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From the 9/10/2021 release of VAERS data:

Found 686,636 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 360 out of 6,867

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VAERS ID: 1512751 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-02-19
Onset:2021-07-15
   Days after vaccination:146
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Myalgia, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Specimen Collection Date: 07/26/2021 Specimen Source: nasopharyngeal swab Test Performed: SARS-COV-2 RNA TMA Result: Detected Lab: Local Lab
CDC Split Type:

Write-up: Sx onset 7/15/21 with cough, chills & muscle aches. Visited son, his wife & newborn in another location. Son and one other are both + cases. Tested on 7/26/21 which resulted as positive.


VAERS ID: 1512788 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-21
Onset:2021-07-15
   Days after vaccination:85
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044A21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, White blood cell count decreased
SMQs:, Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I went to the doctor in June and the doctor said that I have a very low count of white blood cells.


VAERS ID: 1512905 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: no known illnesses
Preexisting Conditions: non recorded
Allergies: no known allergies
Diagnostic Lab Data: she report that she had not seen a health care provider as of 7/28/21. Upon advising her to she a healthcare provider and she has since been using Benadryl. Upon follow up call with her on 7/28/21, she state that the rashes are resolving with the Benadryl and she has not gone to she a provider still
CDC Split Type:

Write-up: The patient received the vaccine on 7/14/21 and called on 7/26/21 stating that she breakout in rashes the day following her shot. She reports that she has been taken Benadryl initially (not taking any longer0 and have been using hydrocortisone cream ever since with no significant relieve.


VAERS ID: 1512980 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-01-22
Onset:2021-07-15
   Days after vaccination:174
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood urine present, Culture urine, Cystitis, Headache, Micturition urgency, Rash, Urinary tract discomfort
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide; Lisinopril; Synthroid; additional blood pressure medication
Current Illness:
Preexisting Conditions: Hypertension; Hypothyroidism
Allergies: Kiwi; Potassium
Diagnostic Lab Data: Urine Culture
CDC Split Type: vsafe

Write-up: After the second dose of the vaccine I had a rash around the shot and a headache the day after but no other side effects. Ten weeks after the vaccine I got a bladder Infection. I have gotten bladder infections in the past but this was more severe. I had urgency, discomfort and blood in my urine. I took one course of antibiotics but the symptoms returned. I returned to the doctor when the discomfort returned and I had a lot more blood in my urine. I received a second course of antibiotics and those seem to have worked. I got the first dose of the shingles shot one month before the first dose of the vaccine. I got the second dose of the Shingles vaccine two months after the second dose of the Covid-19 vaccine.


VAERS ID: 1513058 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: New York  
Vaccinated:2021-01-25
Onset:2021-07-15
   Days after vaccination:171
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9261 / 2 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Condition aggravated, Cough, Culture urine, Facial paresis, Hemiplegic migraine, Kidney infection, Migraine, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Urine analysis
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Verapamil 180 mg - for migraines; Citrulline; - 200 mg for anxiety; Vit D; Multi Vitamin
Current Illness: no
Preexisting Conditions: migraines - was getting pretty frequently at time of vaccination - 3 or four times a week anxiety re-current UTI''s
Allergies: mangoes and some shellfish
Diagnostic Lab Data: Kidney infection - Urgent Care - Urine test done and a culture as well. April 2021. They gave me a shot in the office of an antibiotic and I was on another one for 10 days. And that resolved it.
CDC Split Type: vsafe

Write-up: I woke up with a sore throat and developed a runny nose and a cough and that was pretty much it. It lasted for about a week. 16th, I was seen by Health Dept for a COVID test - had rapid and PCR - they were both negative. February - 2nd week - I had a flare up of my migraines - I had to go to doctor - I had left-sided facial weakness and a diagnosis - Hemiplegic Migraines - that didn''t change my medications. I still get migraines but less frequently. I had a Kidney infection at end of March - the symptoms started then and in April when I got on medications for that.


VAERS ID: 1513125 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: given after the beyond-use-dating due to the vaccine being stored improperly


VAERS ID: 1513887 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / UNK AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: given after the beyond-use-dating due to the vaccine being stored improperly


VAERS ID: 1513911 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: California  
Vaccinated:2021-02-27
Onset:2021-07-15
   Days after vaccination:138
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / SYR

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin, cosopt ophthalmic, latanoprost opth, lisinopril, omeprazole, metformin
Current Illness: diabetes, glaucoma
Preexisting Conditions: prostate cancer
Allergies: buproprion
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was vaccinated with 2 doses of Pfizer vaccine. 2/27/21 and 3/20/2010. No adverse reaction. The patient developed symptoms 7/15/2021 and tested positive for covid 19 infection. he was hospitalized with severe covid 19 pneumonia and required high flow oxygen. at this time he remains hospitalized.


VAERS ID: 1514781 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-13
Onset:2021-07-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, Body temperature, SARS-CoV-2 test, 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: House dust mite allergy
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:Normal; Test Date: 20210715; Test Name: Covid 19 Ag test; Test Result: Positive
CDC Split Type: USPFIZER INC2021900042

Write-up: tested positive for covid 19; lost sense of taste and smell; lost sense of taste and smell; This is a spontaneous report from a contactable other hcp. This other HCP reported for a 17-year-old male patient received bnt162b2 (BNT162B2, Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot EW0198), dose 1 intramuscular, administered in Arm Left on 13Jul2021 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included dust mite allergy. The patient''s concomitant medications were not reported. On 15Jul2021 (two days post vaccination) patient experienced tested positive for covid 19, lost sense of taste and smell. The patient underwent lab tests which included body temperature: normal, sars-cov-2 test: positive on 15Jul2021 (Covid 19 Ag card). Reporter seriousness for tested positive for covid 19 was not serious. received his first dose of Pfizer Covid vaccine. Reporter was wondering if that was to be expected. Second dose scheduled for 03Aug2021. Treatment declines any. He has no other symptoms, checked temperature and it was normal, sinuses and lungs are fine, no body aches. He is a healthy child, no conditions. There is a Product Complaint. Caller asking if these results mean the patient actually has Covid-19. Response: Spoke from "regulatory authority-can the vaccine cause a false positive COVID-19 test (v3.0)." "Viral tests are used to see if you have a current infection. The Pfizer-BioNTech COVID-19 Vaccine will not cause you to test positive on viral tests. The following website has information on viral tests for current infection with COVID-19:# Sending email fulfillment containing attached document per caller request. Informed caller that the Pfizer BioNTech Covid-19 Vaccine cannot cause a Covid-19 infection. Informed caller that Pfizer cannot speak to the reliability of the results of the test used. The outcome for all events was unknown.


VAERS ID: 1514785 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-07-09
Onset:2021-07-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness, Migraine, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Atopic
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021900659

Write-up: right eye lost vision; visual disturbance; migraine headache; He saw little pyramids connected together, then it had a thing with a pyramid shaped head at the edge of it. Stacked on top, was like a snake looking thing.; This is a spontaneous report from a contactable consumer (patient). A 60-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Batch/Lot number: FA6780) via an unspecified route of administration in right arm on 09Jul2021 at 12:30 (age at vaccination 60-years-old) as first dose, single for COVID-19 immunization. Medical history included atopic allergies. Concomitant medication(s) included cetirizine hydrochloride (ZYRTEC) one pill, once a day for atopic allergies (It was working perfect. Patient had been taking for about two years). Prior vaccinations (within 4 weeks) were reported as none. On 15Jul2021, around 00:15 to 00:30, patient started to get a migraine headache. He normally did not get migraines or headaches. His head was still hurting on the right side. The pain started on the right back side of his neck. Then it moved to the cortex of his brain, just on the right side. It spilled into the right side of his brain. After he saw things, then his head was hurting so bad. He could feel the right side of his brain. It got terrible to the point that his right eye lost vision. His vision did not go black, it went white. The weird thing was that he could see two to three feet in front of him. He saw little pyramids connected together, then it had a thing with a pyramid shaped head at the edge of it. He really could see nothing, but it was clear at the same time, and he could still see the light. At first, it got whiter, and then it got black and white. Stacked on top, was like a snake looking thing. It was circling, and then moving back and forth, and then turned into an S. It straightened up and turned its head towards him. Then it started fading away. He had to leave his job because his head was hurting. He felt it on the right side of his brain. He was driving home, and it started happening again. He held his right hand over his right eye, and he could still see it. He knew that it was not an illusion, it was in his head. He was like what the hell was going on. When he got home he drank water and laid down and feel asleep when woke up can still feel pressure in head and the pressure /pain had gone away but if moved head can still feel a little bit in the right side of his brain, feel like it was still there a little. Also stated that he did have topical allergies and they do "explode" from time to time and patient was Zyrtec for that and it had been working and he did have an allergy attack about 3-4 weeks ago with sneezing. He wanted to know if that had something to do with the COVD vaccine. He vividly knew what he saw. The patient did not visit emergency room or physician office. Relevant tests were reported as none. The outcome of the events he saw little pyramids connected together, then it had a thing with a pyramid shaped head at the edge of it. Stacked on top, was like a snake looking thing was recovered on 15Jul2021, migraine headache was not recovered and right eye lost vision, visual disturbance it was unknown. Follow-up (20Jul2021): Follow-up attempts are completed. No further information is expected.


