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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 391 out of 8,010

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VAERS ID: 1636394 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW 0185 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Flushing, Pruritus, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: Metoprolol 25 mg daily
Current Illness: None Reported
Preexisting Conditions: None Reported
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Participant received vaccine at 6:05 pm. She was observed for fifteen minutes then left the clinic at 6:25pm. She returned to the clinic c/o " feeling oozy" with itchy throat. Face flushed and c/o of itching all over upper extremities. Pulse Ox 99-100% 6:45P BP 149/79 P80 R18 7P BP 143/77 P82 R18 7:15P BP 141/83 P 82 R20 Participant taken to the ED for further evaluation.


VAERS ID: 1636395 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-08-25
   Days after vaccination:138
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012A21A / 2 - / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, Headache, Lung infiltration, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprolol 50 mg po daily
Current Illness:
Preexisting Conditions: History of hyppertension
Allergies: NKDA
Diagnostic Lab Data: COVID 19 Antigen + on 8/25/2021
CDC Split Type:

Write-up: Admitted to hospital with subtle patchy left infiltrates and COVID-19 Antigen +, came in with known + test 6 days prior, developed severe headaches and fevers, dyspnea.


VAERS ID: 1636414 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-06
Onset:2021-08-25
   Days after vaccination:111
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 RA / 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: EpiPen 2-Pak 0.3 mg kit Afrin 0.05% spray valACYclovir 1 g tablet Montelukast Sodium 10 mg tablet Fluticasone Propionate 0.05 mg/inh spray Xyzal 5 mg tablet ProAir HFA CFC free 90 mcg/inh aerosol prednisone-step down therapy 1
Current Illness: Mild intermittent asthma, uncomplicated Allergic rhinitis, unspecified Angioedema History of contact dermatitis History of esophageal stricture Status post balloon dilatation of esophageal stricture
Preexisting Conditions: Mild intermittent asthma, uncomplicated Allergic rhinitis, unspecified Angioedema History of contact dermatitis History of esophageal stricture Status post balloon dilatation of esophageal stricture
Allergies: Bactrim: anaphylaxis Rock Fish: anaphylaxis Old Bay Seasoning: anaphylaxis Bees: anaphylaxis Honey: anaphylaxis
Diagnostic Lab Data: COVID-19 rapid testing
CDC Split Type:

Write-up: Patient received 2nd dose of COVID-19 vaccine on 5/6/21 therefore was fully vaccinated. Patient presented to clinic 8/25/21 with symptoms of COVID and tested positive for COVID-19 8/25/21.


VAERS ID: 1636425 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

Administered by: Work       Purchased by: ?
Symptoms: Erythema, Lymph node pain, Lymphadenopathy, Malaise, Pain in extremity, Peripheral swelling, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Arm swelling, itching, redness and pain. Swollen and tender lymph nodes in armpit areas on side of injection. General malaise.


VAERS ID: 1636427 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: This happen in store warehouse (work clinic) she got her 1st dose of Pfizer vaccine, she was waiting the 15 minutes and while waiting she was feeling dizzies and she felt. Patient went to the ER and they administer Tdap vaccine. We call her on (8-26-21) and she is felling okay.


VAERS ID: 1636432 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017E21A / 2 LA / IM

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

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

Write-up: After giving the patient her vaccine, we realized we had drawn up her vaccine from a vial that was punctured approximately 16.5 hours prior. Moderna vials are only good for 12 hours after being punctured.


VAERS ID: 1636441 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017E21A / 1 RA / IM

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

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

Write-up: After giving the patient the vaccine, we realized that we had drawn up the vaccine from a vial that had been punctured approximately 16.5 hours prior. Moderna vials are only good for 12 hours after being punctured.


VAERS ID: 1636448 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Sexual dysfunction (broad)

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

Write-up: Facial numbness, throat tightness


VAERS ID: 1636456 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-13
Onset:2021-08-25
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray abnormal, Lung infiltration
SMQs:, Interstitial lung disease (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Propanalol Lamicatal Omprazol Vitamin C Zinc
Current Illness: N/A
Preexisting Conditions: VP shunt
Allergies: Eggs augmentin
Diagnostic Lab Data: Chest X-ray
CDC Split Type:

Write-up: Infiltration of the lungs


VAERS ID: 1636467 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Fibromyalgia; Asthma; High pressure
Allergies: Latex; Penicillin; Aspirin; Alcohol; Gluten,
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports body itching and redness in face and hands. Allergic reaction was after 15 minutes approximately after the vaccine administration. She received BENADRYL by mouth and was sent to emergency department. We were communicated with patient and she reported she was treated with Solumedrol and BENADRYL by vein. Oxygen was given because her saturation was at SPO2% 92 she was there from 9:50am and approximately at 2 pm discharged.


VAERS ID: 1636474 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 1 RA / IM

Administered by: Other       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: Zyrtec 10 mg every night
Current Illness: none
Preexisting Conditions: none
Allergies: PCN
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient reported getting first Moderna Shot prior to incarceration. She was given a shot of Moderna. When recording her shot it was found to be her first dose was Pfizer.


VAERS ID: 1636498 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-24
Onset:2021-08-25
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Malaise, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coenzyme Q10 100 mg capsule MiraLax - powder for reconstitution EpiPen Auto-Injector 0.3 mg kit Vitamin D3 1000 intl units tablet Ventolin HFA CFC free 90 mcg/inh aerosol with adapter primidone 50 mg tablet Tamsulosin Hydrochlori
Current Illness: Diabetes mellitus I25.10 Coronary artery disease E29.1 Androgen deficiency G25.0 Essential tremor E78.9 Lipid disorder K21.9 Gastroesophageal reflux J45.20 Asthma, intermittent Z85.47 History of testicular cancer Z85.820 History of melanoma I86.8 Varicose veins N52.9 Erectile dysfunction Z91.038 Allergy to bee sting N40.1 Enlarged prostate with lower urinary tract symptoms M75.101 Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic M75.100 Rotator cuff syndrome M47.22 Osteoarthritis of spine with radiculopathy, cervical region K59.00 Constipation
Preexisting Conditions: Diabetes mellitus I25.10 Coronary artery disease E29.1 Androgen deficiency G25.0 Essential tremor E78.9 Lipid disorder K21.9 Gastroesophageal reflux J45.20 Asthma, intermittent Z85.47 History of testicular cancer Z85.820 History of melanoma I86.8 Varicose veins N52.9 Erectile dysfunction Z91.038 Allergy to bee sting N40.1 Enlarged prostate with lower urinary tract symptoms M75.101 Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic M75.100 Rotator cuff syndrome M47.22 Osteoarthritis of spine with radiculopathy, cervical region K59.00 Constipation
Allergies: azithromycin: paroxysmal AF Victoza: nausea
Diagnostic Lab Data: COVID-19 rapid testing
CDC Split Type:

