National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 7/23/2021 release of VAERS data:

Found 506,830 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 47 out of 5,069

Result pages: prev   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146   next


VAERS ID: 1470110 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Nausea, 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? 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: Severe headache, chills, fever, nausea each beginning the day after the vaccination and lasting 2 days. Extreme fatigue beginning the day after the vaccination and still ongoing (8 days since the vaccination).


VAERS ID: 1470181 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

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

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

Write-up: 1st dose pfizer vaccine was given to patient on 07/07/2021. We found out on 07/09/2021 vaccine was stored outside the recommended 31 day expiration window.


VAERS ID: 1470196 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-12
Onset:2021-07-07
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, Lumbar puncture, Vaccination complication
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune 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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, Lipitor, vitamin c, vitamin B complex, bupropion xl, prinzide, Lopressor, multivitamin
Current Illness:
Preexisting Conditions: essential hypertension, obesity
Allergies: sulfa drugs
Diagnostic Lab Data: Lumbar puncture 7/8/21
CDC Split Type:

Write-up: Presumed AIDP secondary to COVID-19 vaccination IVIG for 5 doses (7/8/21 to 7/12/21) Discharge to home post above completion


VAERS ID: 1470228 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-05
Onset:2021-07-07
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Erythema, Headache, Heart rate increased, Induration, Injection site pruritus, Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (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), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: Difficult breathing, elevated heart rate, swollen and hard arm, pinkish, itchy at injection site, headache.


VAERS ID: 1470351 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-06-17
Onset:2021-07-07
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol sulfate HFA 108 (90 Base) MCG/ACT inhaler azelastine (ASTELIN) 0.1 % nasal spray baclofen (LIORESAL) 20 MG tablet Cranberry 1000 MG capsule fluticasone (FLONASE) 50 MCG/ACT nasal spray furosemide (LASIX) 40 MG tablet HYDROcodone-a
Current Illness:
Preexisting Conditions: COPD fatty liver disease
Allergies: bactrim (swelling) levaquin (swelling) bacitracin-polymyxin B-unknown lac bovis tomato-gi intolerance keflex-rash neosporin-uknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: COVID infection requiring hospitalization


VAERS ID: 1470403 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Rash/hives Welts itching
Other Medications: None
Current Illness: None
Preexisting Conditions: Rash from HiNi vaccine Rash from First COVID shot (Pfizer)
Allergies: None
Diagnostic Lab Data: No lab tests done. Just just clobitisol ointment Rx
CDC Split Type:

Write-up: Rash/hives Welts on upper thighs and right forearm arm and wrist. Excessively itchy! Like it?s on fire! Treating clobitosol ointment. Taking antihistamine to help reduce itching. I had the same reaction after the first vaccine and after the H1N1Vaccine in 2009.


VAERS ID: 1470448 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: N/A
CDC Split Type:

Write-up: Pins and needles (tingling) sensation on both hands and both legs from the knee down.


VAERS ID: 1470451 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-05-05
Onset:2021-07-07
   Days after vaccination:63
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Alopecia, Asthenia, Dyspnoea, Fatigue, Illness, Oropharyngeal pain, Respiratory disorder, Visual impairment
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Respiratory failure (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: Pfzer
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data: Second dose weakness tiredness felt sick to her stomach on the third day woke up lost nearness of sight on the fifth day shortness of breath soreness of the throat in it I am sick stay had respiratory issues soreness or throat loss of hair on the eighth they had numerous issues and then having Been having issues health issues ever since
CDC Split Type:

Write-up: The first dose got numbness in arm weakness tiredness was OK after


VAERS ID: 1470456 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Condition aggravated, Hypoaesthesia, Injection site pain, Insomnia, Limb discomfort, Paraesthesia, Sleep disorder
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)

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

Write-up: The next morning after the vaccine my fingertips went numb at 10 am. This numbness persisted approx 8 hours despite my pumping my arms and flexing my fingers, which would normally get circulation pumping and alleviate "asleep" finger feeling that might occur on a rare occasion. The numbness in my digits came back a week later on Tuesday, July 13, and was later followed about an hour later by a tingling burning feeling in my hands late Tuesday night. It was uncomfortable and kept me from sleeping much the night. Now it is Wednesday, July 14 and my hands are better and I don''t feel that prickly sensation at this moment of writing this report - just a bit of fingertip numbness. I would like to be contacted regarding what step I can and should take regarding my numbness and prickly hands. I also had injection site soreness for 5 days after the vaccine on my left shoulder. That is now better.


VAERS ID: 1470556 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-02
Onset:2021-07-07
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007B21A / 1 AR / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Asthenia, Chest X-ray, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram, Hypoacusis, Musculoskeletal chest pain, Painful respiration
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, Biotin
Current Illness:
Preexisting Conditions: HSV1, Tinnitus, Diabetes
Allergies: No allergies
Diagnostic Lab Data: EKG - 07/11/2021 Chest x-ray - 07/11/2021 Results are not yet known.
CDC Split Type:

Write-up: sharp pain in left chest when breathing in and moving pressure in right chest low energy in whole body feeling of being overwhelmed shortness of breath pain under ribs and stomach that comes and goes hearing sounds in ear when swallowing


VAERS ID: 1470594 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vit d, voltaren gel, folic acid, norco, melatonin, pantoprazole, naprosyn, carafate,
Current Illness: denies
Preexisting Conditions: htn, arthritis, transaminases, b12 def, meth use, smoker, anemia, adenomatous polyp
Allergies: none
Diagnostic Lab Data: na
CDC Split Type:

Write-up: rash, started 4 hours after vaccine. Whole body pruritus, cont for 2 weeks.


