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From the 10/15/2021 release of VAERS data:

Found 800,916 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 379 out of 8,010

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VAERS ID: 1641679 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Decreased appetite, Headache, Lethargy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Fever, Body Aches, Headaches, Lack of Appetite, Lethargy. Managed with Ibuprofen.


VAERS ID: 1641688 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Decreased appetite, Headache, Lethargy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Fever, Body Aches, Headaches, Lack of Appetite, Lethargy. Managed with Ibuprofen.


VAERS ID: 1641707 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0809 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Throat irritation
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad)

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

Write-up: 22 year old male patient reports feeling chest tightness, itchy throat and dizziness. Paramedic protocol is activated. Verbal medical orders via phone with Doctor R. DECADRON 4ml intramuscular. Medication is administered according to the medical orders in the right arm by nurse. Patient is referred to Hospital.


VAERS ID: 1641726 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Limb discomfort, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: baclofen 10 mg, famotidine 10 mg, Flonase 50 mcg/actuation nasal spray, ibuprofen 600 mg, loratadine 10 mg, omeprazole 40 mg DR, ProAir HFA 90 mcg/actuation aerosol inhaler, propranolol 10 mg, sertraline 100 mg
Current Illness: Heterozygous factor V Leiden mutation - clotting disorder.
Preexisting Conditions: Chronic pain, GERD, elevated BP in office s dx of HTN, chronic intractable headaches, hx of gestational DM, hx of asthma, hx of hidradentitis, hx of depression unspecified.
Allergies: diphenhydramine HCL - moderate hives
Diagnostic Lab Data: Pt made no mention of which hospital she would be going to. You will need to follow up with her for further information on tests and lab results completed in hospital setting.
CDC Split Type:

Write-up: Pt called clinic in the afternoon after having been vaccinated in the am under the provision of another nurse (not me). Chief pt complaint at time of afternoon call: Leg/upper thigh pain not addressed after pt had taken otc Tylenol. Pt reported swelling and significant discomfort in involved lower limb. Recommendation: Pt seek immediate attention in ER setting to rule out blood clot, given pt''s dx of Heterozygous factor V Leiden mutation and possibility of a clot having formed. Pt verbalized understanding and intent to seek immediate medical care.


VAERS ID: 1641731 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Hypertension, Oropharyngeal pain, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypertension (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: none reported
Current Illness: none reported
Preexisting Conditions: none reported
Allergies: NKS/NKDA
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: 9:20 am received vaccination, monitored for 15 minutes, until 9:35 am. Client returned at 9:56 am stating " left side of throat sore/feels like swelling." Client denied any issues swallowing or any other symptoms. 9:58 am took client to private area (bathroom), explained possible allergic reaction, need for epi pen and call 911 for assessment. I (nurse) administered epi-pen 0.3 mg (lot # G201104X expiration 2/2022) administration left thigh muscle; b/p taken 140/82 client stated "high for her." 10:00 am client stated "feel better, swelling gone away since epi pen administration. I (nurse) spoke with Program Director who called 911 @ 10:05 am; client continued to state swelling gone away, and feeling better "don''t need to go to hospital. I (nurse educated client importance being assessed further, and that she will be given option for transport to ER. 10:10 am EMS arrived; client was walked outside by nurse and Program Manager to sit on bench. I (nurse) gave report to EMS, who then directed client to get on stretcher for assessment and possible transport to ER. EMS stated unsure which hospital transport to until call re: all hospitals on divert. Client was put into EMS vehicle. 10:24 am client returned to me (nurse) informing they did not take her to hospital, took blood pressure 166/93 "higher nervous." Educated client importance following up with PMD before getting second Pfizer vaccination.


VAERS ID: 1641738 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Face oedema, Headache, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ? allopurinoL (ZYLOPRIM) 300 mg tablet, Take 1 tablet by mouth daily., Disp: 90 tablet, ? azelastine HCl (AZELASTINE NA), , Disp: , ? cetirizine (ZYRTEC) 10 mg tablet, Take 10 mg by mouth daily., ? cyclobenzaprine (FLEXERIL) 10 mg t
Current Illness: unknown
Preexisting Conditions: arthritis, GERD, gout
Allergies: none
Diagnostic Lab Data: none at this time, patient sent to ED
CDC Split Type:

Write-up: Patient reports severe headache within 5 minutes of Moderna COVID vaccine administration, L side of face and chest edema, L arm edema within a few hours of vaccine.


VAERS ID: 1641752 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Extra dose administered, Interchange of vaccine products
SMQs:, Medication errors (narrow)

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

Write-up: Patient came to clinic and consented to receive Covid vaccine. She consented that she had not previously received a Covid vaccine. However, she did receive a Janssen vaccine (Lot 1805020) at another Pharmacy on 03/05/2021. Patient telephone on 08/27/2021. She states she wanted to be "double vaccinated" due to travel next month. She denies any side effects or adverse effects. Patient was educated to notify Public Health if side effects developed.


VAERS ID: 1641757 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW173 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site pain, Pain in extremity, Product preparation issue
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad), Medication errors (broad)

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

Write-up: The Pfizer Covid injection was mixed incorrectly instead of 1.8 mL of 0.9% normal saline it was diluted with 0.9 mL. . I called the pharmacy and they directed me to call Pfizer which I did and there recommendation is what the CDC recommends and according to the CDC it says no harm will come to the patient. Also they reported to me that The Journal states no adverse reaction and the only reaction reported was a very sore arm for 3-4 days at the site of the injection was given. They also recommend for patient to come for 2nd Pfizer dose in 3 week I also notified patient of this.


VAERS ID: 1641768 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Rheumatoid arthritis
SMQs:, Arthritis (narrow), Immune-mediated/autoimmune disorders (narrow)

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

Write-up: Pt. states that after receiving the 2nd dose of Phizer 08/25/2021, started experiencing symptoms 08/26/2021 of RA flare up. No noted Primary visit. Still continuing to experience symptoms.


VAERS ID: 1641772 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site pain, Product preparation issue
SMQs:, Extravasation events (injections, infusions and implants) (broad), Medication errors (broad)

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

Write-up: The Pfizer Covid injection was mixed incorrectly. Instead of 1.8 ml of 0.9% sodium chloride is was diluted with 0.9 ml. was called and spoke to pharmacist was directed to call Pfizer. Pfizer was called option three. Pfizer''s recommendation was to follow CDC recommendation which indicates no harm to patient. Also reported states no adverse reaction has been reported. Only report was very sore arm for three to four days at site of injection. Patient''s daughter notified.


VAERS ID: 1641806 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036CC21A / UNK RA / IM

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

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

Write-up: Given Moderna instead of Pfizer one month interval


VAERS ID: 1641819 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A-1 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Underdose
SMQs:, Medication errors (broad)

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

Write-up: Nurse observed that the patient had a scar on the left arm and patient stated that scar is from multiple vaccines. Patient advised to get vaccine on right arm instead and patient stated that he wanted vaccine on left arm because he gets all his vaccines in that arm. Nurse proceeded to give vaccine and inject into muscle, but under the scar. As nurse pushed in the vaccine, some of the medication came out of the puncture site. Amount patient received is unknown. Did not redose.


VAERS ID: 1641827 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036CC21A / 1 LA / IM

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

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

Write-up: Gave Moderna for the 2nd vaccine in the series instead of Pfizer


VAERS ID: 1641831 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-20
Onset:2021-08-26
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 2 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Chest discomfort, Electrocardiogram normal, Fatigue, Full blood count normal, Hypertension, Metabolic function test normal, Tremor, Urine analysis normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline OCP
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Went to ER the evening of 8/26/2021, there from 6pm till 11 pm. EKG was normal, blood pressure still elevated but lower than earlier in the day.(142/90) All labs drawn (CMP, CBC) as well as urine testing came back completely normal.
CDC Split Type:

Write-up: Initially Sudden uncontrollable tremors that last for over an hour with high blood pressure.(168/118)No warning signs. Many multiple episodes throughout the day only lasting a minute or less. Very tired, some chest tightness on and off throughout the day.