Write-up: Patient received his 2nd COVID-19 vaccine on 3/24/21 therefore was fully vaccinated. Patient was seen at clinic 8/25/21 for symptoms of COVID-19 and tested positive for COVID.


VAERS ID: 1636502 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038A21A / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ceterizine 10mg 1 qd, cholecalciferol 125mcg qd, multivitamin, Low low estrin OCP
Current Illness: N/A
Preexisting Conditions: Major Depressive Disorder, Asthma, Allergic Rhinitis
Allergies: Erythromycin - Hives, PCN - Hives, Prozac - Pruritis, Spironolactone - Hives
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: tachycardia.


VAERS ID: 1636512 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dizziness, Irregular breathing, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Respiratory failure (broad)

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

Write-up: Pt started feeling light-headed and nauseous 10 min after vaccine was administered. Pt then threw up a little and then started complaining of altered breathing and chest pain. 911 was called, paramedics arrived and assessed, vitals were normal. Pt then with consent of legal guardian decided they wanted to be transported to hospital to get checked out.


VAERS ID: 1636519 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Hyperhidrosis, Pain in jaw, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Osteonecrosis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 4 Total (Influenza in 2020 - syncope; 3 other vaccines with unknown reactions)
Other Medications: None
Current Illness: None
Preexisting Conditions: No known conditions
Allergies: Pepto-Bismol, Monistat
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient started experiencing blurry vision while she was reading 13 mins status post injection and began feeling dizzy and sweaty. Her BP was taken immediately at 115/83 with P:97 and O2: 99%.. Patient placed in exam room and also started having left sided jaw pain described as if someone punched her in the face, but improved after 3-4 mins. Her dizziness returned after 2-3 mins, but then resolved after 3 mins. She contacted her mom and was notified that she has had 3 major adverse reactions to vaccines as a child, but does not recall which ones with one causing a 10 day hospitalization. Patient also states that last year she had a severe reaction to the influenza vaccine where she was also hospitalized due to fainting. Her mother also told her she had a severe egg allergy up until the age of 12 and had never received the influenza vaccine. Patient did not know about her adverse reactions until she called her mother after getting the covid vaccine. Patient had vitals taken again after 20 mins with BP:118/81 and P:87. She was monitored for 40 mins and was discharged home to her mother. Patient advised to go to the ER if symptoms return.


VAERS ID: 1636521 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Unknown  
Location: Indiana  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Confusional state, Dizziness, Fatigue, Headache
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: d-3 zinc vitamin c
Current Illness: none
Preexisting Conditions: cancer free for nine years
Allergies: eggs, asprin,codein, meperidine, morphine, nitrofuration,prnicilian. sulfa,dilaudid,lisinopril
Diagnostic Lab Data:
CDC Split Type:

Write-up: sick to stomack digestive , dizzy , confused, headache, took tylenol and went to bed, feel drained tired today aug 26


VAERS ID: 1636522 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Hypertension, Nausea, Neck pain, Nervousness
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Arthritis (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: Client was given 1st dose Pfizer vaccine and observed 15 minutes. Client proceeded to walk out at 1735, when she stated she had tingling pain on the right side of her neck, and nausea. Client BP was 180/95 @ 1740, 176/104 @ 1750. Client sta
Current Illness: High blood pressure, anxiety and positive NA for Lupus
Preexisting Conditions: Previous heart attacks, positive NA for Lupus
Allergies: Penicillin and Ambient
Diagnostic Lab Data:
CDC Split Type:

Write-up: After vaccination and observation, client complained of pain to the right side of her neck and nausea. Vitals were taken. Ambulance was called due to Hypertensions, nausea, and nervousness. EMS arrived 18 minutes later. Client was accessed. BP was 180/108. Client stated she felt ok and agreed to be released at 1815.


VAERS ID: 1636523 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-08-16
Onset:2021-08-25
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Headache, Pain in extremity, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Headache 8/16-8/19. Vomiting 8/25 and Heart rate 52. Pain in arm not in injection site


VAERS ID: 1636529 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood urine, Chest discomfort, Chest pain, Dizziness, Dysuria, Palpitations
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

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

Write-up: About 15 minutes after first dose I felt like I couldn''t breathe and my chest was hurting and very tight. My heart felt like it was pounding and my husband tool my heart rate using an arm pulse/no reader. It read 116. It stayed around for a few minutes. Then I got very dizzy and felt off and like I was going to pass out. My chest felt weird and he checked again and this time read"low". After about two minutes this resolved and I felt okay. We checked again a few minutes later and it read 102. It continued to improve and within an hour dropped down to 90 and then 88 about 1.5 hours after. That same evening I started having pains in my chest and then pain urinating. The next morning, which was today, I had a lot of pain urinating and a lot of blood was in my urine. I''ve never experienced this before.


