National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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 411 out of 8,010

Result pages: prev   312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510   next


VAERS ID: 1722966 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 2 RA / IM

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

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

Write-up: Patient received Moderna vaccine first dose on 7-27.21. Returned to clinic on 8-24-21 for second dose and confirmed he was getting Pfizer vaccine. COVID card was not available to provider at the time of the injection. Patient received second dose as Pfizer vaccine. No treatment given. No signs or symptoms. No adverse reactions.


VAERS ID: 1722985 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-04
Onset:2021-08-24
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Diarrhoea, Dyspnoea, Nausea, Productive cough, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Presented to ED with shortness of breath, chills, productive cough, nausea, vomitting, diarrhea, and weakness. Started on Decadron, remdesivir, combivent, albuterol, Vitamin D3, ZInc, melatonin, and oxygen Discharged home with decadron, singulair


VAERS ID: 1723070 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain, Activated partial thromboplastin time normal, Asthenia, Axillary pain, Back pain, Blood creatine phosphokinase normal, Blood pressure increased, Bone pain, Bowel movement irregularity, Breast tenderness, Chest pain, Cough, Decreased appetite, Discomfort, Dizziness, Dyspnoea, Faeces discoloured, Fatigue, Feeling abnormal, Feeling cold, Fibrin D dimer increased, Full blood count, Groin pain, Haematocrit normal, Haemoglobin normal, Head discomfort, Headache, Heart rate increased, Hormone level abnormal, Impaired work ability, Initial insomnia, Injection site pain, International normalised ratio normal, Limb discomfort, Lymph node pain, Lymphadenopathy, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Muscle spasms, Myalgia, Nervousness, Neuralgia, Pain, Pain in extremity, Palpitations, Paraesthesia, Pelvic pain, Peripheral coldness, Platelet count normal, Prothrombin time normal, Red blood cell count normal, Red cell distribution width normal, Restlessness, Rhinalgia, SARS-CoV-2 test negative, Skin warm, Swelling, Tachycardia, Terminal insomnia, Troponin I, Ultrasound Doppler abnormal, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Akathisia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Osteonecrosis (broad), Noninfectious diarrhoea (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), COVID-19 (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: Magnesium oxide
Current Illness: None
Preexisting Conditions: Hashimoto''s Thyroiditis
Allergies: gluten intolerance. Allergic reaction to two different anti-depressants at two different types.
Diagnostic Lab Data: 8/30/21: D-Dimer, Quantitative Results: 771 High. 9/1/21: PVL Venous Duplex Lower Extremity Bilateral Results: No deep venous obstruction. Ultrasound characteristics of enlarged lymph nodes noted in groin. 9/2/21: HIGH SENSITIVITY TROPONIN I Results: <3 ng/L Normal 9/2/21: Creatine Kinase Results: 47.0 U/L Normal I requested these to try to rule out blood disorder: 9/14/21: PROTIME-INR: PT 12.5 sec Normal INR: 1.05 Normal 9/14/21: APTT: APTT 31.2 sec Normal Heparin Correlation 0.2 Normal 9/14/21: CBC: WBC 8.4 10*9/L RBC 4.46 10*12/L HGB 12.3 g/dL HCT 37.0 % MCV 82.8 fL MCH 27.5 pg MCHC 33.2 g/dL RDW 12.4 % MPV 10.2 fL Flagged as HIGH Platelet 178 10*9/L
CDC Split Type:

Write-up: 8/24/21: Feeling of a faster heart rate than normal, feeling wound up, nervous and jumpy. Pain in arm around injection site. Hard to fall asleep at night. Minor headache at night. 8/25/21: Feeling of a faster heart rate than normal, feeling wound up, pain in left armpit, prickly sensation in legs notably in quadriceps. Hard to fall asleep at night. Pain in arm around injection site reduced. 8/26/21: Feeling of a faster heart rate than normal, new feeling of calf swelling and pain. Both calves feel heavy. Hard to fall asleep at night. 8/27/21: Feeling of a faster heart rate than normal. Pain in both calves is worse, both calves feel swollen and painful. At night I took 1 adult aspirin and after shower I noticed I had breast tenderness and what felt like more swollen areas in body in specific spots which I attributed to lymph pain. 8/28/21: Feeling of a faster heart rate than normal. Calves feel less swollen in the morning however now I have the feeling of swelling throughout entire legs. Both legs feel swollen and heavy. I also have pain in both sides of pelvis, some specific spots of pain in arms, hands and fingers. Pain in abdomen muscle. I noticed that my nose feels swollen and painful to the touch. Breast soreness increased. I took 2 low does aspirin before going to work. Applied heating pad to breasts at night to relieve pain. Took 1 adult aspirin at night. 8/29/21: Feeling of a faster heart rate than normal. Feeling of deep leg pain and swelling continues to worsen. Pain in pelvis/groin, left armpit, and both arms. Nose still feels swollen and painful to the touch. Feeling of a burning sensation in lower quadriceps. In the evening, pain/felling of swelling is increased in right leg from the groin to calf. Neck swelling at night, feels like swollen lymph in neck, applied hot compress to neck to relieve pain. 8/30/21: Feeling of faster heart rate than normal. Feeling of swelling and discomfort remains in groin and throughout both legs. Scheduled video visit with doctor. Doctor scheduled D-Dimer test. Stayed home from work and rested. D-Dimer test came back high. 8/31/21: Feeling of faster heart rate than normal. Feeling of swelling and discomfort in both legs has increased. Both legs feel very heavy. Went to work. Doctor scheduled next day ultrasound for both legs and recommended Eliquis until results come back however, after talking with family I decide to wait before starting blood thinner medication until results come back. Took 2 Antigen COVID tests, both were negative. Stopped drinking coffee/caffeine until all symptoms improved. 9/1/21: Feeling of a racing heart. Feeling of swelling and severe pain in both legs continue but has now moved into middle of back as well. Very difficult to sleep at night from the feeling of swelling and the pressure that laying down causes. I get up many times to walk around at night. Ultrasound test done, negative for clots but there is some noted swelling in lymph glands possibly due to a response to swelling. I called out of work and did not return until 9/15/21 due to worsening symptoms. 9/2/21: Tachycardia, pulse 111. Elevated blood pressure: 127/82. Temperature 99.5. Extreme fatigue. Feeling of swelling and severe pain worsening and now moving also into upper back, chest, arms and abdomen. Feeling of having been punched across upper back. Skin hot to the touch but core body temperature feels very cold. It feels difficult to take deep breaths due to the feeling of compression or swelling in back and chest. I also have the feeling of an adrenaline rush. My feet feel extremely cold as from lack of circulation. Doctor states that it?s odd to have symptoms so long after vaccination. Doctors rule out muscle weakness and nerve pain. I explain to the doctors that it feels as though I have acute inflammation in entire body and that I feel like I?ve had 10 cups of coffee and I can?t sleep, doctor?s prescribe Tylenol and Melatonin and order cardiac blood test. Cardiac blood test comes back normal. I took 1 adult ibuprofen at night because I didn?t have Tylenol or melatonin at home. Very difficult and painful to sleep. Took turmeric and ginger capsules with food. 9/3/21: Tachycardia, pulse 100. Temperature 99.2. Elevated blood pressure: 121/80. Feeling of the worst pain so far. Feeling of extremely severe pain and swelling throughout back, chest, upper arms, abdomen and both legs has increased. Feeling intensely cold inside of body but skin is hot. Took COVID PCR test that came back negative. I start to suspect that this feeling of swelling and pain is coming from the fascia because my muscles do not hurt. It does not feel like muscular pain. Menstrual cycle begins. I did not take pain medication, I tried to cover myself with blankets to try to ?break a fever? but it didn?t help so I took a very hot bath. After getting out of hot bath, my pain and feeling of swelling was greatly reduced but the feeling of swelling returned within several minutes. I then repeated the hot bath 7-8 times until I felt exhausted enough to fall asleep. I was finally able to sleep 5 hours. Difficult to produce bowel movements. Took turmeric and ginger capsules with food. Ate 3 cloves of raw garlic 2x with food. 9/4/21: I woke up with no feeling of swelling throughout my body. Heart rate still feels elevated. Blood pressure: 113/76. Pulse 96. I feel a dull, heavy ache around muscles especially in upper back/shoulders. Both legs feel intensely cold and I have what feels like neuropathy pain in both legs and some cramping. I have more intense pain/cramping in left calf muscle. I apply heating pads to legs and continue taking hot baths at night. No appetite, weakness. Hard to sleep at night. Difficult to produce bowel movements. Took turmeric and ginger capsules with food. Ate 3 cloves of raw garlic with food. Yellow stool. 9/5/21: Feeling of a racing heart. Neuropathy pain in both legs increased, feeling of radiating pain from bones. Eating raw garlic for circulation and taking turmeric and ginger capsules. At night, took liquid magnesium glycinate with added B-6. I was able to fall asleep and stay asleep until around 4am. Difficult to produce bowel movements. Yellow stool. 9/6/21: Feeling of a racing heart. Feeling of leg pain and neuropathy is greatly reduced. Soreness, weakness, painful swelling in pelvis begins. Hard to sleep at night. Waking up very early in the morning. Difficult to produce bowel movements. 9/7/21: Feeling of a racing heart. Painful swelling in pelvis continues. Hard to sleep at night. Waking up very early in the morning. Some cramping in legs. Fatigue. Difficult to produce bowel movements. 9/8/21: Feeling of a racing heart. Painful swelling in pelvis is reduced/diminished. Hard to sleep at night, waking up early in morning. Some cramping in legs. Fatigue. Reduced appetite. Yellow stool. 9/9/21: Feeling of a racing heart, tachycardia, pulse 102. Elevated blood pressure: 113/76. Some cramping in legs. Hard to sleep at night, waking up early in morning. Fatigue. Reduced appetite. Made phone appointment with doctor to request a medical exemption to give me more time to figure out what was happening to me through further testing however, my request was denied. Doctor suggests the possibility that I contracted a Rhino virus at the exact same time that I received the vaccine however in my opinion, a cold virus and even a flu virus does not cause these types of symptoms. Doctor states to continue using heating pads and hot baths as needed for pain. 9/10/21: Feeling of a racing heart, hard to sleep at night, waking up early in morning. Some cramping in legs. Fatigue. 9/11/21: Feeling of a racing heart, hard to sleep at night, waking up early in morning. Some cramping in legs. Fatigue upon exertion. 9/12/21: Feeling of a racing heart, hard to sleep at night, waking up early in morning. Some cramping in legs. Fatigue upon exertion. Reduced appetite. 9/13/21: Feeling of a racing heart, hard to sleep at night, waking up early in morning between 3-5am. Some cramping in legs. Fatigue upon exertion. Made phone appointment with doctor to request further blood testing to rule out possible blood disorders due to having such a severe reaction to vaccine. Strong headache at night, took 1 adult aspirin. 9/14/21: Feeling of a racing heart, hard to sleep at night, waking up early in morning between 3-5am. Some cramping in legs. Fatigue upon exertion. New dizziness. 9/15/21: Feeling of a racing heart, hard to sleep at night, waking up early in morning between 3-5am. Some cramping in legs. Fatigue upon exertion. Dizziness, brain fog. Tachycardia, pulse 104. New slight dry cough from center of chest. Returned to work for half a day. 9/16/21: Feeling of a racing heart. Pulse 104. Blood pressure 106/83. Hard to sleep at night, waking up early in morning between 3-5am. Some cramping in legs. Fatigue upon exertion. Dizziness. New feeling of swelling inside head or swelling of brain. Slight dry cough from center of chest. Made in person appointment with doctor to discuss lingering symptoms. Doctor prescribed melatonin and medication for sleep that I did not take because in the past melatonin did not help me and the medication for sleep is also an antidepressant which I did not feel comfortable taking due to previous bad reactions to antidepressants. 9/17/21: Feeling of a racing heart, hard to sleep at night, waking up early in morning between 3-5am. Fatigue upon exertion. Dizziness diminished. Feeling of swelling inside head or swelling of brain diminished. Leg cramping diminished. Slight dry cough from center of chest. I finally feel tired at night and able to fall asleep at bedtime. 9/18/21: Feeling of racing heart is diminished. Fatigue in the morning. Slight dry cough from center of chest. Reduced appetite. 9/19/21: I feel as though my heart rate has improved, better sleep at night. Slight dry cough from center of chest. Drank hot chamomile and culinary sage tea with honey. 9/20/21: Pulse 73. Blood pressure: 102/67. Sleeping at regular bedtime but still waking up earlier than usual. Slight dry cough from center of chest. New breast soreness. Drank hot chamomile tea with honey. 9/21/21: Slight dry cough from center of chest. Breast soreness. Applied heating pad to breasts at night. Drank hot chamomile tea. Some restlessness at night. 9/22/21: Slight dry cough from center of chest and breast soreness improving. Some restlessness at night.


VAERS ID: 1723613 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

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

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

Write-up: Client is here today for her 2nd Pfizer COVID vaccine. She received her first Pfizer COVID vaccine on 08/23/21 lot # FC3183 exp. 9/17/2021. RN asked client how she did with her first Pfizer COVID vaccine. Language interpreter was used since client is foreign speaking only. Language interpreter interpreted for the remainder of PHN?s assistant with client. With her first dose Pfizer COVID vaccine, she reported she had the following symptoms for one week: heavy body, shortness of breath, chest heavy/pressure, and weakness. Client reported that she didn''t take any medications for any of her symptoms. She denied any chronic illnesses or any known allergies. Client stated she didn''t follow-up with her primary care provider. PHN took her vitals today: blood pressure 117/75, pulse 54, respiration 18, and oxygen saturation rate 99%. PHN sent a medical consult to the clinical lead RN to get an approval for her 2nd dose. Clinical lead RN sent the medical consult to Dr. who approved for her to get her 2nd dose Pfizer COVID vaccine with 30 minutes observation. Client received her 2nd dose Pfizer COVID vaccine today (9.21.21) lot # FF8839 exp. 12/2021 at 1912 on her left arm. PHN educated client to seek emergency care if she experienced any adverse reactions and provided her with Pfizer fact sheet. She experienced no symptoms with her 2nd dose at the observation area and left the vaccination site in a steady gait at 1942.


