N6205;) as a single dose, for covid-19 immunisation. Medical history included diabetes from 2009, coronary artery disease from Jan2020, and atrial fibrillation and Shingrix Vaccine/NDC, Lot Number, Expiration Date not known by caller.Vaccination Date: Jul2018. Concomitant medications were not reported. On 17Apr2021, the patient reported not feeling well. 18Apr2021 she woke up in the morning and was lightheaded and dizzy. She was also nauseous.States she called an ambulance. She was found to be in Atrial Fibrillation. she also found out when she got to the Emergency Room that she was dehydrated. States she does not know if that ties in with the vaccine or not. She states someone told her she should be drinking a lot of water since she had the vaccines; asks if this is true. She was admitted to the hospital on Sunday 18Apr2021 and was released yesterday afternoon 20Apr2021.On 19Apr2021, she was lightheaded and dizzy, nauseous. She also experienced atrial fibrillation with rapid ventricular response and was dehydrated. The patient was admitted to the hospital on 18Apr2021 and released on 20Apr2021. The outcome of the events of not feeling well, lightheaded and dizzy, nauseous were recovered on 20Apr2021, the remaining events was unknown. .


VAERS ID: 1205856 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Washington  
Vaccinated:1978-03-13
Onset:2021-04-16
   Days after vaccination:15740
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Brain scan normal, Computerised tomogram head, Fatigue, Headache, Photosensitivity reaction, Pyrexia, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cymbalta, gabapentin, nortryptaline
Current Illness: None
Preexisting Conditions: Migraines, Fibromyalgia
Allergies: Erythromycin
Diagnostic Lab Data: April 9 - Brain CT (Test was clear)
CDC Split Type:

Write-up: March 13 & 14 - fever, fatigue, headache March 15 -18 headache (migraine like) March 19 - current date 1. severe debilitating headache, non-responsive to: immitrex migraine medication, Vicodin, flexaril, excedrin, or butalbital/acetaminophen/caffeine tablets 2. Blurry vision 3. Extreme light sensitivity April 7 - injection of Toradol (4 hours of relief) April 8 - current (4/13) Toradol every 6 hours with Tylenol supplements as needed between doses


VAERS ID: 1207939 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-09
Onset:2021-04-16
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Headache, Inflammation, Lethargy, Pain, Pruritus, Pyrexia, Sensitive skin, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Once from a flu shot in 2015. The effects were far more mild and went away within 12 hours.
Other Medications: odefsey
Current Illness: n/a
Preexisting Conditions: asthma; bronchiectasis; HIV
Allergies: n/a
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: The evening after the shot, I felt common side effects like headache, lack of energy, weakness, fever, chills, body aches, and inflammation. But my skin was also very sensitive to the touch. Upon 100% recovery from the common side effects on Monday, April 19, my skin sensitivity went away but was replaced with intense itchiness that has continued and gotten more intense since then to this day (Wed.). I am developing a few small welts on hands and feet. So far, my symptoms are very mild and not alarming, but are noticeable and bothersome. I do hope they will go away soon. I thought you should know about the skin issue since I have not seen it reported anywhere this far after the shot.


VAERS ID: 1216135 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-09
Onset:2021-04-16
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

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

Write-up: None stated.


VAERS ID: 1216608 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estradiol, Escitalopram, magnesium supplement, Vitamin D3/K2 supplement
Current Illness:
Preexisting Conditions: Asthma, depression, endometriosis
Allergies: Zithromax
Diagnostic Lab Data:
CDC Split Type:

Write-up: Very sore left arm for two days after injection. Then in day 8, sudden pain and swelling of left arm bear infection site.


VAERS ID: 1216696 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-04-15
Onset:2021-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040B21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Injection site pain
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (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: On the night of Wednesday April 14th, I applied a tiny amount of Triamcinolone Acetonide Cream USP (0.1%) to my left hand, left ankle, and left arm, and right wrist, all around the size of a dime, as prescribed by a dermatologist. I had bee
Current Illness: I visited a dermatologist on March 15th, 2021 for an unknown rash and was prescribed a cream and told to use for two months and report back to the dermatologist.
Preexisting Conditions: I was diagnosed with generalized anxiety disorder in 2018 while under the care of a Counseling Psychologist from March of 2017 to September of 2019. My anxiety has decreased significantly since.
Allergies: I am allergic to the following antibiotics: Cephalosporins, Suprax, Bactrim, Augmentin.
Diagnostic Lab Data: I did not receive any medical tests or laboratory results after the experience described in this report.
CDC Split Type:

Write-up: On Friday April 16th, 2021, at around 12:10 AM, I had responded to an email for work that I forgot to respond to in the afternoon because I was receiving my first Moderna vaccine at that time. The email induced a lot of stress and shortly thereafter I felt my chest feeling heavy and started wondering whether I had trouble breathing. It is currently Friday April 16th at 1:32 AM, I woke up my housemate and we took a walk around the block for about 30 minutes and I am feeling better. Since receiving the Moderna injection, the area that received the injection has felt sore.