VAERS ID: 1636538 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 2 LA / IM

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

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

Write-up: Patient had syncope episode after vaccine. Paramedics were called, patient was not transported to ER as Paramedics reported to patient and dad that vitals were stable. Provider encouraged dad to take patient to ER for further evaluation


VAERS ID: 1636540 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: nothing within 6 hours. I took some aspirin the night before and had some kratom tea about 8 hours before.
Current Illness: none
Preexisting Conditions: Benign tumors in back and some kidney problems also had Covid in July of 2020.
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: about 10 mins after injection I got light headed and passed out. they called paramedics who came and monitored me for a few minutes then I passed out again they gave me IVs and the epinephrine and then took me by ambulance to a hospital. At the hospital they took blood multiple times and x-rays. after about 8 hours they released me to go home.


VAERS ID: 1636548 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9809 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 2 LA / IM

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

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

Write-up: Covid infection despite covid vaccine


VAERS ID: 1636557 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052C21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zocor, Armour Thyroid
Current Illness: None
Preexisting Conditions: Hashimoto''s, pre-diabetes
Allergies: Penicillin, Mycins, Cyclines, Ibuprofen, Sulpha drugs, Sulfates (wine), horseradish
Diagnostic Lab Data:
CDC Split Type:

Write-up: Forehead swelled above nose and eyebrows and around outside of eye lids


VAERS ID: 1636563 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 150 mg (once daily)
Current Illness: Ear infection
Preexisting Conditions: None
Allergies: Tree nuts Grass Cats
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Headaches, multiple rashes on both sides of abdomen, right arm, lower left side of back, two on lower chest areas. Rashes similar to food allergy rashes.


VAERS ID: 1636577 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 02OF21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Dizziness, Fatigue, Headache, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (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: HPV Quadrivalent, , 4/6/09, 12 yrs, extreme fatigue, lumps developed on body
Other Medications: Prescription: Sertraline
Current Illness: None
Preexisting Conditions: None
Allergies: Walnuts Clindamycin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Extreme fatigue and nausea, headache that last more than 20 hours even with Tylenol and Ibuprofen, muscle aches and dizziness, low-grade fever and chills.


VAERS ID: 1636590 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-23
Onset:2021-08-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Lymph node pain, Lymphadenopathy, Neck pain, Oedema peripheral, Pain, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: large painful swollen lymph node on side of vaccine injection above collarbone with peripheral swelling across chest/armpit. pain radiating down back, neck, and arm.


VAERS ID: 1636596 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-03
Onset:2021-08-25
   Days after vaccination:175
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / 1 UN / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 2 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: SARS-CoV-2 test
SMQs:, COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Covid Test 8/25/2021
CDC Split Type:

Write-up: Unknown / still in hospital


VAERS ID: 1636608 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-23
Onset:2021-08-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049EZ1A / 1 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Muscle twitching, Seizure like phenomena
SMQs:, Peripheral neuropathy (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None known.
Current Illness: None known.
Preexisting Conditions: None known.
Allergies: Amoxicillin, Shellfish
Diagnostic Lab Data: Unremarkable exam in clinic. Referred to emergency room for further assessment.
CDC Split Type:

Write-up: 1 minute seizure-like episode. Patient reports numbness in chest, arms and head and some twitching of limbs. Did not lose consciousness. Reports no seizure history, but patient did have a similar episode about 5 years ago.


VAERS ID: 1636613 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3185 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vit D3, Zinc, Magnesium
Current Illness: None
Preexisting Conditions: No
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Extremely sore shoulder with mild swelling.


VAERS ID: 1636625 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-23
Onset:2021-08-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Lymphoedema, Metabolic function test
SMQs:, Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, Rosuvastatin, Viagra
Current Illness:
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: Basic labs are normal
CDC Split Type:

Write-up: 3+ Left Axillary Lumphedema


VAERS ID: 1636636 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK 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? 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: Client requested COVID-19 vaccine - verbally reported and signed consent indicating she had not received any other COVID-19 vaccine. Client vaccinated with Janssen vaccine. While documenting vaccination in system, writer discovered documentation that client received a dose of the Pfizer COVID-19 vaccine on 7/15/21 (Lot #FA6780). Client is currently a resident at the detention facility. No reports of adverse side effects received.


VAERS ID: 1636641 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 RA / IM

Administered by: Public       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:
Current Illness: none
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2nd dose of Pfizer was administered 14 days after 1st dose. Patient had 1st dose completed at another clinic site and did not have her vaccination card with her at time seen in our clinic.


VAERS ID: 1636647 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Joint swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, Vitamin D, Biotin
Current Illness: None
Preexisting Conditions: None
Allergies: Bees, nuts, non-iodine surgical wash
Diagnostic Lab Data: None
CDC Split Type: 807707

Write-up: Reports mild right knee pain and swelling following vaccination. Took Benadryl at ~7 PM d/t hives and swelling on lower legs bilaterally and face. Next morning symptoms were resolved except for mild pain and swelling in right knee that had surgery on in 2016.


VAERS ID: 1636657 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 02F21A / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fear of injection, Presyncope, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: PATIENT HAS REPORTED MULTIPLE VASOVAGAL SYNCOPY WITH GETTING BLOOD WITHDRAWAL AT THE DOCTORS OFFICE
Preexisting Conditions: SUSPECTED ANEMIA
Allergies: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT HAD VASOVAGAL SYNCOPE FOR 10 SECONDS AFTER GETTING THE SECOND COVID MODERNA VACCINE. PATIENT IS VERY SENSITIVE TO THE SIGHT OF NEEDLE AND FAINTED FOR FIVE TO TEN SECONDS


VAERS ID: 1636668 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cough, Ear pain, Erythema, Headache, Oropharyngeal pain, Pruritus, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: N/a
Current Illness: Battling kidney stones ,was just in ER last week ,but due to mandate our Gov place in I had no choice but get vaccinated while suffering with kidney issues ?I did discuss with my PCP possibility to delay vaccination ,she stated I will be ok ?easy said when she isn?t the one in pain
Preexisting Conditions: Kidney
Allergies: N/a
Diagnostic Lab Data: N/ ? ,I couldn?t drive myself to the hospital ,I wasn?t in condition to do so
CDC Split Type:

Write-up: 1 hour after vaccination my skin turned red and itchy, my whole body was itching ,then around 10 pm I start having severe headache I vomit 2 times ,then the chills and earache started ,had fever of 101F chills continued till 8 am next morning now my throat is sore and my ears hurts ..I never been sick like this in my life ,passed out 2 times ..now about 24 hours later I still have severe headache ,earaches and start coughing


VAERS ID: 1636680 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Product storage error
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: Benign HTN, Stage 2 Chronic Kidney Disease. Smoker,
Allergies: Red Apple, Red Grapes
Diagnostic Lab Data:
CDC Split Type:

Write-up: Monderna COVID Vaccine was drawn on 08/24/21 @ 12:41pm and was given outside the 12 hour period recommended by manufacture. Vaccine was given on 08/25/21 @ 2:40.