VAERS ID: 1724452 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-28
Onset:2021-08-24
   Days after vaccination:57
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast feeding, Injection site pain, Maternal exposure during breast feeding, Sick relative
SMQs:, Extravasation events (injections, infusions and implants) (broad), Neonatal exposures via breast milk (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall 20mg once a day
Current Illness: No illness , I was breastfeeding .
Preexisting Conditions: ADD, Ehlers Danlos syndrome
Allergies: No known allergies.
Diagnostic Lab Data: My son was seen at the ER for medications to reduce the vomiting, and also had several visits to the pediatrician for the fever and rash. He did get a Covid test that was negative and also was tested for strep throat which was negative.
CDC Split Type:

Write-up: The only affect on myself was soreness in my left arm at the injection site for several weeks following the vaccine. My son is 2 years old and still nursing a few times a day. He has sever and persistent vomiting followed by an intermittent low grade fever for several days . While having the fevers occurred his entire body was covered in a rash. The rash was tiny red bumps that didn?t seem to itch and went way almost completely during the times the fever went away.


VAERS ID: 1725452 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling hot, Hyperhidrosis, Loss of consciousness, Malaise, Paraesthesia, Vision blurred, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: After receiving the vaccine, I was told to sit out in the waiting area right after. About a couple minutes pass I started to feel hot and sweaty. I went to look at my phone but only could see a blur. When I went to look up, I made eye contact with the person working behind the pharmacy counter. I told him I didn''t feel well. By the time he came over, I saw black. By the time I came to, people were around me. I immediately threw up. I was still hot, and felt a tingling feeling all through out my body. I was told to sit there longer. I sat there for about 45 minutes before the feeling went away. Once that happened I left.


VAERS ID: 1725458 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Head discomfort, Migraine, Paranasal sinus discomfort, SARS-CoV-2 test
SMQs:, COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE; PRENATAL [FOLIC ACID;IRON]; COENZYME Q10 [UBIDECARENONE]; VITAMIN D [COLECALCIFEROL]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Thyroid disorder
Allergies:
Diagnostic Lab Data: Test Date: 20210824; Test Name: BinaxNow; Result Unstructured Data: Test Result:Negative; Test Date: 20210826; Test Name: BinaxNow; Result Unstructured Data: Test Result:Negative
CDC Split Type: USPFIZER INC202101126123

Write-up: Severe persistent migraine; Migraine started within 6 hours of getting the shot and has persisted 24/7 and is ongoing. My head feels like it''s on fire and I have bad temple and nose sinus pressure; Severe persistent migraine; Migraine started within 6 hours of getting the shot and has persisted 24/7 and is ongoing. My head feels like it''s on fire and I have bad temple and nose sinus pressure; had bad temple and nose sinus pressure; This is a spontaneous report from a contactable consumer (patient). A 33-years-old non-pregnant female patient received BNT162B2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number: FD8448 and Expiration date was not reported) via an unknown route of administration in left arm on 24Aug2021 at 16:00 hours (at the age of 33-years-old) as dose 1, single for COVID-19 immunization administered at pharmacy or drug store. Patient''s medical history included thyroid issues from an unknown date and unknown if ongoing. Patient had no known allergies. Patient had no other vaccine within four weeks of vaccination. Concomitant medications in two weeks included levothyroxine, folic acid, iron (Prenatal), Coenzyme Q10 (ubidecarenone) and colecalciferol (Vitamin D) (all taken for an unspecified indication, start and stop date were not reported). Patient was not diagnosed with COVID-19, prior to vaccination. On 24Aug2021, at 21:00 hours, patient experienced severe persistent migraine, migraine started within 6 hours of getting the shot and had persisted 24/7 and was ongoing. Patient stated that her head feels like it was on fire and she had bad temple and nose sinus pressure. Patient received no treatment for the events. Patient had doctor or other healthcare professional office/clinic visit for all the events. On 24Aug2021, patient had been tested for COVID-19, since the vaccination by nasal swab (Binaxnow) test and result was negative. On 26Aug2021, patient again had been tested for COVID-19, since the vaccination by nasal swab (Binaxnow) test and result was negative. The outcome of all the events was not recovered. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1725490 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Exposure via breast milk, Rash morbilliform, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Neonatal exposures via breast milk (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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cough; Fever; Roseola
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101176985

Write-up: breastfeeding her son (patient); rash/started to look like chicken pox/dots everywhere/itching and it had not itched until that day and it has developed on his face; then it transitioned into a measles looking rash; This is a spontaneous report from a contactable consumer (patient''s mother) who reported for herself and her son (patient). This is the report for the baby. A 16-month-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 vaccine), transmammary on 24Aug2021 (Lot Number: FD8448) as dose 1, single for COVID-19 immunization. Medical history included roseola which was diagnosed by the pediatrician on Jan2021 along with fever and cough also on Jan2021. The patient went to the pediatrician 3 times and never was tested for COVID. There were no concomitant medications. The patient previously received the Hep A vaccine on 04Aug2021 at 15 months old in the leg and the first dose of the MMR vaccine on an unknown date in 2021 at 12 months both for immunization. The patient''s mother (reporter) received her first dose of BNT162B2 on 24Aug2021 and was breastfeeding her son (patient). After a week on an unknown date in 2021 (reported as either 31Aug2021 or 01Sep2021) the patient started developing a rash. It started to look like chicken pox. There were dots everywhere and then it transitioned into a measles looking rash, but it was not on his face. It continuously got worse. 07Sep2021 was probably the worst day. The patient''s mother called her pharmacist and her son''s pediatrician. He has no symptoms of being sick. The doctor said it could be related. The pharmacist said it sounds like COVID rash and that she should call and report it because there is not much research on how it reacts in breast fed patients. The rash was ongoing and has continuously worsened. It is kind of strange. He will wake up and she will think it is all better. Then it gets worse. On the day of the report, it is itching and it had not itched until that day and it has developed on his face, which is the first time the rash has been on his face. The patient''s mother wanted to know if she could give him Benadryl and wanted to know if that will have an effect on the vaccine. She thinks that the patient is getting the antibodies if he is getting a rash. She was okay with the rash but wanted to know if giving the patient Benadryl would affect his antibodies. The outcome of the events was unknown. The events were reported as non-serious. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-202101176675 mother case


VAERS ID: 1725496 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-17
Onset:2021-08-24
   Days after vaccination:68
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Heavy menstrual bleeding, Loss of consciousness, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SERTRALINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety (Verbatim:Anxiety)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101177741

Write-up: headache; abnormally amout of bleeding; vomiting; almost passing out; This is a spontaneous report from a contactable consumer (patient). A 33-year-old female patient received 2nd single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT number: ew0158, expiration date unknown) via an unspecified route of administration in the arm left on 17Jun2021 at age of 33-year-old for COVID-19 immunization. Patient was not pregnant at time of vaccination and events onset. Medical history included anxiety. Patient had no known allergy. There was no COVID-19 prior vaccination. COVID was not tested post vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Concomitant medications received within 2 weeks of vaccination included sertraline. The patient didn''t receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient previously received 1st single dose of BNT162B2 (Batch/lot number: EW0153) via an unspecified route of administration in the arm left on 27May2021 at age of 33-year-old for COVID-19 immunisation and the first menstrual cycle following the vaccine was much heavier than previous ones. It was reported that the first menstrual cycle following the vaccine was much heavier than previous ones. Each month since, the amount of bleeding during patient''s cycles has increased from the previous month. Patient had also been getting really bad headaches during her cycles since the second dose. She had brought it up to her doctor and he said he hadn''t heard of the vaccines affecting cycles nor amount of bleeding and brushed her off. Not until recently did she start finding others who were experiencing similar symptoms since the vaccine and decided to report it as her doctor would not. Her most recent cycle had an abnormally amout of bleeding specifically one day 24Aug2021, vomiting, and almost passing out. Patient reported she should have probably went to the ER but she was not thinking right nor did she knew this be from the vaccine and could be a sign of something more serious. Patient has dr appointments set up and if she experience this again, she will be going to the hospital as she cannot see how it can get worse than it did last cycle and she still live. The events resulted in doctor or other healthcare professional office/clinic visit. Outcome of the events was not recovered. No treatment received for the events. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1726362 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Exophthalmos, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hyperthyroidism (narrow), Ocular infections (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, Argmax Men''s vitamin and supplement
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: You could check with Eye Specialist above but don''t expect he has much
CDC Split Type:

Write-up: Within a minute or two of vaccination I felt my eyes bulge or feel pressure and my vision start having flashes of light and dark. When I went back to Pharmacy for my second shot said these are called auras. I agreed except mine were black and white instead of color that the examples I saw there showed. I didn''t have a migraine or headache. Back to the day of the reaction. I hurried home because I was afraid I wouldn''t be able to drive. By mid afternoon next day still bothering me so I went to Eye Specialists and he checked my eyes but said there wasn''t excess pressure. The vision problem went away when he dilated my eyes.


VAERS ID: 1726494 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-20
Onset:2021-08-24
   Days after vaccination:157
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 - / SYR

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, COVID-19 treatment, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Xhance nasal spray; Restasis eye drops; Osphena; eye vitamins; calcium; docusate sodium; Valtrex; losartan; Pepcid; Protonix; Remeron; Lamictal; Cymbalta; Lipitor; HCTZ; potassium daily; Spiriva inhaler; Symbicort inhaler; Fasenra; Prolia
Current Illness: No
Preexisting Conditions: Sinusitis; Asthma; high blood pressure; osteopenia; high cholesterol
Allergies: Doxycycline
Diagnostic Lab Data: COVID test
CDC Split Type: vsafe

Write-up: Diagnosed with COVID 19 virus after being fully vaccinated. I had to get the antibiotic infusion.


VAERS ID: 1726734 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-08-18
Onset:2021-08-24
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: PATIENT RECEIVED 1 DOSE OF JANSSEN ON 08/18/2021 AT ONE LOCATION AND RECIEVED ANOTHER DOSE OF MODERNA ON 08/24/2021 AT HEALTH DEPARTMENT.


VAERS ID: 1726913 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 36C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Confusional state, Depression, Fatigue, Fear, Feeling abnormal, Hypersomnia, Obsessive thoughts, Pain, Paranoia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline, Pantaprazole, Losatran, Avastatin, Amlodipine, D3,
Current Illness: None
Preexisting Conditions: Polycystic Kidney Disease Epstein Barr Genital Herpes PTSD
Allergies: Penicillin and sulfa drugs. Sensitivity to gluten, dairy Seasonal allergies to mold and pollen
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Days 1-4 of vaccine, high fever (up to 102), body aches, chills, fatigue and need for many hours of sleep. Day 4 - 14 physical symptoms turned into emotional/psychological symptoms. Thought patterns scrambled. Paranoia. Depression. Terror. Obsessive paranoid thoughts. At two points, I contemplated having my daughter take me in for psychological evaluation. These symptoms eventually subsided into brain fog, confusion, etc. The psycho-emotional symptoms eventually resolved themselves. I felt like myself after 14 days.


VAERS ID: 1727186 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Deformity, Facial pain, Facial paralysis, Headache, Magnetic resonance imaging head normal, Scan with contrast
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Hearing impairment (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: Not Known
Diagnostic Lab Data: MRI Brain. Normal
CDC Split Type:

Write-up: Started on September 6 having severe head pain on the right side, increasing intensity every day, Saturday September 11 I woke up with my face paralyzed on the right side with excruciating pain. I went to the doctor and he prescribed Acyclovir 800mg and Prednisone 40mg. I also had an MRI Brain with and without contrast. 3 weeks have passed and I still have symptoms an deformed face.


VAERS ID: 1727259 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Contusion, Haematoma, Headache, Hypoaesthesia, Injection site pain, Injection site pruritus, Joint swelling, Laboratory test, Paraesthesia, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin, tramadol, ibuprofen, B12, Vitamin D
Current Illness: none
Preexisting Conditions: arthritis in knees and hips
Allergies: penicillin
Diagnostic Lab Data: 9/21/2021 Labs no results yet
CDC Split Type: vsafe

Write-up: Severe headache and fever of 99 and took off work that day. I started itching and pain on my arm at the injection site. Numbness and tingling in my arm and progressively got worse and went down to my fingers. Now this is radiating to my left arm. Bruising on back of my right knee and a large hematoma on Sept. 17th. I did take pictures. I just was able to get in to provider on 9/21/21. I had blood work drawn, and I am scheduled for a MRI of my cervical area to find out why I have numbness and tingling. I have had some weakness and lose of strength. I have joint pain now all over and it''s more so than normal. I go to Physical Therapy (Rehab) weekly and I have missed two appointments now due to my pain and joint swelling. I have constant itching of my skin all over my body so badly that I break open my skin from itching.


VAERS ID: 1729020 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthma, Condition aggravated, Productive cough, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Infective pneumonia (broad)

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

Write-up: pt called to report that she suffer from asthma attack-like symptoms such wheezing, coughing up phlegm about 30 minutes after receiving prizer vaccine on 08/24/21, per pt her symptoms resolved after using a rescue inhaler. Per pt she has a history asthma but had not had an attack in over 10 years and had not had one since. she thinks it is related to the vaccine and is concern about getting the second dose.


