National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/17/2021 release of VAERS data:

Found 711,579 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 304 out of 7,116

Result pages: prev   205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403   next


VAERS ID: 1548952 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 AR / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: adderal 20 mg BID PRN sertraline 50 mg dialy ubrogepant 100 mg daily zolpidem 5 mg nightly PRN
Current Illness: none known
Preexisting Conditions: depression/anxiety ADD allergic rhinitis migraine
Allergies: mango
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5 days later had rash to the hands and arms, burning and painful, slightly itchy. medrol dose pak given, treatment in progress. still plans to get 2nd shot, moderate severity


VAERS ID: 1548957 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-31
Onset:2021-08-01
   Days after vaccination:123
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011A21A / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037A21B / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute kidney injury, COVID-19, Diarrhoea, Infection, Pneumonia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Januvia, Lipitor, Synthroid, amlodipine, hydralazine, losartan; pantoprazole, cholecalciferol
Current Illness:
Preexisting Conditions: diabetes, hypertension, hypothyroidism
Allergies: augmentin, bactrim, contrast dye, cortisone, doxycycline, iodi; Keflex, Penicillins, Neosporin
Diagnostic Lab Data: COVID-19 test positive on 8/1/2021
CDC Split Type:

Write-up: Admit 8/1/2021. Covid positive 8/1/2021 in ED. previous COVID-19 Vaccination on 3/31/2021. COVID breakthrough - acute diarrhea, AKI, pneumonia


VAERS ID: 1548982 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-26
Onset:2021-08-01
   Days after vaccination:97
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, Exposure to SARS-CoV-2, Infection, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: home meds leflunomide, adalimumab, Humera, azithromycin
Current Illness: Psoriasis
Preexisting Conditions: hyperlipidemia, hypertension, rhumatoid arthritis, diabetes
Allergies: aspirin allergy
Diagnostic Lab Data: Tested positive COVID-19 on 8/1/2021
CDC Split Type:

Write-up: Admit 8/1/2021: Exposure to someone with COVID 6 days prior. Breakthrough COVID and acute hypoxic respiratory failure secondary to COVID-19. first Pfizer given 3/6/2021 Lot ER8730 second 4/6/2021 EW0171


VAERS ID: 1549005 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-28
Onset:2021-08-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trisprintec (Birth Control), Concerta, Prozac
Current Illness:
Preexisting Conditions: Tourettes Syndrome
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Been having diarrhea everyday since August 1st. Thought it might be a side effect of the vaccine but I?m not sure. I tried researching diarrhea symptom two weeks after vaccine and couldn?t find any information. Felt like it would be better safe than sorry to report through this platform and potentially get some answers.


VAERS ID: 1549075 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-15
Onset:2021-08-01
   Days after vaccination:108
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Ischaemic stroke
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

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

Write-up: I63.9 - Acute ischemic stroke (CMS/HCC)


VAERS ID: 1549315 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-25
Onset:2021-08-01
   Days after vaccination:129
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory distress syndrome, COVID-19, Dyspnoea, Pneumonitis, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Hypersensitivity (broad), Respiratory failure (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? Yes
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amLODIPine 10 mg PO qDay Jardiance 10 mg PO qDay Synthroid 0.225 mg PO qDay aspirin 81 mg PO qDay metFORMIN 500 mg PO BID multivitamin 1 tab PO qDay
Current Illness:
Preexisting Conditions: HTN, hypothyroidism, diabetes
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: 8/1/21: Patient arrived at the ER due to shortness of breath and tested positive for COVID on 7/21/21. Diagnosed with severe acute respiratory syndrome coronavirus 2, multifocal pneumonitis. Note: patient previously vaccinated with J&J COVID-19 vaccine in March 2021. 8/10/2021: patient discharged Please note: Patient received J&J vaccine on 3/25/2021 Lot # 1805029


VAERS ID: 1549428 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-08-01
   Days after vaccination:74
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Dizziness, Feeling cold, Gait disturbance, Headache, Hyperhidrosis, Muscle spasms, Nausea, SARS-CoV-2 test, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient stated that she can provide list of medication
Current Illness: Patient stated that she was sick and went to DR Did not state what her diagnosis was.
Preexisting Conditions: Cardiovascular heart Disease
Allergies:
Diagnostic Lab Data: Test for COVID
CDC Split Type:

Write-up: Patient stated that after first vaccination the only reaction she had was feeling dizzy. After second vaccine patient stated that symptoms started around the first of August. Symptoms include received headaches, nausea, throwing up, sweating, get cold real easily, loose stool dizziness, cramps in feet, and could hardly walk


VAERS ID: 1549492 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-30
Onset:2021-08-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Electrocardiogram, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Proair HFA, Prednisone 20mg, Cefdinir 300mg
Current Illness: Suppurative Otitis Media, Asthma
Preexisting Conditions: Asthma, Childhood obesity, ADHD
Allergies: No known allergies
Diagnostic Lab Data: EKG 08/01/2021 Chest XRAY 08/04/2021
CDC Split Type:

Write-up: Rapid heart rate


VAERS ID: 1549499 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-07-21
Onset:2021-08-01
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

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

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

Write-up: Patient stated experienced tingling in left hand roughly 10 days after shot and continues to have tingling.


VAERS ID: 1549694 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Hot flush, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Patient began experiencing hot flashes and nausea ~10 minutes after receiving the shot for ~5 minutes before experiencing severe dizziness for ~5-10 minutes including briefly collapsing/fainting (for ~1 second) while walking back to the store. Dizziness rapidly subsided after the first 10 minutes, and had completely subsided ~30 minutes after the first symptom appeared.


VAERS ID: 1549800 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203AZ1A / 1 LA / JET

Administered by: Other       Purchased by: ?
Symptoms: Ageusia, Anosmia, Chills, Cough, Fatigue, Headache, Myalgia, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopri-hctz 10-12.5mg Simvastatin 10mg Pantoprazole 40 mg Metoprolol tartare 25 mg Asprin 325mg - daily
Current Illness: none
Preexisting Conditions: same as above
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: fever 38+ chills; cough; fatigue; muscle or body aches; headache; loss of taste smell congestion or runny nose


VAERS ID: 1550087 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dysphagia, Feeding disorder, Headache, Injection site pain, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Anemia; Comments: The patient had no known allergies, and no history of drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210819848

Write-up: RASH AROUND THE BELLY AND ON THE BREAST/A LOT OF RASH ON HER BACK; FEVER; HEADACHES; DIFFICULTY SWALLOWING; NOT ABLE TO EAT; ITCHING UNDER THE BREAST; RIGHT ARM IS SORE AT THE INJECTION SITE AND IT FEELS HARD; This spontaneous report received from a patient concerned a 28 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included: anemia, and concurrent conditions included: no alcohol use, and non smoker, and other pre-existing medical conditions included: The patient had no known allergies, and no history of drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1821286, and expiry: UNKNOWN) dose was not reported, administered on 06-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On AUG-2021, the patient experienced right arm is sore at the injection site and it feels hard. On 06-AUG-2021, the patient experienced difficulty swallowing. On 06-AUG-2021, the patient experienced not able to eat. On 06-AUG-2021, the patient experienced itching under the breast. On 06-AUG-2021, the patient experienced fever. On 06-AUG-2021, the patient experienced headaches. On 07-AUG-2021, the patient experienced rash around the belly and on the breast/a lot of rash on her back. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rash around the belly and on the breast/a lot of rash on her back, and the outcome of fever, difficulty swallowing, headaches, not able to eat, itching under the breast and right arm is sore at the injection site and it feels hard was not reported. This report was non-serious.


VAERS ID: 1550091 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Pain in extremity
SMQs:, Arthritis (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: Cartilage injury
Preexisting Conditions: Medical History/Concurrent Conditions: Aneurysm cerebral; Fall
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210820958

Write-up: SORE ARM; SHOULDER PAIN; This spontaneous report received from a patient concerned a 51 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included: brain aneurysms, and fall on job site, and concurrent conditions included: 2 small tears in the left shoulder. The patient was previously treated with naproxen sodium for drug used for unknown indication, and ibuprofen for drug used for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 204A21A, expiry: UNKNOWN) dose was not reported, administered on 04-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On AUG-2021, the patient experienced shoulder pain. On 04-AUG-2021, the patient experienced sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shoulder pain on 06-AUG-2021, and sore arm on AUG-2021. This report was non-serious.


VAERS ID: 1553764 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-07-29
Onset:2021-08-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Severe itching, redness, swelling. Swelling went away. Itching has been continuous even on today.


VAERS ID: 1553969 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-01-19
Onset:2021-08-01
   Days after vaccination:194
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J202A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Headache, Pyrexia, SARS-CoV-2 test negative, Sinus congestion, Sinusitis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

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

Write-up: I could not breathe, my sinuses were swollen, I had a headache and fever. I went to urgent care, did a Covid test and it was negative. They told me it was a sinus infection. They gave me 2 combined antibiotics and within a week I was feeling completely better.