VAERS ID: 1636686 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Expired product administered, Product administration error
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: Unknown
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Administration error, lot had expired one day prior on 8-24-2021.


VAERS ID: 1636703 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 2 RA / IM

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

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

Write-up: Monderna COVID Vaccine was drawn on 08/24/21 @ 12:41pm and was given outside the 12 hour period recommended by manufacture. Vaccine was given on 08/25/21 @ 4:28pm.


VAERS ID: 1636706 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 1 UN / IM

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

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

Write-up: Administration error, lot had expired one day prior on 8-24-2021.


VAERS ID: 1636711 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-16
Onset:2021-08-25
   Days after vaccination:131
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Fibrin D dimer increased, Haemoptysis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Infective pneumonia (broad)

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

Write-up: COUGHING UP DIME SIZE BLOOD CLOTS PER ER NOTE


VAERS ID: 1636719 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-01-17
Onset:2021-08-25
   Days after vaccination:220
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 2 - / 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: positive covid test


VAERS ID: 1636723 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 1 RA / IM

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

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

Write-up: Moderna COVID Vaccine was drawn on 08/24/21 @ 12:41pm and was given outside the 12 hour period recommended by manufacture. Vaccine was given on 08/25/21 @ 12:40.


VAERS ID: 1636725 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:2021-08-01
Onset:2021-08-25
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004F21A / 2 LA / IM

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

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

Write-up: Patient indicated that Moderna was his first dose. Pharmacist vaccinated patient with Moderna. As pharmacist went to fill the card, noticed that the patient had Pfizer as his first dose. In summary, patient was vaccinated with Moderna instead of Pfizer.


VAERS ID: 1636729 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Heavy menstrual bleeding, Hyperhidrosis, Migraine, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: Yaz
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Migraine , chills, fever, sweats and heavy menstrual bleeding.


VAERS ID: 1636735 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-19
Onset:2021-08-25
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Contusion, Haematocrit decreased, Haemoglobin decreased
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Accidents and injuries (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: bupropion, sertraline, miralax
Current Illness: None
Preexisting Conditions: anxiety, depression
Allergies: None
Diagnostic Lab Data: Hemoglobin: 11.7 Hematocrit: 36.2
CDC Split Type:

Write-up: Unexplained bruising started 6 days after receiving vaccine. Bruising to bilateral posterior thighs extending to posterior knee and up to lower back as well. No trauma. No sign of anemia in initial labs.


VAERS ID: 1636738 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 1 UN / IM

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

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

Write-up: Administration error, lot had expired one day prior on 8-24-2021.


VAERS ID: 1636750 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-12
Onset:2021-08-25
   Days after vaccination:194
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin 80 mg oral tablet, 80 mg= 1 TAB, PO, QHS (At bedtime) Fish Oil 1000 mg oral capsule, 1000 mg= 1 CAP, PO, Daily HumuLIN R 100 units/mL injectable solution, 130 Unit, Subcut, QAM (Every morning) HumuLIN R 100 units/mL injectab
Current Illness:
Preexisting Conditions: DM, HTN, OBESITY
Allergies: NKA
Diagnostic Lab Data: POSITIVE COVID TEST 08/16/2021
CDC Split Type:

Write-up: COVID+ since 8/16/21, today was feeling generally weak and SOB. EMS report high fever of 105


VAERS ID: 1636761 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 1 UN / IM

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

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

Write-up: Administration error, lot had expired one day prior on 8-24-2021.


VAERS ID: 1636773 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 1 UN / IM

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

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

Write-up: Administration error, lot had expired one day prior on 8-24-2021.


VAERS ID: 1636790 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 1 UN / IM

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

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

Write-up: Administration error, lot had expired one day prior on 8-24-2021.


VAERS ID: 1636793 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NP Thyroid 15 mg, Cetirizine 10 mg, multivitamin, Magnesium (glycinate) 120 mg
Current Illness: Exposed to covid positive person on August 15th (didn''t know she was positive until a week later). Had mild headache a few days later.
Preexisting Conditions: Hashimotos
Allergies: No known allergies. Sensitive to glutin and dairy. Sugar/coffee give me UTI''s. Also sensitive to cat dander, mold and dust.
Diagnostic Lab Data: None at this time.
CDC Split Type:

Write-up: Red circle around injection site (8cm). Red area is painful, firmer to the touch and very warm.


VAERS ID: 1636801 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-08-22
Onset:2021-08-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Epistaxis, Fatigue, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (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: Tylenol, Proventil, Amlodipine, Buprenorphine, desmopression Acetate, dicyclomine.
Current Illness: none - pt has many chronic illnesses though
Preexisting Conditions: Immunodeficiency, hypogammaglobulinemia, Von Willebrand disease, Diverticulitis, TIA, Eosinophilia, history of pancreatitis, gastritis, Ehlers-Danlos Syndrome, leukocytosis, chronic pain syndrome, diabetes, lynch syndrome, osteoarthritis of multiple joints, obstructive sleep apnea, mutation in ATP7A gene, PTSD, Major Depressive Disorder, Meniere''s disease, auditory nerve tumors, barretts esophagus, cystic fibrosis carrier, anemia,
Allergies: Albumin (egg), Amoxicillin, Aspirin, Augmentin, Avelox, bee Venom, Doxycycline, gluten, ibuprofen, levaquin, macrobid, penicillins, soy, sulfa antibiotics, tape
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nose bleed which lasted all day - lasted all day but wasn''t heavy enough for patient to seek medical care. Muscle cramping, loss of appetite, and extreme exhaustion all reported by patient at the same time. Patient has been keeping hydrated, tylenol for pain, resting.