VAERS ID: 1730223 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-04
Onset:2021-08-24
   Days after vaccination:201
Submitted: 0000-00-00
Entered: 2021-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Extra dose administered, Headache, Hyperhidrosis, Incorrect dose administered, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: Sore arm; Sweaty; Headache, less severe; Fever, less severe; Had a full third dose of the Moderna vaccine and they are not immunocompromised; Had a full third dose of the Moderna vaccine; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), HYPERHIDROSIS (Sweaty), HEADACHE (Headache, less severe), PYREXIA (Fever, less severe) and EXTRA DOSE ADMINISTERED (Had a full third dose of the Moderna vaccine and they are not immunocompromised) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 04-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Aug-2021, the patient experienced EXTRA DOSE ADMINISTERED (Had a full third dose of the Moderna vaccine and they are not immunocompromised). 24-Aug-2021, the patient experienced INCORRECT DOSE ADMINISTERED (Had a full third dose of the Moderna vaccine). On 25-Aug-2021, the patient experienced PAIN IN EXTREMITY (Sore arm), HYPERHIDROSIS (Sweaty), HEADACHE (Headache, less severe) and PYREXIA (Fever, less severe). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) on 25-Aug-2021 for Adverse event, at an unspecified dose and frequency. On 26-Aug-2021, PAIN IN EXTREMITY (Sore arm), HYPERHIDROSIS (Sweaty), HEADACHE (Headache, less severe) and PYREXIA (Fever, less severe) had resolved. At the time of the report, EXTRA DOSE ADMINISTERED (Had a full third dose of the Moderna vaccine and they are not immunocompromised) and INCORRECT DOSE ADMINISTERED (Had a full third dose of the Moderna vaccine) outcome was unknown. The consumer stated that he had a full third dose of the Moderna vaccine and he was not immunocompromised. The consumer stated that the onset of symptoms was the day after getting the shot and lasted for a day after the third dose. The consumer stated that he took Advil as a treatment medication after the first 24 hours. No concomitant product use was provided by the reporter. This case was linked to MOD-2021-309106 (Patient Link).


VAERS ID: 1730487 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FW0173 / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Mycobacterium tuberculosis complex test, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: TB test; Result Unstructured Data: Test Result:Unknown; Comments: had TB test done for work.
CDC Split Type: USPFIZER INC202101218138

Write-up: left leg from the thigh down to her foot was numb and tingling, on and off after first dose/left leg from thigh down to foot was numb or tingling after second dose; left leg from the thigh down to her foot was numb and tingling, on and off after first dose/left leg from thigh down to foot was numb or tingling after second dose; arm where she got the shot was sore after first dose/after her second dose; her left arm is sore; This is a spontaneous report from a contactable consumer (patient). A 37-years-old female patient received BNT162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number: FW0173, Expiration date and NDC number was unknown), via an unspecified route of administration, administered in left arm on 24Aug2021 at 15:45 hours as dose 1, single (at the age of 37-years-old) and received BNT162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number: 30135BA, Expiration date and NDC number was unknown), via an unspecified route of administration, administered in left arm on 15Sep2021 at 09:15 hours as dose 2, single (at the age of 37-years-old) both for COVID-19 immunisation (at Clinic). Patient had no medical history (including any illness at time of vaccination) and had no relevant family medical history. Patient had no prior vaccinations (within 4 weeks). Patient had no additional vaccines administered on same date of the Pfizer suspect. Patient did not receive any other products/concomitant medications. Patient stated that she was healthy with no health issues and takes no medication. On 24Aug2021, patient stated that the arm where she got the shot was sore. On 25Aug2021, after the first dose, the second day, patient experienced that her left leg from the thigh down to her foot was numb and tingling, on and off. Patient stated that first time arm was sore for two days. On 15Sep2021, patient got her second dose and her left arm was sore; and her left leg from thigh down to foot was numb or tingling and it was doing the same thing, it was back the same way, it feels funny. Patient stated that she did not feel that feeling until when she goes to bed at night, she laid down it starts to feel numb and tingling, last night (15Sep2021) up to today (16Sep2021) and now she was at work in the day, and it had the same feeling and stated that arm was still sore from the second dose. Patient stated that her left leg from the thigh down to her foot was numb and tingling, never totally stopped since then it was persisting, and patient still experience this until now. No relevant tests were performed. Patient just called the doctor this morning (16Sep2021) and they gave her the number to call Pfizer, but if her symptoms do not go away, she was going to call back to be seen. Patient had no emergency room and physician office visit for the events. On an unspecified date 2021, patient had tuberculosis (TB) test done for work and results were unknown. The outcome of all the events was not recovered.


VAERS ID: 1730955 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus, Rash, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Additional Details: PT says that they got a rash all over the hands a day after getting the covid-19 vaccine, Has gone away but made his skin itchy and flaky since.


VAERS ID: 1731340 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-02-09
Onset:2021-08-24
   Days after vaccination:196
Submitted: 0000-00-00
Entered: 2021-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013L20A / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was admitted to Hospital 8/30 ? 9/4/2021 for covid pneumonia. Pt did not require ventilation and had no association with LTC, discharged home. Patient is fully vaccinated.


VAERS ID: 1731734 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 RA / IM

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

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

Write-up: Site: Pain at Injection Site-Mild


VAERS ID: 1733174 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Headache, Motion sickness, Rash, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: Patient was seen at Urgent Care 2 weeks after dose
CDC Split Type:

Write-up: Vaccine was administered 8/24. Two hours later, rash appeared and continued on for 2 days. Rash started from neck to face then spread all the way down to her feet (bottom and top of). Rash appeared to have hive-like appearance, claimed it was red and itchy all over her body. Systemic rash all over her body was still there after2 weeks. Patient also complained of feeling light-headed and having motion sickness along with a headache. Patient went to Urgent Care 2 weeks after her dose. Treatments from urgent care (shampoo, anti-itch topical) had no success. Treatments from home (tylenol, ibuprofe, benadryl, and claritin) did not help and showed no signs of improvement. Patient and pharmacist concerned about potential side-effects from second dose. Her body, 3 weeks after, is still itchy all over body.


VAERS ID: 1733306 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Severe headache that lasted 8 days, then it went away for 2-3 days and came back very strong headache and spinal pain that lasted for about one more week, i went to the doctor and dr prescribed pain medicine and anti-inflamatory meds for 7 days.


VAERS ID: 1734241 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-08-18
Onset:2021-08-24
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: SARS-CoV-2 test, Tinnitus
SMQs:, Hearing impairment (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy; Tinnitus (Tinnitus increased to 4 sounds)
Allergies:
Diagnostic Lab Data: Test Name: Nasal Swab; Result Unstructured Data: Test Result:Unknown results
CDC Split Type: USPFIZER INC202101256839

Write-up: Tinnitus increased to 4 sounds; This is a spontaneous report from a contactable consumer, the patient. A 50-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FC3181) via an unspecified route of administration in the left arm on 18Aug2021 at 15:30 (at the age of 50-years-old) as a single dose for COVID-19 immunisation. Medical history included tinnitus and allergy to penicillin. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The concomitant medications were reported as not applicable (N/A). On 24Aug2021 at 06:30, the patient experienced tinnitus increased to 4 sounds. The event did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the event. Since the vaccination, the patient had been tested for COVID-19. On an unknown date, the patient underwent COVID-19 test via nasal swab and the result was unknown. The clinical outcome of the event tinnitus increased to 4 sounds was not resolved at the time of this report. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1734516 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-08-20
Onset:2021-08-24
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Dizziness, Feeling abnormal, Hypoaesthesia, Injection site abscess, Injection site hypoaesthesia, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin Code Prenatals Fish oil Nordic Naturals
Current Illness: Denies
Preexisting Conditions: Denies
Allergies: No known food, drug, or other product allergies
Diagnostic Lab Data: ESR, CRP, Ferritin, CMP, Vitamin D, RBCMagnesium- all have been ordered, results are still pending
CDC Split Type:

Write-up: date/time of adverse event started: 8/24/21 8:00am upon waking, patient and numbness and weakness of the left arm 8/24/21 4:00pm felt first dizziness/fog spell lasting about a min 8/24/21 8:30pm: another dizziness/fog spell 8/26/21 8:00 am woke up to pain/numbness/tingling in the right arm (opposite arm of immunization) 8/28: numbness/tingling and aching joints bilaterally in lower extremity Ongoing numbness/tingling sensation in left arm, right arm, lower extremity, hip/knee pain, brain fog and dizzy sensation


VAERS ID: 1734624 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 2 LA / IM

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

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


VAERS ID: 1735110 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-03-17
Onset:2021-08-24
   Days after vaccination:160
Submitted: 0000-00-00
Entered: 2021-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA L044A21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Computerised tomogram abnormal, Dysphagia, Fatigue, Feeling abnormal, Full blood count abnormal, Hepatic enzyme increased, Influenza virus test negative, Lymphadenopathy, Muscular weakness, Myalgia, Neuralgia, Peripheral swelling, Pharyngeal swelling, SARS-CoV-2 test negative, Sciatica, Skin exfoliation, Streptococcus test negative, Viral infection, Viral test negative, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haematopoietic leukopenia (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multiple vitamins, supplements, and fiber, list not available
Current Illness: None
Preexisting Conditions: HCLV Leukemia in remission for about 4 years.
Allergies: Allergy to Rituximab (used in chemotherapy for HCLV)
Diagnostic Lab Data: 8/28, Covid PCR test (negative results reported 9/2), strep test negative, influenza test negative. 9/3. Emergency room visit, large number of tests. All viral tests negative. Covid quick test negative. CAT scan of throat showed swelling (note, unable to swallow but respiration unaffected). CBC performed showing elevated WBC and liver enzymes. 9/14. Large number of tests negative for other viral issues. CBC back to normal WBC and liver enzyme levels.
CDC Split Type:

Write-up: Suspected viral infection, virus unidentified. Symptoms included; lymph node swelling, variable temperature up to 101.9, brain fog, fatigue, swelling and blistering of palms and bottoms of feet, swelling of throat bad enough to prevent swallowing (went to emergency room for this), one day of intense sciatic pain, two days of nerve pain from left hip to ankle, three days of severe muscle pain in both legs and intense fatigue in legs, peeling of dead skin on both hands and feet. Symptoms continued over a 4 week span before slowly abating over the next 2 weeks. All administered tests for viruses and infections (including Covid) were negative. On the day that I went to the ER (9/3), WBC and liver enzymes were highly elevated. WBC and liver enzymes were back to normal at a followup exam on 9/14.


VAERS ID: 1735500 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-08-19
Onset:2021-08-24
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Headache, Pain in extremity, Pityriasis rosea, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamins, Vit, D, Vit. C, Zinc, Probiotic,
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None at this point. I will be returning to ether dermatology or to my primary physician this week due to the symptoms progressing.
CDC Split Type:

Write-up: Headache for 3 days after vaccination, sore arm for a few days theses symptoms started the next day. approximately 5 days I later notice a rash in the abdominal area. Rash slowly spread to chest, arm pits, groin and now next and shoulders. The rash has been getting progressively worse. I went to urgent care on 9/13/21. I was told to wait on getting the second dose unitl can see my primary physicians and/or to set an appointment with dermatology. I was seen by dermatology on 9/21/21 and given a Diagnosis of Pityriasis Rosea. The doctor indicated that this is a rare finding however there are reports of this post vaccine. Ias of today the symptoms or rash continue to worsen. The rash is now very itchy and covers most of my body with the exception of my lower legs and lower arms.


VAERS ID: 1735726 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-07-26
Onset:2021-08-24
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Deep vein thrombosis, Pulmonary embolism, Spinal laminectomy, Surgery, Ultrasound Doppler abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Norco Lisinopril Tramadol
Current Illness: None
Preexisting Conditions: Post laminectomy L2-3 on Aug 20th 2021
Allergies: None
Diagnostic Lab Data: Ultrasound,CTA and emergency surgery
CDC Split Type:

Write-up: DVT and multiple pulmonary embolisms


VAERS ID: 1735883 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-22
Onset:2021-08-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD 8448 / 3 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chills, Condition aggravated, Dizziness, Extra dose administered, Fatigue, Headache, Magnetic resonance imaging, Migraine
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), 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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Clonazepam, quetiapine, amitriptyline, Prozac, vitamin d3, B12, acetaminophen
Current Illness: None
Preexisting Conditions: Pre-diabetic, high cholesterol, interstitial cystitis, migraines,
Allergies: Sulfa drugs
Diagnostic Lab Data: MRI, blood work, hydration, Pain meds,
CDC Split Type:

Write-up: Intense headache, chills, very tired, dizzy, was hospitalized due to epic migraine caused by vaccine booster


VAERS ID: 1736162 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest pain, Dyspnoea, Heart rate increased, Myocarditis, Neck pain
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: My symptoms occurred the following night of my first dose. Shortly after lying down I felt sharp chest pains as well as pains in my neck and shoulder area. Deep breaths were uncomfortable and my heart rate felt slightly elevated. I slowed down my physical activity a little as to not aggravate any symptoms. I assume it was a mild case of myocarditis that I slept off. I''ve felt fine since then but have not got the second dose yet.