VAERS ID: 1641841 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 1 RA / IM

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

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

Write-up: Pt DOB was misread at offsite clinic and pharmacist administered moderna vaccine to patient under the age of 18.


VAERS ID: 1641842 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-01-07
Onset:2021-08-26
   Days after vaccination:231
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 2 - / IM

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

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

Write-up: asymptomatic but covid test was positive; fully vaccinated


VAERS ID: 1641843 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Hypersensitivity, Tryptase, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: anaphylactic reaction to first dose covid vaccine (lot EW0172) in April requiring 3 day admission to ICU and epinephrine drip (
Other Medications:
Current Illness:
Preexisting Conditions: h/o anaphylaxis, allergic rhinitis and asthma
Allergies:
Diagnostic Lab Data: Total Tryptase send 8/26/1. results not yet available
CDC Split Type:

Write-up: 34 y.o. female with h/o anaphylaxis, allergic rhinitis and asthma with allergic reaction to second dose of COVID-19 Pfizer vaccine. Patient had anaphylactic reaction to first dose in April requiring 3 day admission to ICU and epinephrine drip (not intubated). Patient tested outpatient by allergy & immunology for components of COVID-19 vaccine which were negative and it was deemed safe for patient to receive 2nd dose of vaccination today in supervised environment. Patient states vaccine appointment was at 10:30AM and about 15 minutes after she developed hives and shortness of breath. Denies difficulty swallowing or facial swelling. She received epi, benadryl and zyrtec which relieved her symptoms. Upon presentation here she endorses some chest tightness but denies difficulty swallowing, breathing, facial swelling. Patient has minimal hives on UEs. Discharged from ED following observation for 4hours. Patient with epi-pen at home and follow-up with immunology clinic next month.


VAERS ID: 1642039 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Confusional state, Differential white blood cell count, Dizziness, Dyspnoea, Electrocardiogram normal, Fibrin D dimer normal, Full blood count normal, Headache, Metabolic function test normal, Pyrexia, Tremor, Troponin normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, krill oil, vitamin d, probiotic
Current Illness: Fever 2 weeks beforehand.
Preexisting Conditions: leukopenia,
Allergies:
Diagnostic Lab Data: Basic metabolic panel, CBC with Diff, D Dimer deep vein thromb level, TROPONIN 1 ECG 12 Lead, XR: Chest PA & Lateral All taken on 08/26/2021, all normal
CDC Split Type:

Write-up: Started experiencing shortness of breath, fever with severe/uncontrollable shaking in arms and legs, and confusion and dizziness around 6 hours after receiving the vaccine. Also experienced painful headache around 3 hours after receiving vaccine.


VAERS ID: 1642042 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anal incontinence, Diarrhoea, Headache, Malaise, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, Vit D., Pilocarpine, ondansetron, voltaren gel, psyllium, hydroxychloroquine, atorvastatin, Carafate, simethicone, labetalol, baclofen, loratadine, B12 injections, pramipexole, chlorhexidine, albuterol, lidocaine topical, cyclos
Current Illness: Patient reports none.
Preexisting Conditions: Diabetes, hypertension, Chronic kidney disease, osteoarthritis, memory loss, goiter, obesity
Allergies: lisinopril, pregabalin, amoxicillin, ascorbic acid, cats, dogs, dust, grass, methotrexate, mold, PCN, tetracyclines
Diagnostic Lab Data: N/a
CDC Split Type:

Write-up: Patient called at this time reporting she believes she is having a reaction to the covid vaccine she received yesterday. She was noted to received her first dose of Pfizer vaccine yesterday afternoon. She reports her arm does not hurt and denied any rash, swelling, or SOB. She reports that she went to bed very early in the afternoon around 1600 and woke around 2200 and found she had an incontinent diarrhea BM. She reports she cleaned herself up and went back to bed and reports when she woke up again she had an emesis. She reports no further diarrhea or emesis throughout the day, but states she is "not feeling good" with a severe HA and "regretting it".


VAERS ID: 1642043 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure measurement, Blood test, Cardiac monitoring, Electrocardiogram, Nausea, Pain, Pyrexia, Tachycardia, Urine analysis
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Spironolactone, 100 mg Novolog Insulin in pump Vitamin D supplement Iron supplement
Current Illness: N/A
Preexisting Conditions: Type 1 Diabetes
Allergies: Bactrim
Diagnostic Lab Data: Bloodwork, urine analysis, EKGs, Blood pressure checks. Constant monitoring with heart monitor until Friday evening.
CDC Split Type:

Write-up: I experienced tachycardia all night long. Heart rate stayed at 120-130 while resting and would elevate to 150-160 if I stood up. Went to Emergency room where I was admitted. I was given a medication to lower heart rate along with fluids, but my heart rate seemed to be coming down around the same time my other (more typical) vaccine side effects subsided. These effects included body aches, fever and nausea. My resting heart rate returned to a more normal rate during the daytime on Thursday.


VAERS ID: 1642046 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-01-11
Onset:2021-08-26
   Days after vaccination:227
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 1284 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Fully vaccinated and tested positive for Covid-19


VAERS ID: 1642292 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 2 RA / IM

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

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

Write-up: after receiving vaccine patient said she was feeling faint, wanted staff to call ambulance. she was very anxious before getting vaccine


VAERS ID: 1642293 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH C3184 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Anaphylactic reaction, Asthenia, Chills, Dizziness, Dry mouth, Dyspnoea, Headache, Hyperhidrosis, Muscle spasms, Pain, SARS-CoV-2 test, Swelling face, Toothache, Vomiting, Wheezing
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Montelukast, Fluticasone, Tylenol (PRN), Claritin, Hydroxyzine (PRN), Vitamin C, Vitamin D, and Zinc
Current Illness: NONE
Preexisting Conditions: Asthma and Hypermobile Ehlers Danlos Syndrome
Allergies: Latex, Benadryl, Bananas, Contrast Dye, NSAIDs, NyQuil, Shellfish, Eye Drops.
Diagnostic Lab Data: Full physical exam. PCR COVID-19 nasal swab was collected and sent to the lab.
CDC Split Type:

Write-up: I received my vaccine at 1300 on 8/26/21, at 1330 I began feeling dizzy, suddenly had a headache, and my mouth felt extremely dry. By 1700, I was experiencing abdominal pain as well. By 1900, I was lightheaded, experiencing chills, very sweaty, I had severe body pain, my teeth hurt, my face was swollen, I was extremely weak, had leg cramps, and began vomiting I?m addition to the symptoms I had developed earlier in the day. I also had some shortness of breath and wheezing upon inhalation. I took 1000 mg of Tylenol, 10 mg of Claritin, 25 mg of hydroxyzine, 2 puffs of an albuterol inhaler, drank lots of water, and tried a warm shower. Without any relief I went to urgent care and was elevated. I was informed I was having an anaphylactic reaction. An IV was immediately started, and the team pushed steroids and Pepcid. I was also given prednisone to start tomorrow and zofran to prevent any rebound reactions.


VAERS ID: 1642299 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / SYR

Administered by: Private       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: Unknown
Preexisting Conditions: Unknown
Allergies: NONE
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient was given 2nd dosage of Pfizer vaccine 7 days before required dosage due.