VAERS ID: 1636809 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 1 UN / IM

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

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

Write-up: Administration error, lot had expired one day prior on 8-24-2021.


VAERS ID: 1636817 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 1 UN / IM

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

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

Write-up: Administration error, lot had expired one day prior on 8-24-2021.


VAERS ID: 1636828 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-23
Onset:2021-08-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 3 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra daily Losartan 100mg daily Fiber suppliment
Current Illness: none
Preexisting Conditions: HTN, seasonal allergies History of polymorphic light eruption (2x)
Allergies: none
Diagnostic Lab Data: none at this point
CDC Split Type:

Write-up: Swelling in the axillary region that extends into the front left pec and the back to the scapula and down to the middle ribs. No redness. Swelling is minimally tender to touch. Feels like fluid.


VAERS ID: 1636835 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / IM

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

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

Write-up: Pt received his first dose of Pfizer on 8/11/21 and was schedule for his second dose on 8/25/21. Pt arrived to the clinical on 8/25/21, and LVN administered the second dose of Pfizer. The medication administration error occurred as the patient received his second dose 14 days apart instead of 21 days. The patient remained asymptomatic during is observation. Patient informed of the mistake and advised to monitor for signs and symptoms. Patient denies any symptoms and stated he "felt fine". Provided patient with the Pfizer fact sheet and a contact number.


VAERS ID: 1636836 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-19
Onset:2021-08-25
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Hep B vaccine
Other Medications: Adderall IR 20mg
Current Illness:
Preexisting Conditions: Demylinating Disease, SLE, RA, Polyartritis, Asthma, Inattentive ADHD due to frontal lobe white matter lesions. I also have had severe autoimmune reactions to the Hep B vaccine in College.
Allergies: Aspirin, Penacillian, Morphine, Codine, Sufla Drugs, Iodine, Latex, molds, fungi, bees, shellfish, cockaroaches, rodents,
Diagnostic Lab Data:
CDC Split Type:

Write-up: My most concerning adverse effect is yesterday I started my menstrual cycle 8 days early. I barely could sleep due to the most painful cramps ever. My cycle is never early or late like this even my fitbit tracks it perfectly. I am not pregnant and my tubes will have been tied for 15yrs on Sept 8th.


VAERS ID: 1636837 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Immediate post-injection reaction, Pain in extremity
SMQs:, Hypersensitivity (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: Adderral, Busparione, Losartan, Percocet, Baclophen, Desvenlafaxine, Rexulti, Flonase, B Complex Vitamin, Multi-vitamin for women, Claritin, Melatonin, Benedryl.
Current Illness: High blood pressure, depression, anxiety, oral lichen planus, gastroenteritis.
Preexisting Conditions: High blood pressure, depression, anxiety, brachial plexus palsy left hand/arm, spinal disc problems and herniations.
Allergies: Lisinopril, sulpha medications, hydrochlorathyzide, xiidra, paxil.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Very painful left arm full arm right after injection and pain all night long into the next morning. Left leg pain down entire left leg the first night and next day after vaccine. Headache mild possibly migraine I do get migraines. Fatigue moderate next day.


VAERS ID: 1636843 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059E21A / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Feeling cold, Headache, Nausea, Pyrexia, Renal pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Buspar, birth control pills, Lexapro, multi-vitamin, super B complex, fish oil, ginseng complex, magnesium, CoQ10, D3, Echinacea, calcium, hair skin and nails,
Current Illness: none
Preexisting Conditions: i can''t think of any
Allergies: Allergy to unknown chemical, thought to be a component of tile cleaner Zep
Diagnostic Lab Data: none
CDC Split Type:

Write-up: my kidneys hurt, freezing 12 hours after, nauseous, then fever, headache next day and my kidneys still hurt


VAERS ID: 1636861 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Diarrhoea, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient took 2nd dose of Moderna COVID-19 vaccine on 8/24/2021. On 8/25/2021, patient started experiencing nausea, vomiting, fever, lack of appetite, and body aches. On 8/26/2021, patient started experiencing diarrhea and her body aches became more severe (she was still experiencing the other issues from 8/25/2021).


VAERS ID: 1636873 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: received his first dose of Pfizer on 8/11/21 and was schedule for his second dose on 8/25/21. arrived to the clinical on 8/25/21, and was administered the second dose of Pfizer. The medication administration error occurred as the patient received his second dose 14 days apart instead of 21 days. The patient remained asymptomatic during is observation. Patient informed of the mistake and advised to monitor for signs and symptoms. Patient denies any symptoms and stated he "felt fine". Provided patient with the Pfizer fact sheet and a contact number.


VAERS ID: 1636898 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
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: None
Current Illness: COVID Oct 2020
Preexisting Conditions: None
Allergies: Shellfish
Diagnostic Lab Data: Called Pfizer medical information number and Drug safety.
CDC Split Type:

Write-up: Had first COVID-19 Pfizer vaccine on 8-14-21 and second COVID-19 Pfizer vaccine on 8-25-21, this is 11 days too soon. Client still cannot smell, taste, ears itch, has visual changes and brain fog, all of this is from having COVID in Oct 2020.