VAERS ID: 1736278 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-16
Onset:2021-08-24
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast mass, Breast pain, Chills, Erythema, Fatigue, Feeling abnormal, Headache, Joint range of motion decreased, Lethargy, Nausea, Paraesthesia, Pyrexia, Vaccination site pain, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Lipodystrophy (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMINS NOS.
Current Illness: Barrett''s esophagus; Cystitis interstitial; Rheumatoid arthritis.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: red area near the areola; tingling in the back of my head; lethargic; moved right arm more pain/ mobility issues in right shoulder, around joint of right shoulder; overall yucky; lump arise in my right breast, which caused a soreness and red area near the areola; Lump in breast; Pain in right arm/moved right arm more pain/ mobility issues in right shoulder, around joint of right shoulder; fever; fatigue; nausea; severe headache; chills; vomiting; This spontaneous case was reported by a consumer and describes the occurrence of JOINT RANGE OF MOTION DECREASED (moved right arm more pain/ mobility issues in right shoulder, around joint of right shoulder), PARAESTHESIA (tingling in the back of my head), LETHARGY (lethargic), ERYTHEMA (red area near the areola) and FEELING ABNORMAL (overall yucky) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Rheumatoid arthritis since 1996, Cystitis interstitial since 2018 and Barrett''s esophagus since 2017. Concomitant products included VITAMINS NOS for an unknown indication. On 16-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Aug-2021, the patient experienced JOINT RANGE OF MOTION DECREASED (moved right arm more pain/ mobility issues in right shoulder, around joint of right shoulder), LETHARGY (lethargic), FEELING ABNORMAL (overall yucky), BREAST PAIN (lump arise in my right breast, which caused a soreness and red area near the areola), BREAST MASS (Lump in breast), VACCINATION SITE PAIN (Pain in right arm/moved right arm more pain/ mobility issues in right shoulder, around joint of right shoulder), PYREXIA (fever), FATIGUE (fatigue), NAUSEA (nausea), HEADACHE (severe headache), CHILLS (chills) and VOMITING (vomiting). On an unknown date, the patient experienced PARAESTHESIA (tingling in the back of my head) and ERYTHEMA (red area near the areola). In September 2021, BREAST MASS (Lump in breast) had resolved. At the time of the report, JOINT RANGE OF MOTION DECREASED (moved right arm more pain/ mobility issues in right shoulder, around joint of right shoulder), VACCINATION SITE PAIN (Pain in right arm/moved right arm more pain/ mobility issues in right shoulder, around joint of right shoulder), PYREXIA (fever), FATIGUE (fatigue), NAUSEA (nausea), HEADACHE (severe headache), CHILLS (chills) and VOMITING (vomiting) had not resolved and PARAESTHESIA (tingling in the back of my head), LETHARGY (lethargic), ERYTHEMA (red area near the areola), FEELING ABNORMAL (overall yucky) and BREAST PAIN (lump arise in my right breast, which caused a soreness and red area near the areola) outcome was unknown. No treatment information was provided This case was linked to MOD-2021-269309 (Patient Link).


VAERS ID: 1736768 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-21
Onset:2021-08-24
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site paraesthesia, Magnetic resonance imaging, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (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: None.
Current Illness: None.
Preexisting Conditions:
Allergies: Penicillin.
Diagnostic Lab Data: MRI -
CDC Split Type:

Write-up: Tingling feeling in arm where injection site is located, numbness and pain in arm. Currently going on 6 weeks.


VAERS ID: 1737059 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-13
Onset:2021-08-24
   Days after vaccination:164
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Chronic Liver disease
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient fully vaccinated and hospitalized due to Covid related causes


VAERS ID: 1737069 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-22
Onset:2021-08-24
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Taste and smell disorders (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: PCR collected 8-26-2021, positive result on 8-29-2021
CDC Split Type:

Write-up: Loss of taste and smell, congestion


VAERS ID: 1737349 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral swelling, Ultrasound scan
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Sexual dysfunction (broad)

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

Write-up: swollen left leg with numbness and tingling The next day after taking the vaccine i noticed my left leg was having some tingling and numbness and swollen much bigger than my right leg.


VAERS ID: 1737387 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-08-22
Onset:2021-08-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Electrocardiogram, Full blood count, Muscle spasms
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sprintec, Levothyroxine, Nortriptyline, Buspirone, Cod Liver Oil, Vitamin D3, Zinc, Zyrtec, Vitamin B12, Selenium
Current Illness:
Preexisting Conditions: Lyme Disease, Hypothyroidism, Fibromyalgia, Anxiety, Depression
Allergies: Naproxen
Diagnostic Lab Data: EKG and CBC on 9/20/2021 at HCF
CDC Split Type:

Write-up: Beginning Aug 24 at 8:30pm I started experiencing chest pain, chest tightness and cramping. Shortness of breath, lightheaded sensation and dizziness.


VAERS ID: 1737624 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: no
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: patient had mild heart attack and was admitted to hospital for 3 days


VAERS ID: 1737799 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA SAVON3016 / UNK RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Headache, 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: Calcium, vitamin D, multi vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tired, headache, aches.


VAERS ID: 1738485 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-18
Onset:2021-08-24
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048C21A / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Antinuclear antibody positive, Arthralgia, Fatigue, Joint stiffness, Joint warmth, Red blood cell sedimentation rate increased, Rheumatoid factor positive
SMQs:, Systemic lupus erythematosus (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE KNOWN
Diagnostic Lab Data: ANA positive, RF positive, ESR elevated; RNP, Sm antibody positive;
CDC Split Type:

Write-up: Patient reports fatigue, joint pains, joint stiffness and joint warmth for 1 month


VAERS ID: 1740802 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-21
Onset:2021-08-24
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017E21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood test normal, Cardiac stress test normal, Chest X-ray normal, Chest pain, Computerised tomogram normal, Electrocardiogram, Electrocardiogram abnormal, Heart rate increased, Myocardial necrosis marker normal, Neuralgia, Pain in extremity, Polyneuropathy
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxin and Atorvastatin
Current Illness: None
Preexisting Conditions: High Cholesterol, hypothyroidism
Allergies: None
Diagnostic Lab Data: Blood work, Heart Enzymes, EKG / ECG, Stress test, CT with contrast, chest xrays.
CDC Split Type:

Write-up: I was out of town for work and on the morning of 8/24 @ 4am I woke up with severe chest pains and high pulse rate with major nerve pain in both legs and entire back. 911 was called and I was transported via ambulance the Clinic ED in city. Arrived with Chest Pains, high pulse rate, legs and back pain. All heart enzymes were normal, CT and stress test was normal but had and abnormal ECG. Monitored me through out the day, could not find any reason for the pain or pulse rate. Was released that afternoon with a diagnosis of polyneuropathy of unknown cause and possible diabetes. Multiple providers examined me and said timing with the vaccine was just coincidence. I continue to have a high pulse rate with back and leg pain. If I get startled or move quickly, nerve pain shoots all through my body. Nobody has any explanation for it.


VAERS ID: 1740876 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-26
Onset:2021-08-24
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea, Pain in extremity, Peripheral swelling, Pulmonary embolism, Skin warm, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ultrasound of Rt leg CT of Lungs
CDC Split Type:

Write-up: DVT right upper leg PE Right Pulmonary Artery Shortness of breath Lower leg swelling, pain, heat,


VAERS ID: 1741320 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Headache, Hypotension, Nausea, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: NP thyroid Sertraline
Current Illness: None
Preexisting Conditions: Hashimotos
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Intense fever, low blood pressure, fainting (the day after) Fever lasted two days Extreme nauseous and dizziness for a week and a half Severe headaches for 4 weeks


VAERS ID: 1741637 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Hyperhidrosis, Slow response to stimuli, Syncope
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), 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: Focalin, Junel-21
Current Illness: ADD
Preexisting Conditions: ADD
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hx of ADD and past vaccine injection, vasovagal events. Pt was administered vaccine and was observed by sister to be faint, slow to respond to questions. pt was diaphoretic, dazed, slow to respond, faint, Unable to obtain BP. EMS notified, EMS on scene at 9:53. A&O x4, After EMS evaluation pt declined transport to hospital for further evaluation. Pt given snack and water and pt walked without assistance with sister out of the building.


VAERS ID: 1741946 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-12
Onset:2021-08-24
   Days after vaccination:165
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030A21A / 2 - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Atypical pneumonia, COVID-19, Chest X-ray abnormal, Cough, Diarrhoea, Exposure to SARS-CoV-2, Haemoglobin decreased, Headache, Hypoxia, Influenza A virus test, Influenza B virus test, Lung opacity, Malaise, Myalgia, Platelet count normal, Pneumonia bacterial, Pyrexia, SARS-CoV-2 test positive, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 15 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Arthritis, BPH, chronic pain, CKD stage 3, COPD, CAD, diabetes mellitus, duodenal ulcer hemorrhage, gastritis, gastroparesis, GERD, high cholesterol, hypertension, hypothyroidism, macular degeneration, malignant neoplasm (prostate), neuropathy, pulmonary emphysema, PVD, sleep apnea, SOB on exertion, spinal stenosis of lumbosacral region
Allergies: Albuterol, Azithromycin
Diagnostic Lab Data: SARS-CoV-2 (COVID-19) and Influenza AB Antigens, POC: SARS CoV 2 DETECTED (8/24/2021)
CDC Split Type:

Write-up: 80-year-old male, who has a number of underlying comorbidities including COPD and renal insufficiency. He was admitted to Hospital after a positive COVID test. He had developed some generalized malaise with myalgias, headache, cough, and loose stool 5 days ago, which had been getting worse and presented for COVID testing after he was recently exposed to multiple sick family members. He has been previously vaccinated. On admission, he had a low-grade fever of 99.3 degrees Fahrenheit. Chest x-ray showed patchy bibasilar interstitial and airspace opacities consistent with an atypical pneumonia. His COVID-19 point of care test was positive. His initial CBC showed a white blood cell count of 5.3, hemoglobin of 11.6 and platelet count of 229,000. He initially was able to maintain normal oxygen saturation on room air, but has since required 2 L of supplemental oxygen for worsening hypoxia. Patient was treated with Remdesivir and Decadron. The patient was discharge on 8/30/2021, but was readmitted on 9/5/2021 for worsening symptoms secondary to bacterial pneumonia.


VAERS ID: 1745156 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-03-07
Onset:2021-08-24
   Days after vaccination:170
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ENG206 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Bladder cancer, Cancer surgery, Computerised tomogram, Cystoscopy, Cytology, Haematuria, Pathology test, Transitional cell carcinoma
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Non-haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: eliquis, simvastatin, fluticasone spray, zyrtec, glucosamine/chondroitin, saw palmetto, multivitamin, vit d3, vit b12, daily probiotic, tadalafil
Current Illness: none
Preexisting Conditions: had a DVT in 2019, taking eliquis 5mg twice a day
Allergies: penicillin, ibuprofen, naproxen, cinnamon
Diagnostic Lab Data: CT scans on 8/25/21 and 8/26/21, cystoscopy and cytology on 9/2/21, surgery on 9/22/21 and pathology report on 9/24/21.
CDC Split Type:

Write-up: On August 24, I developed gross hematuria and sought medical care. On September 2, I was diagnosed with bladder cancer. A small (<2cm) papillary urothelial carcinoma was surgically removed from my bladder, and I was treated with a 1 hour instillation of 120 ml of gencitibine following surgery.


VAERS ID: 1746159 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-03-23
Onset:2021-08-24
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FR2613 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Biopsy breast normal, Breast cyst, Mammogram abnormal, Mass, Ultrasound breast
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: Citalipram 1/day Budesinide 1/week Multiple vitamin Vitamin D
Current Illness: None
Preexisting Conditions: Microscopic colitis
Allergies: Codeine
Diagnostic Lab Data: Breast cyst - needle biopsy and ultrasound. Foot mass - I am awaiting for surgery to be scheduled.
CDC Split Type:

Write-up: When I went for a mammogram , over one month after my 2nd shot, they found a cyst in my left breast. They did a needle biopsy and it was just fluid. Around the middle of August I developed a lump on the bottom of my left foot. I went to a podiatrist on 9/28/21. He said that I had a fibrous mass in my foot. I am also developing a bump on my right middle finger on the left side of my first joint. Right now the bump is slight, but I am going to watch it. Are these cysts, masses due to the Pfizer shots? Is this something you are tracking?


VAERS ID: 1747741 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-21
Onset:2021-08-24
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 066D21A / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaphylactic reaction, Chills, Dysphagia, Dyspnoea, Hyperhidrosis, Hypersensitivity, Injection site erythema, Injection site pain, Injection site swelling, Swollen tongue, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Chills-Mild, Additional Details: Patients mother called to report her daughter had to go to ED on the night of the 24th to receive care for anaphylactic shock after having difficulty breathing and swollen tongue at home. She reports common side effects earlier on (chills,sweats,etc). cost of care on ed were ~$1000+ and she wants the company to be responsible for administering the vaccine. reports RPH didnt scan the doctor''s orders, which were specific to what had to be administered.


VAERS ID: 1747760 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939901 / 3 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: redness at injection site
Other Medications: Divalproex, Lamotregine, ASA, Levothyroxine, Metoprolol, Losarten, Sertraline
Current Illness: none
Preexisting Conditions: CHI, Seizure Disorder, Hypothyroidism, Hyperparathyroidism, Autoimmune syndrome, Cardiovascular Disease, Crones Disease, Myalgias,Depression
Allergies: Dilantin, Mesquite
Diagnostic Lab Data: None. Did not go to hospital. If it lasted much longer I would have
CDC Split Type:

Write-up: Fever (100.9-101.4) for 36 hours straight, body aches, headache, nausea, generalized fatigue. Side effects were almost bad as to keeping me from doing basic daily tasks like feeding dogs


VAERS ID: 1747811 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Missouri  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011A21A / 1 - / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: USMODERNATX, INC.MOD20213

Write-up: Expired vaccine used; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine used) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine used). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine used) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was reported. No treatment medication use was reported.


VAERS ID: 1747932 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Bradyphrenia, Dizziness, Extra dose administered, Fatigue, Feeding disorder, Headache, Muscular weakness, Myalgia, Nausea, Neuralgia, Off label use
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament 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:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy NOS; Breast cancer female; COPD
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101104518

Write-up: This is booster.; This is booster.; scalding nerve pain; searing muscle pain; very weak muscles (cant hold phone more than seconds); nausea (unable to eat); profound fatigue; headache; dizzy; slow thinking; unable to eat; This is a spontaneous report from a contactable consumer or other non hcp. A 64-years-old female patient received booster dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: unknown, Expiration date: unknown), via an unspecified route of administration, administered in Arm Left on 24Aug2021 as DOSE 3, SINGLE for covid-19 immunisation . Medical history included ,chronic obstructive pulmonary disease from, breast cancer female, hypersensitivity.There were no concomitant medications. The patient previously took bnt162b2 for covid-19 immunisation, bnt162b2 for covid-19 immunisation, theophylline and experienced drug hypersensitivity. On 24Aug2021 12:00 the patient experienced this is booster (off label use), All systemic, not just arm: scalding nerve pain, searing muscle pain, stiff painful joints, very weak muscles (cant hold phone more than seconds), nausea (unable to eat), profound fatigue, headache, dizzy, slow thinking.The outcome of the events were not recovered. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.