VAERS ID: 1514796 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Feeling abnormal, Mass, Myocardial infarction
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021901225

Write-up: her heart is racing and feels like it is going to beat out of her chest. Her nerves are so bad right now she is about to have a heart attack; weird bumps, explained as one red spot in right upper arm; weird bumps, explained as one red spot in right upper arm; Her nerves are so bad; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: FA6780) via an unspecified route of administration in right upper arm on 15Jul2021 at around 09:00 (at the age of 26-year-old) as DOSE 1, SINGLE for COVID-19 immunization. The patient had no medical history (none) and no relevant family medical history. Concomitant medications were not reported. Patient had no vaccines within four weeks of COVID-19 vaccine. Patient had no history of adverse event following vaccination. On 15Jul2021, after receiving first dose of vaccination, patient was breaking out in weird bumps and had one red spot in her right upper arm. She reported that about an hour after the shot she took a magnet and put it to her arm at the place she got the shot and it stuck, the magnet did not move. On 15Jul2021, patient experienced her heart was racing and felt like it was going to beat out of her chest. Her nerves were so bad, she was about to have a heart attack. Patient asked what she should do, should she go to the doctor or the emergency room. Patient did not receive any treatment in response to the event. Outcome of the events were unknown. Follow-up attempts are completed. No further information was expected.


VAERS ID: 1515082 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

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

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1515158 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

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

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1515183 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

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

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1515235 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-03-07
Onset:2021-07-15
   Days after vaccination:130
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA N/A / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chest pain, Chills, Cough, Diarrhoea, Dyspnoea, Fatigue, Hypoxia, Nausea, Pain in extremity, Productive cough, Pyrexia, Retching, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A - unknown
Current Illness: N/A - Unknown
Preexisting Conditions: Diabetes and asthma
Allergies: NKDA
Diagnostic Lab Data: COVID PUI LIAT - 7/22/21 @ 23:15 = positive
CDC Split Type:

Write-up: Pt was fully vaccinated for COVID19 with Moderna Vaccine (3/7/21 and 4/4/21). He presented to the ED with complaints of chest pain that began 8 days prior. He noted the pain to result in severe coughing with sputum. Also had reports of generalized weakness, SOB, fatigue, chills, dry heaving, diarrhea, nausea, bilateral leg pain, and fever. The patient denied knowing or being around any sick contacts. He was found to be COVID19- positive and admitted to hospital for COVID pneumonia with hypoxia. He was discharged 2 days later after he was stabilized on room air with ambulation.


VAERS ID: 1515313 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-15
Onset:2021-07-15
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO202 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO181 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: simvastatin, ondansetron, omeprazole, Sudafed, fluticasone
Current Illness:
Preexisting Conditions: dementia, hyperlipidemia, arthritis, asthma
Allergies: nkda
Diagnostic Lab Data: SARS CoV 2 PCR COVID19 positive on 7/22/21
CDC Split Type:

Write-up: 7/22/2021: previously vaccinated with COVID-19 Pfizer vaccine on 5/25/2021 and 6/15/2021. Presents to ED with cough and shortness of breath, fevers. and tested positive for COVID-19. Diagnosed with acute hypoxic respiratory failure, COVID-19 positive, COVID pneumonia 7/28/21: discharged.


VAERS ID: 1515432 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Proair inhaler PRN
Current Illness: none known
Preexisting Conditions: Mild Intermittent Asthma
Allergies: ant bites
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Dizziness, Fatigue and low grade fever(max 100.0) starting within hours of vaccination, lasting 48hours. Motrin was taken which helped symptoms.


VAERS ID: 1515481 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-03-11
Onset:2021-07-15
   Days after vaccination:126
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003A21A / 2 - / IM

Administered by: Work       Purchased by: ?
Symptoms: COVID-19, Headache, Malaise, Pain, Paranasal sinus discomfort, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies: NKDA
Diagnostic Lab Data: RT-PCR SARS-CoV-2 (+)
CDC Split Type:

Write-up: MODERNA COVID-19 EUA: fully vaccinated individual presented on 071521 with a 5-day history of sinus pressure, headache, body aches and malaise


VAERS ID: 1515493 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-01-29
Onset:2021-07-15
   Days after vaccination:167
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: exercise induced asthma
Allergies: unknown
Diagnostic Lab Data: COVID 19 (SARS-CoV-2) anterior nasal PCR swab-positive result
CDC Split Type:

Write-up: Patient tested positive for COVID 19 on 7/15/2021-developed headache, congestion, fever, chills on 7/13/2021


VAERS ID: 1515503 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-03-05
Onset:2021-07-15
   Days after vaccination:132
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 - / IM

Administered by: Work       Purchased by: ?
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Headache, Influenza A virus test negative, Influenza B virus test, Occupational exposure to SARS-CoV-2, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Streptococcus test negative, Throat irritation, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Obesity, Hypothyroidism, Diabetes, Hypertension, Chronic depression
Allergies: NKDA
Diagnostic Lab Data: 071521 Strep A screen (-), Influenza A/B (-) for both, COVID-19 Abbott ID NOW (+)
CDC Split Type:

Write-up: JANSSEN COVID-19 EUA: fully vaccinated patient presented on 071521 with a 5-day history of headache, congestion, wheezing, fever, cough and scratchy throat. The patient reported an exposure to COVDI-19 on 070821 in both a coworker and a neighbor.


VAERS ID: 1515576 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1515580 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-07-01
Onset:2021-07-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Dysphagia, Hypoaesthesia, Hypoaesthesia oral, Magnetic resonance imaging, Ocular discomfort, Oesophageal rupture
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hearing impairment (broad), Sexual dysfunction (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: hearing impaired, back surgery
Allergies: clindamycin amoxicillin
Diagnostic Lab Data: MRI
CDC Split Type:

Write-up: 2 weeks after vaccine patient experience eye discomfort followed by face and tongue numbness, dx with Bells Palsay 7/24 experience difficulty swallowing food resulting in a torn esophagus.


VAERS ID: 1515582 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1515586 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, In vitro fertilisation
SMQs:, Fertility disorders (narrow), 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: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1515602 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: Pfizer vaccine administered after being in the freezer for 11 days past the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1515746 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

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

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

Write-up: Pt experienced hives all over the body 24 hours after vaccination. Pt went to ER and was given antihistamine which cleared up the rash.


VAERS ID: 1517972 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Gingival swelling, Headache, Mental impairment, Myalgia, Nausea, Pyrexia, Stomatitis
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ROSUVASTATIN; EZETIMIBE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202100910240

Write-up: mental fog; swollen gums; mouth irritation; weakness; nausea; Fever; chills; severe muscle pain; severe headache; This is a spontaneous report from a contactable consumer (patient). A 46-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: EW0196) via an unspecified route of administration on 14Jul2021 at 18:00 (at the age of 46-years-old) in right arm as dose 2, single for COVID-19 immunization. The patient medical history was reported as none. No other vaccine in four weeks. Prior to vaccination, the patient was not diagnosed with covid-19. Post vaccination, the patient had not been tested for covid-19. No known allergies were reported. Concomitant medications received in two weeks included rosuvastatin (ROSUVASTATIN) and ezetimibe (EZETIMIBE) both taken for an unspecified indication, start and stop date were not reported. The patient''s previously received BNT162B2 (COVID Pfizer vaccine; lot number: EW0168) on 23Jun2021 at 18:00 in right arm as dose 1, single for COVID-19 immunization. The patient experienced fever, chills, severe muscle pain, weakness, severe headache, mental fog, swollen gums, mouth irritation and nausea on 15Jul2021 at 06:00. The patient did not receive any treatment. The outcome of all the events was recovering. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1517988 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-07-13
Onset:2021-07-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anger, Body height, Chills, Hypoxia, Influenza like illness, Nausea, Pain, Physical examination, Restlessness, Somnolence
SMQs:, Acute pancreatitis (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (narrow), Eosinophilic pneumonia (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Smoker
Allergies:
Diagnostic Lab Data: Test Name: Height; Result Unstructured Data: Test Result:5 feet 6 inches or 5 feet 7 inches; Comments: 5 feet 6 inches or 5 feet 7 inches, no I am not sure; Test Name: Physical; Result Unstructured Data: Test Result:unknown results
CDC Split Type: USPFIZER INC202100912690