VAERS ID: 1636908 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Hyperhidrosis, Pain, Vaccination site pain
SMQs:, Neuroleptic malignant 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: Prenatal vitamins Calcium supplement
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Body aches and pains, chills and sweating, vaccination site soreness


VAERS ID: 1636920 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: New York  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Condition aggravated, Eye movement disorder, Lethargy, Movement disorder, Seizure, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levemir insulin, Coreg, Procardia XL, Keppra, Clonidine, Hyzaar, Novolog insulin, Bisacodyl EC, aspirin, sitagliptin-metformin, lipitor
Current Illness: Patient is a resident at facility. He was admitted from acute care after being unable to manage his type II Diabetes at home.
Preexisting Conditions: Hx of multiple CVAs with left hemiparesis, seizure disorder, Type 2 DM, Multiple symptomatic Hypoglycemia episodes. Uncontrolled Hypertension, CAD, ASCVD, Diasystolic CHF, Hx of Multiple Falls
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Resident noted unresponsive, unable to open eyes when repeatedly called; noted lethargy and unresponsive to stimulation. Upon assessment, no labor breathing noted and VS: BP 163/101 P 74 T 98.4 R 18 O2sat 99% FS 148mg/dL. Resident unable to open eyes independently/move his limbs. In acute care - ddx includes seizure vs syncopal episode.


VAERS ID: 1636926 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 RA / IM

Administered by: Private       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:
Current Illness:
Preexisting Conditions: Ovarian Cancer receiving treatment
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received Pfizer-BioNTech as the 3rd dose in a series due to being immunocompromised. It was after the dose was administered that it was identified that the patient had received MODERNA for dose 1 and dose 2.


VAERS ID: 1636930 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-01-19
Onset:2021-08-25
   Days after vaccination:218
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Anosmia, COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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

Write-up: positive for covid-19. EE stated coughing, running nose on 8/24/21 and lost of smell 8/25/21


VAERS ID: 1636939 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-03-17
Onset:2021-08-25
   Days after vaccination:161
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006M20A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040A21A / 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: atorvaSTATin (LIPITOR) 10 mg tablet Take 10 mg by mouth 1 time per day tamsulosin (FLOMAX) 0.4 mg capsule Take 0.4 mg by mouth 1 time per day omega-3 fatty acids (FISH OIL) 1000 mg capsule Take 2 g by mouth 1 time per day sildenafil 20 mg t
Current Illness: none
Preexisting Conditions: Hypertension Pure hypercholesterolemia Anxiety disorder Actinic keratosis Lagophthalmos of left lower eyelid Chorioretinal scar of right eye
Allergies: NKA
Diagnostic Lab Data: positive covid PCR 8/26/21
CDC Split Type:

Write-up: patient developed covid-19 infection on 8/25/21


VAERS ID: 1636941 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3682 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Feeling hot, Injection site pain, Injection site rash, Lymphadenopathy, Pain, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: minor burning/stinging rash on shoulder-duration 12 hours enlarged lymph nodes around collar bone and neck on the left side. Painful to touch, warm and swollen. Started after rash subsided. pain in shoulder that radiates down arm and around to the shoulder blade.


VAERS ID: 1636949 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Chills, Fatigue, Pain
SMQs:

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

Write-up: Body ache, fatigue, chills


VAERS ID: 1636971 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Dizziness, Dysphagia, Extrasystoles, Full blood count normal, Palpitations, SARS-CoV-2 test negative, Troponin normal
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypokalaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Erythromycin Doxycycline
Diagnostic Lab Data: 8/26/21 CBC and troponin negative 8/26/21 covid PCR negative
CDC Split Type:

Write-up: I became dizzy shortly after getting the vaccine approx 20 min. At around 10 pm that night started getting a cough and was having trouble swallowing. My dizziness became worse and I started to feeling my heart skipping and pounding in my chest.


VAERS ID: 1637012 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-10
Onset:2021-08-25
   Days after vaccination:196
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011M20A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Acute myocardial infarction, Blood lactic acid, Blood magnesium, C-reactive protein, Chest pain, Differential white blood cell count, Fibrin D dimer, Full blood count, Influenza virus test, International normalised ratio, Leukocytosis, Metabolic function test, Occult blood, Prothrombin time, Respiratory syncytial virus test, Troponin, Viral test
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CRP, CMP, D-Dimber, occult blood, CBC with diff, lactic acid, magnesium, protime/INR, PTT, SARS/flu/RSV, troponin
CDC Split Type:

Write-up: chest pain, non-sTEMI, D-Dimer, leukocytosis


VAERS ID: 1637018 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Headache, Pain, Pyrexia, Secretion discharge
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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamotrigine, 200mg Adderal, 15mg Niki (birth control)
Current Illness: None
Preexisting Conditions: Depression, anxiety
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Night of 8.25.21 and continuing: Severe: body aches, joint pain, fatigue Moderate: headache, fever and throat mucus


VAERS ID: 1637023 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Malaise, Presyncope
SMQs:, Anticholinergic syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: IV was started by APN and fluids were started, EMS called.
CDC Split Type:

Write-up: event occurred at 10:40am. Pt approached the front desk and told them he didn''t feel well. Pt had what appeared to be a vaso vagal response.


VAERS ID: 1637035 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049E21A / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Extra dose administered
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: pt states abnormal red spots that appear on both her feet following the 3rd dose of the covid vaccine (moderna). no other issues at this time.


VAERS ID: 1637045 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Dizziness, Pruritus, Respiration abnormal, Syncope, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (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: seafood
Diagnostic Lab Data: The patient blood pressure was measured with a result of 103/55mmHg with 65bpm
CDC Split Type:

Write-up: fainting, dizziness, anxious, shaky, itching on hands, heavy breathing


VAERS ID: 1637047 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-01-27
Onset:2021-08-25
   Days after vaccination:210
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 2 RA / IM

Administered by: Unknown       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: symptoms started 8/13, tested Covid positive 8/24


VAERS ID: 1637064 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / IM

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

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

Write-up: DIZZINESS WITHIN THE FIRST 10 MINUTES OF INJECTION FOLLOWED BY NAUSEA AND VOMITING.