VAERS ID: 1216698 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-15
Onset:2021-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain lower, Bladder spasm, Chills, Computerised tomogram, Cystitis noninfective, Pyrexia, Urinary tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu shot, 14-15? Unsure. When, I woke up with severe muscle cramp in neck and could not move my neck. Eventually went away
Other Medications: Wellbutrin, melatonin, Motrin, AZO maximum strength
Current Illness: Urinary tract infection
Preexisting Conditions: Depression anxiety
Allergies: Prozac
Diagnostic Lab Data: Diagnosed UTI CT scan showing inflamed bladder
CDC Split Type:

Write-up: Prior I had a UTI (undiagnosed a the time), then since taking the vaccine slightly over 24 hours later, I got severe lower left abdominal pain. I was admitted to the hospital with the severe pain, chills, fever. After a CT scan it was determined I had an inflamed bladder with severe bladder spasms.


VAERS ID: 1216774 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-15
Onset:2021-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Pain, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (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:

Write-up: Shaking chills, body aches, fatigue


VAERS ID: 1216778 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-13
Onset:2021-04-16
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Dizziness, Nausea, Paraesthesia, Tremor
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: Pt presents with nausea, body shaking, dizziness and L arm tingly beginning today at 1000 today. 3 days post vaccination


VAERS ID: 1216903 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-16
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A214A / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Weight bearing difficulty
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), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: On April 16th at 1:00AM I woke up to pain in my left foot. When I got up to take a look I was unable to put full weight on my left foot. The side of my foot by the small toe is red and swollen.


VAERS ID: 1217060 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-15
Onset:2021-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 03B21A / 2 LA / SYR

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

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

Write-up: Headache Fever Chills Over the counter Advil


VAERS ID: 1217632 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia
SMQs:, Taste and smell disorders (narrow), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Loss of smell and taste


VAERS ID: 1218339 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-08
Onset:2021-04-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Pain in extremity
SMQs:, 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: Minoxidil
Current Illness:
Preexisting Conditions:
Allergies: Benzonatate
Diagnostic Lab Data:
CDC Split Type:

Write-up: Woke up with my left leg hurting.


VAERS ID: 1218840 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048AZ1A / 1 UN / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Body temperature increased, COVID-19, Chills, Diarrhoea, Dyspnoea, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin, digoxin, gabapentin, insulin, miraegon, niacin, spironolactone
Current Illness:
Preexisting Conditions: Hypertension, Chronic Kidney Disease, Insulin Dependent diabetic
Allergies: None known
Diagnostic Lab Data:
CDC Split Type:

Write-up: After receiving second dose patient had vomiting, loose bowel movements, chills Temp 101, weak, dyspnea, presented to hospital 4/16/21 with increased SOB. COVID test on admission positive


VAERS ID: 1219018 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Vermont  
Vaccinated:2021-04-12
Onset:2021-04-16
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

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

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

Write-up: This is a hospitalized in-patient that received the vaccine on 4/12/21 and aspirated on 4/16/21. Unclear of causality.


VAERS ID: 1219315 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-02
Onset:2021-04-16
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       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: tetracycline
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient awoke at 2 am today noticing a throbbing pain in her left thigh. Patient said it was lesser later on in the morning and was described as being "achy". Patient was advised to contact her Doctor.


VAERS ID: 1219482 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-16
Onset:2021-04-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Headache, Impaired work ability, Influenza like illness, Pyrexia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: I received the vaccine on a Saturday evening and by Sunday morning, I was sick as a dog with flu like symptoms - massive headache, terrible backache (like someone kicked me in the back), chills and fever. Sunday evening in the middle of the night, in bed, I was shaking so badly from chills that I was afraid to get up to get Tylenol. I finally did and I couldn''t even focus my eyesight and control my hands as I went to open the bottle of pills that my hands were shaking so badly that I spilled them all over the place. Finally I woke my husband who heated up blankets in the dryer and brought me hot tea. My husband helped me to the bathroom where I vomited. I cannot remember when I was so sick. I missed work that day at my part-time job and the next day at my full time job as a teacher.