VAERS ID: 1642300 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Maternal exposure during breast feeding, Suppressed lactation
SMQs:, Functional lactation disorders (narrow), Neonatal exposures via breast milk (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: Prenatal vitamin, iron supplement, acid reducer, naproxen
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Reduced milk supply (lactating patient)


VAERS ID: 1642476 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO0164 / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Malaise, Nausea, Paraesthesia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen (MOTRIN) 800 mg Oral Tab Cephalexin (KEFLEX) 500 mg Oral Cap Ibuprofen (MOTRIN) 800 mg Oral Tab EPINEPHrine (ADRENACLICK/EPIPEN) 0.3 mg/0.3 mL Inj AutoInjector Albuterol (Ventolin HFA) 90 mcg/actuation Inhl HFAA Doxycycline Monohy
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Shellfish, Olive Oil
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: First dose of Pfizer vaccine administered @ 1348. ~1355 patient stated she did not feel well. Unable to hold head up, experienced tingling sensation to both arms. c/o nausea, vomiting and shaking. VS monitored. B/P 180/79, HR 116. Pt responsive to commands. Hx shellfish and olive oil allergy. Husband reports, patient carries an Epi Pen. Con''t to vomit and c/o of numbness in all limbs. EMT response team arrived @ 1415 started IV to Left Hand. Administered oral Ondansetron 4 mg @ 1428. Benadryl 50 mg IV given @ 1429. O2 sat 97% on room air. B/P 142/87. Transport to ED via ambulance.


VAERS ID: 1642499 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Chest pain, Dizziness, Dyspnoea, Electrocardiogram normal, Urine analysis
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG performed and came back normal. Urine sample collected.
CDC Split Type:

Write-up: Couldn''t breath, dizziness, pain in heart, couldn''t talk. Pharmacist administered epipen. I was taken to the emergency room where tests were ran. I was discharged by 10:00pm.


VAERS ID: 1642667 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Eye pain, Feeling cold, Headache, Insomnia, Malaise, Migraine, Nasal congestion, Oropharyngeal pain, Pain, Syncope, Vertigo
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Intense shivers and feeling cold although the environment was warm around 10p and occurring through the night. Uneasy sleep. Migraine and sore eyes upon waking. Significant vertigo and syncope. Achy head through the day. Some nasal congestion and sore throat. Symptoms began to subside at 9p, except lingering aches and overall feeling unwell.


VAERS ID: 1642674 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-08-18
Onset:2021-08-26
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 1 LA / IM

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

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

Write-up: Itching began 4 days before the red circular ring appeared on my left arm around the injection site. Ring diameter is about 2 inches.


VAERS ID: 1642681 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation
SMQs:, Peripheral neuropathy (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: Burning sensation to palm of both hands, duration about 12-14 hours. No treatment recommended by ER physician.


VAERS ID: 1642684 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Lethargy, Oedema peripheral, Rash, Rash pruritic
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Mitral and aortic valve regurgitation, seasonal allergies, PMLE, photosensitivity
Allergies: Eucalyptus oil, menthol
Diagnostic Lab Data: None I have no health insurance
CDC Split Type:

Write-up: Painful itchy burning rash on both right and left upper arms spreading down to wrist, edema in hands, lethargy


VAERS ID: 1642686 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Injection site erythema, Injection site swelling, Lethargy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid Allegra Blisovi Symbicort Wellbutrin
Current Illness:
Preexisting Conditions: Asthma Hypothroidism
Allergies: Dilaudid; environmental allergies, cats, dogs
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extremely swollen arm and redness at injection site, fever, headache, lethargy


VAERS ID: 1642853 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / 3 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan, Aldactazide, Eliquis, invokana, glimepiride, victoza, metformin,
Current Illness: None
Preexisting Conditions: DM2, cardiomyopathy, atrial flutter, HTN, HLD
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Delayed Large Local Reaction at left deltoid 1 day after vaccination with tenderness, erythema approx 4 cm diameter circle No treatment


VAERS ID: 1642860 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Nevada  
Vaccinated:0000-00-00
Onset:2021-08-26
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY 0585 / 2 LA / SYR

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

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulphur maybe
Diagnostic Lab Data: 08/28/2021
CDC Split Type:

Write-up: Bells Palsey


VAERS ID: 1642877 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 210182 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Feeling cold, Headache, Myalgia, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Body malaise following Flu vaccine in 2020
Other Medications: Multivitamins
Current Illness: NA
Preexisting Conditions: NA
Allergies: Ibuprofen
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 26Aug2021, I received the first dose of the AstraZeneca COVID-19 vaccine at around 11 am. In the afternoon, I experienced myalgia. In the evening, I felt very cold. At around 10 pm, I had fever & chills. I was literally shaking all night. On 27Aug2021, I still had myalgia & chills. I also had a headache. I took paracetamol & naproxen affording relief of the headache & myalgia. By 28Aug2021, the symptoms resolved. I think the adverse events were probably caused by the vaccine.


VAERS ID: 1642987 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Oregon  
Vaccinated:0000-00-00
Onset:2021-08-26
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210854706

Write-up: INADVERTENT ADMINISTRATION OF 1ML OF COVID-19 VACCINE; This spontaneous report received from a physician concerned a 40 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unknown) 1 ml, administered on 26-AUG-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 26-AUG-2021, the patient experienced inadvertent administration of 1ml of covid-19 vaccine. The action taken with covid-19 vaccine was not applicable. The outcome of inadvertent administration of 1ml of covid-19 vaccine was not reported. This report was non-serious.


VAERS ID: 1645942 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

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

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

Write-up: 1st shot. Itchy bumps on arms and hands. 2nd shot. Hives Treatment, after 2nd shot. 24hour non drowsy antihistamine for 1 day. I still have hives. Going to take it again today.


VAERS ID: 1645952 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: New York  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mobility decreased, Pain in extremity
SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASPIRIN, ACETAMINOPHEN, CAFFIENE, TURMERIC, Dr. H REJOINT, PRE
Current Illness: HEADACHES
Preexisting Conditions: kIDNEY DISEASE
Allergies: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: ABOUT 6 HOURS AFTER RECEIVING SHOT MY LEFT ARM WAS SLIGHTLY SORE BUT NOT BAD. iT WAS SORER THE NEXT MORNING BY ABOUT DOUBLE, BUT STILL NOT EXCRUTIATING. JUST MADE IT DIFFICULT TO RAISE MY ARM OVER MY HEAD TO REMOVE MY T-SHIRT. BY THE MORNING OF THE 2ND DAY (~42 HOURS AFTER GETTING THE SHOT) THE ARM WAS ONLY MILDLY SORE BY ABOUT HALF AND RAISING MY ARM WAS NOT BIG DEAL. NO HEADACHES LIKE I HAD AFTER THE FIRST OR SECOND DOSE JUST OVER 6 MONTHS EARLIER.


VAERS ID: 1645956 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydroxychloroquine, vitamin E, women?s multivitamin, Theralith
Current Illness: None
Preexisting Conditions: Rheumatoid Arthritis
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Red rash on arm where shot was injected


VAERS ID: 1651196 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Male  
Location: New York  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Asthenia, Decreased appetite, Fatigue, Presyncope, Sepsis, Urinary tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), 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), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin metoprolol tartrate ?tamsulosin
Current Illness: none
Preexisting Conditions: BPH, hyperlipidemia, hypertension. hx of successfully treated prostate and lung cancer
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received pfizer covid-19 booster vaccine day prior to arrival to hospital. at that time pt experienced near syncope, weakness/fatigue, decreased appetite. pt found to have sepsis like picture with acute renal failure. also found to have likely mild UTI.