VAERS ID: 1637076 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-01-31
Onset:2021-08-25
   Days after vaccination:206
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Senior Living       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: Unknown as resident vaccinated prior to admission
Current Illness: Vaccinated prior to admission
Preexisting Conditions: Dementia with Behavioral Disturbances, Hypo-Oasmolality and Hyponatremia, Other Symptoms concerning food and fluid intake, UTI''s, Hypothyroidism, Pure Hypercholesteremia, Anxiety, Muscle Weakness, Osteoporosis, Adult FTT, GERD, Arthropathies, Ventral Hernia, HTN, Malignant Neoplasm of Breast - resulting in Absence of L breasst and nipple, Osteoarthritis, Ischemic Heart Disease, Outlet Dysfunction Constipation
Allergies: Fish Oil, Biaxin, Crestor, Estrogens, Metrondiazole
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Routine testing for outbreak, resident tested positive


VAERS ID: 1637088 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 2 LA / IM

Administered by: Other       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: Patient received first dose Pfizer on 8/4/21. Patient reported she had a similar tongue tingling sensation a few hours after her
Other Medications: Vitamin (vit) B12, vit D, vit D3, magnesium, vit C
Current Illness: none reported
Preexisting Conditions: Thalassemia
Allergies: flowers, cigarettes, rubber, petroleum-based products
Diagnostic Lab Data: None
CDC Split Type:

Write-up: At approximately 1654, patient reported slight tingling of the tongue to RN. Patient denied itchiness, rashes, hives, trouble swallowing, trouble breathing. Patient denied swelling and numbness of tongue, lips, and throat. Patient reported she had a similar reaction to her first dose of Pfizer Covid Vaccine. Patient reported she felt the same slight tingling sensation of the tongue. Patient reported her symptom started a "few hours" after her vaccination and "went away on its own". Patient reported allergies to flowers, cigarettes, rubber and petroleum-based products. Patient reported history of thalassemia and no current medications. At 1657, RN assessed patient vital signs: blood pressure 142/86 mmHg, pulse 65 beats/minute, and SpO2 99%. At 1658, RN offered diphenhydramine oral solution. Patient agreed to diphenhydramine oral solution. At 1700, RN administered 50 mg diphenhydramine oral solution. At 1705, RN reassessed patient vital signs: blood pressure 146/88 mmHg, pulse 57 beats/minute, and SpO2 99%. Patient reported "I can still feel it a little less". At 1710, RN reassessed patient vital signs: blood pressure 138/80 mmHg, pulse 55 beats/minute, and SpO2 99%. At 1715, RN reassessed patient vital signs: blood pressure 138/88 mmHg, pulse 57 beats/minute, and SpO2 99%. Patient reported she was "getting better" and can "barely feel it". At 1729, patient reported her symptom is "gone". Patient denied tingling of tongue. RN educated patient on signs/symptoms of when to seek emergency care, to follow up with primary care physician, and to sign up on v-safe. At 1730, patient left facility with husband. Patient left facility with unlabored respirations and steady gait.


VAERS ID: 1637126 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Hypotension, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: low blood pressure, dizziness, vomiting, fatigue


VAERS ID: 1637133 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-02-16
Onset:2021-08-25
   Days after vaccination:190
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID-19 PCR test with a positive result.
CDC Split Type:

Write-up: Patient received the Pfizer vaccine on 1/26/21 and 2/16/21, so was fully vaccinated when they tested positive for COVID-19 on 8/25/21.


VAERS ID: 1637144 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FP8448 / 1 LA / 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: unknown
Current Illness: none
Preexisting Conditions: unknown
Allergies: none
Diagnostic Lab Data: no
CDC Split Type: Special Projects

Write-up: Patient attended clinic stating she received her first shot in April 2021 and never went back for the second. She had lost her vaccine card and thought her first shot was the Pfizer Covid Vaccine. After injection was given, staff checked database and discovered that her first shot was actually the Johnson & Johnson vaccine. She was monitored by staff for 30 minutes for side effects. She did not experience any. She was informed to seek medical care with any change in condition.


VAERS ID: 1637164 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-03-01
Onset:2021-08-25
   Days after vaccination:177
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID-19 antigen test with a positive result.
CDC Split Type:

Write-up: The patient received the Pfizer vaccine on 2/8/21 and 3/1/21, so was fully vaccinated when they tested positive for COVID-19 on 8/25/21.


VAERS ID: 1637170 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Dizziness, Fatigue, Feeling cold, Feeling hot, Migraine, Pain, Photophobia
SMQs:, Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: "Janssen COVID-19 Vaccine EUA" Migraine, Eyes sensitive to light, body aches, body felt very hot but was shivering and cold, dizziness, fatigue.


VAERS ID: 1637177 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020F21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acute myocardial infarction, Blood magnesium increased, Blood potassium decreased, Cardiac arrest, Cardioversion, Catheterisation cardiac normal, Chest pain, Electrocardiogram abnormal, Endotracheal intubation, Intensive care, Myocarditis, Nausea, Troponin I increased, Ventricular fibrillation, Ventricular tachycardia, Vomiting
SMQs:, Torsade de pointes/QT prolongation (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: Troponin I <0.015 on 8/25 @ 2106, at 1005 on 8/26 = 25.3 Serum Potassium of 3.1 on 8/25 @ 2106, and 4.3 on 8/26 @ 0248 Serum Magnesium = 4.1 on 8/26 @ 0248
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine EUA: Patient received Moderna vaccine on 8/25/2021. Later on 8/25/2021 patient presented to ED complaining of chest pain. Chest pain started just prior to arrival, sternal pressure, non-radiating. Symptoms are associated with multiple episodes of nausea, vomiting. Patient denies fever, cough, shortness of breath. On arrival to the ED, 12 lead showed STEMi and cath lab was activated. While awaiting cath lab patient suffered a VFib arrest and was shocked and never lost pulse. He was taken to cath lab where he yet again suffered VF/VT multiple times and shocked each time with success. Patient was intubated


VAERS ID: 1637179 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: California  
Vaccinated:2021-02-10
Onset:2021-08-25
   Days after vaccination:196
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NA / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chest X-ray abnormal, Lung opacity, Pneumonia, SARS-CoV-2 test positive
SMQs:, Interstitial lung disease (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: flomax, norco, remeron, senna, colace, symmetrel, atropine, lipitor, proscar, metoprolol, allopurinol, aspirin
Current Illness: NA
Preexisting Conditions: HTN, CKD4, endocarditis of aortic valve s/p AVR, ALS, bronchiectasis.
Allergies: amlodipine
Diagnostic Lab Data: 8/25 covid pcr+ 8/25 cxr: New lingular airspace opacity suggestive of pneumonia. Recommend follow-up two-view chest radiograph in 6 weeks after appropriate therapy.
CDC Split Type:

Write-up: Admitted to hospital with COVID-19


VAERS ID: 1637180 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Discomfort, Heart rate increased, Injection site discomfort, Pain
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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Minor discomfort near injection site within first thirty minutes. Discomfort increased the following morning: arm pit area, general body achiness, elevated heart rate during much of the day.