VAERS ID: 1747933 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Maryland  
Vaccinated:2021-03-01
Onset:2021-08-24
   Days after vaccination:176
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 3 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Erythema, Extra dose administered, Nausea, Off label use, Pruritus, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), 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: Pfizer, Inc. EUA 027034
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety; Hypothyroidism; Sulfonamide allergy; Ulcerative colitis
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101105115

Write-up: After my third vaccine, I had an onset of acute stomach pain at 7:30pm on August 24th (2 days after vaccine) followed by another 24 hours of nausea, diarrhea, and vomiting. I am now at the 72 hour mar; After my third vaccine, I had an onset of acute stomach pain at 7:30pm on August 24th (2 days after vaccine) followed by another 24 hours of nausea, diarrhea, and vomiting. I am now at the 72 hour mar; acute stomach pain; nausea; diarrhea; vomiting; very itchy palms and feet.; The itchiness/redness on palms, fingers, and feet are acute when my stomach does not hurt; This is a spontaneous report from a contactable Consumer, reported for herself. A 46-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: FC3180), dose 3 via an unspecified route of administration, administered in Arm Left on Mar2021 as a single dose for covid-19 immunization. Medical history included colitis ulcerative, hypothyroidism, anxiety, drug hypersensitivity. Concomitant medications received within 2 weeks of vaccination Entivyo infusion, Ozempic (75). Patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: FC3180), dose 2 via an unspecified route of administration, administered in Arm Left on Mar2021 15:00 as a single dose for covid-19 immunization. Patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EN6203), dose 1 via an unspecified route of administration, administered in Arm right on 30Mar2021 09:00 as a single dose for covid-19 immunization. The patient had allergies with sulpha drugs. The patient had no other vaccine within four weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. After my third vaccine, the patient experienced an onset of acute stomach pain at 7:30pm on August 24th (2 days after vaccine) followed by another 24 hours of nausea, diarrhea, and vomiting. "I am now at the 72 hour mark and I am not able to keep any food down. Additionally, last night I woke up with very itchy palms and feet. There was no rash nor itchy feeling at the injection site. The itchiness/redness on palms, fingers, and feet are acute when my stomach does not hurt." The patient did not receive any treatment. Outcome of the event was recovering, at the time of this report. Narrative was added with case closure comment. No F/up activities required as per the AEM01 FAQ, no F/U is required for off label use without an associated AE Follow-up attempts are completed. No further information is expected.


VAERS ID: 1747934 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FO8448 / 3 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, Chills, Cold sweat, Extra dose administered, Headache, Lymphadenopathy, Off label use, Pyrexia, Vaccination site rash, Vaccination site swelling
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Lupus nephritis (Systemic Lupus / Lupus Nephritis)
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:tmax 102.1F
CDC Split Type: USPFIZER INC202101105989

Write-up: fever (tmax 102.1F); chills; Cold sweat; headache; I developed swelling and a mild rash at the injection site; I developed swelling and a mild rash at the injection site; along with axillary lymphadenopathy; I received a third dose of the COVID vaccine on 23Aug/2021 as I am immune compromised and qualify for the booster dose.; I received a third dose of the COVID vaccine on 23/Aug/2021 as I am immune compromised and qualify for the booster dose.; This is a spontaneous report from a contactable Other HCP (patient). A 25-years-old non-pregnant female patient received third dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: FO8448), via an unspecified route on 23Aug2021 (at the age of 25-years) as dose 3, single in the left arm for covid-19 immunisation. The patient medical history included lupus nephritis, asthma and known allergies to sulfa antibiotics, amoxicillin, hyroxycholoroquine. The patient concomitant medications included Mycophenolic Acid, Tacrolimus (oral), Pantoprazole from an unknown date and unknown if ongoing. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL8982), via an unspecified route on 28Jan2021 (at the age of 24-years) as dose 1, single in the left arm and second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL9267), via an unspecified route on 18Feb2021 (at the age of 24-years) as dose 2, single in the left arm for covid-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 23Aug2021, the patient received a third dose of the COVID vaccine on 23Aug2021 as I am immune compromised and qualify for the booster dose, 12 hours post-injection, patient experienced fever (tmax 102.1F), chills, cold sweats, and headache. These symptoms resolved around 28 hours post-injection, 36 hours post injection, she developed swelling and a mild rash at the injection site, along with axillary lymphadenopathy. Patient did not received treatment for events. The outcome of the events was fever (tmax 102.1F), chills, cold sweats, and headache, swelling and a mild rash at the injection site, along with axillary lymphadenopathy was recovering and other events was unknown.


VAERS ID: 1749363 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-26
Onset:2021-08-24
   Days after vaccination:151
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028A21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Pain, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Severe rash reaction started at my chest and face and you felt like its on fire and it was bright red and it itched, like sting bite no blisters. Got a steroid shot and in pill form for issues in my breathing. Went to urgent care, they straight to the doctor 21AUG2021. It comes and goes till to date.


VAERS ID: 1749623 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-18
Onset:2021-08-24
   Days after vaccination:159
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 2 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9261 / 1 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute myocardial infarction, Angina unstable, Angiocardiogram, Arthralgia, COVID-19, Cardiac stress test abnormal, Condition aggravated, Ejection fraction, Ischaemia, SARS-CoV-2 test positive
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Other ischaemic heart disease (narrow), Arthritis (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 500 MG tablet amlodipine (NORVASC) 2.5 MG tablet amoxicillin (AMOXIL) 500 MG capsule aspirin 81 MG tablet atorvastatin (LIPITOR) 40 MG tablet Cholecalciferol (EQL VITAMIN D3) 1000 UNITS TABS clopidogrel (PLAVIX) 75 M
Current Illness: COVID positive 8..24.21; COVID positive 9.26.21
Preexisting Conditions: Coronary artery disease Dyslipidemia Essential hypertension CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min Unstable angina (HCC) NSTEMI 2019
Allergies: Hydrocodone-acetaminophenDiarrhea, Nausea and Vomiting, Swelling Imdur [Isosorbide]Headache Nabumetone Oxaprozin RamiprilCough Spironolactone Tramadol Triamterene Zyrtec [Cetirizine]
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Patient found to be COVID-19 positive on 8.24.21 - went to ED (not admitted); fully vaccinated Later hospitalized (9.21.21); found to be COVID-19 positive at DC (9.26.21); Fully vaccinated Admission Date: 9/21/2021 Discharge Date: 09/26/2021 Presenting Problem: Unstable angina (HCC) DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: PT is a 82 y.o. female with history of hypertension, dyslipidemia, obstructive sleep apnea, obesity, chronic kidney disease stage 3 and coronary artery disease with previous PCI to her circumflex x2 in 2006 and her LAD in 2010. She presented 9/21 with complaints of posterior left shoulder pain which was reminiscent of prior angina. She ruled out for ACS. She was risk stratified with Lexiscan nuclear stress test that was abnormal with peri-infarct ischemia along with distal inferior lateral wall. LV EF calculated at 52%. Coronary angiography revealed stable CAD, no angiographic culprit to account for presentation symptoms. She was started on amlodipine for additional antianginal therapy. PT/OT evaluated and recommended SAR for ongoing care. Of note she was incidentally COVID-19 + on day of discharge but was not symptomatic.


VAERS ID: 1749686 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048A21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Headache, Influenza like illness, Laboratory test, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu vaccine. I had flu like symptoms. I was 63 at the time.
Other Medications: Venlafaxine
Current Illness: None
Preexisting Conditions: Diabetes Kidney related High Blood Pressure Obesity High Cholesterol
Allergies: None
Diagnostic Lab Data: Check immune levels
CDC Split Type: vsafe

Write-up: I felt like I had the flu and nausea. Muscle soreness and headache. I became dizzy and had to catch myself before I fell. Doctor gave me shot.


VAERS ID: 1749787 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-02-17
Onset:2021-08-24
   Days after vaccination:188
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NA / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Oxygen saturation decreased, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data: 8/24/2021 NAAT - Covid 19 Detected
CDC Split Type:

Write-up: Client hospitalized on 8/24/2021 with SOB, cough, low oxygen saturation. Submitter does not have access to any further medical records for this client. For any other needed follow up information, please contact HOSPITAL.


VAERS ID: 1750028 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-14
Onset:2021-08-24
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ENO217 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FFZ587 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Fatigue, Hypersomnia
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad)

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

Write-up: Extreme fatigue since first shot. Continued after second shot. Always exhausted and have no energy and can sleep for ten hours and still be tired. This occured after the vaccine. I have never been as tired like I am now. I hoped it would go away but its still there.


VAERS ID: 1750408 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-19
Onset:2021-08-24
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: C-reactive protein increased, Chills, Erythema, Fatigue, Feeling abnormal, Headache, Inflammation, Joint swelling, Myalgia, Nausea, Oedema peripheral, Pain, Pyrexia, Red blood cell sedimentation rate increased, Skin warm, X-ray limb abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Hypersensitivity (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Mild headache, fever, chills, muscle aches for 1 day after 2nd covid vaccine
Other Medications: Xarelto 20 mg, atenolol 25 mg, ceterizine, 25 mg tramadol, multivitamin- all daily
Current Illness: After 3rd covid vaccine, I had a fever, chills, headache, muscle aches, fatigue, some nausea- really felt awful for 4-5 days. Adverse event began right after this.
Preexisting Conditions: Ehler?s-danlos syndrome, compromised lungs
Allergies: Topical benzoin
Diagnostic Lab Data: 8/28/2021- X-ray R ankle: bimalleolar right ankle swelling without acute fracture 8/31/2021: ESR:33mm/hr, range 1-30mm/hr ?. : CRP: 33.7mg/L, range <= 10.0
CDC Split Type:

Write-up: 5 days after covid vaccine, my R ankle became red, hot, swollen and painful to walk on. Saw PCP 2days later who referred me to ortho who thought it was some type of inflammatory condition. Told me to wear brace or boot- could not tolerate either due to pain, edema. Ankle got worse- could not walk on it at all and I became febrile. Ortho told me to go to ER to R/O a blood clot or septic arthritis.


VAERS ID: 1751815 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-01-05
Onset:2021-08-24
   Days after vaccination:231
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, Body temperature, COVID-19, Cough, Drug ineffective, Dyspnoea, Ear pain, Feeling abnormal, Headache, Hypokinesia, Insomnia, Oxygen saturation, Pyrexia, SARS-CoV-2 test, Sinusitis, Urinary incontinence, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MODAFIL; VITAMINS NOS; VITAMIN C [ASCORBIC ACID]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: TIA
Allergies:
Diagnostic Lab Data: Test Date: 202108; Test Name: Fever; Result Unstructured Data: low grade fever; Test Date: 202108; Test Name: O2; Result Unstructured Data: oxygen went down to 82-85.; Test Date: 20210912; Test Name: COVID-19 test; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20210826; Test Name: Positive for COVID; Test Result: Positive ; Result Unstructured Data: Positive
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: could not get out of bed; could not breathe; Has only 60% back of her bladder control; began vomiting; cough; lost control of her bladder; Earache; lost her smell; lost her taste; severe headaches/The headache, it was intense, her head felt like it was a fire ball inside, felt like she had acid inside her brain.; has not been able to sleep more than 2 hours a day at night; Lack of efficacy; Positive for COVID/she got COVID; Felt like she had a sinus infection/she had a severe sinus infection.; felt like she was going to get a fever/low grade fever, always at 100.5; she felt like something breaking through a shield in her body, like if her body had a shield of some kind and she felt something broke through that shield. She knew right away something was off.; This spontaneous case was reported by an other health care professional and describes the occurrence of FEELING ABNORMAL (she felt like something breaking through a shield in her body, like if her body had a shield of some kind and she felt something broke through that shield. She knew right away something was off.), SINUSITIS (Felt like she had a sinus infection/she had a severe sinus infection.), COVID-19 (Positive for COVID/she got COVID), DRUG INEFFECTIVE (Lack of efficacy) and EAR PAIN (Earache) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037K20A and 010M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included TIA in 2019. Previously administered products included for Product used for unknown indication: Modafil (she would have since 2019 when she had a TIA) since 2019. Concomitant products included VITAMINS NOS and VITAMIN C [ASCORBIC ACID] for Smell loss, MODAFINIL (MODAFIL) for TIA. On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Aug-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced FEELING ABNORMAL (she felt like something breaking through a shield in her body, like if her body had a shield of some kind and she felt something broke through that shield. She knew right away something was off.). On 26-Aug-2021, the patient experienced SINUSITIS (Felt like she had a sinus infection/she had a severe sinus infection.) and PYREXIA (felt like she was going to get a fever/low grade fever, always at 100.5). On 27-Aug-2021, the patient experienced COVID-19 (Positive for COVID/she got COVID). 27-Aug-2021, the patient experienced DRUG INEFFECTIVE (Lack of efficacy). On 28-Aug-2021, the patient experienced EAR PAIN (Earache), ANOSMIA (lost her smell), AGEUSIA (lost her taste), INSOMNIA (has not been able to sleep more than 2 hours a day at night) and HEADACHE (severe headaches/The headache, it was intense, her head felt like it was a fire ball inside, felt like she had acid inside her brain.). On 03-Sep-2021, the patient experienced COUGH (cough), URINARY INCONTINENCE (lost control of her bladder) and VOMITING (began vomiting). On 16-Sep-2021, the patient experienced URINARY INCONTINENCE (Has only 60% back of her bladder control). On an unknown date, the patient experienced HYPOKINESIA (could not get out of bed) and DYSPNOEA (could not breathe). The patient was treated with BUTALBITAL on 31-Aug-2021 for Headache, at a dose of 50 mg four times per day; ACETAMINOPHEN on 31-Aug-2021 for Headache, at a dose of 325 mg four times per day; CAFFEINE on 31-Aug-2021 for Headache, at a dose of 40 mg four times per day; CODEINE on 03-Sep-2021 for Cough, at a dose of 1 dosage form; APIXABAN (ELIQUIS) on 03-Sep-2021 for Clot blood, at a dose of 1 dosage form and FLUTICASONE (nasal) in September 2021 at a dose of 1 dosage form. On 05-Sep-2021, COUGH (cough) had resolved. On 10-Sep-2021, ANOSMIA (lost her smell) had resolved. At the time of the report, FEELING ABNORMAL (she felt like something breaking through a shield in her body, like if her body had a shield of some kind and she felt something broke through that shield. She knew right away something was off.), SINUSITIS (Felt like she had a sinus infection/she had a severe sinus infection.), COVID-19 (Positive for COVID/she got COVID), DRUG INEFFECTIVE (Lack of efficacy), EAR PAIN (Earache), AGEUSIA (lost her taste), URINARY INCONTINENCE (lost control of her bladder), HYPOKINESIA (could not get out of bed), DYSPNOEA (could not breathe), INSOMNIA (has not been able to sleep more than 2 hours a day at night), URINARY INCONTINENCE (Has only 60% back of her bladder control), HEADACHE (severe headaches/The headache, it was intense, her head felt like it was a fire ball inside, felt like she had acid inside her brain.) and VOMITING (began vomiting) outcome was unknown and PYREXIA (felt like she was going to get a fever/low grade fever, always at 100.5) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In August 2021, Body temperature: 100.5 (High) low grade fever. In August 2021, Oxygen saturation: 82 to 85 (Low) oxygen went down to 82-85.. On 26-Aug-2021, SARS-CoV-2 test: positive (Positive) Positive. On 12-Sep-2021, SARS-CoV-2 test: negative (Negative) Negative. The action taken with mRNA-1273 with the event was considered as not applicable. Company Comment: This case concerns a 43 -year-old female patient with relevant medical history of TIA , who experienced unexpected events of Drug ineffective. Feeling abnormal , Sinus infection, COVID-19,Ear pain Anosmia, Aguesia, Cough , bladder incontinence , movement reduced , dyspnea and insomnia with other expected events of fever, headache and vomiting . These events occurred approximately 6 months after vaccination with the 2nd dose of Moderna and outcome of events were reported to have resolved. The benefit-risk relationship of Moderna is not affected by this report.; Sender''s Comments: This case concerns a 43 -year-old female patient with relevant medical history of TIA , who experienced unexpected events of Drug ineffective. Feeling abnormal , Sinus infection, COVID-19,Ear pain Anosmia, Aguesia, Cough , bladder incontinence , movement reduced , dyspnea and insomnia with other expected events of fever, headache and vomiting . These events occurred approximately 6 months after vaccination with the 2nd dose of Moderna and outcome of events were reported to have resolved. The benefit-risk relationship of Moderna is not affected by this report.