VAERS ID: 1651231 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-14
Onset:2021-08-26
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024M20A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 2 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 3 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cimzia, arava, Celebrex, prednisolone ophthalmic, tomolol, multivitamin
Current Illness: Rheumatoid arthritis, sarcoidosis, glaucoma, fibromyalgia, others
Preexisting Conditions: Same as above
Allergies: None
Diagnostic Lab Data: Regular examination of ears and throat and vitals at minute clinic on 8/27/21 referred to er for ct scan
CDC Split Type:

Write-up: After third shot have severe pain behind left ear in head. Intermittently. Pain at injection site 12 days after injection


VAERS ID: 1651234 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Dysgeusia, Salivary hypersecretion
SMQs:, Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: Flu vaccine, DTAP
Other Medications: Singular, Zoloft, Mult. Vitamins, magnisium, prilosec,Advair, xopenex
Current Illness: none
Preexisting Conditions: asthma
Allergies: Versed, TB. Skin test serum, flu vaccine, strawberries(calf.) walnuts, latex, nitrile gloves, environmental, mulberry trees, almonds, over ripe bannas
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Started to have extra oral secretions under my tongue followed by sides of mouth followed by a metal taste which lasted about 25 minutes. The next day I could not taste anything. This lasted about 48 hours.


VAERS ID: 1651236 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 3 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amiodipine,Atorvastatin,Bisoprol , Pantoprazole, Ciphalexin, Brudesonide/Formoterol Fumarate Dihydrate inhaler, ProAir HFA, vitamin D-3, Ecotrin 81 MG, Folic Acid, Centrum silver for women.
Current Illness:
Preexisting Conditions: COPD, Arthritis, high blood pressure,
Allergies: None
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Chills and Fever 100.1 lasting 9 or 10 hours the evening of shot. Headache and joint pain. Tiredness lasting next day & day after. Took Tylenol every 6 hours.


VAERS ID: 1651237 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Cough, Headache, Pain, Pain in extremity, Paraesthesia, Pyrexia, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: Raynauds, Leiden factor v, and a mild form of EDS
Allergies: Ibu and Latex
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Arm sore for one day, for three days I have ran a temperature (101) every six to eight hours I''ve had to take tylenol, I''m weak, my body aches, I''ve had a severe headache, a slight runny nose, a slight cough, and a runny nose, and my hands have a tingling feeling.


VAERS ID: 1651247 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 2 - / -

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

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

Write-up: Rapid beating heart, shortness of breath, chest pain


VAERS ID: 1651248 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Analgesic therapy, Body temperature increased, Condition aggravated, Injection site pain, Malaise, Pain in extremity, Prostatitis
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 1. Severe pain at injection site radiating to right fingers 2. Prostatitis flared up within 24 hours of receiving vaccine 3. General malaise 4. Elevated temperature of under 100 degrees F


VAERS ID: 1651279 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 RA / 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: None noted
Preexisting Conditions: unknown
Allergies: None Known
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient states she noticed a rash about 2 hours after first dose of Pfizer was administered.


VAERS ID: 1651290 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040C21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Axillary pain, Injection site pain, Joint stiffness, Oedema peripheral, Somnolence
SMQs:, Cardiac failure (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Caltrate Bone+D and Centrum Silver.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Not planning on needing any...I just wanted to report my ankle pain, but that may be what was listed in the paperwork as possible aches.
CDC Split Type:

Write-up: My left arm where I record the shot was sore, but not terrible. My left ankle started aching and later my lower left left and ankle were sore and stiff. That was same day. The next day I really wanted to just lay around and sleep. This morning, on day two, it seems to be almost gone. At almost 24 hours after the shot I noticed I have a swelling under my left arm. It may have started yesterday but I didn?t notice until I showered today. It is a little sore, so having never had a swelling there concerned me but I see it is normal for the arm that got the shot. My other armpit feels like the same old 61 year old arm pit.


VAERS ID: 1651291 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-08-03
Onset:2021-08-26
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Vaccine positive rechallenge
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

Write-up: The regularly scheduled menstrual cycle after dose 2, very heavy clotting and bleeding occurred for one day. This was not normal for me at all, but this also happened after dose 1 of Covid-19 during regularly scheduled menstrual cycle as well. It was jaw-dropping for sure.


VAERS ID: 1651298 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-24
Onset:2021-08-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Facial paralysis, Hypoaesthesia, Magnetic resonance imaging, X-ray
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (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? No
Previous Vaccinations:
Other Medications: MULTIVITAMINS
Current Illness: NONE KNOWN AT THIS TIME
Preexisting Conditions: NO KNOWN CONDITIONS
Allergies: CODEINE
Diagnostic Lab Data: MRI, X-RAY, CT SCANS
CDC Split Type:

Write-up: FACIAL NUMBNESS, PARALYZED PATIENTS RIGHT FACE.


VAERS ID: 1651305 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cold sweat, Dizziness, Fatigue, Heart rate increased, Influenza like illness, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin (10mg daily).
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: I haven''t gone to my PCP because these symptoms appeared 24 hours after the shot, and as I understand it, anaphylaxis is a condition that sets in within minutes to an hour of the shot (this information was gathered from regulated online sources).
CDC Split Type:

Write-up: Developed flu-like symptoms including: 101F fever, chills, body aches, increased heart rating (100bpm resting). The next day, the flu-like symptoms subsided, but general fatigue set in. Day 3, fatigue began to subside, but now dizziness and clamminess persists. Overall, I would like symptoms of flu-like, body aches, and dizziness to be added to the database. As a point to note (not addressed in the questionnaire), I naturally recovered from Covid in February 2021, but had to get vaccinated due to employer requirements. I believe I have natural immunity, and the shot hasn''t improved that but may be the reason for these side-effects.


VAERS ID: 1651315 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939902 / 3 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Migraine, Nausea, Pain, Sensitive skin
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Meloxicam 15mg QD, Propranolol 10mg QD PRN, Buspirone 15mg BID, Duloxetine 40mg BID, Trazodone 50mg QHS, Chlorzoxazone 500mg BID, Amphetamine salts 10mg QAM, Cosentyx 300mcg SQ Q4 weeks, Vitamin D3 50mcg QD, Cetirizine 10mg QD, HydroEye sup
Current Illness: None
Preexisting Conditions: Arthritis, psoriasis, ADHD, depression, anxiety, agoraphobia, degenerative disc disease in lumbar region, immune suppression from Cosentyx therapy for psoriasis
Allergies: Bupropion
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Starting 8/26 at 03:00AM, patient began experiencing extreme skin sensitivity over entire body. Described that "wearing a shirt felt like knives." Extreme fatigue and pain as expected post-vaccine, along with migraine headache. Pain all over body that patient described as "feeling like my entire body is bruised" with no physical presentation of bruising. Persistent nausea lasting multiple days, refractory to home remedies, responsive only to meclizine. Nausea is now manageable but still disruptive.


VAERS ID: 1651324 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Paraesthesia oral
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)

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

Write-up: Tingling of tongue


VAERS ID: 1651388 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Diarrhoea, Hypotension, Nausea, Pain in extremity, Pyrexia, Tachycardia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (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: Moderna MOD028L2OA
Other Medications: Lexapro, BuSpar, xanax, multivitamin, bethanechol, birth control
Current Illness: Sjogrens, gastroparesis, hypogammaglobulinemia, anxiety, depression
Preexisting Conditions: Same as above
Allergies: None
Diagnostic Lab Data: None. Stayed at home and let it work itself out with fluids.
CDC Split Type:

Write-up: Constant nausea/vomiting/diarrhea, fever 102, rigors, tachycardia, hypotension, chills, sore injection arm up into neck.


VAERS ID: 1651403 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Abdominal discomfort, Arthralgia, Chills, Fatigue, Heart rate increased, Pain, Pyrexia, Restlessness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Akathisia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aubagio, Wellbutrin, buspar
Current Illness: Had covid 7-1-21
Preexisting Conditions: Multiple sclerosis
Allergies: Demerol, codeine and lynzess
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, chills, body aches, joint pain, rapid heartbeat, upset stomach, restlessness, fatigued


VAERS ID: 1651430 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia oral, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (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: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Tongue got numb and swollen. Lasted 2 days.