VAERS ID: 1637200 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-02-25
Onset:2021-08-25
   Days after vaccination:181
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 010M20A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea exertional, Intensive care, Orthopnoea, Pyrexia, SARS-CoV-2 test positive
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pulmonary hypertension (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Received Moderna vaccines on 1/28/21, 2/25/21 Tested positive for COVID on 8/25/21. Admitted toHospital on 8/25/21, to ICU for 1 day, transferred to floor 8/26. 3 day h/o DOE, orthopnea, mild cough, mild fever


VAERS ID: 1637204 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

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

Write-up: Perceived right side facial numbness directly after vaccination. No apparent facial weakness/asymmetry. No signs of anaphylaxis. spO2 99% on room air, pulse 52 bpm, BP 108/72, resp 12 bpm. Monitored for extended period, symptoms improved. Allowed to leave with ER precautions and to call if symptoms persist.


VAERS ID: 1637205 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Nasal discomfort, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient was administered her Pfizer Covid 19 vaccination and waited 30 mins after dosage. Patient phoned the facility nurse describing left side throat swelling and nasal discomfort 15 mins after leaving the facility and headed home. Nurse then told patient to a Benadryl for the reaction. The follow up with the Physician patient denied any continued swelling or discomfort 30mins after; she was advised to take another Benadryl if it returned and to contact the Emergency Department.


VAERS ID: 1637222 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-20
Onset:2021-08-25
   Days after vaccination:127
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 1 RA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Endotracheal intubation, Intensive care, SARS-CoV-2 test positive
SMQs:, Angioedema (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Received Moderna vaccines on 3/13/21, 4/10/21 Tested positive for COVID by PCR on 8/25/21 Admitted to ICU on 8/25/21, intubated. Medical comorbidities include alcoholic liver cirrhosis a/p TIPS (2020), Type 2 Diabetes COVID pneumonia, liver failure.


VAERS ID: 1637261 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Medication error
SMQs:, Medication errors (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: ferrous sulfate
Current Illness: none
Preexisting Conditions: anemia
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: medication was mixed using sterile water instead of sodium chloride as per manufacturer recommendations.


VAERS ID: 1637267 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 LA / IM

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

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

Write-up: PATIENT EXPERIENCED CHEST TIGHTNESS AND BROKE OUT IN HIVES 2 HOURS AFTER THE PFIZER COVID VACCINE. SHE VISITED THE ER AND WAS PRESCRIBED WITH BENADRYL FOR HIVES ACCORDING TO PATIENT.


VAERS ID: 1637272 (history)  
Form: Version 2.0  
Age: 96.0  
Sex: Male  
Location: California  
Vaccinated:2021-02-17
Onset:2021-08-25
   Days after vaccination:189
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 1 UN / UN
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2, Mental status changes, SARS-CoV-2 test positive
SMQs:, Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Date of first dose, 02/17/2021 Date of second dose, 03/16/2021 Recently patient has been exposed to COVID-19 virus. Patient was sent and from home for altered mental status, Patient was transferred to our facility from another hospital because he tested positive for COVID.


VAERS ID: 1637277 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-08-21
Onset:2021-08-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Period started earlier


VAERS ID: 1637287 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none reported
Current Illness: none reported
Preexisting Conditions: none reported
Allergies: NKDA; none reported
Diagnostic Lab Data:
CDC Split Type:

Write-up: Accompanied by parent, post vaccination reports "feeling dizzy"; denies any additional complaints on assessment. Medical monitoring x15m, po hydration offered / H20 consumed, vitals obtained: HR 94 BP 118/75 O2 sat 99%RA. Reports "feeling fine", with no other complaints reported/ symptoms resolve; released from mobile facility w/parent-mother.


VAERS ID: 1637288 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-20
Onset:2021-08-25
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA OSZE21A / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest scan, Computerised tomogram, Electrocardiogram, Extra dose administered, Eye injury, Hypertension, Vein rupture
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Accidents and injuries (narrow), Hypertension (narrow), Corneal disorders (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Rash.
Other Medications: Olmesartan, Tylenol
Current Illness: None
Preexisting Conditions: Controlled HP
Allergies: Rash after 2nd shot
Diagnostic Lab Data: CT scan chest scan, EKG, etc.
CDC Split Type:

Write-up: Very high blood pressure 200/95 causing vein in eyeball to rupture.


VAERS ID: 1637298 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026A21A / 3 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Muscle spasms
SMQs:, Dystonia (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: Patient had severe muscle spasm in her foot 1 day after receiving third booster.


VAERS ID: 1637325 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-18
Onset:2021-08-25
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052C219 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain, Injection site reaction, Rash erythematous, Rash papular, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (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: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: at the injection site there is a 2in x 2in circular red rash that is itching and burning its a welt and its raised about quarter of an inch


VAERS ID: 1637326 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D2114 / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Nausea, Pain in extremity, Suppressed lactation
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Functional lactation disorders (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: Post natal vitamin, probiotic, vitamin c
Current Illness: N/A
Preexisting Conditions: High blood pressure
Allergies: Penicillin, keflex
Diagnostic Lab Data:
CDC Split Type:

Write-up: Arm soreness, onset of heavy menstrual cramping and bleeding within a few hours, reduction in milk supply breastfeeding with pumping milk session (approx 3-4 ounces less than usual), fatigue, nausea


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