VAERS ID: 1751995 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal
SMQs:, Dementia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101098546

Write-up: feels like she is high, like under the influence; This is a spontaneous report received from a contactable consumer or other non hcp. A 23-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: unknown, Expiration Date: unknown) via an unspecified route of administration in Arm Right on 24Aug2021 14:00 (age at vaccination 23years old) as single dose for covid-19 immunisation. Medical history included from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient previously took Valtrex she has been on this for a couple of months on unspecified date. On 24Aug2021 the patient experienced feels like she is high, like under the influence. Additional information provided she feels like she is high, like under the influence. She is feeling began 20-25 minutes after she had the vaccine today, 24Aug2021. She had to wait 15 minutes after the vaccine and then she sat in the parking lot for another 20 minutes to make sure she was understanding her body correctly. She had to go home, and she doesn''t have anybody out where she lives so she was driving as careful as she could. She feels so high in her body. She can''t stop crying because she is so high. The clinical outcome of the event was not recovered. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1753744 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Headache, Heart rate increased, Hyperhidrosis, Syncope, Tinnitus
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Unsure. Called 911 and he was transported to the ER.
CDC Split Type:

Write-up: Excessive sweating, severe headache, ringing in ears, dizziness, syncope, and rapid heart beat.


VAERS ID: 1753891 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-03-28
Onset:2021-08-24
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026A21A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Pain in extremity, Trigger finger, X-ray limb
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (narrow)

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

Write-up: Around 08/24/2021 evening, I started experiencing joint pain in thumb of my left hand, and it locks into a bent position and it''s a little bit painful. They called it trigger thumb. I went to my Doctor on 08/31/2021 and they took X-rays and she has since referred me to an orthopedist but I haven''t been to that appointment yet.


VAERS ID: 1755989 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 1 LA / OT

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: Drug allergy (Advil); Fruit allergy (Kiwi); Seafood allergy (Shrimp); Seafood allergy (Lobster)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: Dosed outside recomended time frame, $g12 hours post vial puncture; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dosed outside recomended time frame, $g12 hours post vial puncture) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022C21A) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (Advil), Fruit allergy (Kiwi), Seafood allergy (Lobster) and Seafood allergy (Shrimp). On 24-Aug-2021 at 9:15 AM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Aug-2021 at 9:15 AM, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dosed outside recomended time frame, $g12 hours post vial puncture). On 24-Aug-2021 at 9:15 AM, EXPIRED PRODUCT ADMINISTERED (Dosed outside recomended time frame, $g12 hours post vial puncture) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication of the patient was not reported. Vial with lot number: 022C21A was punctured on 23-Sep-2021 at 9 am, after puncture at 9 pm vial was properly labeled and was kept at recommended temp of 2-8 Celsius. No treatment information was provided by the reporter. No adverse events noted since vaccine given. This case was linked to MOD-2021-331573 (Patient Link).


VAERS ID: 1756036 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Wyoming  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 RA / -

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Body temperature, Chills, Headache, Hypokinesia, Movement disorder, Muscle fatigue, Muscle spasms, Pyrexia, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma (Other medical history asthma, hypothyroidism); COVID-19; Hypothyroidism (Other medical history asthma, hypothyroidism); Sulfonamide allergy (Known allergies: Codeine, Sulfa)
Allergies:
Diagnostic Lab Data: Test Date: 202103; Test Name: Fever; Result Unstructured Data: Test Result:102; Comments: contracted a fever of 102 for 2 days; Test Date: 202103; Test Name: Covid test; Test Result: Positive ; Comments: Tested positive for Covid in March of 2021
CDC Split Type: USPFIZER INC202101138588

Write-up: approximately 5 hours after administration I lost the use of my arm, contracted a fever of 102 for 2 days, had chills, severe headache (tylenol did not touch it), severe joint pain and muscle cramps.; approximately 5 hours after administration I lost the use of my arm, contracted a fever of 102 for 2 days, had chills, severe headache (tylenol did not touch it), severe joint pain and muscle cramps.; approximately 5 hours after administration I lost the use of my arm, contracted a fever of 102 for 2 days, had chills, severe headache (tylenol did not touch it), severe joint pain and muscle cramps.; approximately 5 hours after administration I lost the use of my arm, contracted a fever of 102 for 2 days, had chills, severe headache (tylenol did not touch it), severe joint pain and muscle cramps.; approximately 5 hours after administration I lost the use of my arm, contracted a fever of 102 for 2 days, had chills, severe headache (tylenol did not touch it), severe joint pain and muscle cramps.; approximately 5 hours after administration I lost the use of my arm, contracted a fever of 102 for 2 days, had chills, severe headache (tylenol did not touch it), severe joint pain and muscle cramps.; approximately 5 hours after administration I lost the use of my arm, contracted a fever of 102 for 2 days, had chills, severe headache (tylenol did not touch it), severe joint pain and muscle cramps.; Still have leg cramps and muscle fatigue; Still have leg cramps and muscle fatigue; This is a spontaneous report from a contactable consumer (patient). A 69-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: not reported) administered in right arm via an unknown route of administration on 24Aug2021 at 13:00 (at the age of 69-year-old) as dose 2, single for COVID-19 immunization. Medical history included asthma, hypothyroidism. Known allergies included Sulfa, and patient relevant medical history included COVID-19 from Mar2021 to an unknown date Tested positive for Covid in March of 2021 so waited well over the recommended 90 days before I got the vaccine. Concomitant medications included levithyroxin (LEVOTHYROXINE SODIUM), singular (MONTELUKAST SODIUM), nexium (AMOXICILLIN TRIHYDRATE, CLARITHROMYCIN, ESOMEPRAZOLE MAGNESIUM), Flomax (TAMSULOSIN HYDROCHLORIDE) taken for an unspecified indication, start and stop date were not reported. Covid was not tested post vaccination. The patient had known allergies to codeine, sulfa. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: not reported) via an unknown route of administration on 03Aug2021 for covid-19 immunisation. No other vaccine was administered in four weeks. Prior vaccination COVID-19 tested as positive and since vaccination COVID test reported as no. On 24Aug2021 at 17:30pm, the patient experienced approximately 5 hours after administration i lost the use of my arm, contracted a fever of 102 for 2 days, had chills, severe headache (tylenol did not touch it), severe joint pain and muscle cramps and symptoms lasted approximately 4 days until patient regained normal feelings. Still patient had leg cramps and muscle fatigue. The patient underwent lab tests and procedures which included on Mar2021 body temperature was 102 contracted a fever of 102 for 2 days, sars-cov-2 test was positive, Tested positive for Covid in March of 2021. No treatment was received for the events. The clinical outcome of events was reported as recovered with lasting effects. Information on the lot/batch number has been requested.


VAERS ID: 1756670 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metoprolol succinate
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Went To Dr and ENT nothing can be done
CDC Split Type:

Write-up: Ringing in my ears the very next day was told the vaccine has caused tinnitus in some people


VAERS ID: 1756870 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-08-19
Onset:2021-08-24
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Back pain, Computerised tomogram spine, Myalgia, Nausea, Retching, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Duloxetine HCL DR 60mg (generic for Cymbalta) Omeprazole DR 20mg
Current Illness: None
Preexisting Conditions: Fibromyalgia Hyper-mobility
Allergies: None that I''m aware of
Diagnostic Lab Data: CT Spine Lumbar w/o Contrast (08/24/2021) CT Spine Thoracic w/o Contrast (08/24/2021) CT Stone Protocol (08/24/2021)
CDC Split Type:

Write-up: 3 days after the second dose, I experienced severe muscular lower back pain. The pain started that night on the 3rd day, and increased in intensity as the night progressed toward 3AM. I tried to keep water and Ibuprofen down to treat the pain, but after several hours of intermittent dry-heaving after initially being unable to keep the painkiller down, I was taken to the ER at 9:30AM. After puking, I would experience a small reprieve before the pain would slowly increase again, as would my feeling of nausea. The nausea correlated with my pain level.


VAERS ID: 1757187 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Injection site swelling, Pain in extremity, Pruritus, Pyrexia, Sneezing
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yes, Magnesium Oxide, cholecalciferol, Calcitrate, Atorvastatin
Current Illness:
Preexisting Conditions: Leukemia in remission, high cholesterol, high triglycerides, l liver hepatitis cirrhosis
Allergies: Yes, Vancomycin, Aminoglycosides, Chlorhexidine, Ceforoxime, blood products
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, sneezing, arm pain, swollen in injection area, itching, and low energy (really tired)


VAERS ID: 1757868 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 1 LA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: USMODERNATX, INC.MOD20213

Write-up: Received dose from a vial that was punctured for more than 12hs; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received dose from a vial that was punctured for more than 12hs) in a 20-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022C21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Aug-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Received dose from a vial that was punctured for more than 12hs). On 24-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Received dose from a vial that was punctured for more than 12hs) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication reported. it was reported that Moderna COVID-19 vaccine was given outside the recommended time frame, more than 12 hours post vial puncture. vial was kept at recommended temperature of 2-8 C before administration. No treatment medication reported by the reporter. This case was linked to MOD-2021-295452, MOD-2021-331621 (Patient Link).


VAERS ID: 1758653 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-03-28
Onset:2021-08-24
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / 2 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Headache, Myalgia, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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

Write-up: August 24 I started noticing my symptoms and I experienced fever that day, as well as sore throat, stuffy nose, occasional fever but not real bad, a little bit of muscle aches, I lost my sense of taste and smell for about two weeks, and a cough that was down in the chest. It felt like a cold but it kind of progressed but I also lost sense of taste and smell. I tested positive for COVID on Friday September 3 and I got my results on September 7 and it was positive. My cough lasted about three weeks. I also had a headache and some achiness and fever on occasion. I did see the Doctor on September 1 and he prescribed Sudafed but I didn''t take it but I was taking Tylenol and some decongestant. I also had a sore throat part of the time. July I also had a head cold with stuffy nose and a little bit of fever but I didn''t test positive for COVID, it was negative.


VAERS ID: 1758676 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-03-31
Onset:2021-08-24
   Days after vaccination:146
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 019B21A / 2 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: flu
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: asthma, chronic migraine
Allergies: Chlorhexidine
Diagnostic Lab Data: Covid-19 test
CDC Split Type: vsafe

Write-up: I had fever that got up to 101. I had flu like symptoms. I had body ache. I lost my smell and taste for a few days. I had a cough and was congestive. My symptoms lasted for about 4 days. I went got a Covid-19 test, come back positive. I also had spikes in my blood pressure. I did a tv vision with my doctor.