Write-up: He say he needs oxygen; Flu-like symptoms; Restless; Nausea; Chills; he is very angry; Body ache; sleeps for couple of hour; This is a spontaneous report from a contactable consumer or other non hcp. A 39-years-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, dose 1 (Lot number and expiry date was not reported) via an unspecified route of administration on 13Jul2021 (at the age of 39-years-old) as a single dose for covid-19 immunisation. Medical history included tobacco user from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. On Thursday (15Jul2021) afternoon he got the side effects from it, they were like the flu symptoms and reporter stated that the patient was very angry, he was just restless. The patient he had a long sleep. It was like on and off, he sleeps for couple of hours and he had some little bit of nausea today (17Jul2021). The patient did not go to a doctor except MD urgent care because he had sick and got Antibiotic. The patient had chills and body ache. The patient was taking Tylenol or Advil one or two tablets (not sure). The patient stated that he needs oxygen. The reporter wanted him to get to an urgent care doctor and he was resisting. The reporter was asking what are they going to do and she wanted to find out what else she can do or what else he can do. The patient underwent lab tests and procedures which included body height: 5 feet 6 inches or 5 feet 7 inches on 5 feet 6 inches or 5 feet 7 inches, no I am not sure, physical examination: unknown results on. Therapeutic measures were taken as a result of he says he needs oxygen (hypoxia), flu-like symptoms, restless, nausea, chills, he is very angry, body ache, sleeps for couple of hours. The outcome of the events was hypoxia, nausea, chills, anger, pain, Somnolence was unknown flu-like symptoms, restless, was not recovered. Information about the Lot/batch number has been requested.


VAERS ID: 1518131 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: New York  
Vaccinated:2021-01-25
Onset:2021-07-15
   Days after vaccination:171
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Lacrimation increased, Nasal congestion, Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test, Sinus congestion, Sneezing, Vaccination failure
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Taste and smell disorders (narrow), Lacrimal disorders (narrow), Hypersensitivity (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? 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: 20210422; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210503; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210719; Test Name; Test Result: Positive ; Comments: Nasal Swab; Test Date: 20210721; Test Name; Test Result: Positive ; Comments: Nasal Swab; Test Date: 20210115; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210125; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210129; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210205; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210212; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210219; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210301; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210305; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210312; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210326; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210402; Test Name; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210409; Test Name; Test Result: Negative ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC202100944463

Write-up: Contracted breakthrough case of COVID-19.; Contracted breakthrough case of COVID-19.; Sinus congestion/pressure; Sinus congestion/pressure; Runny/stuffy nose; Runny/stuffy nose; sneezing; eye watering; loss of smell/taste; loss of smell/taste; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 25-years-old nonpregnant female patient received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number EL3247, expiration date unspecified), via an unspecified route of administration, administered in Arm Left on 25Jan2021 07:30 as DOSE 2, SINGLE for covid-19 immunization. The patient received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number EL0142, expiration date unspecified), via an unspecified route of administration, administered in Arm Left on 04Jan2021 14:30 as DOSE 1, SINGLE for covid-19 immunization. The patient medical history was not reported. The patient was administered Mirena IUD in the two weeks of vaccination. The patient was not tested positive prior to the vaccination. The patient did not receive any other medication with in four weeks of vaccination. On 15Jul2021 22:30, the patient experienced Contracted breakthrough case of COVID-19. The patient also presented symptoms which include sinus congestion/pressure, runny nose/stuffy nose, sneezing, eye watering and loss of smell/taste. The patient did not receive any treatment for the events. The patient had lab test for covid-19 on different dates on 15Jan2021 the result were negative, on 25Jan2021 the results were negative, on 29Jan2021 the results were negative, On 05Feb2021, the results were negative, on 12Feb2021 results were negative, On 19Feb2021 results were negative, On 01Mar2021 results were negative, On 05Mar2021 results were negative, On 12Mar2021 results were negative, On26Mar2021 results were negative, On 02Apr2021 results were negative, On 22Apr2021 results were negative, On 03May2021 results were negative, On 19Jul2021 results were positive and On 21Jul2021 results were positive. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1518304 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angina pectoris, Asthenia, Blood pressure measurement, Breast pain, Chest pain, Feeling abnormal, Heart rate, Heart rate increased, Hypertension, Limb discomfort, Peripheral coldness
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Lipodystrophy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210715; Test Name: BP; Result Unstructured Data: Test Result:155 on the top and 97 on the bottom; Test Date: 20210715; Test Name: BP; Result Unstructured Data: Test Result:151/95; Test Date: 20210715; Test Name: Heart rate; Result Unstructured Data: Test Result:108
CDC Split Type: USPFIZER INC2021906662

Write-up: heart pain was severe, right around the breast area; heart pain was severe, right around the breast area; felt "something" going through arms; BP went up to 151/95/Her blood pressure was 155 on the top and 97 on the bottom; HR 108; felt weak; felt real bad; pain in chest; fingers were cold/fingers, hands and toes got really cold/cold feet; This is a spontaneous report from a contactable consumer (patient). This 74-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 14Jul2021 as single dose for COVID-19 immunisation. Medical history and concomitant medications were unknown. The patient felt weak and was getting pain in chest on 15Jul2021. Her BP went up to 151/95 and HR 108 on 15Jul2021, her fingers were cold, felt "something" going through arms, and had cold feet. On 15Jul2021 about 3 o''clock, she felt real bad and real weak and she started getting pains in her chest. Her fingers, hands and toes got really cold and her chest was hurting terrible. The patient took half of a BP medication in the morning and in the evening; took it and things calmed down about an hour later. She said the "heart pain" was severe, right around the breast area, and she could feel her heart beating. She described the "skipping" as "go go, stop stop, go". She said that sometimes it would be strong and other times, not. On 15Jul2021, her blood pressure was 155 on the top and 97 on the bottom and her heart rate was 108 and she could feel it beating in her chest. She was wondering if she should get another one on 04Aug2021 based on her side effects. Outcome of the events was unknown. The lot number for the vaccine, BNT162b2 , was not provided and will be requested during follow up.


VAERS ID: 1518312 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-13
Onset:2021-07-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood glucose, Blood glucose increased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210715; Test Name: raised my sugar dramatically to 289; Result Unstructured Data: Test Result:289
CDC Split Type: USPFIZER INC2021907959

Write-up: I''m not diabetic and it raised my sugar dramatically to 289 for numerous days; This is a spontaneous report from a contactable Other HCP (patient). A 42-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 13Jul2021 (Batch/Lot Number: FA6780) at age of 42-years-old as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Patient was not pregnant. Facility type vaccine was Pharmacy or Drug Store. No other vaccine in four weeks. Patient was not diabetic and it raised her sugar dramatically to 289 for numerous days on 15Jul2021 with outcome of recovering. Treatment received included Insulin. No COVID prior vaccination. No COVID tested post vaccination.; Sender''s Comments: Based on the information currently available, a possible contributory role of the suspect vaccine BNT162B2 or comirnarty in triggering the onset of blood sugar increased cannot be excluded.The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1518487 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injected limb mobility decreased, Injection site joint pain, Insomnia, Loss of personal independence in daily activities, Myalgia, Pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (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: Mirena IUD
Current Illness: Nil
Preexisting Conditions: Nil
Allergies: Nil
Diagnostic Lab Data: I have not yet had any tests, but plan to have an evaluation shortly.
CDC Split Type:

Write-up: My left arm became very sore by the first evening of my shot, and I had difficulty sleeping. It become worse over the next few days, and I experienced a loss of range of motion and pain when using and not using the arm. Understanding that arm soreness is a normal symptom of the COVID-19 Pfizer vaccine, I waited a few days, but the pain did not subside. It has now been over 15 days since my first dose and I am still experiencing significant pain in my left arm. The muscle soreness has lessened, but is still present, however the shoulder joint has been affected significantly. I experience pain when lifting my arm, brushing my hair, getting dressed, etc. For a few days the pain was excruciating and I found it difficult to complete regular tasks.


VAERS ID: 1518854 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chest X-ray normal, Dizziness, Headache, Influenza virus test negative, Lymphadenopathy, Mononucleosis heterophile test negative, Pyrexia, Rash, SARS-CoV-2 test negative, Somnolence, Streptococcus test negative, Vision blurred
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: A runny nose one week before the vaccine.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Covid 19 Test, Flu Test, and Beta Strep Culture were all taken on 7/20/2021. Mononucleosis Screen, and XR Chest 2 View were taken on 7/21/2021. All came out negative.
CDC Split Type:

Write-up: High fever (100+) for over 10 days. A lot of headache and drowsiness. Enlarged lymph nodes. After 8 days from the vaccine, rashes started to appear and stayed for about 3 hours. Also after 8 days, he was very dizzy and had blurry vision.