VAERS ID: 1554006 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-31
Onset:2021-08-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Muscle twitching
SMQs:, Dyskinesia (broad), Dystonia (broad)

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

Write-up: Patient stated that the second day after receiving she received the normal symptoms and then she started twitching. patient stated the twitching is constant and has not stopped and it happens all over her body.


VAERS ID: 1554048 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-29
Onset:2021-08-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Chest pain, Dizziness, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram repolarisation abnormality, Magnetic resonance imaging heart, Myocarditis, Nausea, Pericarditis, Troponin abnormal
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (narrow), Conduction defects (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: See above description
CDC Split Type:

Write-up: Patient received first dose on 6/28/2021 (Lot #051C21A) and 2nd dose on 7/29/2021 (Lot #040C21A) at an unknown facility. Patient presented to Urgent Care on 8/1 with new onset chest pain (CP) in the substernal region. Pt woke up with left side chest pain at 7 AM that morning 6/10; no SOB; no fever; no cough; no change with position changes; no relief with ice. The pain does not radiate. Associated symptoms include dizziness and nausea. The pain was aggravated by nothing. He tried antacids for the symptoms. The treatment provided no relief. Per UC note, - GE EKG, ECG1-12 Lead- NSR at 61 bpm; diffuse 1 mm ST segment elevation- early polarization vs pericarditis. Patient was instructed to go to ER for further evaluation. Per ED note, patient had no PMH but presented with complaints of CP that began suddenly that day. Pain was intermittent, 4/10, burning, SS non-radiating. An echo was unremarkable, CVMRI on 8/2 was consistent with myocarditis with pericardial involvement. He was observed another night due to exertional CP. Troponin leak was noted consistent with myocarditis. He was treated with Motrin 600 TID and colchicine. No further Motrin due to stomach upset. After physician review and evaluation, discharge was recommended with medical therapy and follow up appointment scheduled with Cardiovascular medical office.


VAERS ID: 1554191 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-07-31
Onset:2021-08-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Measles as 5 year old. High fever, lethargy, breathing problems, rapid heart rate, for more than 2 weeks.
Other Medications: Lisinopril Estradiol
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swollen lymph nodes on left side near clavicle for 13 days so far.


VAERS ID: 1554227 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-15
Onset:2021-08-01
   Days after vaccination:139
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 1 LA / IM

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

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

Write-up: patient tested positive after vaccination


VAERS ID: 1554263 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 3 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Interchange of vaccine products, Mania
SMQs:, Psychosis and psychotic disorders (broad), Hostility/aggression (broad), Medication errors (broad)

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

Write-up: Resident was admitted to hospital with Ax mania episode early August, Hx of CoVid and Completed a Pfizer vaccination series in February. While in hospital, they contacted the POA and administered a Janssen vaccination as well. Resident did not seem to have severe reaction post administration of vaccine.


VAERS ID: 1554293 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-30
Onset:2021-08-01
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Ischaemic stroke, Seizure
SMQs:, Systemic lupus erythematosus (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Convulsions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I63.9 - CVA (cerebral vascular accident) I63.9 - Acute ischemic stroke R56.9 - Unspecified convulsions


VAERS ID: 1554294 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-15
Onset:2021-08-01
   Days after vaccination:108
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Feeling abnormal
SMQs:, Dementia (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: Astorvastatin Herbal Laxative
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I am 58 years old and in great health. I am a property manager with great organizing skills and am able to stay on top of multiple tasks at the same time. At the end of an event that I was in charge of, I returned home at approximately 11:30 pm, took a shower and went to my bedside where I was preparing to get into bed. I felt a little ''out of body'' when approaching the bed and upon arriving there, could not figure out how to move my extra pillows from the bed to the night stand where I have placed them every night for the past 12 years. My wife asked me if I was Ok and I replied yes (later to find out that I was staring at my phone). I climbed into bed and moments later my wife was sitting at my feed asking me what was wrong. She said I lifted an extra pillow and asked what it was then threw it. I was not aware of any of these actions. She immediately googled ''mini stroke symptoms'' and followed them. I was very cognizant of her reading and repeated everything she asked me to repeat as well as participated in conversation normally but was till unaware of the pillow issue. On 8/10/2021, I was talking with a trade that was doing work for us and he asked for my email. I give my email out many times over the last 20 years. When giving my email, I stated "jpeacewood.'' and I could not figure out what was next. I cognitively asked the trade to hold for a minute and tried to figure out what my email address is. I picked up the phone about 30 seconds later and told him that I was distracted and continued..(unlisted email address) which is my address. These are the only 2 issues I have had. Again I am very healthy and this has never happened in my working career ever. It is very concerning since I am hearing others having similar issues after receiving the vaccine for Covid.


VAERS ID: 1554397 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-29
Onset:2021-08-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Facial discomfort, Facial paralysis, Headache, Neck pain, Pain in extremity
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins
Current Illness:
Preexisting Conditions: Bell''s palsy in 2012
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bell''s palsy symptoms, pulling of the face, drooping of the face, pain in the neck of the arm vaccinated, headaches, dizziness and tightness in the face.


VAERS ID: 1554477 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Blepharospasm, Chest pain, Chills, Fatigue, Headache, Injection site pain, Injection site pruritus, Lymphadenopathy, Pain, Pain in extremity
SMQs:, Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (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: 1st dose of Pfizer vaccing
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swollen lymph nodes; pain radiating down arm injected, shoulder area & chest; pain and itchiness at injection site; sharp fleeting pains throughout body; chills; twitching eye; fatigue; headache


VAERS ID: 1554761 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-30
Onset:2021-08-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I never had high blood pressure my entire life and I developed high blood pressure and tachycardia since getting the Pfizer vaccine (first shot).
Current Illness: none.
Preexisting Conditions: None ALWAYS HEALTHY
Allergies: none
Diagnostic Lab Data: none yet.
CDC Split Type:

Write-up: High blood pressure and tachycardia


VAERS ID: 1555018 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Nervous system disorder, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210819984

Write-up: RIGHT FOOT AND LEG NERVE SYMPTOMS; RIGHT FOOT NUMB; RIGHT FOOT TINGLING; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On AUG-2021, the patient experienced right foot numb. On AUG-2021, the patient experienced right foot tingling. On an unspecified date, the patient experienced right foot and leg nerve symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from right foot and leg nerve symptoms, and the outcome of right foot numb and right foot tingling was not reported. This report was non-serious.; Sender''s Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.


VAERS ID: 1557748 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Biliary colic, Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gallbladder related disorders (narrow), Biliary tract disorders (narrow), 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? 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: no
CDC Split Type:

Write-up: nausea, diziness, galbladder pain


VAERS ID: 1558160 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Arthritis, Fatigue, Feeling abnormal, Intermenstrual bleeding, Nausea, Pain in extremity, Polymenorrhoea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Swelling of injection site and fatigue from Infuenza vaccine 2019/2020.
Other Medications: Ibuproferin, Multi-vitamin
Current Illness: Seasonal Allergies
Preexisting Conditions: Mixed Connective Tissue Disease; Asthma; Gastroparesis; Mitral Valve Prolapse; Raynauds; Hypoglycemia
Allergies: N/A
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Nausea; Vomiting; Arm Soreness; Fatigue; Inflammation of Joints; Mild Fever; Breakthrough and Menstrual Bleeding (2 weeks early); Brain Fog / Nausea and vomiting lasting 2 days, mild fever 3 days, and breakthrough bleeding after 3 days. Fatigue and joint inflammation lasting 4 days.


VAERS ID: 1558284 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-26
Onset:2021-08-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7482 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blood test normal, Computerised tomogram normal, Dysmenorrhoea, Feeling abnormal, Full blood count normal, Hypoaesthesia, Hyporeflexia, Laboratory test normal, Mastication disorder, Memory impairment, Menstrual disorder, Neck pain, Reflex test abnormal, Tinnitus, Trismus, Vertigo, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (narrow), Arthritis (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CT scan - 8/9/21 all within normal limits CBC- 8/9/21 within normal limits superchem 8/9/21 within normal limits Blood pressure 8/9/21 within normal limits Temp within normal limits Delayed memory and reflex tests
CDC Split Type:

Write-up: Severe vertigo started day 6 post vaccine and has gotten progressively worse! I?ve never had it in my life and it?s debilitating (still have it now nearly three weeks post.) I also have a severe ache in my shoulder, neck left side only (my vaccine was given in my left arm) and continuous SEVERE tinnitus in both ears. Hydrating, taking 1000mg vitamin c bid, Tylenol, was prescribed an anti emetic, taking amoxcillin three times daily, taking 25 mg diphenhydramine at night before bed. The vertigo gets worse during the day- I?m finally able to rest after day 12, as the ache in my neck lessened only a bit. My left sided reflexes in my hand arm and leg are all delayed. CT scan and bloodwork were all unremarkable. Vision has been severely BLURRED since Day 8. I had severe left sided numbness on my face day 8, thru day 12 with trouble chewing with my left jaw. The vertigo has simply not improved no matter what and I?m extremely concerned. Also, my period started the day of the vaccine (6 days earlier than it should have by my calendar) and it was most definitely more severe in pain. The vertigo I have worsens after caffeine or sugar so I have tried to steer clear as much as possible. Furthermore, I have memory s trouble with simple dates (I?m guessing what most call brain fog.) I was also given an antiemetic shot and bloused 1000ml LRS in my right cephalon vein over two hours.