VAERS ID: 1219830 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-04-02
Onset:2021-04-16
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

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

Write-up: None


VAERS ID: 1219849 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-16
Onset:2021-04-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Breath sounds abnormal, Dysphagia, Dyspnoea, Lip swelling, Paraesthesia, Pharyngeal swelling, Pulse abnormal
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, antihistamine
Current Illness: n/a
Preexisting Conditions: Sports induced asthma
Allergies: bactrim
Diagnostic Lab Data: Vital signs and assessment
CDC Split Type:

Write-up: About 15 minutes after injection patient reporting shortness of breath , difficulty swallowing. throat felt swollen and tingly sensations. On assessment patient clear but diminished breath sounds, thready/weak pulse, swollen lips , BP 130/80. At 1359 pharmacy gave first dose of Epi in left leg, pt symptoms only mildly improved, then second dose of epi given at 1406. ER rapid response on site to take patient to ER and assume care.


VAERS ID: 1219948 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 - / SYR

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Atrial fibrillation, Blood thyroid stimulating hormone, Chest X-ray, Chest pain, Electrocardiogram, Fibrin D dimer, Haemoglobin, Troponin
SMQs:, Supraventricular tachyarrhythmias (narrow), Guillain-Barre syndrome (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None reported
Preexisting Conditions: Hypertension
Allergies: None
Diagnostic Lab Data: Normal Troponin with repeat pending. EKG and chest xray. TSH normal. DDimer elevated. Anemia with hgb of 10.4,
CDC Split Type:

Write-up: A Fib with RVR, chest pain and weakness. Lasted for hours on 4/16/2021. Has had shorter episodes for the past week .


VAERS ID: 1220052 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-16
Onset:2021-04-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure decreased, Dizziness, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: tadalafil, rapaflo, finasteride
Current Illness: unknown
Preexisting Conditions: possibly prostate related issues
Allergies: dexamethasone
Diagnostic Lab Data: BP monitored through portable blood pressure device
CDC Split Type:

Write-up: dizziness within 5 minutes, pt moved to chair with arms against wall for support. blood pressure continued to drop and and dizziness increased until pt lost consciousness. Epinephrine administered which resulted in pt becoming alert, once alert pt was given 15ml of hydroxyzine 10mg/5ml and pt then stabilized. pt left with paramedics about 15 minutes later


VAERS ID: 1220448 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-24
Onset:2021-04-16
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Heavy menstrual bleeding, Migraine, Swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)

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

Write-up: 1) EXTENDED MENSTRUATION 2) MIGRAINES 3) SWELLING OF EXTREMITIES 4) DIFFICULTY BREATHING


VAERS ID: 1220478 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-08
Onset:2021-04-16
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Magnetic resonance imaging abnormal, Monoplegia, Pain in extremity
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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:
CDC Split Type:

Write-up: 1) MAJOR RIGHT ARM PAIN 2) PARALYSIS OF RIGHT AR 3) WAITING FOR MRI RESULTS


VAERS ID: 1220603 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-04-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Work       Purchased by: ?
Symptoms: Abdominal pain, Dizziness, Electrocardiogram, Fatigue, Full blood count, Metabolic function test, Pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine 10 mg daily, HCTZ 25 mg daily, lisinopril 40 mg daily, glipizide xl 5 mg daily, metformin 1000 mg BID
Current Illness: None
Preexisting Conditions: Diabetes, HTN, obesity
Allergies: NKDA
Diagnostic Lab Data: Normal EKG, normal CBC and CMP (4/15/2021)
CDC Split Type:

Write-up: Dizziness, fatigue, body aches, light headedness, very high blood pressure, mild abdominal pain. Symptoms started day after and worsened. Required an office visit by 1 week after vaccine


VAERS ID: 1221246 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-31
Onset:2021-04-16
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ritalin, Lexapro, Klonopin
Current Illness: None
Preexisting Conditions: None
Allergies: Pineapple, cephalosporins
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Extremely heavy period that came early. Very bad menstrual cramps- worse that i have ever had. Been in extreme pain for 2 days.


VAERS ID: 1221593 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Neck pain
SMQs:, Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Paxil 20mg once daily
Current Illness: None
Preexisting Conditions: Migraines
Allergies: Penicillin only
Diagnostic Lab Data:
CDC Split Type:

Write-up: Day 8 began having nagging headache that will not go away. It is not the most severe headache I have ever had, but, with the pause due to clots and my age group, I am worried. Has not ended after 24hrs. Pain is in back of my neck.


VAERS ID: 1221934 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Facial pain
SMQs:, Glaucoma (broad)

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

Write-up: My cheeks hurt. One side first, now both sides.