VAERS ID: 1519033 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cyanosis, Dizziness, Dyspnoea, Hyperhidrosis, Hypoaesthesia, Muscle spasms, Nausea, Retching
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (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: Oral Hydrocortisone 35mg per day
Current Illness: N/A
Preexisting Conditions: Secondly Addisons Disease; Idiopathic Intracranial Hypertension (VP shunt)
Allergies: Iodine, shellfish
Diagnostic Lab Data:
CDC Split Type:

Write-up: After being taken back to room the shot was administered. I stood up to wait in the lobby for the required 15 minutes. Immediately upon standing a wave of lightheaded/dizziness hit with nausea and dry heaving. All fingers and toes went numb and excessive sweating started. After 2-3 minutes breathing became labored and pharmacist staff reported that I was turning blue. Both hands and both feet were numb and hands began cramping at first knuckle, unable to straighten fingers without assistance from an object and applied pressure. The pharmacist immediately rushed to get an epipen while manager called EMS, but did not administer as they were afraid of making reaction worse. After approximately 15 minutes the symptoms subsided and breathing returned to normal. EMS did provide on assessment on site, but agreed that medical transport was not needed but would remain under supervision from family to ensure no further reaction. Pain from cramping in hands lasted for approx. 4 days.


VAERS ID: 1519504 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 RA / IM

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

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1519524 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

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

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1519534 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

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

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1519807 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-02-01
Onset:2021-07-15
   Days after vaccination:164
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Intensive care, 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? Yes, 18 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: AZITHromycin 250 mg Tablet Directions: 1 tablet oral every Monday, Wednesday, Friday (Active) fluticasone-umeclidin-vilanter (Trelegy Ellipta) 100 mcg-62.5 mcg-25 mcg/actuation blister with device Directions: 1 puff by inhalation daily
Current Illness:
Preexisting Conditions: COPD, Depression, Dyslipidemia, Pneumonia; Other Dx:Bronchitis (disorder), Addt''l Med History chronic back pain, Emphysema, PE, cdiff colitis, chronic hypoxic resp failure, chronic neck pain.
Allergies: None
Diagnostic Lab Data: COVID-19 PCR Positive on 7/15/2021, still hospitalized as of 8/2/2021
CDC Split Type:

Write-up: Admitted to CCU with COVID-19 Positive, after vaccination


VAERS ID: 1519848 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 RA / IM

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

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1519883 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

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

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

Write-up: Pfizer vaccine administered after being in the freezer 11 days past the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1519897 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1519904 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

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

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

Write-up: Pfizer vaccine administered after being in the freezer 11 days past the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1519910 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

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

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1519922 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 RA / IM

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

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

Write-up: Pfizer vaccine administered after being in the freezer 11 days past the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1519935 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.


VAERS ID: 1520032 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PA6780 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Feeling abnormal, Nausea, Night sweats, Pyrexia, Skin burning sensation, Sleep disorder
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: penicillin -when I was in late teens -early twenties
Other Medications: Vitamin D3 Zinc Milk Thistle B-12 CoQ10 Alpha Lipoic Acid Muira Puama Suma
Current Illness: None
Preexisting Conditions: Diabetes type 2/ two stents in coronary arteries.
Allergies: Penicillin Rubber/Latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: My skin feels like it?s burning from the inside and I constantly feel like I have a fever, but I have no temperature, I can?t sleep at night and have the night sweats, and get nauseous after I eat, and have a constant feeling of unease and brain fog. Symptoms set in about 7 hours after injection.


VAERS ID: 1520084 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-17
Onset:2021-07-15
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0-85 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Vaccine breakthrough infection
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LISINOPRIL, JANUMET, FLOMAX, OZEMPIC
Current Illness: NONE
Preexisting Conditions: URINARY RETENTION, PROSTATITIS
Allergies: PENICILLINS, ERYHTROMYCIN
Diagnostic Lab Data:
CDC Split Type:

Write-up: BREAKTHROUGH COVID CASE. SYMPTOMS STARTED 7/15. HOSPITALIZED 8/1.


VAERS ID: 1522021 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Louisiana  
Vaccinated:2021-07-08
Onset:2021-07-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       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: Test Date: 20210715; Test Name: COVID-19 Test; Test Result: Positive
CDC Split Type: USPFIZER INC202100957307

Write-up: have both now been diagnosed with COVID; This is a spontaneous report from a contactable consumer. This consumer reported for a 21-year-old male patient (Reporter''s son) received BNT162B2 (Pfizer-BioNTech Covid-19 Vaccine, solution for injection, Batch/ lot number was not reported), via unspecified route on 08Jul2021 as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date in 2021 patient experienced Covid-19, Caller is looking for information about when her and son could get the second dose, patient was feeling better now and their Primary care physician said he could go ahead and proceed and get his scheduled second dose on 29Jul2021, the patient had COVID-19 Test on15Jul2021 and result was positive. The outcome of event was recovered in Jul2021. Information about lot/batch number has been requested.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-202100958348 same reporter/drug, different event/ patient


VAERS ID: 1522860 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-21
Onset:2021-07-15
   Days after vaccination:85
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Aphasia, Blood test, Cerebral thrombosis, Cerebrovascular accident, Chills, Computerised tomogram, Fatigue, Gait inability, Headache, Impaired work ability, Influenza like illness, Intensive care, Magnetic resonance imaging, Malaise, Pain, Pyrexia, Thrombectomy
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CAT scan, MRI , Blood work
CDC Split Type: vsafe

Write-up: After the 2nd dose vaccine, I felt really sick and could not work. I had flu like symptoms, very tired, headache, low grade fever, body aches and chills. It took 2-3 days for these symptoms to resolve. On 7/15/2021, I woke up unable to walk or speak. My husband called 911. I was taken to the hospital. They ran multiple tests and did a surgical procedure called thrombectomy to remove the clot. The procedure was successful. I was in the ICU for 1 night and discharged the following day. I was discharged with a diagnosed of stroke to follow up with neurologist and cardiologist and prescription for low dose aspirin and Lipitor. The cause of the stroke is of unknown nature since I do not have any risk factors or chronic medical conditions.


VAERS ID: 1523177 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Head injury, Nasal injury, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Has had seizure before according to mother
Preexisting Conditions: Epilepsy
Allergies: Unknown
Diagnostic Lab Data: Na
CDC Split Type:

Write-up: Patient had seizure while waiting 15 minutes after vaccine. Hit her head and busted her nose. 911 called and helped her come to. She did not go directly to hospital. Mother said she hadn?t seized in over a year. No response to our calls or voicemails


VAERS ID: 1523487 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
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 per profile
Preexisting Conditions: none per profile
Allergies: none per profile
Diagnostic Lab Data: unkown
CDC Split Type:

Write-up: Patient came in too soon for their second shot. Only 2 weeks instead of 3 weeks


VAERS ID: 1524348 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-07-10
Onset:2021-07-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus, Skin tightness
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: About a week after receiving the first shot my arm was itchy. There was a red hot tight area at the injection site. The next day it was raised, still itchy, hot, red, and tight. It gradually resolved and lasted about a week.


VAERS ID: 1525383 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-13
Onset:2021-07-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: IGG4, ILD, HTN, DM2
Preexisting Conditions: See above
Allergies: keflex, Acetominophin
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient is experiencing swelling at vaccine site and tingling intermittently from vaccine site to lower arm


VAERS ID: 1524907 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-07-12
Onset:2021-07-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Decreased appetite, Diarrhoea, Insomnia, Palpitations, Sinus arrhythmia
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Bradycardia; COVID-19 (If covid prior vaccination: Yes)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202100942591

Write-up: Extreme anxiety; Diarrhea; Insomnia; Lack of Appetite; Sinus arrhythmia; Heart Palpitations; This is a spontaneous report from a contactable consumer (patient). A 34-years-old male patient received BNT162B2, (Lot number was not reported), via an unspecified route of administration, administered in left arm, on 12Jul2021 17:00 (at the age of 34 years old), as dose 1, single for COVID-19 immunisation. Medical history included bradycardia from an unknown date. Patient had COVID-19 prior to vaccination. There were no concomitant medications received within 2 weeks of vaccination. The patient had known allergies of Wellbutrin and Prozac. The patient experienced extreme anxiety, diarrhea, insomnia , lack of appetite, sinus arrhythmia and heart palpitations on 15Jul2021 07:00. The events resulted in doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. It was reported that COVID was not tested post vaccination. No treatment was given for the events. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1525782 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203 A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Glossodynia, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia oral, Throat irritation, Tongue discomfort
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Sexual dysfunction (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: simvastatin, ropinirole, gabapentin
Current Illness: none
Preexisting Conditions: restless legs, high cholesterol, migraines
Allergies: cipro, bactrim
Diagnostic Lab Data: observation
CDC Split Type:

Write-up: patient reported numbness and tingling around lips started the day following the vaccine; reports tongue felt ''burnt'' with decreased sensation/sore, scratchy throat and numbness of right cheek into day 7-8 after the vaccine


VAERS ID: 1525858 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (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: Levothyroxin, Vitamin C, D, E, K, B12, Zinc, Tumeric
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: No Known allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Had numbness in left and right arm and hand and left leg and foot - it was off and on and has started to subside but do get occasional tingling in both hands


VAERS ID: 1525885 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 091D21A / 1 LA / IM

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

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

Write-up: Patient reported to the pharmacy on 7/29/21 with a large red circle around injection site that was warm to the touch. Patient reported that the circle had been there since she received the vaccine and had progressively getting larger and worse. I recommended patient present to ER for suspected cellulitis. Patient returned to pharmacy later the same day with antibiotic prescription after ER confirmed cellulitis. Patient received antibiotic and seems to be healing.