VAERS ID: 1562811 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-07-26
Onset:2021-08-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Pneumonia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Systemic: pneumonia-Mild, Additional Details: Per pt''s wife, pt started feeling bad on 8/1/21 and ran a fever of 102. Pt went to doctor on 8/3/21 and was diagnosised with pneumonia. Pt is asymptomatic per wife and received antibiotics.


VAERS ID: 1566051 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Hyperhidrosis, Insomnia, Limb discomfort, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: USJNJFOC20210822613

Write-up: ZERO SLEEP; WOOZY; BODY ACHE; SWEAT; FEVER; SLIGHT NAUSEA; SLIGHT HEADACHE; FATIGUE; DISCOMFORT ON THE UPPER ARM; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported) dose was not reported, administered on 06-AUG-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On AUG-2021, the patient experienced discomfort on the upper arm. On AUG-2021, the patient experienced slight headache. On AUG-2021, the patient experienced fatigue. On 06-AUG-2021, the patient experienced zero sleep. On 06-AUG-2021, the patient experienced woozy. On 06-AUG-2021, the patient experienced body ache. On 06-AUG-2021, the patient experienced sweat. On 06-AUG-2021, the patient experienced fever. On 06-AUG-2021, the patient experienced slight nausea. The action taken with covid-19 vaccine was not applicable. The patient was recovering from discomfort on the upper arm, zero sleep, woozy, fever, body ache, and sweat, and had not recovered from slight nausea, slight headache, and fatigue. This report was non-serious.


VAERS ID: 1569062 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-07-25
Onset:2021-08-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Chills, Ear discomfort, Heart rate increased, Insomnia, Nephrolithiasis, Pyrexia, Tinnitus, Urinary tract infection
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hearing impairment (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: propranolol 10mg
Current Illness:
Preexisting Conditions: POTS/IST/JHS
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Day of shot, 3 hours later was in ER with kidney stone and UTI - probably unrelated and stone passed. UTI treated with Keflex. Had fever, chills, and insomnia for a week after shot. A week after shot developed tinnitus in right ear, felt pressure burning and itching at times that would come and go. Tinnitus has moved to both ears. Has not stopped since. Heart rate at rest has been in 90''s since shot. High heart rate with pain and pressure in chest along with feeling short of breath with mild amounts of activity like walking around a store.


VAERS ID: 1569064 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-15
Onset:2021-08-01
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Breast swelling, Lymphadenopathy
SMQs:, Angioedema (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: A few weeks after receiving my second dose of Pfizer vaccine my left breast started to become swollen and enlarged. There are also lymph nodes under my armpit that are swollen and painful. I received the shot in my left arm. The condition has not improved.


VAERS ID: 1569151 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-18
Onset:2021-08-01
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Joint swelling, Skin tightness
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: patient came in for 2nd dose of moderna vaccine and stated that about 10-14 days after first dose her knee became swollen. She states she had knee surgery on that knee about a year ago. She had a tissue expander put in. She states the knee is getting worse. She says it feels tight like there is fluid inside. I did inspect the knee and it was swollen around the knee cap and above the knee. Visibly more swollen than other knee. I told her to contact her knee doctor for further guidance.


VAERS ID: 1569155 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-08-12
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cold sweat, Dizziness, Heart rate increased, Hyperhidrosis, Nausea, Throat tightness
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: HEPATITIS B VACCINE
Other Medications: TAKES PRESCRIPTION MEDICATION FROM HER DOC TOR- DID NOT WANT TO GIVE LIST. NO OVER-THE-COUNTER, DIETARY SUPPLEMENTS, OR HERBAL REMEDIES.
Current Illness: UNAVAILABLE
Preexisting Conditions: IBS, HYPERTENSION, ANXIETY, NEUROPATHY, PAYNAUD''S SYNDROME, CHRONIC ARTHRITIS (PER PATIENT)
Allergies: ALLERGY TO HYDROCODONE AND HEPATITIS B VACCINE
Diagnostic Lab Data: NO TESTS OR LABS DONE IN RELATION TO REACTION- SHE TOOK BENADRY WHICH HELPED AND NOTIFIED HER PRIMARY CARE PROVIDER. HE TOLD HER TO COME TO THE PHARMACY AND HAVE A REPORT FILED.
CDC Split Type:

Write-up: PER PATIENT- AFTER SHE LEFT THE STORE SHE FELT DIZZINESS, RAPID HEARTRATE, ESOPHAGUS STIFFENED UP, NAUSEA, SWEATING, CLAMMY


VAERS ID: 1569189 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-08-11
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / UNK - / IM

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

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

Write-up: NONE NOTED


VAERS ID: 1569297 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Unknown  
Location: Florida  
Vaccinated:2021-08-10
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Why didn?t they ask me these questions when I got the vaccination? I was vaccinated at a pharmacy the vaccination I got was made from Pfizer.
Current Illness: Six months ago I spiked a fever for only two days and I got better. my daughter is fine my husband is fine but I am having a bad reaction to this it?s worse than the flu.
Preexisting Conditions: Factor five blood clotting, Protein S & C deficiency, genetic. I take blood thinners and I have chronic pain from multiple reasons herniated disc?s and my arm was broken so I take Bupernorfin for pain (Subutex )is the other name.
Allergies: Allergic to penicillin
Diagnostic Lab Data: I have an appointment on the phone with my doctor tomorrow
CDC Split Type:

Write-up: I was vaccinated on 10 of August and I continue to get sicker every day . I have a phone appointment with my doctor tomorrow.


VAERS ID: 1571637 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Exposure during pregnancy, Musculoskeletal stiffness, Neck pain
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210822548

Write-up: PAIN IN NECK AT BASE OF SKULL ON LEFT SIDE( THE PAIN HAS GOTTEN WORSE,NOW PAIN IS MORE PRONOUNCED AND IF SHE TURNS HER HEAD A CERTAIN WAY SHE EXPERIENCES A SHARP PAIN); VACCINE EXPOSURE DURING PREGNANCY; STIFF NECK; This spontaneous pregnancy report received from a patient concerned a 39 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. It was not reported whether the patient had been pregnant before. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 201A21A, expiry: 21-SEP-2021) dose was not reported, administered on 09-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On AUG-2021, the patient experienced stiff neck. On 09-AUG-2021, the patient experienced vaccine exposure during pregnancy. The date of the patient''s last menstrual period and expected delivery date were not reported. On 11-AUG-2021, the patient experienced pain in neck at base of skull on left side ( the pain has gotten worse, now pain is more pronounced and if she turns her head a certain way she experiences a sharp pain). The pregnancy was continuing. The action taken with covid-19 vaccine was not applicable. The patient had not recovered from pain in neck at base of skull on left side( the pain has gotten worse, now pain is more pronounced and if she turns her head a certain way she experiences a sharp pain), and stiff neck, and the outcome of vaccine exposure during pregnancy was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment Comment not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1571639 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Lymph node pain, Pain, Pyrexia, Vaccination site pain
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210823675

Write-up: BODY ACHES; PAIN IN THE AXILLARY LYMPH NODES OF THE ARM; CHILLS; FEVER; FATIGUE; PAIN AT INJECTION SITE; EXTREME TIREDNESS; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 05-AUG-2021 for prophylactic vaccination..The batch number was not reported and has been requested. No concomitant medications were reported. On AUG-2021, the patient experienced body aches. On AUG-2021, the patient experienced pain in the axillary lymph nodes of the arm. On AUG-2021, the patient experienced chills. On AUG-2021, the patient experienced fever. On AUG-2021, the patient experienced fatigue. On AUG-2021, the patient experienced pain at injection site. On AUG-2021, the patient experienced extreme tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the body aches, chills, fever, fatigue, pain at injection site, pain in the axillary lymph nodes of the arm and extreme tiredness was not reported. This report was non-serious.