VAERS ID: 1222005 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-16
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lipitor
Current Illness:
Preexisting Conditions:
Allergies: Iodine
Diagnostic Lab Data: CTA (4/16) chest
CDC Split Type:

Write-up: Pt with a pulmonary embolism 4 days post vaccine. Diagnosed in our ED.


VAERS ID: 1222075 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-04-10
Onset:2021-04-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), 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: NO MEDICATIONS BEING TAKEN AT TIME OF VACCINATION
Current Illness: NO
Preexisting Conditions: NO
Allergies: NO
Diagnostic Lab Data: NO
CDC Split Type:

Write-up: SWOLLEN RIGHT ARM, NO TREATMENT HAS BEEN ADMINISTER. NO OTHER SYMPTOMS.


VAERS ID: 1222169 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Chest pain, Computerised tomogram, Dyspnoea, Pleuritic pain
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Infective pneumonia (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: Ativan, Seroquel, Requip, Imitrex, Ambien, Percocet
Current Illness:
Preexisting Conditions: anxiety
Allergies: PCN, Sulfa, hydromorphone
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient presented with pleuritic chest pain and exertional SOB for 3-4 days. CT angio of chest revealed subsegmental PE RLL. Patient was stable and discharged home on oral anticoagulant.


VAERS ID: 1222329 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-10
Onset:2021-04-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Hypothermia, Laboratory test, Liver function test, Nausea, Neutrophil count increased, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Accidents and injuries (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Hypothermic episodes (95.5) during periods of fever Extreme and persistent nausea Highly elevated neutrophil count (12.18 10*3/uL)


VAERS ID: 1222498 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-06
Onset:2021-04-16
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine .075 MG, ibuprofen
Current Illness: No
Preexisting Conditions: Hypothyroidism
Allergies: Egg
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headaches. They were mild initially and not there all the time. It was really bad yesterday.


VAERS ID: 1222631 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-16
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache
SMQs:

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

Write-up: Headache x 2 days so far


VAERS ID: 1222930 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-12
Onset:2021-04-16
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ear haemorrhage, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (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: Pravastatin 40mg, Metoprolol ER 50mg, Clonazepam 0.5mg, Omeprazole 20mg, Hydrochlorothiazide 12.5mg, Spiriva
Current Illness: None
Preexisting Conditions: COPD, High blood pressure, high cholesterol
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient woke up to get ready for work and noticed blood coming out of right ear. Clots were in the blood that came out of the ear.


VAERS ID: 1223031 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-08
Onset:2021-04-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 04ZAZ1A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Keppra, Depakote, vimpat, eloquis, motrolpol, multivitamin, ginko biloba, turmeric, trazadone
Current Illness:
Preexisting Conditions: charcot Marie tooth, TBI
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: seizures starting 8 days after vaccine, unable to c ok control with medication


VAERS ID: 1223102 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-04-08
Onset:2021-04-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Lymphadenopathy, Rash, Rash pruritic, Skin discolouration, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypotonic-hyporesponsive episode (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: Atorvastatin, Carvedilol, Dexilant, Olmesartin-Amlodipine-Hydrochlorothiazide, Aspirin,Arterial Protect,Lithium,Magnesium Caps,Super Omega-3 EPA/DHA Fish Oil, Sesame Lignans & Olive Extract,Super-Absorbable CoQ10 (Ubiquinone) with d-Limonen
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: None known
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe itchy rash/hives all over body. Particulary on both forearms, stomach, chest (nipple area), thighs. Also tenderness and slight swelling in under armpit area/gland with discoloration.


VAERS ID: 1223179 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-10
Onset:2021-04-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

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

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

Write-up: Very strong chemical smell in menstrual blood. (This has never been my experience.)


VAERS ID: 1223783 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-09
Onset:2021-04-16
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Hyperaesthesia, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left arm remains swollen 1 week after vaccine. It feels like a large gold ball is in the arm. Very sore to touch.


VAERS ID: 1223804 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Breast pain, Burning sensation, Neuropathy peripheral
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Lipodystrophy (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C Neurin Tylenol
Current Illness: Nasal allergies
Preexisting Conditions:
Allergies: Neurin
Diagnostic Lab Data: 17. April. 2021 I went to Clinic the Dr. told me it was neuropathy
CDC Split Type:

Write-up: Burning left side from the breast, under the armpit and back.


VAERS ID: 1224030 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-04
Onset:2021-04-16
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

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

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

Write-up: Full body rash


VAERS ID: 1224031 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-10
Onset:2021-04-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Fatigue, Pain in extremity
SMQs:, Retroperitoneal fibrosis (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: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Leg pain and back pain. Feeling tired.