VAERS ID: 1525984 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-07-13
Onset:2021-07-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 091D21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Bone marrow disorder, Condition aggravated, Inappropriate schedule of product administration, Joint injection, Magnetic resonance imaging joint, Pain in extremity, Panic reaction, Tendon rupture, Ultrasound joint
SMQs:, Haematopoietic cytopenias affecting more than one type of blood cell (broad), Accidents and injuries (narrow), Arthritis (broad), Myelodysplastic syndrome (broad), Tendinopathies and ligament 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trulicity, Lantus ,Ambien, Zinc, Magnesium, Serrepatase, Hesperiden, daily vitamin, Theracran, Sumatriptan, Alpha Lipoic Acid, Tramadol, B-12 Injection, D3, and a probiotic P8
Current Illness: N/K
Preexisting Conditions: Chronic Pain, L & C spinal issues, Degenerative Disk Disease, Diabetes, RT Shoulder needs total replacement (as of about 2 years ago), Stenosis, Spondylosis, Migraine (worse now), RT Knee (replaces twice 2014/2016 without progress other than some rom), Many cautions regarding digestion of food/meds because of gastric bypass (2005). NEW Left shoulder pain at joint, down arm and into two fingers. Also painful towards back of neck. Never had pain here prior to vaccine. Other pain in Left shoulder and Rt knee are also accentuated steadily.
Allergies: Whole Milk (recent), NSAIDS, Latex, Med Tapes, All ''Cillin" drugs, Statins
Diagnostic Lab Data: 07/26/2021 Video visit with Dr. regarding my New Left shoulder pain. 07/30/2021 Completed an MRI (without contrast) ordered by Dr.
CDC Split Type:

Write-up: 1st vaccine injection on 5/18/2021 was what I believe to be pretty usual to what I''ve experienced from others. 2nd Vaccine on 7/13/2021 was ok with just sore arm at first, but I realized by the 2nd or 3rd day that my arm, shoulder and hand were really sore. I had recently been on 1 week of Prednisone and then an Ultrasound guided injection for my right shoulder that has been really needing total replacement for about 2 years. Now this sudden Left shoulder pain is pretty scary to me as I did not ''do'' anything to promote the pain (other than the vaccine). I know the pain Too well of my Rt shoulder to know that something was very wrong in my left. I called Dr. who told me that she definitely thought that it was related to the shot and that if it continued she would order an mri. Within 2 days, I recontacted her office about the overall pain exceeding my usual limits. She ordered the mri which was done on 7/30/2021. The results were not only surprising to me but really sent me into panic as well. The report said of a full thickness tear and things about the infraspinatus tendon and something about Bone Marrow. I do not fully understand the report and the only response that I have received from the Dr is that she is inquiring with another Dr, whom I am also a patient (for the Rt Shoulder). I have not heard anything this week yet as to any further testing, or what can be done to improve what is happening. This has put me to being Very Limited as I have depended upon my Left arm/shoulder to accommodate when my Rt cannot. I had previously had NO Pain at all in this arm so the report to me is mind blowing..and quite painful.


VAERS ID: 1526086 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Dyspnoea, Electrocardiogram, Fatigue, Heart rate increased, Injection site haemorrhage, Migraine with aura, Pyrexia, Rash, Respiratory tract congestion, Rhinorrhoea, Sneezing, Swelling face, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Flonase & nasal antihistamine
Current Illness: No
Preexisting Conditions: No
Allergies: Cantaloupe
Diagnostic Lab Data: EKG, Doc office and ER visit
CDC Split Type:

Write-up: Bleeding at injection site (through band aid), Migraine with aura, sneezing, runny nose, congestion, swollen face, hives rash on neck area, difficulty breathing, upset stomach, vomit and diarrhea, chest congestion, fever, chills, high resting heart rate. Starting day of going into the following week and stomach/breathing issues still present along with fatigue


VAERS ID: 1526181 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-30
Onset:2021-07-15
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 005C21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Haemorrhage, Ultrasound scan
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Termination of pregnancy and risk of abortion (narrow)

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: Pantoprazole - heartburn; Topical stuff for psoriasis
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: Ultrasound prior and an Ultrasound after - both at MGH
CDC Split Type: vsafe

Write-up: July 15 I started bleeding; July 19 - when the miscarriage happened. Pregnancy - 1 live birth pregnancy - 2nd miscarriage. - (three pregnancies altogether). Estimated due date - February 2nd, 2022


VAERS ID: 1528704 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-02-05
Onset:2021-07-15
   Days after vaccination:160
Submitted: 0000-00-00
Entered: 2021-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Limb mass, Tenderness, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: a105
Current Illness: no
Preexisting Conditions: blood pressure
Allergies: penicillin
Diagnostic Lab Data: yes
CDC Split Type:

Write-up: tenderness in thigh and leg also it developed a lump and he went to urgent care which they prescribed meds and he followed up with internal medicine and told him it was clot. Went to


VAERS ID: 1528915 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-27
Onset:2021-07-15
   Days after vaccination:79
Submitted: 0000-00-00
Entered: 2021-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute kidney injury, Chest pain, Computerised tomogram abnormal, Flank pain, Iron deficiency anaemia, Pancreatitis acute, Upper gastrointestinal haemorrhage, Urinary tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Acute pancreatitis (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (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), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: N17.9 - Acute kidney failure, unspecified Acute pancreatitis abnormal CT UTI Flank pain muscular chest pain chronic blood loss anemia upper GI bleed


VAERS ID: 1529270 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-01-20
Onset:2021-07-15
   Days after vaccination:176
Submitted: 0000-00-00
Entered: 2021-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 UN / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / 2 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Atypical pneumonia, Bronchial disorder, Chest X-ray abnormal, Laboratory test abnormal, Malaise, Oropharyngeal pain, SARS-CoV-2 test negative, Surgery
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Infective pneumonia (narrow), Opportunistic infections (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetes Mellitus Rheumatoid Arthritis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: She was admitted to the hospital and she was put in intermediately care while they were trying to decide if to put her in the ICU or not. Husband stated that they were trying to keep her off incubation but she was being transferred to a hospital for possible ECMO. He stated that she had been symptomatic since March, but has had 6-8 negative COVID tests and has been diagnosed with atypical pneumonia, non-specific pneumonia, and has had very abnormal chest x-rays. Husband stated there was no shift in symptoms before testing positive and becoming more ill but she had a brachial procedure the week before that had caused somewhat of a sore throat


VAERS ID: 1529274 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-01
Onset:2021-07-15
   Days after vaccination:105
Submitted: 0000-00-00
Entered: 2021-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001A21A / 2 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Balance disorder, Dizziness, Headache, Pain, Tremor, Vertigo
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B, C and E
Current Illness: none
Preexisting Conditions: High Blood pressure, High cholesterol
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Since the middle of July I started getting dizzy, headache, back ache. my hands are shaking, vertigo, and unable to maintain balance. And general body aches.


VAERS ID: 1529376 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? 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: dizzy, nausea the day of shot, lasted about 30 minutes


VAERS ID: 1529384 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Headache
SMQs:

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

Write-up: Sharp pain in head, tired for a day and a half after the shot


VAERS ID: 1530056 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 3 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Exposure during pregnancy, Extra dose administered, No adverse event, Wrong product administered
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient came to immunization clinic to receive a Tdap vaccine for her 28 week pregnancy. A medication error occurred and the patient received a Pfizer vaccine instead. she had received her 2 doses previously on May 14, 2021 and June 12, 2021. The patient was fine for the next 30 minutes without any adverse effects noted.