VAERS ID: 1574216 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-01-25
Onset:2021-08-01
   Days after vaccination:188
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Cough, Headache, Pyrexia, SARS-CoV-2 test negative, Sinus congestion, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: aspirin 81 mg tablet citalopram (CeleXA) 10 mg tablet fluticasone propionate (FLONASE) 50 mcg/actuation nasal spray(Expired) levothyroxine (SYNTHROID) 137 mcg tablet LORazepam (ATIVAN) 0.5 mg tablet metoprolol succinate XL (TOPROL-XL) 50 mg
Current Illness:
Preexisting Conditions: Respiratory OSA on CPAP Circulatory Coronary artery disease involving native coronary artery of native heart without angina pectoris Essential hypertension Digestive Chronic gastritis without bleeding Endocrine/Metabolic Acquired hypothyroidism Hypercholesteremia Impaired fasting glucose Other Primary insomnia Current moderate episode of major depressive disorder without prior episode
Allergies: Codeine Sulfa (Sulfonamide Antibiotics)Rash
Diagnostic Lab Data: 08/02/21 2044 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/02/21 1518 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical 08/02/21 2044 COVID-19 PCR Collected: 08/02/21 1518 | Final result | Specimen: Swab from Nasopharynx
CDC Split Type:

Write-up: POSTNASAL DRIP, SINUS CONGESTION, CHILLS, FEVER,COUGH, SLIGH HEADACHE


VAERS ID: 1574286 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-31
Onset:2021-08-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 RA / SYR

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

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

Write-up: Had nausea @ 1:00am for about an hour and than at 4:30am had the worse chills of my life. Than at around @ 7:30 am I awoke to my body being covered in what I thought was chicken pox. This event all happened on 8/1/21 the day after my vaccine shot.


VAERS ID: 1574350 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: New York  
Vaccinated:2021-02-06
Onset:2021-08-01
   Days after vaccination:176
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose Moderna,Lot#012L20A 2nd dose Moderna,lot#012M20A Diagnosed covid positive:08/04/21 Symptom onset:07/31/21 Exposure:community Symptoms:Fatigue, congestion,runny nose,sinus congestion.


VAERS ID: 1574391 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-07-01
Onset:2021-08-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Intensive care
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Acute hypoxic respiratory failure due to COVID-19 pneumonia requiring ICU admission.


VAERS ID: 1574403 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-10
Onset:2021-08-01
   Days after vaccination:83
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003B21A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Injected limb mobility decreased, Injection site pain, Pain, Pain in extremity, Vaccine positive rechallenge
SMQs:, Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol and ibuprofen after I got vaccinated that day due to a headache symptom.
Current Illness: N/A
Preexisting Conditions: Iron and vitamin D deficiency
Allergies: N/A
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: - my injection shot started hurting me in the sense of my muscle ached and I could not move it fully. I felt my nerves were effected. - at the second dose of moderna my nurse informed me that taking ibuprofen will help and that this is a common side affect post injection. - the pain did not go away after my second dose in April, it got worse. I took ibuprofen for 5 days straight and my arm still hurt with certain movements. - in the past two weeks, during the first of august till now, august 16 the pain has spread to both arms fully, but specifically shoulders as well as my back area/ shoulder blades. The pain feels like a burning with my nerves feeling drugged or flared with pain. Movement has been really limited with these symptoms.


VAERS ID: 1574439 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-01
Onset:2021-08-01
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK UN / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram thorax abnormal
SMQs:, Cardiomyopathy (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: see EMR
Allergies:
Diagnostic Lab Data: CT chest; CXR
CDC Split Type:

Write-up: Admitted to the hospital in August 2021 with Covid pneumonia s/p fully vaccinated in April 2021.


VAERS ID: 1574457 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-07-30
Onset:2021-08-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0584 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood test, Dyspnoea, Fatigue
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (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: LYRAKA; SYNTHROID; AMPROZIL; ZYROKLE; PRAZOSIN.
Current Illness: MONOPROTIC
Preexisting Conditions: DIAMBAR;, ALOPECIA; HYPOTHYROIDISM
Allergies: OXYCLINE
Diagnostic Lab Data: BLOOD WORK
CDC Split Type: vsafe

Write-up: HOURS LATER I HAD FATIGUE JOINT SORENESS. HAD TROUBLE BREATHING. I WAS REALLY TIRED.


VAERS ID: 1574572 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-08-13
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / UNK - / IM

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

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

Write-up: No adverse event experienced by patient. Patient received Moderna vaccine lot #001C21A on 07/16/2021 on left deltoid and 28 day later received Pfizer vaccine lot# EW0182 on left deltoid.


VAERS ID: 1577486 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 antibody test, Therapy non-responder
SMQs:, Lack of efficacy/effect (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202108; Test Name: COVID-19 antibody test; Result Unstructured Data: No antibody
CDC Split Type: USJNJFOC20210825088

Write-up: CONFIRMED IMMUNOLOGICAL VACCINE FAILURE; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, with frequency as 1 total, administered on APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. In Aug-2021, the patient reported that he recently had an antibody test and the result showed no antibody in his body. Laboratory data included: COVID-19 antibody test (NR: not provided) No antibody. (coded as confirmed immunological vaccine failure). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of confirmed immunological vaccine failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0.20210825088-covid-19 vaccine ad26.cov2.s -confirmed immunological vaccine failure . This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1577500 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Body temperature decreased, Chromaturia, Ear irrigation, Faeces discoloured, Hypoacusis, Injection site pain, Injection site reaction, Night sweats, Tinnitus, Upper-airway cough syndrome, Weight decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Extravasation events (injections, infusions and implants) (broad), Hearing impairment (narrow), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202108; Test Name: Body temperature; Result Unstructured Data: 97.6
CDC Split Type: USJNJFOC20210826406

Write-up: HEAVY POST NASAL DRIP; HEAVY NIGHT SWEATING; TINNITUS IN HEARING; LITTLE TO NO PAIN IN THE INJECTION SITE MUSCLE; TEMPERATURE 97.6 BEFORE AND AFTER DAYS OF SHOT; LOST 4LBS (POUNDS); INJECTION SITE MUSCLE FIRM AND HARD; HEAR VERY FAINT THINGS NOW; EARS FEEL LIKE THEY WERE ALWAYS DRAINING; URINE DARK; STOOL DARK; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 09-AUG-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On AUG-2021, the patient experienced lost 4lbs (pounds). On AUG-2021, the patient experienced injection site muscle firm and hard. On AUG-2021, the patient experienced hear very faint things now. On AUG-2021, the patient experienced ears feel like they were always draining. On AUG-2021, the patient experienced urine dark. On AUG-2021, the patient experienced stool dark. On AUG-2021, the patient experienced little to no pain in the injection site muscle. On AUG-2021, the patient experienced temperature 97.6 before and after days of shot. Laboratory data included: Body temperature (NR: not provided) 97.6. On 09-AUG-2021, the patient experienced heavy night sweating. On 09-AUG-2021, the patient experienced heavy post nasal drip. On 09-AUG-2021, the patient experienced tinnitus in hearing. The action taken with covid-19 vaccine was not applicable. The outcome of the heavy night sweating, lost 4lbs (pounds), injection site muscle firm and hard, heavy post nasal drip, tinnitus in hearing, hear very faint things now, ears feel like they were always draining, urine dark, stool dark, little to no pain in the injection site muscle and temperature 97.6 before and after days of shot was not reported. This report was non-serious.


VAERS ID: 1577534 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Oklahoma  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal, Formication, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN D [ERGOCALCIFEROL]; VITAMIN C [ASCORBIC ACID]
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: The patient had no known allergies. The patient had no history of drug abuse or illicit drug use. Described herself as very healthy, and had not had a reaction to other shots.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210830410

Write-up: FEELING STRANGE; TINGLING FEET AND FINGERS/FEELING LIKE PINS AND NEEDLES; FEELING AS ALMOST LIKE ANTS GOING UNDER THE SKIN; This spontaneous report received from a patient concerned a 49 year old female. The patient''s weight was 125 pounds, and height was 163 centimeters. The patient''s concurrent conditions included: non-alcohol user, and non-smoker, and other pre-existing medical conditions included: The patient had no known allergies. The patient had no history of drug abuse or illicit drug use. Described herself as very healthy, and had not had a reaction to other shots. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 205A21A, expiry: 21-SEP-2021) dose was not reported, administered on 27-JUL-2021 for prophylactic vaccination. Concomitant medications included ascorbic acid, and ergocalciferol. On AUG-2021, the patient experienced feeling strange. On AUG-2021, the patient experienced tingling feet and fingers/feeling like pins and needles. On AUG-2021, the patient experienced feeling as almost like ants going under the skin. The action taken with covid-19 vaccine was not applicable. The outcome of the feeling strange, tingling feet and fingers/feeling like pins and needles and feeling as almost like ants going under the skin was not reported. This report was non-serious.


VAERS ID: 1577626 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient fainted after the shot was given and woke up right after. He was responsive with no pain and no injury presented. Paramedic came and took the patient vitals. His vitals were reported to be normal and no need of urgent care. His family insisted for patient to be admited to the hospital.