VAERS ID: 1224194 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-10
Onset:2021-04-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Autoscopy, Blood creatinine normal, Blood glucose normal, Blood potassium, Blood sodium normal, Blood urea normal, Chest discomfort, Dizziness, Electrocardiogram normal, Feeling cold, Fibrin D dimer, Hypoaesthesia, Muscle spasms, Palpitations
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Mirena IUD, Aspirin
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin (hives as a baby)
Diagnostic Lab Data: EKG was performed on arrival to ER, all results normal, including PR and QTC. Blood tests were all normal: Sodium 142 Potassium Glucose 145 BUN 14 Creatinine 0.67 D dimer 0.29 Doctor suggested it could be an acute stress response, or spontaneous panic attack. Unfortunately, another attack (dizzy spell) occurred spontaneously today (4/17) and I was able to slow my breathing enough to prevent further symptoms.
CDC Split Type:

Write-up: Sudden dizziness without any trigger or prior condition, immediate occurrence of numbness in left hand, spreading up to left elbow , and heart palpitations / chest tightness all within 30-60 seconds onset. In the 5 minutes waiting for paramedics, the numbness spread to the right hand and up to the right elbow. Dizziness became intense. Once in the ambulance (5-10 minutes after onset), legs experienced light numbness, and chest tightness increased, with what felt like spasms / clenching of the heart muscle. Chills and out of body feeling occurred as well. Paramedics examined heart, pulse, oxygen, with all being normal. IV was inserted and Ativan was given. After 10-15 minutes symptoms subsided.


VAERS ID: 1224218 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-16
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Muscular weakness, Nausea, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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: Shingles vaccine second shot
Other Medications: 600 mg calcium, ibuprofen (3) for joint pain, once per day
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe weakness in arms, especially upper arms, tingling, fatigue, queasiness.


VAERS ID: 1224911 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-04
Onset:2021-04-16
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: No
Preexisting Conditions: I usually have menstrual cramps on the 2nd and 3rd day of my menstrual cycle.
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: My period started on the 14th of April as expected. I usually have cramping on the 2nd or third day. It''s now my 5th day and I''m experiencing debilitating cramping more than my normal. It''s quite worry, because I''m thinking I should be in the emergency room. Also experiencing heavier than my normal flow. I''ve had to stay in bed for the past 2 days, unable to get any relief. All this is very concerning, usually my cramping would cease at day 2 or 3. This isn''t normal for me to experience this level and duration of pain


VAERS ID: 1225225 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-08
Onset:2021-04-16
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site bruising, Injection site hypoaesthesia, Injection site pain, Magnetic resonance imaging
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Systemic: major pain right arm-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Additional Details: someone spoke to patient. He is complaining severe pain down his right arm to the point where he had to take an LOA. He is not physically capable to flying a plane at this time. He is not a citizen and cannot collect unemployment, so he is out on unpaid LOA. He attributed this injury to be caused by the immunizer injecting too high on the deltoid, and possible hitting the radial nerve. He went for an MRI which he had to pay out of pocket for and is awaiting results.


VAERS ID: 1225412 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-04-08
Onset:2021-04-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

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

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

Write-up: One week later I have an itchy rash on my feet and legs that goes away after a while. Past 3 mornings now.


VAERS ID: 1225476 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Neck pain
SMQs:, Retroperitoneal fibrosis (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3; Vitamin C(500 mg)
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa antibiotics
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Middle back pain began on Friday, April 16th and has continued. It is now upper back/neck and shoulders as well.


VAERS ID: 1225753 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-16
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN #201A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Feeling hot, Gait disturbance, Hip arthroplasty
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Osteoporosis/osteopenia (broad), Osteonecrosis (broad), Arthritis (broad), Hypoglycaemia (broad)

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

Write-up: I first had common side effect symptoms but disappeared within 48h - extremely hot, knee pains. On the 5th day (Apr 16), I started to feel pain in my right hip to the point that I feel pain in every step walking, which has never happened to me. Note: I didn''t exercise since I got the vaccine and maintained pretty good routines for ensuring enough sleep. Today is the 3rd day since that symptom appeared, while I do feel better, the pain hasn''t disappeared.


VAERS ID: 1225776 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myalgia, Neck pain, Pain in jaw, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Hives. TMJ and associated muscle pain in neck. Treating with benadryl and ibuprofen.