VAERS ID: 1530532 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-09
Onset:2021-07-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0584 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Feeling hot, Flushing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE; BENAZEPRIL; OMEPRAZOLE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202100942126

Write-up: flushing on my arms, face, neck and chest; Warm to touch and very red; Warm to touch and very red; This is a spontaneous report from a contactable consumer (patient). A 57-years-old non-pregnant female patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EY0584, Expiration date was not reported), via an unspecified route of administration, administered in left arm on 09Jul2021 at 12:00 hours as dose 1, single (at the age of 57-years-old) for covid-19 immunisation. Medical history included high blood pressure (BP) from an unknown date and unknown if ongoing. Patient had no known allergies. Concomitant medication(s) within 2 weeks of vaccination included levothyroxine; benazepril and omeprazole (all taken for an unspecified indication, start and stop date were not reported). Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient was not diagnosed with COVID-19, prior to vaccination. Since the vaccination, patient had not been tested for COVID-19. On 08Jul2021 at 13:00 hours, on day 6 after my vaccination, patient experienced flushing on her arms, face, neck and chest, warm to touch and very red. Patient received no treatment for the events. All events were reported as non-serious by the reporter. The outcome of all the events was recovered on Jul2021 Follow-up attempts are completed. No further information is expected.


VAERS ID: 1530618 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-15
Onset:2021-07-15
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / 2 LA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210715; Test Name: PCR; Test Result: Positive ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC202100992935

Write-up: Tested positive for COVID; Tested positive for COVID; This is a spontaneous report from a contactable consumer (patient). A 34-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) dose 2 intramuscular, administered in the left arm on 15Mar2021 at 14:00 (Bath/Lot Number: EP7534) as a single dose, and dose 1 intramuscular, administered in the left arm on 22Feb2021 at 14:00 (Batch/Lot Number: EL9262) as a single dose (at the age of 34-years-old) for COVID-19 immunisation. Medical history was none. There were no concomitant medications. The patient had not received any other vaccines within 4 weeks prior to the COVID-19 vaccines. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient tested positive for COVID on 15Jul2021. The patient underwent lab tests and procedures which included polymerase chain reaction: positive on 15Jul2021 Nasal Swab. No treatment was received. The patient recovered from the event on an unknown date. Follow-Up (05Aug2021): Follow-up attempts are completed. No further information is expected.


VAERS ID: 1531168 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Feeling abnormal, Nausea, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021901694

Write-up: horrible chest pain; feels like he''s dying; hurts so bad he feels like he''s going to throw up; nauseous; shaky; feels bad; This is a spontaneous report from a contactable consumer reported for a male patient (reporter''s husband). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, formulation: solution for injection) via an unspecified route of administration from 14Jul2021 as single dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. The reporter was calling for her husband, he''s at work and got the vaccine yesterday and her husband just called her and he doesn''t know if he''s having a reaction or if it''s normal or if he needs to go to the hospital. He called saying that he feels bad, horrible chest pain, feels like he''s dying, it hurts so bad he feels like he''s going to throw up, he''s nauseous, and shaky on 15Jul2021. The reporter does not want to file a safety report. She thinks her husband was having more symptoms than what he is telling her. She was asking if he needs to go to the doctor. The outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1531298 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Lethargy, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Headache-Medium, Systemic: Nausea-Severe


VAERS ID: 1531486 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Feeling abnormal, Hyperhidrosis, Pallor, Retching
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: 0950 -After vaccine administered, patient c/o feeling "weird; fuzzy". Denied sob or chest pain. 0955 - c/o nausea, stepped out of car, dry heaving, diaphoretic, pale, BP 210/146, Pulse Ox 95% Pulse 76. 0959 - 911 called, no change in status. 1006 - Fire truck on site, patient assessed. Patients started to feel better. BP 180/90, patient stated he did not want to go to the hospital. 1010 - BP 173/116 Pulse 67 pulse ox 95% fireman encouraged patient to seek medical attention, patient agreed, ambulance called. 1012 - Ambulance on site, patient walked to the stretcher, stated he feels better and it feels like when he got stung by a bee. 1015 - transferred to hospital via ambulance.


VAERS ID: 1531745 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 LA / IM

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

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

Write-up: THE MOTHER OF THE PATIENT INDICATES THAT AFTER THE FIRST DOSE BEING ADMINISTERED THE PATIENT DEVELOPED AN ADVERSE REACTION AND HAD A RASH APPEARING FISRT AT THE SITE WHERE THE VACCINE WAS ADMINISTERED (LEFT ARM), THEN IT APPEREAD ON HER WHOLE BODY .


VAERS ID: 1531786 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Arthralgia
SMQs:, Arthritis (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: Seasonal and food allergies.
Allergies: Seasonal and food allergies.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Joint pain


VAERS ID: 1531930 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-07-15
   Days after vaccination:99
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / UNK - / -

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

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

Write-up: COVID-19


VAERS ID: 1532667 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007D21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: no allergies listed
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient received the vaccine on 7/14/21 in the evening. Patient said he woke up on 7/15/21 with a red dot rash on his body that did not itch. He said it lasted for 1 week and resolved on its own.


VAERS ID: 1534103 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:2021-02-01
Onset:2021-07-15
   Days after vaccination:164
Submitted: 0000-00-00
Entered: 2021-08-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory distress syndrome, Angiogram, Blood creatinine, COVID-19, Drug ineffective, Dyspnoea, Fibrin D dimer, Fraction of inspired oxygen, Glomerular filtration rate, Haemoglobin, Hypoxia, Oxygen saturation, PaO2/FiO2 ratio, Platelet count, Respiratory rate, SARS-CoV-2 test positive, Urine analysis, White blood cell count, X-ray
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Lack of efficacy/effect (narrow), Interstitial lung disease (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (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? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRAVASTATIN; METFORMIN; CARVEDILOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: CABG; Coronary artery disease; Diabetes; High cholesterol; Hyperlipidemia; Hypertension
Allergies:
Diagnostic Lab Data: Test Name: CT angio of chest; Result Unstructured Data: Test Result:extensive bilateral ground glass opacities; Test Name: creatinine; Result Unstructured Data: Test Result:normal; Test Name: D dimer; Result Unstructured Data: Test Result:4.4; Test Name: FiO2; Result Unstructured Data: Test Result:100%; Test Name: GFR; Result Unstructured Data: Test Result:normal; Test Name: hemoglobin; Result Unstructured Data: Test Result:14 or 16; Test Name: oxygen; Test Result: 96 %; Test Name: PF ratio; Result Unstructured Data: Test Result:94; Test Name: platelet; Result Unstructured Data: Test Result:greater than 200; Test Name: respiratory rate; Result Unstructured Data: Test Result:30 breaths/minute; Test Date: 20210715; Test Name: COVID-19 PCR test positive; Result Unstructured Data: Test Result:positive; Test Name: urinalysis; Result Unstructured Data: Test Result:Unkown result; Test Name: white cell count; Result Unstructured Data: Test Result:12.6; Test Name: X-ray; Result Unstructured Data: Test Result:multifocal opacities
CDC Split Type: USPFIZER INC202100956381