VAERS ID: 1759423 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blood pressure increased, Chills, Cold sweat, Condition aggravated, Confusional state, Dysgeusia, Eye movement disorder, Fatigue, Feeling abnormal, Headache, Immediate post-injection reaction, Muscle twitching, Muscular weakness, Myalgia, Pain, Pain in extremity, Palpitations, Pyrexia, Sleep disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Ocular motility disorders (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, Losartan, ezetimbe, cyclobenzaprine, sildenafil, sambucus chews, vitamines D, E and multi, Turmeric, garlic, krill oil
Current Illness:
Preexisting Conditions: Hashimoto''s thyroiditis, Hyper Lipidemia, Vitamin D deficiency, chronic thoracic back pain, Hypertriglicidemia, ED, Sleep apnea, asthma exacerbation.
Allergies:
Diagnostic Lab Data: My wife called doctor on 8-25-21 to relay my side effects. The nurse on call said that if I had any respiratory issues- to just take me to the ER. Nothing further. After reporting ongoing issues to my Dr. she asked on 9-22-21 if I had gotten a Covid test to see if I had had Covid when I got my second shot. These were side effects of the shot- not Covid itself since I did not have any respiratory issues.
CDC Split Type:

Write-up: First shot was on 7-27-21. I had very few side effects- mostly just typical side effects- sore arm, slight headache for a day or so, a little fatigue- but more concerning was the blood pressure increase and heart palpitations. On 8-24-21 I got the second shot and my side effects were much worse. Immediately after the shot- like within 1 minute- I swear I could taste a strong metallic/astringent taste through my eyeballs. No joke. But i just brushed it off as it dissipated rather quickly. Side effects started off rather typical- sore arm primarily, but this time it started twitching constantly. But almost exactly 12 hours after the 2nd shot- I awoke from a dead sleep with severe joint and muscle pain, cold shivering sweats, headache and debilitating fatigue. The joint pain was severe, followed closely by the muscle pain and fatigue. I ran a 102 temp for about 24 hours and was unable to judge time at all. I don''t want to sound like a wuss, but I had not felt this bad in decades! The most severe aspects of these side effects lasted for approx 48 hours. However, mild joint pain and extreme fatigue has continued, along with weakness in my arm, continual twitching of my left arm and constant twitching of my left eye now for over 6 weeks. Increased blood pressure and heart palpitations have remained as well. I do not feel like my battery ever recharges to 100% anymore- only to about 60% at best. I am overtaken by waves of fatigue- so that by 2 in the afternoon I am done, followed by waves of headaches so that by evening time, all I want to do is set in a chair and do nothing. I don''t even want to fix dinner. The best I hope for anymore is to just muddle through the day so I can go home and not sleep because it hurts so bad and I have a headache.... And the constant twitching is driving me crazy!


VAERS ID: 1760478 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Feeling abnormal, Hot flush, Hypoaesthesia, Paraesthesia, Peripheral coldness, Throat irritation
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: obesity, high cholesterol, Post-Covid heart palpitations
Allergies: none
Diagnostic Lab Data: I received an assessment and vital signs at my nurse practitioner''s office. My blood pressure started to go back down when I was seen there.- My pulse ranged from 58-62 when I after I first received the vaccine, my blood pressure ranged from 143/78-131/78 when still at the occupational health office
CDC Split Type:

Write-up: Within minutes of administration, my right arm felt numb, tingling and very cold. After a few more minutes my left arm and feet started to get the same sensation. It felt like pins and needles. I got light-headed and dizzy. My throat felt very itchy and like I needed to cough. My blood pressure went up to 143/78. After approximately 30-45 minutes, I started to feel a bit better but then had a hot flash in my head when I went to leave. After the encouragement of the Occupational Health RN, I went to be seen by my NP. The rest of the day, I felt "off" and not normal. My throat was itchy for 2 days following the vaccine. I took aspirin, Zyrtec, claritin, famotidine and benadryl for 2 days to get rid of the itchy throat.


VAERS ID: 1761393 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-03-31
Onset:2021-08-24
   Days after vaccination:146
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 015M20A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032M20A / 2 RA / IM

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

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

Write-up: Tested Positive for Covid


VAERS ID: 1761590 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-30
Onset:2021-08-24
   Days after vaccination:147
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 09/01/2021 PCR+ COVID-19 test at Hospital
CDC Split Type:

Write-up: Breakthrough COVID-19 case with symptom onset 9/1/2021 (symptoms unknown). Hospitalized 8/24/2021 for unknown duration


VAERS ID: 1762051 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Enlarged uvula, Pharyngeal swelling, Physical examination
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? 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: Penicillin
Diagnostic Lab Data: None. MD I was working with at the time examined my throat.
CDC Split Type:

Write-up: My uvula and the left side of my throat swelled and become one big structure.


VAERS ID: 1762081 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-22
Onset:2021-08-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Electric shock sensation, Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: estradiol, vitamin D
Current Illness: none
Preexisting Conditions: seasonal allergies, vitamin d deficiency
Allergies: morphine, sudafed
Diagnostic Lab Data: none
CDC Split Type:

Write-up: left arm numbness and tingling 2 d later, persistent as of 10/5/2021, right arm electric current started 2 weeks later and persists


VAERS ID: 1762197 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-17
Onset:2021-08-24
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cholangitis, Condition aggravated, Extra dose administered, Hepatic enzyme abnormal, Jaundice, Laboratory test, Nausea, Pain, Pyrexia
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (narrow), Infectious biliary disorders (narrow), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: COVID Pfizer vaccines - Dose 1 and Dose 2 - 4/6/2021 and 4/21/2021 - nausea; pain and increased peritis - the symptom was an inf
Other Medications: Multivitamin; Calcium supplement; Alopurinol; Mercaptopurine; Gabapentin; Hydroxyzine; Zofran
Current Illness: no
Preexisting Conditions: Ulcerative Colitis; Primary Lorosine Cholangitis - diagnosed 14 years ago
Allergies: Propofol; ASA''s; Cephalexin; Codeine; Mesalamine; Aspirin; Sulfas; Amoxicillin; Doxycycline
Diagnostic Lab Data: bloodwork was taken -
CDC Split Type: vsafe

Write-up: A week after the dose, I got a cholangitis infection in liver: Increased nausea and pain and fever. Increased jaundice and so I contacted the doctor - teleheath visit with Hematologist; had labs drawn; elevated Liver enzymes and treated with Cipro Antibiotic. The antibiotic helped with the symptoms. Has recovered from the acute infection. This was something that happened each dose of the vaccination but I didn''t realize the correlation to the Liver until the 3rd time.


VAERS ID: 1762229 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-20
Onset:2021-08-24
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

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

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

Write-up: THE NEXPLANON BIRTH CONTROL STOPPED MY PERIOD UNTIL I GOT VAXED AND NOW I HAVE IT AWFULLY LIKE IM NOT EVEN ON BIRTH CONTROL


VAERS ID: 1762299 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-10
Onset:2021-08-24
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Erectile dysfunction, Hypoaesthesia, Intervertebral disc protrusion, Libido decreased, Paraesthesia, Testicular pain, Testis discomfort
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (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: none
Current Illness: none
Preexisting Conditions: kidney stones
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bulged lower back disk which results in numb and tickling (pin and needles) of right leg and foot. Constant discomfort and pain in testicles and low libido. Difficulty with erection.


VAERS ID: 1763707 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Brain oedema, Cerebral artery stenosis, Cerebral infarction, Hydrocephalus
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 43 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: keep going as above.
CDC Split Type:

Write-up: Cerebral infarction. Acute hydrocephalus. Cerebral edema. Stenosis of the lower cerebral artery.


VAERS ID: 1764530 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blister, Dizziness, Dyspnoea, Hypoaesthesia, Injection site pruritus, Mobility decreased, Pruritus, Swelling, Vaccination site pain
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vit., fish oil, magnesium, d3
Current Illness: None, good health
Preexisting Conditions:
Allergies: Pencillin only
Diagnostic Lab Data: None, verbal only, dr office told me not to worry
CDC Split Type:

Write-up: Numbness on right side, vaccinated arm, pain, itching at vaccination site, lite headed, 10 days covid arm, per pharmacy, appeared, swelling, blistering, itching, no energy, shortness of breath, hard to use right arm.


VAERS ID: 1764543 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-01-11
Onset:2021-08-24
   Days after vaccination:225
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, Oxygen saturation decreased, 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), Cardiomyopathy (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ROSUVASTATIN, ASPIRIN, OMEPRAZOLE
Current Illness:
Preexisting Conditions:
Allergies: PENACILLIN, SHELLFISH
Diagnostic Lab Data: POSITIVE COVID
CDC Split Type:

Write-up: FEVER, SHORTNESS OF BREATH, LOW O2 STATS


VAERS ID: 1764608 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-02-23
Onset:2021-08-24
   Days after vaccination:182
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030L20A / 1 UN / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013M20A / 2 LA / IM

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

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

Write-up: Tested Positive for Covid


VAERS ID: 1765194 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-21
Onset:2021-08-24
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3183 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac discomfort, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram, Fatigue, Hypoaesthesia, Palpitations, Vision blurred
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG
CDC Split Type:

Write-up: I started experiencing side effects 3-4 days after I received the first dose of the Pfizer vaccine. I woke up with my heart racing and a tightness/heaviness in my chest. It felt like someone was squeezing my heart and like it was having trouble beating. For the next two days, I couldn''t catch my breath and couldn''t sit up or move around without my heart rate elevating and my vision blurring. I thought I was going to die. This lasted for a couple of days, and when I felt a bit stronger, I went to MD for an EKG that ended up being abnormal. They told me to keep an eye on it and referred me to a cardiologist. Things have gotten a little better overall, but I''ve experienced chronic exhaustion like I''ve never known, as well as bouts of chest pain and heaviness, especially when I''m lying in bed or resting. I thought it was getting better which is why I didn''t report anything, but now, almost 7 weeks later, my fingers and toes are slowly losing feeling, starting with my extremities on the left side.


VAERS ID: 1765235 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Condition aggravated, Confusional state, Disorientation, Feeling abnormal, Hypertensive crisis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Labetalol 800mg Hydralazine 50 mg Flexeril PRN
Current Illness: anxiety; MSK pain
Preexisting Conditions: chronic illnesses several: type 1 diabetes; End stage renal disease with ongoing dialysis; h/o NSTEMI; anemia in CKD, Cellulitis and abscess; h/o hidradenitis; HTNh/o PTSD and anxiety
Allergies: Per hospital report: Vancomycin; Iodinated diagnostic agents; Capsaicin; Fentanyl and related -Morphine Base
Diagnostic Lab Data: ESRD dialysis that day
CDC Split Type:

Write-up: patient reported apparent disorientation/confused/ disconnected sensation; described as "feeling crazy and not right in her head; like she felt like she wasn''t there but she knew she was there" per pt, this happened at Dialysis tx session and she was taken to hospital by ambulance. Admitted and stayed x 3 days; diagnosed with Hypertensive crisis and h/o having missed 2 - dialysis treatment sessions


VAERS ID: 1767180 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, Headache, Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: None
Allergies:
Diagnostic Lab Data: Test Date: 20210824; Test Name: Body temperature; Result Unstructured Data: Test Result:Unknown
CDC Split Type: USPFIZER INC202101098022

Write-up: Headache; Fever; Body aches; Swollen lymph node; This is a spontaneous report from a contactable consumer. This is report 1 of 2. This 54-Year-old female consumer (patient) reported. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: FC3182 or FC318Z but thinks it is a 2 not a Z), dose 2 via an unspecified route of administration, administered in right arm on 23Aug2021 14:00 (at the age of 54-years-old) as a single dose for covid-19 immunization. Patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EW0176) via an unspecified route of administration, administered in right arm on 02Aug2021 at around 10 something in the morning (at the age of 54-years-old) as a single dose for covid-19 immunization. Medical history included none. When she had shingles shot, it did the same thing and gave her fever and chills. She does not have further details to provide for shingles shot last dose she received in Jan 2021. She clarifies she does not have chills right now after the covid vaccine. The patient''s medical history and concomitant medications were not reported. She just takes her medication every day. She does not think they are relevant to add. The patient experienced headache, fever, body aches and underneath her jaw she guess the lymph nodes there are swollen. The patient decline any treatment. No emergency room and physician office. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.; Sender''s Comments: Linked Report(s) : -PFIZER INC-202101100496 same reporter/product/event, different patient


VAERS ID: 1767202 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cold sweat, Fatigue, Headache, Illness, Nausea, Pain in extremity, Somnolence, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: XANAX; NEURONTIN; SUBUTEX
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety disorder; Neuropathy; Pain
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101104928

Write-up: her husband is really sick; He has been nauseous; really tired; sleeping a whole lot; Shaking; had a headache; Left arm is really sore; Cold sweat; This is a spontaneous report from a contactable consumer (patient''s wife) reporting for a 59-year-old male patient (reporter''s husband). A 59-year-old male patient received bnt162b2 (PFIZER BIONETCH COVID-19 MRNA VACCINE Solution for injection Lot number was not reported) via intramuscularly in arm left on 23Aug2021 14:00 as dose 1, single (age at vaccination: 59 years) for COVID-19 immunisation. Medical history included pain, anxiety disorder, neuropathy, all from an unknown date and unknown if ongoing. Concomitant medications included alprazolam (XANAX) 4 mg, daily taken for anxiety disorder Started taking 10 years ago, start and stop date were not reported; gabapentin (NEURONTIN) either 350mg or 400 mg three times daily started 8 years ago, taken for neuropathy, start and stop date were not reported; buprenorphine hydrochloride (SUBUTEX) taken for pain 8mg 3 times sublingual daily started taking it 18 years ago, start and stop date were not reported. Prior Vaccinations (within 4 weeks), other vaccinations within four weeks prior to the first administration date of the suspect vaccines was none. The adverse events following prior vaccinations was none. Additional vaccines administered on same date of the Pfizer suspect was none. On 24Aug2021, the patient experienced cold sweat, sleeping a whole lot, Shaking and had a headache, left arm is really sore. It was reported by the reported that her husband is really sick. She feels like someone is squeezing her throat and it hurts really bad and had a hard time swallowing and is sick. Her throat hurts so bad and feels like it is closing. He is sick from the shot too. He had cold sweats and has been sleeping a whole lot. He has been nauseous. He was shaking and had a headache. He tried to work yesterday and the boss sent him home because he was in a daze and really out of it and really tired. It all started on 24Aug2021, she does not know outcome because he is still sleeping, she would like to know if this is a normal reaction. Both received it at the same time and place, he got his after hers, they were not even going to get it and dont know about getting second one. The adverse events did not require a visit to emergency room/physician office. Treatment was received. The pharmacist told him to take Tylenol and if it is not better by the end of the day, he wants her to report back to the pharmacist. The clinical outcome of the events was unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.