VAERS ID: 1225800 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Pain, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (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: Wellbutrin Zoloft
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red,pain,swelling and warm at injection site for 7 days. Body aches for 3 days following the day of injection. Rash developing on 4/16. Welts started on both arms the night of the 16th and continued to get worse through the day 4/17. Welts started to improve at about the 24 hours mark. Itching and redness still persistent on extremities, inside the ears, and head. Took 200mg total of benadryl first 12 hours. Other antihistamines as well. Continuing to take benadryl every 4 hrs of 50-75mg. Message out to my PCP, but no response yet.


VAERS ID: 1225905 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Fibrin D dimer, Pain in extremity, Ultrasound scan
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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: CLARITIN 10MG, WOMEN''S MULTIVITAMIN
Current Illness:
Preexisting Conditions:
Allergies: SULFA MEDICATIONS,
Diagnostic Lab Data: 04/16/2021: D-DIMER & ULTRASOUND
CDC Split Type:

Write-up: ADVERSE EVENT: DEEP VEIN THROMBOSIS SYMPTOMS: RIGHT INNER THIGH PAIN TIME: 9 DAYS POST VACCINATION


VAERS ID: 1226069 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-06
Onset:2021-04-16
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A5064 / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Oedema, Peripheral swelling, Skin warm, Thrombophlebitis, Ultrasound scan
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Venlafaxine Magnesium Xanax Ambien Claritin Desogestrel-ethinyl estradiol
Current Illness: None
Preexisting Conditions: Generalized anxiety disorder Obesity Hyperthyroidism Fibroids
Allergies: Shellfish
Diagnostic Lab Data: Ultrasound -4/18/21
CDC Split Type:

Write-up: Left leg swelling, redness, warm to the touch, diagnosis of edema and thrombophlebitis


VAERS ID: 1226225 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-16
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram abnormal, Cerebrovascular accident, Computerised tomogram abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Does not follow with doctor - history of bladder cancer, undiagnosed uncontrolled diabetes
Preexisting Conditions:
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Stroke confirmed with CT/CTA


VAERS ID: 1226742 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-03-29
Onset:2021-04-16
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Madarosis
SMQs:, Periorbital and eyelid disorders (narrow)

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

Write-up: Sudden loss of eyelashes unilateral


VAERS ID: 1227303 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-12
Onset:2021-04-16
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Deafness unilateral, Neck pain, Pyrexia, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hearing impairment (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/a
Current Illness: None
Preexisting Conditions: None
Allergies: Intolerant to gluten and dairy
Diagnostic Lab Data: Urgent care visit on 4/16 and 4/17 with visual and physical inspection of ear and vitals taken. Vitals were normal.
CDC Split Type:

Write-up: Received dose on Monday 4/12 at 7:15am. Low grade fever, neck ache and chills developed that evening and went away by next morning. On 4/16, woke up with almost no ability to hear out of my left ear and there was a very loud ringing sound in my ear. Happened off and on throughout the day but by evening, I only heard a ringing noise. I went to the urgent care and they said my ear had no sign of ear infection or allergies. Next morning, I couldn?t hear almost anything out of my ear with a very loud ringing noise. Was consistent through 4:30pm that day. Went back to the urgent care and a different nurse practicing confirmed my ear looked completely normal. I?ve never experienced deafness or ringing in my ear before. Since this morning (4/18) I have had a low ringing sound in my left ear, but no more deafness.


VAERS ID: 1227348 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Dyspnoea, Headache, Nausea, Pain, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Nausea, shortness of breath, body aches, headache, hives started on day 6


VAERS ID: 1227352 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-10
Onset:2021-04-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

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

Write-up: Rash/hives- started 6 days from vaccine. Started in right arm. Took allergy medication and hydrocortisone cream to treat- would clear up. Hives would come back as meds wore off- different areas at different times over the last 3 days. Once I had hives covering me from the neck down to my feet. Took more meds and would go away.


VAERS ID: 1227358 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-10
Onset:2021-04-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature increased, Chills, Cough, Fatigue, Hypoaesthesia, Migraine, Myalgia, Nausea, Pain in extremity, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), 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: Metformin, L-lysine, Vitamin D3
Current Illness: Endometriosis & PCOS
Preexisting Conditions:
Allergies: Latex, bananas, kiwis, gold, z-pack
Diagnostic Lab Data: Did not seek medical treatment, symptoms were manageable without need to seek medical help.
CDC Split Type:

Write-up: Nausea, vomiting, chills, slight spike in body temperature 99.4, extreme migraine, left arm pain/numbness, slight dry cough, extreme fatigue, and muscle aches. Symptoms lasted 3 days and started 6 days after getting the vaccine. Subsided after rest and asprin.