Write-up: Unknown, was given for hypoxia twice a day; Caller says that the patient was diagnosed with ARDs; Shortness of breath; COVID-19 PCR test positive; COVID-19 PCR test positive; This is a spontaneous report from a contactable other hcp. A 65-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported), dose 2 via an unspecified route of administration on Feb2021 as dose 2, single for covid-19 immunisation. Medical history included hypertension, diabetes, coronary artery disease, CABG, hyperlipidaemia, high cholesterol. Concomitant medications included pravastatin (PRAVASTATIN) taken for blood cholesterol increased, start and stop date were not reported; metformin (METFORMIN) taken for diabetes mellitus, start and stop date were not reported; carvedilol (CARVEDILOL) taken for hypertension, start and stop date were not reported. The patient previously took bnt162b2 dose 1 on Jan2021 for covid-19 immunization. The patient experienced covid-19 pcr test positive on 15Jul2021, shortness of breath on 17Jul2021, unknown, was given for hypoxia twice a day on an unspecified date, caller says that the patient was diagnosed with ards on an unspecified date with outcome of unknown. The patient was hospitalized for shortness of breath, unknown, was given for hypoxia twice a day, caller says that the patient was diagnosed with ards from 17Jul2021 to an unknown date. Patient stated, this patient was hospitalized, Seriousness: Medically significant. He says that the patient had tested positive 15Jul as an outpatient, then came to the hospital 17Jul2021 and was admitted, and then was an ICU transfer on 24Jul2021 when he was admitted his needs for oxygen increased, so they transferred him Med-Surg to the ICU 24Jul2021. patient was diagnosed with ARDs, his PF ratio was 94. Caller denies that patient had any cardiovascular, gastrointestinal, vascular, renal, cerebrovascular, haematological including no DIC no thrombocytopenia. Reporter denies patient had any dermatological or neurological systems affected. This patient had gotten worse since he was admitted but had stable since transfer to the ICU. Patient had symptomatic COVID after receiving both doses of Pfizer COVID-19 vaccine. Caller says he works in the ICU and they have three patients that were just admitted with COVID after having the Pfizer COVID-19 vaccine. He says there could be waning of immunity and he wanted to get a third dose. He says that they haven''t tested their antibodies, and all but one of those patients are over 65 and have multiple comorbidities. He says one of those patients was 49 and had an increased BMI, which he wants to say it was a BMI of 45. He says that patient was an undiagnosed diabetic when they came into the hospital, with an A1C 6.5 which was right there on the threshold. Caller says that one of the patients was 79. Caller is only able to complete most of a report for the first patient who is 65 before he had to end the call. NDC/LOT/EXP and dates given for Pfizer COVID-19 vaccinations of his patients is unknown. Further details in additional context. The patient underwent lab tests and procedures which included angiogram was extensive bilateral ground glass opacities but no pulmonary embolism, blood creatinine was normal, fibrin d dimer was 4.4, fraction of inspired oxygen was 100%, glomerular filtration rate was normal, haemoglobin was 14 or 16, oxygen saturation was 96 % , pao2/fio2 ratio was 94, platelet count was greater than 200, respiratory rate was 30 breaths/minute, sars-cov-2 test positive: positive on 15Jul2021 , urine analysis was unkown result(they were clean with no ketones, leucoesterase, or nitrites on that), white blood cell count was 12.6, x-ray was multifocal opacities. Patient received treatment of Dexamethasone 10mg IV the patient was started on high dose steroids, 10mg of Dexamethasone IV, NDC/LOT/EXP: Unknown, was given for hypoxia twice a day for 5 days, then they will taper it for 5 days after that to 10mg daily IV. Patient received Remdesivir, NDC/LOT/EXP: Unknown, for the indication of active COVID infection. patient received 5 doses of this. Dose/Strength: Unknown, the normal dosage, since the infectious disease doctor orders it, for 5 days IV, one dose daily. Convalescent plasma: Caller says that on 21Jul the patient was given one unit FFP or convalescent plasma, which they get theirs form the Blood Bank. Indication was Unknown, he was guessing that they thought he didn''t have enough antibodies, and those tests are still pending. Azithromycin, NDC/LOT/EXP: Unknown, and Rocephin, NDC/LOT/EXP: Unknown, as antibiotics that were stopped after he didn''t have Procalcitonin levels. He says that the Azithromycin was started 17Jul2021 when he was admitted, then the Rocephin started July 24Jul2021 with his ICU transfer. He says that the Azithromycin was stopped after 5 days, and they started Rocephin which they stopped yesterday once Procal came back negative. the dose for Azithromycin was 500mg IV once a day and the Rocephin was one gram IV daily. The outcome of event was unknown. Information about lot/batch number has been requested.; Sender''s Comments: The possibility of COVID-19, drug ineffective, dyspnoea, hypoxia, and ARDS, being an intercurrent condition cannot be ruled out. The response to the vaccine can vary from one person to another and hence the occurrence of the event post vaccination cannot be completely ruled out. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.,Linked Report(s) : US-PFIZER INC-202100957229 same reporter, different patient, same drug, similar events


VAERS ID: 1535494 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-07-03
Onset:2021-07-15
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Asthenia, Fatigue, Gait disturbance, Hypoaesthesia, Muscle spasms, Paraesthesia, Speech disorder
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad), Sexual dysfunction (broad)

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

Write-up: Tingling, first legs then arms and legs. Weaknesses, Dificulty to walk , talk, cramps ( legs, hands), Numbness, bowel problems, Tiredness


VAERS ID: 1535495 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-05
Onset:2021-07-15
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pleurisy
SMQs:, Systemic lupus erythematosus (broad)

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

Write-up: Patient came back to get his second Pfizer covid-19 shot and said that 10 days after getting his first shot he developed pleurisy which he was treated outpatient for with ibuprofen. He spoke with a nurse that wanted him to get his second shot to complete the series and for him to return if he has these symptoms again. They were unsure if it was related to the vaccine or not.


VAERS ID: 1535574 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-06-30
Onset:2021-07-15
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Urgent care doctor said it was definitely an allergic reaction on 8/5. I received a steroid shot and a prednisone dose pack. It has been 4 days since and still getting worse.
CDC Split Type:

Write-up: I had the vaccine on June 30 and after 2 weeks, a rash started on inner thighs. Over the last 2 weeks, it has progressively spread to my entire legs and arms.


VAERS ID: 1535581 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / SYR

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Decreased appetite, Fatigue, Mobility decreased, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 6 am flax seed oil, turmeric, MSM, vegan glucosamine chondroitin, one a day 50+. vitamin d and b12
Current Illness: none
Preexisting Conditions: I had covid July 2020 off work 6 weeks. Didn''t get over it till December After the first shot, I was extremely fatigued. Painful to move anything. Delirious, Very cold
Allergies: none
Diagnostic Lab Data: second shot 8/5/2021 the affect was the same but much worse. I am still weak
CDC Split Type:

Write-up: After the fist shot-extreme fatigue kicked. I hurt to move. No food or water, I had nausea. Could not move much for 3 days 7/15/2021 at 5PM


VAERS ID: 1536132 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-01-26
Onset:2021-07-15
   Days after vaccination:536
Submitted: 0000-00-00
Entered: 2021-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK AR / -

Administered by: Other       Purchased by: ?
Symptoms: Nasopharyngitis, Polymerase chain reaction, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: cipro
Diagnostic Lab Data: PCR
CDC Split Type:

Write-up: cold systems with fever


VAERS ID: 1536448 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-07-15
   Days after vaccination:94
Submitted: 0000-00-00
Entered: 2021-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1111 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Deep vein thrombosis, Laboratory test, Renal vein thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Renovascular disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Birth Control Pills Estrostep Fe
Current Illness: none
Preexisting Conditions: none
Allergies: no
Diagnostic Lab Data: extensive labs were done no abnormalities found
CDC Split Type:

Write-up: DVT in vein from heart to left kidney


VAERS ID: 1536609 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-15
Onset:2021-07-15
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pulmonary embolism, Pulmonary thrombosis
SMQs:, Embolic and thrombotic events, venous (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: moderna 2
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: emergency room
CDC Split Type:

Write-up: clots in the lungs,,,,, Pulmonary embolism,,,,,


VAERS ID: 1536857 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Pruritus, Rash macular
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: The client reported she developed itching and "red and white blotches" on her arms and legs bilaterally about 24 hours later. The client states the "blotches" were palpable on her skin. The client denied any symptoms on her torso. The client denied using any new skin products prior to noticing the symptoms. The client stated her symptoms lasted about 5 days. The client denied any dizziness or shortness of breath. The client did not seek treatment for the her symptoms at the time, did not follow up with a PCP. The client did not take any medications or use any topical cream for her symptoms. The client denies any chronic conditions. No current medications. No known allergies.


VAERS ID: 1540164 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Loss of consciousness, Musculoskeletal stiffness, Seizure, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (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: Mom checked yes to #5 on VARS having feeling dizzy or fainting after a vaccine
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A Parent did check "yes" to question #5 on VAR "have you ever had a reaction after being vaccinated, including fainting or feeling dizzy"
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received vaccine, sat for 1 minute , was told to wait in waiting area for 15 minutes before leaving store. After sitting in waiting area for less than 1 minute, patient had what appeared to be a seizure. Arms and legs stiffened up and patient was shaking. Event lasted less than 5 minutes and the patient slowly regained strength and consciousness. 911 was called and the paramedics evaluated patient. Mom said patient was evaluated in parking lot by paramedics and vitals had returned to normal. Since the event mom says patient has not had any other related issues.


VAERS ID: 1540355 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra Mag-Ox 400mg
Current Illness: None
Preexisting Conditions: High Cholesterol
Allergies: Fructose Intolerance
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have been very dizzy since and tired. This started about 24 hours after the first dose and has continued. I have continued taking my OTC allergy meds but nothing is working


VAERS ID: 1540398 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Sexual dysfunction (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: medications: Butalbitol food: avocados, hazelnuts
Diagnostic Lab Data: none yet
CDC Split Type:

Write-up: Immediately upon receiving injection, my left arm began to tingle down to my fingertips. This lasted about 48 hours with intermittent tingling and numbness. About a week after the injection, both of my arms began experiencing intermittent numbness, tingling, and pain. This then spread to my left leg also. It has now been four weeks since vaccination, and I still experience this. The symptoms are worst in my left arm.