VAERS ID: 1768156 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-03-16
Onset:2021-08-24
   Days after vaccination:161
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Decreased appetite, Dyspnoea, Fatigue, Illness, Pain, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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, 16 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Cardiovascular disease, Immunosuppressed, Autoimmune disease
Allergies:
Diagnostic Lab Data: 08/24/2021 PCR+ COVID-19 test; 09/03/2021 PCR+ COVID-19 test
CDC Split Type:

Write-up: Breakthrough COVID-19 case with symptom onset 8/24/2021: Fever, Aches, Shortness of breath/difficulty breathing, Fatigue or tiredness, Cough. Hospitalized 8/24/2021-9/9/2021. He was in for COVID with pneumonia and a stomach illness that has now caused him to not be able to eat solid foods.


VAERS ID: 1768237 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-06-11
Onset:2021-08-24
   Days after vaccination:74
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Dehydration, Hypotension, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Infective pneumonia (broad), Dehydration (narrow), Hypokalaemia (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, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: colon cancer, CKD, and hypertension. Sister states that PUI has only 20% of his colon and its very normal for him to have low BP and not eat as much.
Allergies:
Diagnostic Lab Data: 08/24/2021 PCR+ COVID-19 test; 09/03/2021 PCR+ COVID-19 test
CDC Split Type:

Write-up: Asymptomatic Breakthrough COVID-19 case. Hospitalized 8/24/2021-9/3/2021. Patient lives with his sister and she is his caregiver. Sister states PUI had no Covid related symptoms. She took him to the hospital because of low BP and dehydration. Sister states that Patient has only 20% of his colon and its very normal for him to have low BP and not eat as much. Sister suspects that exposure to Covid was within the hospital as he was admitted on 8/12/21 also for dehydration.


VAERS ID: 1768266 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-31
Onset:2021-08-24
   Days after vaccination:146
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008B212A / 2 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Autoimmune Disorder
Allergies:
Diagnostic Lab Data: SARS CoV + SARS CoV 2 Antigen Positive on 9/6/2021
CDC Split Type:

Write-up: Breakthrough case after Covid vaccination. Dose #1 3/3/2021 Dose # 2 3/21/2021. C/O fever, runny nose, loss of taste/smell, headache, fatigue, cough, and sore throat/ onset 8/24/2021


VAERS ID: 1768706 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dysphagia, Eye pruritus, Head discomfort, Ocular hyperaemia
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (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: Approximately 20 minutes after receiving vaccine, experienced feeling like her head was heavy with slight trouble swallowing. Vitals: BP 160/90, pulse 105, SpO2 100. Patient requested a diphenhydramine, 25 mg. After ten minutes, patient''s eyes were becoming itchy and red. Patient requested a second diphenhydramine, 25 mg. given. After 10 minutes, was feeling better and requested to leave. Vitals: BP 140/96, pulse 100, Pulse Ox 100. Discharge with father driving, advised to monitor symptoms and contact MD, or go to Urgent Care or ED if worsen. Advised to follow up with MD for recommendations to proceed with 2nd vaccine.


VAERS ID: 1768753 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-08-18
Onset:2021-08-24
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 3 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Cough, Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: anastrozole 1mg, 1 88 microgram synthroid, omeprazole 20 mg, duloxetine hcl dr capsule 60 mg delayed release, female multi vitamin, vit D3 1000 IU, biotin, calcium citrate 500 mg, ( alendronate sodium tablets once a week)
Current Illness:
Preexisting Conditions: cancer, asthma,
Allergies: Darvon, gabapentin, penicillin,
Diagnostic Lab Data: Chest X-ray, blood work, rapid covid negative
CDC Split Type: vsafe

Write-up: Approximately one week later I started to have some cold symptoms and a cough, by that Saturday I had spent the night a wake wheezing and coughing, I went to Patient First, my fever 102.1, They did a rapid covid test was negative, I had a chest x-ray, blood work and my white blood cells had indicated that I had a severe infection. They an inhaler and a medicine some kind of Terle cough medicine. two days later I saw my primary and my lungs were clear by that time. I''m feeling better today still taking my meds and inhaler.


VAERS ID: 1768840 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

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

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

Write-up: I experienced two swollen lymph nodes above my collar bone.


VAERS ID: 1770491 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-01-14
Onset:2021-08-24
   Days after vaccination:222
Submitted: 0000-00-00
Entered: 2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Echocardiogram, Fatigue
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Echocardiogram; Test Result: Negative ; Result Unstructured Data: Negative
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: Stroke; Stroke; wiped out; This spontaneous case was reported by a consumer and describes the occurrence of the first episode of CEREBROVASCULAR ACCIDENT (Stroke) and the second episode of CEREBROVASCULAR ACCIDENT (Stroke) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 017E21A and 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypertension. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 23-Aug-2021 at 3:00 PM, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Aug-2021, the patient experienced FATIGUE (wiped out). On 01-Sep-2021, the patient experienced the first episode of CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criteria hospitalization prolonged, disability and medically significant). On 12-Sep-2021, the patient experienced the second episode of CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criteria hospitalization prolonged, disability and medically significant). The patient was hospitalized from 01-Sep-2021 to 07-Sep-2021 due to CEREBROVASCULAR ACCIDENT, and then from 12-Sep-2021 to 14-Sep-2021 due to CEREBROVASCULAR ACCIDENT. On 25-Aug-2021, FATIGUE (wiped out) had resolved. On 14-Sep-2021, last episode of CEREBROVASCULAR ACCIDENT (Stroke) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Echocardiogram: negative (Negative) Negative. No concomitant medication details were provided. No treatment information was mentioned. The patient stated that during first stroke after hospitalization, she had moved to rehab until 10Sep2021 when she returned home. The patient also stated that they released her on 14-Sep-2021 with a Biotel Moniter that she will wear for 30 days so far there is no evidence of afib. Company Comment: This case concerns a 82-year-old, female patient with relevant medical history of hypertension, who experienced the unexpected event of Cerebrovascular accident (two episodes). The first episodes occurred approximately 10 days after the third dose of mRNA-1273 (Moderna Covid-19 vaccine) and resolved on the sixth day; while second episodes occurred 6 days after the resolution of first episode, and finally resolved third day afterwards. The rechallenge was not applicable as events occurred after the third dose. In this advanced aged patient, the underlying medical condition of hypertension remains a contributory factor. The benefit-risk relationship of mRNA-1273 (Moderna Covid-19 vaccine) in not affected by this report. This case was linked to MOD-2021-337574, MOD-2021-337582 (Patient Link).; Sender''s Comments: This case concerns a 82-year-old, female patient with relevant medical history of hypertension, who experienced the unexpected event of Cerebrovascular accident (two episodes). The first episodes occurred approximately 10 days after the third dose of mRNA-1273 (Moderna Covid-19 vaccine) and resolved on the sixth day; while second episodes occurred 6 days after the resolution of first episode, and finally resolved third day afterwards. The rechallenge was not applicable as events occurred after the third dose. In this advanced aged patient, the underlying medical condition of hypertension remains a contributory factor. The benefit-risk relationship of mRNA-1273 (Moderna Covid-19 vaccine) in not affected by this report.


VAERS ID: 1770537 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-02-25
Onset:2021-08-24
   Days after vaccination:180
Submitted: 0000-00-00
Entered: 2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012A21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Off label use
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Blood pressure increased; Overweight (Slightly)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: got the 3rd dose of the Moderna Covid-19 which she thought was the booster dose and does not consider herself in an immunocompromised sate; This spontaneous case was reported by a consumer and describes the occurrence of OFF LABEL USE (got the 3rd dose of the Moderna Covid-19 which she thought was the booster dose and does not consider herself in an immunocompromised sate) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 939902, 040821A and 012A21A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure increased and Overweight (Slightly). On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Aug-2021, the patient experienced OFF LABEL USE (got the 3rd dose of the Moderna Covid-19 which she thought was the booster dose and does not consider herself in an immunocompromised sate). On 24-Aug-2021, OFF LABEL USE (got the 3rd dose of the Moderna Covid-19 which she thought was the booster dose and does not consider herself in an immunocompromised sate) had resolved. Concomitant medication details were not provided. Treatment details were not provided.


VAERS ID: 1771760 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-07-31
Onset:2021-08-24
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER0727 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diabetes mellitus, Laboratory test abnormal, Pain, Pain in extremity, Weight increased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CYMBALTA; biotin; zinc; vit C; vit A; multivitamin
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Lab work-borderline diabetic
CDC Split Type: vsafe

Write-up: Towards the end of August, on my right upper thigh, there was like a constant pain. The pain is still going on today, it''s not unbearable but it still hurts. I don''t know what caused the pain. In September, I went to see the doctor, I went for a yearly check up. He did lab work, like a yearly check up. I was diagnosed as borderline diabetic. I was put on Metformin. My entire life my blood sugars run about 70. I have gained 20 lbs since then, so I don''t know if that has something to do with being diagnosed as borderline diabetic, and I have retired since then. I am not as active as I was.


VAERS ID: 1772372 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-30
Onset:2021-08-24
   Days after vaccination:147
Submitted: 0000-00-00
Entered: 2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Exfoliative rash, Rash, Skin weeping
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril/Hctz, 20mg/10mg daily, multi-vitamin supplement, omeprazole, 20mg daily
Current Illness: None
Preexisting Conditions: High blood pressure Kidney stones Hay fever
Allergies: Non-shellfish (salmon, trout, etc.)
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Starting around the end of August, I had a rash that started on my left arm, as well as my chest and abdomen (upper right to lower left). The rash on my arm was quite bad, and despite using over-the-counter Cortizone, started oozing and scaling. I contacted my doctor who prescribed a 7-day steroid pack, which resolved the problem. It was presumed to be either plant origin or due to recent use of highly-concentrated milk products.


VAERS ID: 1773582 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-08-23
Onset:2021-08-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA3180 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Agitation, Crying
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MUCINEX DM
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101117038

Write-up: became distraught and inconsolably crying; became distraught and inconsolably crying; This is a spontaneous report from a contactable consumer (patient). A 13-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: FA3180), via an unspecified route of administration, administered in Arm Left on 23Aug2021 17:30 (at the age of 13-years-old) as dose 2, single for covid-19 immunization. Medical history was none. Concomitant medication included dextromethorphan hydrobromide/ guaifenesin (MUCINEX DM), received within 2 weeks of vaccination, taken for an unspecified indication, start and stop date were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: FA7485), via an unspecified route of administration, administered in Arm Left on 02Aug2021 13:30 (at the age of 13-years-old) as dose 1, single for covid-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 24Aug2021 08:30, the patient became distraught and inconsolably crying. He spent time at school in the bathroom and could not understand or verbalize why he was crying. He was like this for two days unless he was sleeping. The third day was much better, and on the 4th day he was back to his normal, talkative, happy-go-lucky self. The only change in his life was the vaccine. The patient received treatment for the adverse evens which included Child psycologist assistance. The patient was visited to Doctor or other healthcare professional office/clinic visit for the events. No seriousness was provided. The outcome of the events was recovered on 28Aug2021 08:30. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1775417 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal rigidity, Ear infection, Electric shock sensation, Hypovitaminosis, Insomnia, Laboratory test normal, Middle ear effusion, Palpitations, Paraesthesia, Pruritus, Sensory disturbance, Sleep disorder, Vision blurred, Vitamin D decreased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metoprolol, Lorazepam, Multivitamin, probiotics, vitamin C
Current Illness: None
Preexisting Conditions: Plantar Fascitis, Elevated blood pressure (Metoprolol controls this though)
Allergies: Penicillin
Diagnostic Lab Data: Blood tests for vitamin deficiency. Awaiting appointment with neurologist.
CDC Split Type:

Write-up: Pins and needles started seconds after the shot. Started right where the shot went in, down my arm, around my neck to the other arm. Within a few hours they were felt throughout my whole body. Itchiness all over. Trouble sleeping started that night. As I was about to start a dream, my stomach muscles would spasm, then my heart would start pounding out of my chest, then a zap would shoot up to my head and my head, eyelids and eyes would vibrate. Body vibrations were felt as well all over. I would lay my head on my pillow and i could feel the vibrations throughout my head, shoulders, and body. I also felt like my eyes couldn''t focus together, like when you take your glasses off and it takes a few seconds for them to focus. I did go to the Harrisburg Hospital the first night at about 3am in the morning, per my GP nurse line instructions. The hospital did a gullian barre test on me and it was negative. They told me that they thought I had a vitamin deficiency and sent me home, no other tests. I went to my GP and tested for vitamin deficiency. They said I was only slightly low in vitamin D. I changed my vitamins and upped my dosage of D. These symptoms continued for a couple weeks but did start subsiding. The being awakened as I started a dream continued sometimes but it was less dramatic. The pins and needles started to subside. Then I had an ear infection and was diagnosed with fluid behind my ear on September 27 I was diagnosed fluid in the ear. I was given a strong steriod, Methylprednisone, and as soon as I took it, the pins and needles came back, as well as many other side effects because that is strong drug. I have been off that drug for 5 days now and I was told that it stays in your system for a while so I don''t know if some of the side affects I am feeling are from the steroid or the shot. But as of now, the vibrations are still in my body from time to time. I do need a sleep aid at night.


Result pages: prev   312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=411&PERPAGE=100&ESORT=ONSET-DATE&REVERSESORT=ON&VAX=COVID19&DIED=No

Government Disclaimer on use of this data


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