VAERS ID: 1227365 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-06
Onset:2021-04-16
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Ear pain, Fatigue, Headache, Nausea, Respiratory tract congestion
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: none
Current Illness: none
Preexisting Conditions: none
Allergies: nothing known of
Diagnostic Lab Data: Not contacted my primary physician yet
CDC Split Type:

Write-up: Since April 16th, have a headache(mostly left side seems to be paining more and crown area and forehead). Bad Ear ache (left ear) and feeling of nausea. Feel congested too Also feeling of fatigue


VAERS ID: 1227398 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-15
Onset:2021-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH E13302 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Eye pain, Headache, Neck pain, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Arthritis (broad)

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

Write-up: left side headache, left eye pain, severe vomiting, full body pain, neck pain, chills as of Sunday some had subsided but not all. tylenol of no use!


VAERS ID: 1227403 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-14
Onset:2021-04-16
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Ear pain, Lymphadenopathy, Pain in jaw
SMQs:, Osteonecrosis (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: Clonidine, Zyrtec, advair, albuteral, Prozac, singular, flonaise
Current Illness: None
Preexisting Conditions: Asthma
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swelling in all lymphnodes in neck, jaw and ear pain


VAERS ID: 1227426 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-15
Onset:2021-04-16
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

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

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

Write-up: Shingles/Herpes Zoster (left chest, single dermatome)


VAERS ID: 1227437 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-15
Onset:2021-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Contusion, Loss of consciousness, Pain, Tooth fracture
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: In the middle of the night I passed out while walking from the bathroom. I broke my front tooth in half and smashed in 2 other front teeth. Also bruised cheek, lip, and knee. I had been feeling chills, aches, and flu-like symptoms throughout the night. It required a dental surgeon, dentist, and probably braces. The advice nurse advised going to the Emergency Room due to her concern about a head injury.


VAERS ID: 1227445 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-16
Onset:2021-04-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 2 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: None, no medical assistance required to this point in time. Problem not resolved yet but not currently significant enough to seek medical care. May seek care if worsens.
CDC Split Type:

Write-up: Red, raised area on skin approximately 1" in diameter appeared approximately 11 hours after injection. Diameter increased to about 4" by about 50 hours after injection. Symptoms: Initially painful to touch and warmer than surrounding skin. At one day post-injection, clear inflammation and tightness of skin accompanied the redness. By 40 hours post-injection, itching initiated and increased to present (55 hours post-injection). Noteworthy that first shot (Moderna Lot# 040A21A) had zero side effects.


VAERS ID: 1227448 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-16
Onset:2021-04-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain, Asthenia, Chills, Decreased appetite, Fatigue, Headache, Injection site erythema, Injection site rash, Injection site warmth, Nausea, Night sweats, Pain in extremity, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Hydrocortisone Valerate, topical, face
Current Illness: None
Preexisting Conditions: Prolactinoma
Allergies: Benzonatate, Benzoyle Peroxide
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Dose 1 Pain in arm where shot was administered. No other adverse reactions. Dose 2 Day 1, starting at approximately 2:00 pm: Pain in arm where shot was administered, fatigue, weakness, shivering fever, nausea, loss of appetite, stomach upset (gurgling), abdominal pain (stabbing pins and needles sensation), night sweats. Day 2: Fever, fatigue, headache, nausea and loss of appetite. Day 3, approximately 8:00 pm: Itchy, red, rectangular rash at vaccination site. The rash itself is hot but skin immediately surrounding rash is cool to touch/normal temperature.


VAERS ID: 1227452 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-16
Onset:2021-04-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Feeling hot, Muscle spasms
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Vestibular disorders (broad)

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

Write-up: Patient felt light headed and feeling of warmth . As she sat there she progressively felt better. She did complain of some cramping. She said she was better and well enough to leave . I encouraged her to go to her primary care doctor or urgent care if any symptoms persisted .


VAERS ID: 1227484 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-15
Onset:2021-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027B21A / 2 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Burning sensation, Pyrexia, Skin induration
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none.
Current Illness: none.
Preexisting Conditions: none.
Allergies: none.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: 1: "covid arm", very painful was on fire, below the injection and round to the front of the arm. Started on the night after the injection and pain lasted for two days. Still itching on the fourth day. 2: High fever, woke up on Friday morning at 6 am with a 100.4 fever. It started to rise, and went up to 102.9. I took some Tylenol and the fever went down back down to around 100, but then went up again after it wore off. This continued until 12 pm on 18 April, when the fever finally broke.