VAERS ID: 1540560 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-01-28
Onset:2021-07-15
   Days after vaccination:168
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 2 - / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood test, COVID-19, Chest X-ray, 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Blood pressure medication
Current Illness: No
Preexisting Conditions: High blood pressure, sleep apnea, obesity
Allergies: Medications
Diagnostic Lab Data: COVID test Chest x-rays blood work
CDC Split Type: vsafe

Write-up: I contracted COVID 19 virus after being fully vaccinated.


VAERS ID: 1540569 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Hypertension, Oedema peripheral, Pain, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, Coreg, Spiriva, Primadone, Lanfaprezone
Current Illness: N/A
Preexisting Conditions: HBP, Gerd, Mild COPD, Essential Tremor
Allergies: Cashews, Black walnuts, Sulfa, Celebrex, Elderberry
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Pt. states that after receiving the 1st dose of Phizer 07/15/2021, started experiencing symptoms that evening of a sore arm with pain radiating throughout the arm to hand. Experiencing HBP and edema in both feet. Still continuing, received 2nd dose of 08/05/2021. Primary contact recommendation of elevation for the edema in the feet.


VAERS ID: 1540661 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 RA / IM

Administered by: Unknown       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? 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: Incorrect vaccination administration interval. Second Pfizer COVID-19 injection administered 14 days vice 21 days after first injection. No adverse reaction noted or reported by patient or guardian.


VAERS ID: 1540841 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-15
Onset:2021-07-15
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Shingles?mild case


VAERS ID: 1541154 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Swollen tongue, Tongue blistering
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: none, event happened on 7/15/21. Pt. did not report symptoms until 8/10/21 when arrived for 2nd dose.
CDC Split Type:

Write-up: pt reports having tongue swelling & tongue blisters ~ 6 hrs after administration of Pfizer COVID-19 Vaccine #1 pt states the tongue swelling & blisters gradually resolved after ~ 6 hrs w/out tx or medical attention


VAERS ID: 1541912 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Condition aggravated, Dizziness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypertension (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Co-lead nurse sent a medical consult to the clinical lead nurse for client who received his first dose of Pfizer on 7.14.21, EW0191 exp. 8.31.21. He reported he had lightheaded and fever for one day after his first dose. He said he had lightheaded prior to getting his first dose Pfizer COVID vaccine. Today (8.4.21), he ate and hydrated himself before coming to get his second dose Pfizer COVID vaccine and reported to the vaccinating nurse he started having the lightheaded 30 minutes before he sat at her table. He denied shortness of breath or any other anaphylaxis signs and symptoms after receiving his first dose Pfizer COVID vaccine. He denied following up with his primary care doctor for the lightheaded. He reported no known allergies or chronic illnesses. Clinical lead nurse sent the medical consult to the medical doctor due to his elevated blood pressure (BP). Vaccinating nurse took client''s vitals at 3:45 PM, BP 159/108, Heart Rate (HR) 107, oxygen saturation rate (O2) 98% and at 4:00 PM, BP 136/101, HR 94, O2 99%. Client told lead nurse he cannot wait for the medical consult result but made an appointment for 8.5.21, Thursday at 1:00 PM for his second Pfizer COVID vaccine if approved at the public health center vaccination site. Co-lead nurse called client to let him know he is approved for his second dose Pfizer COVID vaccine after received a text medical consult from clinical lead nurse that she received from a medical doctor. Co-lead nurse only left a message for client to call back since unsure if the cell number client left was client''s correct cell number. Since client didn''t call back after co-lead nurse left him a message on 8.4.21 and he did not return to the POD for his second Pfizer COVID vaccine, co-lead nurse called client again and left him a message that he is approved for his second Pfizer COVID vaccine on 8.10.21.


VAERS ID: 1544666 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain, Limb discomfort, Mobility decreased, Pain in extremity
SMQs:, Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Site: Pain at Injection Site-Medium, Additional Details: Patient complains of very painful arm, with some difficulty in movement. Arm discomfort has not resolved 3 weeks since receiving the shot. Patient has treated with ice receiving temporary relief. Patient is following up with primary care for additional care.


VAERS ID: 1544993 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-30
Onset:2021-07-15
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Famotidine 10mg 2x/day Multivitamin Omega 3 15bn Women''s Care probiotic by Renew Life IntestiNew herbal supplement by Renew Life, 1 pill 2x a day Naproxen Sodium, 200mg, As needed Traditional Medicinals Raspberry Leaf tea - 3x a day, as
Current Illness: April 30th was 2nd does of Moderna. From 18-36 hours post vaccine I felt feverish (no fever), nauseated, and achy. Was resolved with rest, Tylenol.
Preexisting Conditions: IBS, Anxiety Disorder, middle ear myoclonus
Allergies: Allergic to Codeine - Hives, rash, fever Sensitive to Amoxicillin - Upset stomach
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Normal menstrual cycle from vaccine dose until July 15, when bleeding started. I use a period tracker app and according to my app, this was day 19 of my cycle and I should have been ovulating on this day. I do not have any possibility of being pregnant, and symptoms were consistent with a 5 or 6 days-long period, which is normal for me. Was seen by Dr. on 8/26 and was advised to wait several more cycles to determine if there was an issue that needed further examination. As of August 11, my menstrual cycle since then has been normal, so far. Ovulation was predicted within +/- 1 day from app and symptoms during ovulation were typical for me. I am expecting my period to start in the next several days. My menstrual cycle is typically 31-35 days in length and since 2014 (when I started tracking), I have never had a menstrual cycle shorter than 28 days.


VAERS ID: 1545382 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: None
CDC Split Type:

Write-up: Patient reported tachycardia (just under 100 BPM sustained) that started several hours after the vaccine was administered and continued for approximately 2 weeks. Patient reported this to me today at the time patient was to receive the 2nd dose of COVID-19 vaccine. He said it was disturbing to him but it did not worsen so he did not report it to, or visit his physician. Patient was advised to talk with his physician before receiving the 2nd dose of the vaccine.


VAERS ID: 1545671 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cough, Feeling abnormal, Nausea, Nervousness, Retching, Skin warm, Speech disorder, Throat clearing, Throat irritation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

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

Write-up: 1542: Pt was observed clearing throat and coughing in observation area. Pt was offered and given water by RN. Pt continued to cough and clear throat. Pt also reported throat was itching, has a history of anaphylaxis and does have an epi pen, but not in her possession at this time. Pt was unable to speak in full sentences due to cough. Pt agreeable to transfer to procedure room for observation and vitals. Pt denied dizziness or any other symptoms at this time. Steady gait to procedure room noted. 1544: Steady gait to procedure room noted. Pt reported feeling worse than when she last used her epi pen. Continues to cough, now dry heaving and c/o nausea, attempted to get a blood pressure, however, the monitor did not detect it possibly due to cough or movement. Epinephrine 0.3 mg (epipen auto-injector) given IM to left vastus lateralis. Doctor is being paged by RN. 1545: Pt reported she was starting to feel shaky. Denies improvement in condition. Continues to cough, c/o itchy throat and nausea. No rash noted to extremities x 4, pt denies prutitis, no angio edema noted, breath sounds clear. Pt''s skin pink and warm.


VAERS ID: 1545673 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-14
Onset:2021-07-15
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Dyspnoea, Fibrin D dimer increased, Laboratory test abnormal, Pulmonary embolism, Speech disorder
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Dementia (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: buproprion XL daily, fluoxetine daily, Tylenol 1-2x daily, Ibuprofen 1-2x daily
Current Illness: NA
Preexisting Conditions: ventral hernia
Allergies: meperidine and terbinifine
Diagnostic Lab Data: DDimer, CT
CDC Split Type:

Write-up: Approximately 2-3 weeks after vaccine, patient became short of breath while walking at work. By week 3, couldn''t talk full sentences. Labs revealed critical d-dimer and CT revealed BL PE''s in subsegmental areas.


VAERS ID: 1545960 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-08
Onset:2021-07-15
   Days after vaccination:98
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Fatigue, Headache, Nasal congestion, Pharyngeal paraesthesia, Respiratory tract congestion
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Diclofenac, Gabapentin, Hydrochlorothiazide, Benazepril, Vitamin D3, B-Complex and Diazepam
Current Illness:
Preexisting Conditions: Multiple Sclerosis
Allergies: Allergic to Biaxin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Fatigue, headache, breathing problems, tingling in throat causing nose stuffiness and chest congestion simultaneously.


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