VAERS ID: 1577890 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-21
Onset:2021-08-01
   Days after vaccination:223
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Drainage, Ear pain, Headache, Nasal congestion, SARS-CoV-2 test positive, Sinus disorder
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: benzonatate (TESSALON PERLES) 100 mg capsule cetirizine (ZyrTEC) 10 mg tablet cycloSPORINE (RESTASIS) 0.05 % ophthalmic emulsion estradioL (ESTRACE) 0.01 % (0.1 mg/gram) vaginal cream lisinopriL (ZESTRIL) 10 mg tablet nitrofurantoin, macroc
Current Illness:
Preexisting Conditions: Circulatory Essential hypertension Genitourinary Vaginal atrophy Recurrent urinary tract infection Endocrine/Metabolic Impaired fasting glucose Other Elevated bilirubin Overweight(278.02)
Allergies: Chlorphen-phenyltolox-pe-ppa MoxifloxacinOther (document details in comments) PhenazopyridineNausea Only
Diagnostic Lab Data: 08/08/21 1043 POCT COVID-19 PCR Collected: 08/08/21 1042 | Final result | Specimen: Swab from Nares POC COVID-19 PCR DetectedAbnormal Lot # 1000272599 Point of Care COVID-19 PCR Testing Method Cepheid Lot Expiration Date 6192022
CDC Split Type:

Write-up: ? Sinus Problem bilat ear pain/pressure, headache, cough, drainage, nasal congestion


VAERS ID: 1577914 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-01-05
Onset:2021-08-01
   Days after vaccination:208
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Myalgia, Pain, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Outpatient Medications FLUoxetine (PROzac) 20 mg capsule meclizine (ANTIVERT) 25 mg tablet Clinic-Administered Medications levonorgestrel (MIRENA) 20 mcg/24 hr (5 years) IUD 52 mg
Current Illness:
Preexisting Conditions: Musculoskeletal Pityriasis rosea Endocrine/Metabolic Impaired fasting blood sugar Other PMS (premenstrual syndrome) Grief reaction
Allergies: NKA
Diagnostic Lab Data: 08/03/21 1942 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/03/21 1236 | Final result | Specimen: Swab from COVID-19 SARS-CoV-2 Overall Result DetectedCritical 08/03/21 1942 COVID-19 PCR Collected: 08/03/21 1236 | Final result | Specimen: Swab from
CDC Split Type:

Write-up: Cough Fatigue Muscle or body aches Headache


VAERS ID: 1577988 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-07-31
Onset:2021-08-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 2 LA / IM

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

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

Write-up: No adverse events were reported. This form is being completed because it was brought to my attention the patient received her second vaccination 2 weeks after her first dose rather than 3 weeks as approved under the EUA.


VAERS ID: 1578034 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-05-04
Onset:2021-08-01
   Days after vaccination:89
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

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

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

Write-up: Tested positive for Covid


VAERS ID: 1578142 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-13
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

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

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


VAERS ID: 1578190 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-01-25
Onset:2021-08-01
   Days after vaccination:188
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: azelastine (ASTELIN) 137 mcg (0.1 %) nasal spray CANNABIDIOL, CBD, EXTRACT ORAL estradioL (ESTRACE) 0.01 % (0.1 mg/gram) vaginal cream fluticasone propionate (FLONASE) 50 mcg/actuation nasal spray medical supply, miscellaneous (MISCELLANEOU
Current Illness:
Preexisting Conditions: Nervous Bilateral impacted cerumen Chronic female pelvic pain Respiratory OSA (obstructive sleep apnea) Other Major depressive disorder in remission (CMS/HCC) Anxiety Insomnia Overweight
Allergies: Percocet [Oxycodone-acetaminophen]
Diagnostic Lab Data: 08/08/21 0131 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/07/21 1040 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical
CDC Split Type:

Write-up: Fever or Chills Cough New loss of taste or smell Congestion or running nose


VAERS ID: 1578235 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-02-22
Onset:2021-08-01
   Days after vaccination:160
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Decreased appetite, Ear pain, Fatigue, Headache, SARS-CoV-2 test, Sinus disorder, Suspected COVID-19, Upper respiratory tract infection
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: meloxicam (MOBIC) 15 mg tablet predniSONE (DELTASONE) 20 mg tablet
Current Illness:
Preexisting Conditions: Circulatory Abnormal stress echo Abnormal stress echocardiogram Digestive Adenomatous polyp of colon Esophageal reflux Genitourinary Nocturia Musculoskeletal Arthritis Disc degeneration, lumbar Truncal muscle weakness Endocrine/Metabolic Pure hypercholesterolemia Other Over weight
Allergies: NKA
Diagnostic Lab Data: 08/08/21 1041 POCT COVID-19 PCR Collected: 08/08/21 1041 | Final result | Specimen: Swab from Nares POC COVID-19 PCR DetectedAbnormal Lot # 1000272599 Point of Care COVID-19 PCR Testing Method Cepheid Lot Expiration Date 6192022
CDC Split Type:

Write-up: Chief Complaint Patient presents with ? Sinus Problem x 1 week. cough, ear pain, headache, fatigue, loss of appetite Suspected COVID-19 virus infection URI, acute


VAERS ID: 1578279 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059E21A / 1 AR / IM

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

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

Write-up: Error: Patient Too Young for Vaccine Administered-


VAERS ID: 1578303 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-07-31
Onset:2021-08-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / UN

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Back pain, Blood test, Chills, Dizziness, Electrocardiogram, Fatigue, Pain, Portal vein thrombosis, Pyrexia, Ultrasound scan abnormal
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: Sick from first dose of Moderna vaccine prior.
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: Went to the emergency room on 8/11 was admitted. Blood test, EKG, and an ultrasound was performed which confirmed Portal Vein Thrombosis (Blood clot in my the liver). I was perfectly healthy until taking this vaccine!
CDC Split Type:

Write-up: Fever, Chills, Body Aches, Dizzy, Tired, follow up with severe stomach and back pain.


VAERS ID: 1578316 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-06-28
Onset:2021-08-01
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Adenovirus test, Alanine aminotransferase normal, Aspartate aminotransferase increased, Blood albumin normal, Blood magnesium increased, Blood sodium normal, Brain natriuretic peptide normal, C-reactive protein increased, Chest X-ray normal, Chest pain, Cytomegalovirus test negative, Decreased appetite, Diarrhoea, Dizziness, Dyspnoea, Electrocardiogram ST segment depression, Electrocardiogram ST segment elevation, Enterovirus test negative, Epstein-Barr virus test negative, Haemoglobin decreased, Heart rate increased, Human herpes virus 6 serology negative, Immunology test normal, Lymphocyte percentage decreased, Monocyte percentage increased, Mycoplasma test positive, Neutrophil percentage, Pain, Pain in jaw, Parvovirus B19 test negative, Procalcitonin, Pyrexia, Red blood cell sedimentation rate increased, Respiratory viral panel, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Serum ferritin increased, Tachycardia, Troponin increased, White blood cell count normal
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Vestibular disorders (broad), Osteonecrosis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (broad), COVID-19 (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: none
Current Illness: Ill with anosmia ,chills and low grade fever, malaise in December 2020 4 members in family ill in December Dad tested positive for Coronavirus PCR ,others not tested
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: his troponin was 4.6, and 0.48 on discharge BNP was 84. Sedimentation rate was 14. WBC was 5400, hemoglobin 15.6, monocytes 12%, 19% lymphocytes, neutrophils 69%, and ferritin 218. Mycoplasma antibody was positive for IgG and IgM, IFA negative. Adenovirus PCR- Plasma Result- ADVPP 8/3/2021 22:44 CDT Negative & CMV DNA Detection PCR, Blood CMV DNA Detection P... 8/3/2021 22:44 CDT Undetected IU/mL & Enterovirus PCR- Plasma Negative Epstein Barr Virus by ... 8/3/2021 Undetected IU/mL & Parvovirus B19 PCR- Plasma 8/3/2021 Negative & HHV6 negative PCR SARS-CoV-2 IgG antibody was negative 8/4/2`1. Epstein-Barr virus undetected. RV panel negative. COVID PCR negative. Chest x-ray with no focal consolidation, normal cardiothymic shadow. Sodium was 139, procalcitonin 0.16, CRP 11.05, magnesium 1.9, albumin 4.1, ALT 31, and AST 111. SARS COV 2 spike ab semi Quant (Clinic) $g250U/ml 8/5/21
CDC Split Type:

Write-up: First Pfizer COVID 19 given IM 6/3/21 ,second dose 6/28/21 lot no EW0168. Patient reports that he was well until 08/01/2021. He presented to the Emergency Room on 08/03/2021 with concerns of chest pain, shortness of breath, which had been ongoing for the last 2 days. He initially started with a history of diarrhea, abdominal pain, and low-grade fever. Both he and his brother had the same symptoms at the same time On 08/01/2021, he had gone swimming in the lake at that time and thought it was due to exertion, but he developed chest pain and shortness of breath and his heart beating fast(palpable tachycardia). Over the next 24 hours, his diarrhea resolved and his fever discontinued, but he continued to have chest pain intermittently throughout the day and shortness of breath. He went to Hospital on 08/03/2021 and they transferred him, as they noted that he had an elevated troponin at 30 and EKG changes with ST-segment elevation and depression. He was actually feeling much better. He had no headache, no history of seizures, no dizziness, no fainting, and a little lightheadedness. Occasionally his pain would extend to the jaw, but no radiation to the back. The upper abdominal pain he had was in the epigastrium. His appetite has now come back to normal. He is able to drink, able to keep fluids down, and his chest pain has almost resolved in the last 36 hours. He also has no diarrhea, and does not have any joint pains. No skin rash. Initially, he felt the heart rate going fast, but now he does not feel any tachycardia. He has had no chills. Admitted 8/3/21 -8/7/21


VAERS ID: 1578352 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-24
Onset:2021-08-01
   Days after vaccination:158
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Bradycardia, COVID-19, Hypoxia, Infusion, Pyrexia, SARS-CoV-2 test
SMQs:, Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler buPROPion SR (WELLBUTRIN SR) 100 mg 12 hr tablet dilTIAZem CD (CARDIZEM CD) 360 mg 24 hr capsule fluticasone propion-salmeteroL (ADVAIR DISKUS) 500-50 mcg/dose diskus inhaler gabapentin (N
Current Illness:
Preexisting Conditions: Respiratory Solitary pulmonary nodule COPD (chronic obstructive pulmonary disease) (CMS/HCC) COPD with acute exacerbation (CMS/HCC) Acute exacerbation of chronic obstructive pulmonary disease (COPD) (CMS/HCC) Circulatory Essential hypertension Digestive Gastroesophageal reflux disease Other Generalized anxiety disorder History of colonic polyps
Allergies: Sulfa (Sulfonamide Antibiotics)Hives / Urticaria, Swelling LisinoprilCoughing
Diagnostic Lab Data: Probable COVID-19 Specimen information: Swab / Nares Added: 8/3/2021 by POCT COVID-19 Antigen (Collected 08/03/21) Onset date: 8/3/2021 Resolve Add: Rule-Out COVID-19 and Respiratory Viruses Add: SARS-CoV-2 (related to COVID-19) Add: Rule-Out SARS-CoV-2 (related to COVID-19)
CDC Split Type:

Write-up: FEVER COVID-19 - Primary Relevant Medications predniSONE (DELTASONE) 20 mg tablet BMI 22.0-22.9, adult Fever, unspecified fever cause Relevant Orders POCT COVID-19 Antigen (Completed) Hypoxia Relevant Orders POCT COVID-19 Antigen (Completed) Bradycardia Relevant Orders POCT COVID-19 Antigen (Completed) A&P: Rapid COVID swab taken today and positive. Pt''s prednisone was extended. Her duonebs was refilled as well. Given pt''s high risk status, she is eligible for monoclonal antibody infusion so this was set up for her. Pt and husband think her status actually started to change on Sunday so this was documented at onset of symptoms. The fever this morning was her first episode. At the office visit today, pt is afebrile and her O2 sat is good. Hence ok to proceed with outpatient management. She is fully vaccinated for COVID. Conservative measures also advised. Return or call back in if with new or worsening symptoms especially if with difficulty breathing Registered Nurse Specialty: Oncology Progress Notes Signed Encounter Date: 8/6/2021 Signed Hide copied text Hover for details Patient here for Regeneron infusion. Patient tolerated infusion well and was monitored for 1 hour post. Upon discharge, patient was provided a pulse ox, thermometer, after visit summary and follow up instructions. No adverse events noted during this visit. Electronically signed by RN at 8/6/2021 9:50 AM


VAERS ID: 1578405 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-01
Onset:2021-08-01
   Days after vaccination:92
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abortion spontaneous, Foetal heart rate abnormal, Menstruation irregular, Pregnancy, Ultrasound foetal abnormal
SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow), Fertility disorders (broad)

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

Write-up: After receiving each COVID vaccine, had a couple of irregular periods. Became pregnant about 1 month after receiving 2nd dose of vaccine. At 8.5 week ultrasound, was told baby was only 6.5 weeks judging by size and heart rate. At 10.5 weeks, went in for another ultrasound and there was no heartbeat - baby measured about 6 weeks. Miscarriage.


VAERS ID: 1578562 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-02-28
Onset:2021-08-01
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Fatigue, Feeling abnormal, Headache, Pyrexia, SARS-CoV-2 test, Tachycardia, Viral upper respiratory tract infection
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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: benzonatate (TESSALON) 100 mg capsule finasteride (PROSCAR) 5 mg tablet losartan (COZAAR) 100 mg tablet lovastatin (MEVACOR) 40 mg tablet venlafaxine XR (EFFEXOR-XR) 150 mg 24 hr capsule
Current Illness:
Preexisting Conditions: Nervous Dermoid cyst of right ear Respiratory Chronic seasonal allergic rhinitis due to pollen Circulatory Essential hypertension Varicose veins Digestive Adenomatous colon polyp Diverticulosis of intestine Class 1 obesity due to excess calories without serious comorbidity with body mass index (BMI) of 30.0 to 30.9 in adult Polyp of sigmoid colon PONV (postoperative nausea and vomiting) Genitourinary Benign prostatic hyperplasia without lower urinary tract symptoms Nocturia Musculoskeletal Dermatitis Impingement syndrome of right shoulder Lumbar disc disease Lumbar foraminal stenosis Lumbar spondylosis Primary osteoarthritis involving multiple joints Sebaceous cyst Endocrine/Metabolic Mixed hyperlipidemia Impaired fasting glucose Other Anxiety Recurrent major depressive disorder, in remission (CMS/HCC) Elevated prostate specific antigen (PSA) Organic impotence Medicare annual wellness visit, subsequent
Allergies: NKA
Diagnostic Lab Data: Updated Procedure 08/03/21 2153 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/03/21 1634 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical 08/03/21 2153 COVID-19 PCR Collected: 08/03/21 1634 | Final result | Specimen: Swab from Nasopharynx
CDC Split Type:

Write-up: Cough Headache Fever 99 this morning Tired Patient stated feeling terrible Viral upper respiratory tract infection Fever of unknown origin Tachycardia


VAERS ID: 1578565 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-01
Onset:2021-08-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039A21A / 1 LA / IM

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

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

Write-up: Patient was being seen by PCP. She suggested that he get a COVID vaccine. She stated to the nurse that it was ok for him to have the Moderna vaccine as he was "almost" 18. He received his 1st dose on 7/1/2021. He was still 17 at the time. He was monitored for the standard time frame and sent home. Mother was present at the appointment. No further orders were given.


VAERS ID: 1580118 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820096 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Condition aggravated, Cough, Injection site bruising, Nausea, Pain in extremity, Pruritus, Tinnitus
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sinus disorder
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210832500

Write-up: WORSENING SINUS SYMPTOMS WITH RUNNY NOSE/ SEVERE HEADACHE AROUND SINUSES AND TEMPLES; ITCHY ARMS; COUGHING UP YELLOW; GREENISH-YELLOW COLOR BRUISE AT THE INJECTION SITE; WHOOSHING IN EARS; PAIN IN LEFT HAND ACROSS JOINTS OVER THE KNUCKLES; NAUSEA; This spontaneous report received from a patient concerned a 74 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: sinus symptoms. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 1820096, expiry: UNKNOWN) dose was not reported, administered on 06-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On AUG-2021, the patient experienced worsening sinus symptoms with runny nose/ severe headache around sinuses and temples. On AUG-2021, the patient experienced itchy arms. On AUG-2021, the patient experienced coughing up yellow. On AUG-2021, the patient experienced greenish-yellow color bruise at the injection site. On AUG-2021, the patient experienced whooshing in ears. On AUG-2021, the patient experienced pain in left hand across joints over the knuckles. On AUG-2021, the patient experienced nausea. Treatment medications (dates unspecified) included: ibuprofen, sucralfate, acetylsalicylic acid/caffeine/paracetamol/salicylamide, and paracetamol. The action taken with covid-19 vaccine was not applicable. The patient recovered from itchy arms on AUG-2021, was recovering from nausea, and the outcome of coughing up yellow, pain in left hand across joints over the knuckles, worsening sinus symptoms with runny nose/ severe headache around sinuses and temples, whooshing in ears and greenish-yellow color bruise at the injection site was not reported. This report was non-serious. This case, from the same reporter is linked to 20210832299.