VAERS ID: 1227837 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-13
Onset:2021-04-16
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039A21A / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Menstruation irregular
SMQs:, Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yes. Several prescription medications. No to the rest.
Current Illness: No illnesses
Preexisting Conditions: Yes. Diabetes. Arthritis. Asthma Restless Legs.
Allergies: Allergic to peanuts. Grasses. Sulfa. Sulfa antibiotics. Ibuprofen. Blue cheese.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Period started 14 days too soon.


VAERS ID: 1227995 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-15
Onset:2021-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Muscle soreness (back and breast), fatigue


VAERS ID: 1228259 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-01
Onset:2021-04-16
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Pain
SMQs:

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

Write-up: Chills, aches


VAERS ID: 1228271 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-20
Onset:2021-04-16
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Pain in extremity, Subclavian vein thrombosis, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, venous (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: buspirone, fexofenadine, mometasone, natazia, verapamil, ondansetron, sumatriptan
Current Illness: none
Preexisting Conditions: being worked up for thoracic outlet syndrome
Allergies: no known allergies
Diagnostic Lab Data: venous duplex on 4/16/21- acute, partially occlusive left subclavian deep vein thrombosis
CDC Split Type:

Write-up: Patient has been having left arm pain. Developed acute, partially occlusive left subclavian deep vein thrombosis found on duplex on 4/16/21. She was started on lovenox and will have further work-up.


VAERS ID: 1228389 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time prolonged, Blood fibrinogen decreased, Blood lactate dehydrogenase decreased, Blood smear test abnormal, Computerised tomogram head abnormal, Dermoid cyst, Fibrin D dimer increased, Haptoglobin, Headache, Hepatic lesion, Hepatomegaly, Immune thrombocytopenia, Immunoglobulin therapy, International normalised ratio normal, Liver function test normal, Magnetic resonance imaging head abnormal, Prothrombin time shortened, Pyrexia, Thrombocytopenia, Ultrasound abdomen abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Liver-related coagulation and bleeding disturbances (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Congenital, familial and genetic disorders (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Topamax
Current Illness: None
Preexisting Conditions: Back pain
Allergies: NKDA
Diagnostic Lab Data: 4/17 Ultrasound of abdomen-no evidence of splenomegaly, mild hepatomegaly with small liver lesion Haptoglobin 80 LDH of 33 Normal LFT''s Peripheral smear without schistiocytes (confirmed by heme onc) Thrombocytopenia ranging from 9-24 prior to starting steroids Fibrinogen of 141 D-dimer of 35.20 PTT of 31/3 PT/INR of 1.1
CDC Split Type:

Write-up: Patient is a healthy 40 y/o female who received J&J vaccine on 4/7/21. She started having intermittent fevers and headaches 24-48 hours after. Headache became so bad she seeked medical attention on 4/16/21, and was found to be profoundly thrombocytopenic. She additionally had a CT scan that was concerning for a right sided subdural/epidural fluid collection and a MRI that confirmed that she had multiple epidermoid cysts. A full thrombocytopenia workup was completed and the patient was diagnosed with ITP and started on high dose steroids and IVIG. Patient''s lowest platelet count was 9K.


VAERS ID: 1228476 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-30
Onset:2021-04-16
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A 6/21/21 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Head discomfort, Headache, Pain, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Buproprion; levathyroxine, co q 10, potassium, vitamin e,
Current Illness: None
Preexisting Conditions: Thyroid and depression (both have been managed well for several years)
Allergies: Levaquin, penicillin
Diagnostic Lab Data: April 18th Catscan without contrast.
CDC Split Type:

Write-up: Severe sudden headache Friday evening, continues today... its been over 50 hours of nonstop pain. Took advil, tylenol, tylenol cold, day quil, night quil, benadryl, nothing is working totaled the headache away. The drs office gave me an injection of toradol. It took the edge off for about 30 minutes. Did not kill the pain. My temples feel very tight and veins are protruding from my temples


VAERS ID: 1228661 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-15
Onset:2021-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008B21A / 2 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 1st covid vax on 3/10/21 his left arm pit was really swollen for about a week and it is currently still swollen
Other Medications: amlodipine, Tamsulosin, hydroxyzine am, duloxetine,
Current Illness: no
Preexisting Conditions: HBP, Enlarged Prostrate, Anxiety and Depression
Allergies: nka
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt says he when he woke up his right arm pit was swollen and it is still like this 3 days later. He is waiting for his PCP to call him back.


VAERS ID: 1228662 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-16
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 1 LA / SYR

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

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

Write-up: Extreme exhaustion 4/16/21-4/19/21, ringing in left ear 4/19/21


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