VAERS ID: 1651432 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Hyperlipidaemia, Hypersensitivity, Nodule, Pruritus, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Lipodystrophy (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? Yes
Hospitalized? No
Previous Vaccinations: Less severe, but similar reaction to previous Moderna SARS-CoV2 vaccine
Other Medications: Lisinopril-HCTZ 20/25 mg 1 tab PO Daily Pravastatin 40 mg PO Daily
Current Illness:
Preexisting Conditions:
Allergies: Atorvastatin, Penicillins
Diagnostic Lab Data:
CDC Split Type:

Write-up: "69-year-old female with a PMH of hyperlipidemia and hypertension presented to the ED with a 2-day history of facial swelling. Patient reported that she receive her second Covid-19 vaccine on Wednesday and she subsequently developed a "knot" on her forehead the following day. The "knot" progressed to facial swelling and scalp itching with diffuse area of pruritus. Her symptoms was constant, severe, and without alleviating factors/exacerbating factors. She had taking OTC Benadryl with no improvement of her symptoms. Patient added that she did experience a "knot" on her forehead after the first COVID-19 vaccine, and she denied other new exposures." Diagnosis: Allergic Reaction s/t vaccination Treated with diphenhydramine 25 IV once, Famotidine 20 mg IV once, Solu-Medrol 125 mg IV once Patient instructed to stop taking lisinopril as precaution until she is able to follow-up with primary care provider


VAERS ID: 1651502 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Altered state of consciousness, Arthralgia, Asthenia, Blood test normal, Chest X-ray normal, Dizziness, Electrocardiogram normal, Fatigue, Feeling abnormal, Heart rate decreased, Impaired work ability, Incoherent, Malaise, Myalgia, Nausea, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: dextroampamphet er 20 mg Fluoxetine 20 mg 0.5 ml testosterone injection
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: august 25 blood work, EKG, and chest x ray. Dr said everything looked good
CDC Split Type:

Write-up: I woke up on thursday 26th and my body was achy. I went to school, I am a teacher and coach, and continued to feel worse. All of my joints where hurting and my muscles ached. About 10:00 am I felt like in need to throw up as I left my classroom, I felt like I was about to pass out. I made my way to a fellow teachers room, waved at them for help and laid on the floor. He move me to an office where our school nurse, athletic trainer, and head nurse soon arrived. My blood pressure was 60/40 and O2 levels in the 60''s. I became incoherent, and they were forcing me to stay awake. An AED was hooked up to me along with oxygen. I was never shocked, but they said the AED was telling them to shock me. The paramedics soon arrived but me in the ambulance, started an IV and did and EKG. I started feeling better and they ran blood work and did a chest x ray and everything came back good. Friday I stayed home and was very tired and dizzy at times. My heart rate will drop at time to the 50''s it is usually in the 60''s. Saturday they day of this writing I will feel weak and just not right.


VAERS ID: 1651505 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-08-24
Onset:2021-08-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 3 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Condition aggravated, Embolic stroke, Magnetic resonance imaging head abnormal, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Albuterol, Amlodipine, Lipitor, Carvedilol, Codeine, Lantus, Victoza, Nystatin, Protonix, Prednisone, Torsemide, Trazodone, Valsartan
Current Illness: Metastatic Lung Cancer
Preexisting Conditions: Diabetes, HTN, Prior CVA, CHF
Allergies: None known
Diagnostic Lab Data: MRI brain.
CDC Split Type:

Write-up: 2 days following vaccine experienced LLE weakness, found to have embolic CVA on right.


VAERS ID: 1651549 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH F87484 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Erythema, Fatigue, Feeling hot, Haematoma, Headache, Influenza like illness, Injection site haemorrhage, Malaise, Nasal congestion, Pain, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan 100mg, Omeprazole 40mg, Amlodipine 10mg. , Vitamin C, Calcium Mg, Zinc, Glucosamine Chondroitin, Vitamin D3, Vitamin B complex Turmeric capsules, Naproxen, Ibuprofen, Acetaminophen
Current Illness: Sciatica left side leg, back pain due to L4-L5 fusion of spine. Arthritis
Preexisting Conditions: Hypertension, sciatica, back pain, cervical stenosis
Allergies: none
Diagnostic Lab Data: none yet
CDC Split Type:

Write-up: 1st dose of vaccine, August 4, had bleeding on the site of administration resulting to hematoma on the left arm that lasted for 3 weeks. Experienced flu like symptoms dry cough, nasal congestion and headache, body ache and fatigued. 2nd dose of vaccine August 25, soreness on the left arm, flu like symptoms body aches and fatigued, headache, pain all over my body. I took acetaminophen day 1 after vaccine as I really dont feel well. , on day 2 (friday) I woke up with redness patch on my left arm, sored left arm, body pain, muscle/body aches, fatigue, low grade fever, headache, pain all over my body. I took tramadol 1 tablet and 2 tabs of ibuprofen just to ease the pain that helped a little bit for the entire day, at night I took naproxen before i sleep. Today, day 3, redness patch on my left arm seemed to be bigger and wider. warm to feel and put some ice pack just to relieve the soreness. hydrating myself and took some acetaminophen this morning.


VAERS ID: 1651611 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Arthralgia, Headache, Insomnia, Myalgia, Neck pain, Pain in extremity, Peripheral swelling, Swelling, Tachycardia
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Advair, singular, trazodone, aspirin ,
Current Illness: E. coli, strep throat
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data: Vital signs
CDC Split Type:

Write-up: I experienced a sore and swollen arm that immediately traveled to my neck and head. It only took a matter of an hour to feel the joint and pain intense discomfort after the injection. I had a headache for more than 12 hours through the night, with insomnia, tachycardia, and anxiety. Systemic pain and discomfort of my joints and muscles with a headache have remained 48 hours after vaccination.


VAERS ID: 1652226 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-02-01
Onset:2021-08-26
   Days after vaccination:206
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: DOB: 07/12/1985 Dept/Mgr: Float pool (NA) Resolution of Symptoms: ongoing Covid-19 Vaccine Yes/No: Yes Date of last dose: 02/13/21 Notes: EE calling to report +COVID result today from 8/26/21 specimen. EE still with congestion and cough. Last took symptom-reducing meds 8/27. Advised EE to quarantine for 10d from symptom onset (8/26) and to call EH back on 9/6 to report on S/S.


VAERS ID: 1652229 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-08-01
Onset:2021-08-26
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Postmenopausal haemorrhage, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Fatigue, moderna, 05/19/21
Other Medications: Fluoxetine, vitamin d, vitamin b, migra-defense, candesarten, magnesium, omega 3 fatty acids, excedrin migraine.
Current Illness:
Preexisting Conditions: Migraines
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaginal bleeding after 2 years without a period.


VAERS ID: 1652234 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-08-24
Onset:2021-08-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Adnexa uteri pain, Areflexia, Breast tenderness, Chest pain, Feeling abnormal, Feeling hot, Hypoacusis, Nausea, Nipple pain, Pain in extremity, Peripheral swelling, Thinking abnormal, Thirst, Tinnitus, Vaginal haemorrhage, Vertigo
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (narrow), Tendinopathies and ligament disorders (broad), Dehydration (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: Nasarel ohs, Tylenol prn and Multivitamin daily
Current Illness: none
Preexisting Conditions: none
Allergies: Peanuts
Diagnostic Lab Data: none. MD refuses to see patient or run labs.
CDC Split Type:

Write-up: Day 1: left arm pain. Day 2: Feeling hot but normal temp measured. Tinnitus or swishing sounds on both ears continuous and does not lessen. Sound makes it difficult to hear conversation at normal levels. Left arm pain with left chest pain and left shoulder/scapula pain. Day 3: Feel overly hot but normal body temp measured. Tinnitus worsened, hard to hear normal conversation nose level. Breasts tenderness with severe nipple pain and not able to tolerate anything touching them, including clothing. Also experienced severe bilateral ovary pain and spotting. Pt is 12 days from the beginning of her normal cycle. Day 4: Episode of vertigo treated with meclizine Tinnitus has decreased but remains present. Breast pain is better, no more ovarian pain however pt is very thirsty and feels nauseous and has "head-fog" feeling like she cannot think clearly and has slower reflexes. Day 5: Tinnitus continues, feeling better overall but hands are swollen today.