VAERS ID: 1582125 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-18
Onset:2021-08-01
   Days after vaccination:44
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac telemetry, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Intensive care, Magnetic resonance imaging heart, Troponin increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: unknown
Preexisting Conditions: none
Allergies: Amoxicillin
Diagnostic Lab Data: Troponin 8/12 (elevated) Echo 8/12 (normal) Cardiac MRI 8/16 (normal)
CDC Split Type:

Write-up: About 2 months after receiving his vaccines, patient developed chest pains and presented to the hospital. He was noted to have elevated troponins (6) and ST segment elevations on EKG. He was admitted from 8/12-8/17 where he was on telemetry and seen by Infectious Disease, Cardiology. His ECHO was normal. He received scheduled ibuprofen and his troponin downtrended upon discharge.


VAERS ID: 1582330 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anaphylactic reaction
SMQs:, Anaphylactic reaction (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (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: NSAIDS, SALICYLATES
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT ADVISED THAT SHE HAD ANAPHYLACTIC RXN TO FIRST DOSE AND WAS UNABLE TO GET SECOND DOSE


VAERS ID: 1582369 (history)  
Form: Version 2.0  
Age: 10.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-17
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 2 RA / IM

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

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

Write-up: No adverse event reported


VAERS ID: 1582391 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-20
Onset:2021-08-01
   Days after vaccination:103
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Paranoia, Patient isolation, SARS-CoV-2 test positive, Suicidal ideation
SMQs:, Suicide/self-injury (narrow), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: H&P: This is a 57 yo F, who presented to the emergency department after being found by police outside a local methadone clinic. Reportedly the patient had presented to medical clinic stating that she needed help. She reportedly expressed suicidal ideation to police. She was initially paranoid, threatening to staff and would not give her name. Eventually her husband called looking for her, and she was identified. She was placed on a section 12 and admitted. She did test positive for COVID 19 and she was admitted. She was completed asymptomatic for her covid. She did not require oxygen, did not require IV steroids or remdesivir. She was quarantined for 10 days, and she is no longer on isolation precautions


VAERS ID: 1582459 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: New York  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Asthenia, X-ray
SMQs:, Guillain-Barre syndrome (broad), Arthritis (broad)

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

Write-up: pain on left shoulder, weakness in knees


VAERS ID: 1582479 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-09
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site mass, Injection site pain, Injection site pruritus, Injection site warmth, Vaginal haemorrhage
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? 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: 8 day after vaccination got Lump on injection site hot to touch very painful and itchy now day 9 have under arm pain on injected arm and brown vaginal bleeding


VAERS ID: 1582872 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-08-01
   Days after vaccination:114
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 018B21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: amoxicillin-pot clavulanate (AUGMENTIN) 875-125 mg per tablet fluconazole (DIFLUCAN) 150 mg tablet meclizine (ANTIVERT) 12.5 mg tablet methylPREDNISolone (MEDROL DOSEPACK) 4 mg tablet
Current Illness:
Preexisting Conditions: NONE
Allergies: Azelaic AcidDizziness / Lightheaded SpironolactoneDizziness / Lightheaded
Diagnostic Lab Data: 08/03/21 0932 POCT COVID-19 PCR Collected: 08/03/21 0926 | Final result | Specimen: Swab from Nares POC COVID-19 PCR DetectedAbnormal Lot # 1033446 Point of Care COVID-19 PCR Testing Method Abbott ID NOW Lot Expiration Date 11/3/21
CDC Split Type:

Write-up: URI, NASAL CONGESTION


VAERS ID: 1582961 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-17
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A2A / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Speech disorder, Tongue disorder
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Sexual dysfunction (broad)

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

Write-up: About 2 hours after receiving the vaccine, my tongue got numb and very thick-feeling so that I could not freely form words. Then the numbness spread to my lips. Then it spread to my checks and chin. The reaction was like getting anesthesia at the dentist for a cavity. I contacted my health provider at this time. The numbness stopped spreading and then about 5:30, it began to slowly dissipate. First my tongue got better, then my lips and then my face. I was completely normal by the morning of the next day, 8/18/21.


VAERS ID: 1582978 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-09
Onset:2021-08-01
   Days after vaccination:145
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: UNKNOWN
Preexisting Conditions: HYPERTENSION, CHRONIC LUNG DISEASE (COPD), ASTHMA AND FORMER SMOKER
Allergies: UNKNOWN
Diagnostic Lab Data: MOLECULAR AMPLIFICATION TEST RT PCR POSITIVE FOR SARS-COV-2
CDC Split Type:

Write-up: VACCINATED WITH JANSSEN VACCINE IN MARCH OF THIS YEAR. WENT TO HOSPITAL ER ON 8/15/21 WITH A 2 WEEK HISTORY OF SYMPTOMS WHICH INCLUDED: CHILLS, RUNNY NOSE, FATIGUE, SHORTNESS OF BREATH, NAUSEA, ABDOMINAL PAIN AND DIARRHEA. RECEIVED MONOCLONAL ANTIBODY TREATMENT WHILE IN ER AND WAS ADMITTED THE SAME DAY. SHE IS NOT IN ICU OR ON THE VENTILATOR. HER HUSBAND TESTED POSITIVE ON 8/6/21 AND HE WAS HOSPITALIZED ON 8/14/21.


VAERS ID: 1582992 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-15
Onset:2021-08-01
   Days after vaccination:108
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Patient lied on intake form and indicated he did not receive previous vaccination. Upon further investigation found pt received JJ on 4/9/21


VAERS ID: 1583060 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-07-30
Onset:2021-08-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Culture, Drainage, Ear discomfort, Ear pain, Flushing, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: Buspar; Depakote; Metoprolol ER; Aripiprazole; Ondansetron; Oxycodone; albuterol; baclofen; amlodipine; Losartan; Pantoprazole
Current Illness:
Preexisting Conditions: Hypertension; bipolar disorder; Depression
Allergies: Morphine; penicillin; Benadryl; amoxicillin; sulfa drugs; Chantix; Doxycycline; Cipro; pineapple; sweet potatoes; watermelon; eggs; shellfish
Diagnostic Lab Data: Culture Test.
CDC Split Type: vsafe

Write-up: Initially about 10 mins after receiving the vaccine, I got a little flushed and then I got a low-grade fever. Then it resolved. The following Sunday I woke up with really bad pressure and pain in my right ear. I went to the urgent care at Dignity Health in state. They treated me with an antibiotic, an auditory antibiotic, and a steroid. It did not resolve in the seven-day course, so I was reissued an auditory antibiotic on August 16th. The initial culture showed no signs of infection although I did have drainage and everything else.


VAERS ID: 1583063 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-06
Onset:2021-08-01
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, Asthenia, COVID-19 pneumonia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 13 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin 325mg, Pantoprazole 40mg, Theophylline 40mg, Phenazopyridine 200mg, Glimepiride 1mg, Atorvastatin 20mg, Gabapentin 300mg, Clonazepam 0.5mg, Lantus 35units, Furosemide 50mg,
Current Illness:
Preexisting Conditions: Anxiety, Atrial Fibrillation, COPD, Diabetes mellitus, Hypertension, Hyperlipidemia, Sleep apnea
Allergies: Doxycycline, Lisinopril
Diagnostic Lab Data: SARS COV2 COVID19 PCR
CDC Split Type:

Write-up: FULLY VACCINATED COVID-19 CASE. Admitted with general weakness, acute respiratory failure and hypoxia secondary to Covid-19 Pneumonia


VAERS ID: 1583085 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-30
Onset:2021-08-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Nausea
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? 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: SEVERE HEADACHES AND NAUSEA FOR 2 WEEKS AFTER THE 1ST DOSE.


VAERS ID: 1583165 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-19
Onset:2021-08-01
   Days after vaccination:104
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8785 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: carboxymethylcellulose sodium (THERATEARS) 0.25 % drops ergocalciferol (VITAMIN D2) 1,250 mcg (50,000 unit) capsule estradioL (ESTRACE) 0.01 % (0.1 mg/gram) vaginal cream fexofenadine (ALLEGRA) 180 mg tablet montelukast (SINGULAIR) 10 mg ta
Current Illness:
Preexisting Conditions: Nervous Intractable migraine without aura and without status migrainosus Cervicogenic headache Medication overuse headache Respiratory Deviated nasal septum Hypertrophy of nasal turbinates Digestive Gastroesophageal reflux disease Other Encounter for routine adult health examination without abnormal findings Allergy, subsequent encounter
Allergies: NKA
Diagnostic Lab Data: Updated Procedure 08/07/21 0337 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/06/21 1541 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical
CDC Split Type:

Write-up: runny nose, headache and fatigue.


VAERS ID: 1583999 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Limb discomfort, Lymphadenopathy, Muscle tightness, Paraesthesia, Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Rhinocort, Azelastine (been on these for YEARS)
Current Illness: none
Preexisting Conditions: none
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Initially after the shot, I had tightness running up into my neck behind my ear in the sternocleidomastoid muscle and arm in general. Over the next few hours, I experienced left sided numbness and tingling to parts of my face (forehead, cheek, lip, chin), my arm and hand (shoulder down to finger tips) lasting all overnight and finally went away in the morning. Then I had a painful swollen supraclavicular lymphnode that did not go down for about 4 days.