VAERS ID: 1653568 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-08-19
Onset:2021-08-26
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939893 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Angina pectoris, Erythema, Feeling abnormal, Injection site pruritus, Pain in extremity, Rash, Sensory disturbance, Skin warm, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (narrow), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Other ischaemic heart disease (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Swine flu vaccine at 17 years of age
Other Medications: Premarin .9 x 1 Prometazine 25 mg x 1
Current Illness: Because of my AI, I do not get vaccines other than what I had as a child because I?m never sure how my body will react. I do not get colds or the flu, which I believe is because my immune system is ALWAYS attacking my body.
Preexisting Conditions: Auto immune disease between lupus and MS, Raynaud Syndrome, Glaso pharyngeal neuralgia, rectal spasms, Sjogren s syndrome, Hashimoto type syndrome, multi chemical sensitivity, irritable bowel
Allergies: I have auto immune disease with sever multi chemical sensitivity so I am allergic to many prescription drugs so I don?t take anything other than what?s listed above. The pharmacist asked me after finding this out at time of vaccine, if I was sure I wanted to proceed. I wish I had cancelled!
Diagnostic Lab Data: None. I am the patient
CDC Split Type:

Write-up: I received my vaccine at Pharmacy, not my doctors office. As expected, my arm was sore so my husband said I needed to massage it. As soon as I did, I felt a flush down my left arm to my fingertips, then down the left side of my body. Within less then an hour I had what felt like a swollen ball of fire in my descending colon which required using a heat pad on my abdomen. This continued for the rest of the day/ evening until I finally justwent to bed. As soon as I laid down, I experienced what felt like a burning raise up through my colon and intestines and up into my stomach until it reached my diaphragm. Also down to my rectum. It felt like I was going to explode on both ends at once (meaning vomit and have explosive diarrhea , then suddenly I started having sharp pains to my heart. It felt like shocks. This continued until I finally fell asleep. Over the next few days my arm was sore as expected but nothing else until the morning of the 26th when I woke to feeling extreme itching sensation under my skin at the site of my vaccine. My skin didn?t itch, it was inside my arm. I told my husband it felt like something was eating my arm from the inside out. This has continued to today with a large red area on my upper arm along with a hard welt and the area is hot. This evening I started breaking out in a rash on the other arm near my armpit and trunk junction which is spreading up over my shoulder.


VAERS ID: 1653585 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ear discomfort, Ear pain, Muscle twitching, Tinnitus
SMQs:, Dyskinesia (broad), Dystonia (broad), Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Drugs
Diagnostic Lab Data: None yet, but will see an ENT this week.
CDC Split Type:

Write-up: After about 8 hours my left side of my face began twitching and my left ear hurt in and behind it. Happened again the morning. Went away later in the morning. Next day, I had pain on both of my ears and they felt full. Now, I have tinnitus in both of my ears.


VAERS ID: 1653586 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Axillary pain, Chest discomfort, Chest pain, Discomfort, Dizziness, Heart rate increased, Hyperhidrosis, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: 36 y.o. male who presents with chest pain that began receiving the Pfizer vaccine. The patient reports that he received his second dose of the Pfizer COVID vaccine three days ago and began to develop fever, body aches, diaphoresis, and dizziness later that night. States that he had a fever recorded to be 102 until it broke yesterday morning. Shortly after the fever broke he began to notice chest pain that radiates to the left side of his chest and into his arm pit. Patient states that the pain is intermittent and describes it as being uncomfortable and tight. He also notes that it feels like his heart is beating much faster.


VAERS ID: 1653592 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-08-20
Onset:2021-08-26
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Mucosal hypertrophy
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Redness swelling, itchy at injection site Fatigue Severe stomach pain beginning day 7 and ongoing Thickening of vaginal Mucus No urgent care where I live. If symptoms continue until Monday (8/30) I will call my doctor for an appointment


VAERS ID: 1653728 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chest discomfort, Chills, Discomfort, Dizziness, Fatigue, Headache, Lethargy, Nausea, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Weakness-Medium


VAERS ID: 1653747 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaphylactic reaction, Dizziness, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Hypoglycaemia (broad)

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

Write-up: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild


VAERS ID: 1653770 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Injection site swelling, Injection site warmth, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: D-mannose Amitriptyline Gabapentine Flexiril Lexqpro Cyclobenzaprine
Current Illness: NA
Preexisting Conditions: Chronic migraines Anxiety/depression
Allergies: NA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever. Body aches. Swelling of injection site. Fever on injection site.


VAERS ID: 1653771 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Ear pain, Epistaxis, Eye pain, Fatigue, Headache, Neck pain, Pyrexia, Tremor
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine 5 mg Nexium 20mg
Current Illness: None
Preexisting Conditions: None
Allergies: Bactria Lisinopril
Diagnostic Lab Data: Did not seek medical help, lost faith in medical community. Too much vaccine related bias with HCW?s shaming the unvaccinated.
CDC Split Type:

Write-up: Severe headache to left side of head. Left Eye pain, left ear pain, joint pain in all major joints, fever 100.9, nose bleeds intermittent for following 24 hours, fatigue. Neck pain. Shakes and chills.


VAERS ID: 1653812 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / ID

Administered by: Other       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Patient injected with larger than normal dose, monitored for 30 minutes after dose was given, follow up phone calls that night as well 24hrs post vaccine. Symptoms-none.


VAERS ID: 1653818 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / ID

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

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

Write-up: Larger than normal dose administered. Patient monitored for 30 minutes post administration. called that evening for checkup and 24 hours post. patient reported feeling good.


VAERS ID: 1653820 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)

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

Write-up: Severe Joint pain & aches since day after vaccine. So bad that i have to take tylenol & ibuprofen together every 4 hours, because if I don?t the pain is so extreme it makes me nauseous.


VAERS ID: 1653825 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Heart rate decreased, Hypotension
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: Patient started to faint-talking to her kept her from passing out. EMS came and said BP and heart rate were a little bit low. No orthostatic change in BP. Patient refused to go to ER. EMS called into ER and patient discussed w MD. EMS said she was ok to leave. Patient''s mother came to take her home


VAERS ID: 1653828 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Larger than normal dose administered. Patient monitored for 30 minutes post administration. called that evening for checkup and 24 hours post. patient reported feeling good.


VAERS ID: 1653831 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Larger than normal dose administered. Patient monitored for 30 minutes post administration. called that evening for checkup and 24 hours post. patient reported feeling good.


VAERS ID: 1653832 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Heart rate increased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, omeprazole, zyrtec
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately 24 hours after receiving the vaccine I began having an elevated resting heart rate. My normal is 65-70. At 11am on 8/27 my fit alerted that my HR was 127 (I was not being active, I had been sitting on my porch for about 30 min). I checked my BP and it was 154/150. Since then my HR has fluctuated from 90-156 and my BP between 93/73 to 154/150. I also had a fever of 101.3 beginning around 9:00pm on 8/27 it went down with Tylenol.


VAERS ID: 1653833 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / ID

Administered by: Other       Purchased by: ?
Symptoms: Incorrect dose administered, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: Larger than normal dose administered. Patient monitored for 30 minutes post administration. called that evening for checkup and 24 hours post. patient reported feeling good and arm is swollen


VAERS ID: 1653838 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Larger than normal dose administered. Patient monitored for 30 minutes post administration. called that evening for checkup and 24 hours post. patient reported feeling good.


VAERS ID: 1653841 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / ID

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Incorrect dose administered, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: Larger than normal dose administered. Patient monitored for 30 minutes post administration. called that evening for checkup and 24 hours post. patient reported feeling good. Swollen at the injection site and tired


VAERS ID: 1653847 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-20
Onset:2021-08-26
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Body temperature increased, Headache, Myalgia, Paranasal sinus discomfort, SARS-CoV-2 test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bupropion, Progesterone, daily multivitamin, Vitamin D, Vitamin B12
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Now Covid-19 test 8/27/21 - negative
CDC Split Type:

Write-up: I started getting a headache six days after receiving the vaccine. The headache worsened, and I began having joint pain and full body muscle aches. On the sixth night and seventh day I had a temperature of 100.9. I took a covid test on the seventh day which had a negative result. On the eighth day I began having sinus pressure. Today is the tenth day and I continue to have all symptoms, although the joint and muscle pain has diminished some.


VAERS ID: 1653873 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-12
Onset:2021-08-26
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

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

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

Write-up: Dizziness two weeks after second dose


VAERS ID: 1653875 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abnormal dreams, Fatigue, Heart rate increased, Insomnia, Night sweats, Sleep terror
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bystolic 5mg daily Famotidine 20mg twice daily Pantoprazole 40 mg daily Vitamin D 5K daily Probiotic daily
Current Illness: None
Preexisting Conditions: High blood pressure Heart Arrhythmia GERD Gastritis
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nigh terrors - constant vivid nighmares, waking up drenched in sweat, high pulse and terrified. Started on night of 8/26/21 and each night has intensified. I also have excessive daytime fatigue due to not sleeping well. TX = 8/28/21 at 9:00pm did a Teledoc visit and Dr. suggested I go to the ER if persisted. I am choosing to wait and call my family doctor first thing tomorrow.


VAERS ID: 1653934 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-02
Onset:2021-08-26
   Days after vaccination:146
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: none known
Current Illness: none known
Preexisting Conditions: none known
Allergies: none known
Diagnostic Lab Data: rapid test + for Covid 8/27/2021
CDC Split Type:

Write-up: Client was vaccinated with Moderna vaccine in April 2021 (client not sure of dates but knows they were in beginning and end of April, perhaps 4/2 and 4/30/2021). Became symptomatic for Covid with sore throat and loss of taste/smell on 8/26. Tested rapid positive for Covid 8/27. Reported as breakthrough case of Covid in a fully vaccinated person.


VAERS ID: 1653963 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myalgia, Neck pain, Pain, Pain in extremity, Tenderness
SMQs:, Rhabdomyolysis/myopathy (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: SULFA ANTIBIOTICS
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: PATIENT STATED SHE WAS EXPERIENCING SEVERE PAIN IN THE LEFT ARM MUSCLES, EXTENDING INTO HER NECK, AND DOWN HER LEFT SIDE. PAINFUL TO TOUCH AS WELL AS MOVEMENT. SHE TRIED IBUPROFEN AND ACETAMINOPHEN WITH NO RELIEF. WAS GOING TO TRY LIDOCAINE SPRAY. WILL BE CONTACTING PCP FOR FOLLOW-UP.


VAERS ID: 1653975 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angina pectoris, Chest discomfort, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Other ischaemic heart disease (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: Isibloom Emgality
Current Illness: None
Preexisting Conditions: MVP
Allergies: Demerall
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heart pain/tightness similar to an episode of mitral valve prolapse however it occurred while sleeping and was severe enough to wake me up. It occurred multiple times through the night of the first dose. This has never happened before.


VAERS ID: 1654008 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Chills, Headache, Neck pain, Pain, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Onset of high fever - 103.3. Lasted about 24 hours. Severe shaking/shivering. Body aches in lower back and base of head/neck


VAERS ID: 1654018 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abnormal faeces, Decreased appetite, Pain, Pyrexia, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Biliary system related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mirena IUD, Sudafed, Singular, Pepcid AC, klonopin, tramadol, phenergan, compazine, zofran, bentyl, robinul, Transdermal Scopalimine patch, Celexa, lomotil
Current Illness: Nothing out of the ordinary considering I have Crohn?s disease.
Preexisting Conditions: Crohn?s disease, fibromyalgia, and endometriosis
Allergies: Latex, benedryl, buspar, penicillin
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: A little over 24 hours I started vomiting uncontrollably, having clear stool/foam, 102? fever for 2 days, body aches, no appetite, couldn?t stay awake, was unable to take any medication to help because I just kept throwing up.


VAERS ID: 1654045 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-08-24
Onset:2021-08-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Gait disturbance, Headache, Myalgia, Nausea, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu
Other Medications: Alot
Current Illness:
Preexisting Conditions: Diabetes, high blood pressure, gurd
Allergies: Ibuprofen, flu shot
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headaches, dizziness, muscle aches, fatigue, staggering, nausea, vomiting, stomach pain


VAERS ID: 1654056 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood glucose increased, Decreased appetite, Incoherent, Tremor
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Basaglar, Probenecid, Pantoprazole, Rosuvastatin, Trazodone, Diltiazem, Onglyza, Ergocalciferol,
Current Illness:
Preexisting Conditions: prostate cancer, diabetes
Allergies: penicillin, sulfa, clindamycin, ACE inhibitors
Diagnostic Lab Data: None yet, wife did not want to go to the ER over the weekend. She will call primary care physician first thing Monday morning unless he gets worse overnight and will then go to the ER.
CDC Split Type:

Write-up: Shaky, weak, temperature, blood sugar increase, no appetite, incoherent episodes


VAERS ID: 1654079 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blister, Skin discolouration
SMQs:, Severe cutaneous adverse reactions (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)

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

Write-up: Blisters, dark spot


VAERS ID: 1654086 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-24
Onset:2021-08-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / IM

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

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

Write-up: Lymphadenopathy. Sweeling. Pain. Redness. No treatment. No medicine. Only resting


VAERS ID: 1654090 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NOT SURE / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Dizziness, Fear, Formication, Headache, Neck pain, Oropharyngeal pain, Pain in extremity, Palpitations, Paraesthesia, Rash, Respiratory tract congestion, Rhinorrhoea, Vision blurred
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, Vitamin C, Calcium, Daily Vitamin
Current Illness: N/A
Preexisting Conditions: history of squamous cell skin cancer (had surgery 2.5 years ago but all better now)
Allergies: Penicillin, Codeine cough syrup
Diagnostic Lab Data: Had COVID-19 test on 8/29, waiting for results (may take 3-5 business days for results)
CDC Split Type:

Write-up: I got a bad headache within 10 minutes of injection and also got transient pain that moved throughout my body within 10 minutes. The pain started in my upper left neck, moved to my right arm, then to my right thigh, then to my hand, then both ankles and heels of feet. Dizziness for first few hours of vaccine. I''ve had joint pain, racing/thumping heart for 6-7 hours day of vaccine, felt a bit better Friday afternoon but then racing/thumping heart returned that night. It''s more evident at night. Skin crawling sensation occurred Saturday night and also felt pins/needles on my skin. Some blurred vision within 24 hours of vaccine and now have sore throat, congestion and runny nose. Also both forearms broke out into a rash Saturday night but seems to have resolved itself. The racing/thumping heart has felt very scary and I can physically feel it.


VAERS ID: 1654093 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chills, Headache, Hyperhidrosis, Mobility decreased, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: moderna, 2nd shot 2/2021
Other Medications: no
Current Illness: Stage 4 triple negative breast cancer
Preexisting Conditions: see above
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe muscle pain all over body especially head. I could barely lift head 1/2 inch without excruciating pain. Fever, chills, and profuse sweating. I was literally frozen and couldn''t move which lasted almost 48 hours. Would have gone to the ER but did not have the energy or strength to call an ambulance from my phone. Very scary.