VAERS ID: 1584000 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Dizziness, Nausea, Tachycardia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Dehydration (broad)

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

Write-up: Tachycardia,Nausea and Dizziness No Treatment and 3:30 pm was the onset


VAERS ID: 1584019 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-07-01
Onset:2021-08-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Computerised tomogram, Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram thorax abnormal, Fatigue, Malaise, Mobility decreased, Pulmonary thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Parkinson-like events (broad), Cardiomyopathy (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Losartan/Hctz 50/12.5 mg tablets, vitamin D3, and Tylenol
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: I was instructed by the doctor to take my mom to the ER on August 13, because she had not been feeling well. The ER doctor order CT scans on her head, chest, stomach, and lower back. They told me she had a blood clot in her lung. My mom said since the vaccine she has slowed down, walking less because she felt tired all the time. She was released on August 16 from the hospital and currently on blood thinner for the next 3 months.
CDC Split Type:

Write-up: My mom said she didn''t feel the same after the vaccine. On July 25 she started a new medication and had side effects to it. She was recently in the hospital on August 13 and they said she had a blood clot in her lung.


VAERS ID: 1584204 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Extra dose administered, Retinal detachment, Retinal operation
SMQs:, Accidents and injuries (broad), Retinal disorders (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Hypertension, diabetes mellitus
Allergies: No allergies known
Diagnostic Lab Data: August 18th 2021
CDC Split Type:

Write-up: Retinal detachment 3 days post 3rd vaccine. Treatment: Surgery.


VAERS ID: 1586758 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-07-27
Onset:2021-08-01
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022N21A / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Alopecia, Fatigue, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Lost of hair, Arm sore, Tiredness


VAERS ID: 1586845 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair Zyrtez Metformin ER HCTZ Spironolactone Jardiance Lexapro Trellegy ProAir
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Food allergy to melon related fruits.
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Extremely sore around injection site for over 2 weeks. Also, very itchy and tingly a few times.


VAERS ID: 1586979 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-07-01
Onset:2021-08-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram, Flank pain, Single functional kidney, Urine analysis
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen, NSAID, Acetaminophen
Current Illness: Unknown
Preexisting Conditions: UTI
Allergies: None
Diagnostic Lab Data: Urinalysis June 25 Urinalysis August 2021 Blood test August 2021 CT scan August 2021
CDC Split Type:

Write-up: Stomach pains and increased flank pains. Followed by Treatment for UTI and kidney infection. (This could be pre existing, but more symptoms and pain that led to doctor visit and ER visit.


VAERS ID: 1587134 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-30
Onset:2021-08-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 - / IM

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

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

Write-up: Left clavicular pain. Left supraclavicular lymph node swelling.


VAERS ID: 1587158 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-07-21
Onset:2021-08-01
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Burning sensation, Full blood count, Herpes zoster, Paraesthesia, Red blood cell sedimentation rate
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Opportunistic infections (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: LoLoestrin
Current Illness: None. 2 weeks after vaccination, painful tingling and shingles appeared.
Preexisting Conditions: MTHFR genetic mutation and spina bifida occulta,
Allergies: sulfa, eggs
Diagnostic Lab Data: 8/11/21. CBC, sed rates
CDC Split Type:

Write-up: Severe tingling / burning in legs, felt like acid running down body for several days. Hands are still burning and diagnosed with shingles. Never had them previously.


VAERS ID: 1587310 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-01-16
Onset:2021-08-01
   Days after vaccination:197
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 RA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030M20A / 2 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: home test for COVID-19 Patient : Test Taken: 8/7/2021 12:52:00 P.M.- 04:00 Analyzer ID: 201404817 Lot Number: 21131001
CDC Split Type:

Write-up: Got COVID-19 on August 1st, 2021


VAERS ID: 1587392 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-06-02
Onset:2021-08-01
   Days after vaccination:60
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Arrhythmia, Blood test normal, Chest pain, Dyspnoea, Electrocardiogram abnormal, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None except albuterol inhaler which I use maybe twice per year.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I went to the ER and had an ECG and blood work done. ECG reported a heart arrhythmia and the blood work came back normal.
CDC Split Type:

Write-up: Chest pain, difficulty breathing, heart palpitations and arrhythmia.


VAERS ID: 1591445 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Hyperaesthesia, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swollen armpit. Very sensitive to touch. 1st dose


VAERS ID: 1591700 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-14
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049E21A / 2 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient states arm was swollen to the width of her hand


VAERS ID: 1591726 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-27
Onset:2021-08-01
   Days after vaccination:96
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abnormal faeces, Cholecystectomy, Fatigue, Genitourinary symptom, Hepatic enzyme increased, Malaise, Pain, Pancreatitis
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (narrow), Biliary system related investigations, signs and symptoms (broad), Gallbladder related disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Trazodone, Anxiety medication
Current Illness:
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: A third party test is set for August 31st
CDC Split Type:

Write-up: Patient stated that he had been feeling sick but really didn''t pay any attention to the symptom. He said he just stated to monitor himself. He was still working around the far but he was experiencing more fatigue. Around 7/23/2021 he did some work but he noticed that his stool was pale and his pee was concentrated. On the following Tuesday he could no longer take the pain He went to the hospital on 7/28/21 he was admitted to the hospital for pancreatic. He ended up getting his gallbladder removed. He had his liver checked. He does not drink or smoke. His liver count was high. Patient was released on August 5th 2021.


VAERS ID: 1591779 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-07-28
Onset:2021-08-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Blister, Condition aggravated, Gait disturbance
SMQs:, Severe cutaneous adverse reactions (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrocodone and Ambien
Current Illness: None
Preexisting Conditions: I have had 7 spine surgeries - I am in great shape, except for discomfort in my L5-S1 spine. I manage it with a low dose of Hydrocodone under the supervision of my Doctor.
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Intense blistering on both my right and left heels of my feet and some on my toes. Also my surgical spine area L5-S1 is inflamed and hurts more intensely, to the point I could not walk.


VAERS ID: 1591833 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-04
Onset:2021-08-01
   Days after vaccination:89
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045B21A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 - / -

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

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

Write-up: Hospitalization 08/01/21-08/04/21


VAERS ID: 1591868 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-02-10
Onset:2021-08-01
   Days after vaccination:172
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anosmia, COVID-19, Fatigue, Infection, Nasopharyngitis, SARS-CoV-2 test positive
SMQs:, Taste and smell disorders (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin HCL, Jardiance, Atorvastatin, D3, Arazo Nutrition Blood Sugar support
Current Illness: none
Preexisting Conditions: Diabetes
Allergies: NKA
Diagnostic Lab Data: (08/02/2021) Nasal PCR CovID test.
CDC Split Type: vsafe

Write-up: (08/01/2021) Mild Cold symptoms, loss of smell, Fatigue, ect. went to doc (08/02/2021) Got results for breakthru CovID on (08/04/2021) Was released from isolation on 08/14/2021.


VAERS ID: 1592033 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-08-01
Onset:2021-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: No symptoms , called mother 08/20/2021 she states child has no side effects to date


VAERS ID: 1592038 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-29
Onset:2021-08-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052C21A / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Pruritus, Rash erythematous
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: Shingrex
Other Medications: Hormone replacement.75 estrogen
Current Illness: None
Preexisting Conditions: Lyme disease,
Allergies: Sensitivity to antibiotics. Cefelex,
Diagnostic Lab Data:
CDC Split Type:

Write-up: Covid Arm red rash running 8x4 on upper arm. Itching and fatigue! Running 14 day post injection.


VAERS ID: 1592310 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: California  
Vaccinated:2021-02-12
Onset:2021-08-01
   Days after vaccination:170
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 2 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Anaemia, Blood count abnormal, Dyspnoea, Full blood count, Metabolic function test, Oxygen saturation decreased, Platelet count normal, Urine analysis
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cetirizine, Formamidine, HCTZ 25/Spironolactone 25, Calcium citrate, Mometasone, Metoprolol succinate, Losartan, Fluticasone propionate, Montelukast, Omeprazole, Levothyroxine, Albuterol, Cholecalciferol, Pravastatin, Sulfasalazine, Hydroxy
Current Illness: None
Preexisting Conditions: Asthma, Bronchiectasis, UCTD, Lung nodules
Allergies: Cabbage, Methotrexate, Amlodipine, Lisinopril, Neosporin, Tramadol, Keflex, Iodine, a preservative in vitamin shot.
Diagnostic Lab Data: Blood, Urine, complete panel, Hemogram
CDC Split Type: vsafe

Write-up: 08/2021 Anemia, Lack of Breath, Low Oxygen, Low blood count(Only platelets were ok) Oral Iorn, B, B-12, C.


Result pages: prev   205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=304&PERPAGE=100&ESORT=ONSET-DATE&REVERSESORT=ON&VAX=COVID19&DIED=No


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