VAERS ID: 1654146 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-08-18
Onset:2021-08-26
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040C21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Protandim Nrf2, Protandim Nrf1, Lifevantage Probio, multi-vitamin
Current Illness: None, sprained ankle
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Red, swollen, raised, sore area at injection site. Arm was initially sore, soreness gone after 3 days. Then area size of quarter at injection site was red, skin swollen/raised, warm to touch and sore. Area reaction is spreading each day and now measures about 3" in diameter, remains warm to touch and tender.


VAERS ID: 1654155 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Anxiety, Condition aggravated, Feeling abnormal, Hypertension, Paraesthesia, Pruritus, Somnolence, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metoprolol, Tramadol, Meclizine, Levothyroxine, magnesium, and vitamins
Current Illness: Unknown
Preexisting Conditions: Polymyocitis and hypertension.
Allergies: Methotrexate, Darvon, and Cipro.
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: At about 1:43PM RN overheard the client stating "I''m feeling weird" to her husband and noted the client placing her hand over her chest. The client was seated in a wheelchair. RN approached the client and asked what symptoms she was currently experiencing. The client again stated "I feel weird." RN asked the client to explain her symptoms. The client stated "I feel like my blood pressure is getting high." The client reported a history of hypertension. The client stated that she takes her blood pressure medication at night and confirmed she did take her medication last night. Vitals obtained at 1:46PM were as follows: automatic BP 156/67, HR 64, O2 98%. The client reported feeling "anxiety" then she stated "it''s coming down." The client stated her systolic blood pressure was at 176 last night. The client said "when my blood pressure goes up, I take my medication." Repeat vitals obtained at 1:52PM were as follows: automatic 172/80, O2 96%, and HR 62. The client denied any other s/s of anaphylaxis. The client has a history of anaphylaxis and does own an Epinephrine injection. The client states she has not used Epinephrine in several years. Allergies include Methotrexate, Darvon, and Cipro. The client reports swelling and diarrhea after taking Methotrexate. The client reports a history of a "big brown rash" on her back during her other allergic reactions. The client states that she takes Benedryl when she experiences allergic reactions, which provides relief of her symptoms. Client has a history of hypertension and polymyositis. Client takes Metoprolol, Tramadol, Meclizine, Levothyroxine, magnesium, and vitamins. The client was alert and oriented to person, place, time, and situation. The client stated "I feel like my pressure is going up." RN recommended repeat manual BP on the other arm. Repeat vitals obtained at 1:56PM were as follows: manual BP 152/78, HR 62, and O2 96%. The client stated when her blood pressure goes up she takes her blood pressure medication. RN educated the client that we cannot provide advice regarding personal medications. The client voiced understanding of this education. Client decided to take her personal Metoprolol 50mg PO at 1:57PM with water. The client subsequently reported "its starting to feel like pins in the back." RN evaluated the client''s back where the client reported itching and noted to evidence of urticaria or hives. The client denied any other s/s of anaphylaxis. RN offered the client Diphenhydramine. The client denied the medication. Repeat vitals obtained at 2:02PM were as follows: BP 158/82, HR 64, and O2 96%. The client reported itching on her back along the band of her bra. RN noted mild urticaria on the right lower side of the client''s back. RN recommended administration of Diphenhydramine 50mg PO. The client elected to proceed. RN educated the client regarding Diphenhydramine including drowsiness. The client voiced understanding of this education. The client denied any shortness of breath, itchiness in the throat or tongue, or swelling of the throat or tongue. The client consumed 50mg Diphenhydramine in oral solution PO at 2:09PM with water. Vitals obtained at 2:10PM were as follows: BP 160/89, HR 63, and O2 98%. The client reported "itchiness just on my back a little bit and no symptoms of increased blood pressure." The client subsequently reported "pressure in my chest that comes and goes." RN activated EMS at 2:13PM. Repeat vitals obtained at 2:19PM were as follows: manual BP 165/86, O2 97%, HR 60. The client reports feeling "sleepy." The client denied any other s/s of anaphylaxis. EMS assumed care at 2:21PM. The client denied EMS transport AMA at 2:25PM. The client left the vaccination site in a wheelchair with her husband. The client stated she was going to seek care at the hospital. The client did not state which hospital.


VAERS ID: 1654171 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-08-25
Onset:2021-08-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Headache, Muscular weakness, Nasal congestion, Nausea, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Arm pain and swelling / mild fever / feeling like crap = only the day after other vaccines.
Other Medications: Morphine sulf ER / Levothyroxine / Losartan / Amlodipine / Bupropion SR / Minocycline / Duloxetine / Trazodone / Nortriptyline / Dronabinol / CBD
Current Illness: None
Preexisting Conditions: Chronic pain / High blood pressure / Adult acne / 2 back surgeries (1 fusion) / 2 neck surgeries (3 fusions) / Fibromyalgia / Polyarthritis / 2 knees replaced with titanium / low thyroid
Allergies: Sulfa / Benadryl / Phenergan / Flexeril = not a true allergic reaction just bad adverse effects
Diagnostic Lab Data:
CDC Split Type:

Write-up: High fever the next day all day and into the early next morning (102 +) / Nausea / Weakness in legs / Severe headache / Exhaustion / hurting all over / nose congestion. The day after that (the second day) I still had a headache and a lower fever (99-100+) / exhaustion and nausea / pains all over. The third day after the shot I just still feel exhausted and up to today 08/29/2021. I feel like I got run over by a truck. I probably should of gone to the hospital. I have never had that bad a reaction from any other vaccine. I did not contact my doctor or report this to the pharmacy yet. The pharmacist did everything perfect, it was just me that had a bad reaction to the vaccine. I have had other reactions like I said but never that severe.


VAERS ID: 1654179 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-26
Onset:2021-08-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0809 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenopia, Dizziness, Dizziness postural, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Corneal disorders (broad), Vestibular 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client received her first dose Pfizer COVID vaccine on 8.26.21, lot number: FD0809, exp. 10/2021 at 1317. At 1130, she reported to EMT and EMT/RN that she was ?feeling woozy? and ?feeling sleepy and heavy eye?. At 1335, they transferred her to the gravity chair. They called lead RN and PHN to assist them with client. Lead RN checked her chest and vaccine site on her left arm with no rash or redness observed. At 1335, EMT/RN assessed client who was alert and oriented x 4 and took her vital signs at 1335: blood pressure (BP) 111/70, heart rate (HR) 62, oxygen saturation rate (O2) 97%. At 1342, EMT/RN took client?s vital signs: BP 114/72, HR 69, O2 96% with client stated her symptoms were improving with no other symptoms and drinking water and juice well. She told she ate her last meal at 10:00 AM. At 1355, EMT/RN took her last vital signs: BP 105/66, HR 63, 02 99% and client said that her ?dizziness and sleepiness are gone? with no other new symptoms. At 1355, she told ?I am feeling well to leave? and that she is returning to work for 30 more minutes. EMT/RN and PHN educated client on the adverse s/s to look out for at home and the need to seek EMS with the Pfizer fact sheet given to client. She verbalized understanding. At 1356, client stood up unassisted and walked out from the observation area to return to work as a security guard at the same location as the vaccination site. At 1405, EMT/RN and PHN saw client sat down on a chair near the exit door of the building reporting she was feeling dizzy upon standing up when she went to the restroom after she left the observation area. She declined any further assessment/treatment and EMS. PHN and her co-workers encouraged client to call her daughter to pick her up to go home. She agreed and called her daughter to come pick her up. At 1416, client agreed to exit the building in a wheelchair to her daughter?s car by EMT/RN and PHN.


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