VAERS ID: 1470774 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

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: Colgate Prevident 5000 toothpaste
Current Illness:
Preexisting Conditions:
Allergies: Peaches; pitted fruits
Diagnostic Lab Data:
CDC Split Type:

Write-up: Muscle ache at the sight of injection. This lasted for ~4 days.


VAERS ID: 1470793 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048C21H / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Eye swelling, Lip swelling, Pyrexia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 7/7/21 Fever of 101.2, swollen of upper and lower lips - Called UCM , I was prescribed Prednisone. 7/8/21 No fever, swelling of lips subsided , had swollen of face ( both checks and around the eyes) , called UCM , changed Prednisone to MethylPrednisone (I finished the last dose on 7/13) and added Benadryl 50mg 4x a day.


VAERS ID: 1471499 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pruritus
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: N/A
Current Illness: N/A
Preexisting Conditions: Hypertension, GERD, Carpal Tunnel Syndrome
Allergies: Penicillin, Iodine and Shellfish
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Continuous itching at injection site. There has been no treatment. The itching has continued since injection lasting a week at report time.


VAERS ID: 1474008 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Chills, Depressed mood, Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pyrexia
SMQs:, Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Pt states she was fine after first dose. Came to receive second dose and started having a reaction the next day consiting on headache, chills, fever, pain at injection site. Arm started itching and getting a blister the next few days. Came in on 7/14 and injection site reaction getting better, but still blistered, pt is upset


VAERS ID: 1474061 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysmenorrhoea, Fatigue, Menstruation irregular, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: Levothyroxine 25mg
Current Illness: No
Preexisting Conditions: Hypothyroidism
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: The day after first dose was nauseous, fatigued and achy. Ended the next day. Irregular menstrual bleeding and painful cramps started at the same time but hasn''t stopped since. Irregular menustrual bleeding and heavy cramps are still ongoing.


VAERS ID: 1474229 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone, Clonus, Full blood count, Metabolic function test
SMQs:, Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (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: Vitamin D3 125 mcg every 7 days Loratadine 10 mg daily Methylphenidate 10 mg BID Sertraline 50 mg daily testosterone cypionate 26 mg every 7 days
Current Illness: None known
Preexisting Conditions: Autism, ADHD, gender dysphoria transitioning from female to male, allergies
Allergies: Pollen
Diagnostic Lab Data: Complete metabolic panel, CBC, TSH, referred to neurology and psychiatry and endocrine all completed on 7/14/21.
CDC Split Type:

Write-up: Developed clonic jerking of bilateral lower extremities and moved to the upper extremities bilaterally. Continues to have chronic jerking of his bilateral upper extremities.


VAERS ID: 1474303 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-02-24
Onset:2021-07-07
   Days after vaccination:133
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9266 / 1 UN / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Possibly Claritin
Current Illness: none
Preexisting Conditions: none
Allergies: seasonal allergies
Diagnostic Lab Data: rapid covid 7/7/21. nasopharyngeal covid pcr 7/9/21
CDC Split Type:

Write-up: Breakthrough Covid disease


VAERS ID: 1474338 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047C21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan 100mg, Hydrochloride 25mg, Glipizide 5mg, Metformin 1000mg, Nicardipine 60mg, Meclizine, water pill 40mg, Tramodile
Current Illness: no
Preexisting Conditions: diabetes, arthritis, vitiligo, high blood pressure
Allergies: prednisone, methotrexate
Diagnostic Lab Data: no
CDC Split Type:

Write-up: Arm was very sore for 3 days on the 2nd day after taking the vaccine.


VAERS ID: 1474382 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048C21 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Dysphagia, Feeling abnormal, Feeling hot, Headache, Heart rate increased, Malaise, Palpitations, Rash, Rash erythematous, Skin warm
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Apri 0.15-30 MCG-MG Oral tablet daily.
Current Illness: None.
Preexisting Conditions: subclinical hypothyroidism, obesity.
Allergies: No known allergies.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient returned to the office stating "my heart Is beating to fast and I feel like I am on fire." patient stated that she just left our office after receiving her second moderna vaccine. Patient stated that she felt fine when she left the office at after waiting 15 minutes after vaccine, but was driving home and did not feel like herself. Reports not feeling well. Lightheadedness, Palpitations and Rapid Heart Rate, headaches. Increased warmth is noted, normal skin texture, normal skin thickness. Oriented x3. Patient came back to office after moderna vaccine 2nd dose. Stating she feels as if she us on fire and it was hard for her to swallow and she is experiencing chest tightness. Patient denies shortness of breath. Patient was communicating to me in complete sentences without respiratory excretion. Patient had a body wide red rash and she was warm to the touch. Patient denies stopping off any where to eat or drink fluids. Patient stated that she was driving home and noticed she was not feeling well. Patient was administered 50 mg of Benadryl in the right deltoid muscle. 911 was called and patient agreed to go to the nearest emergency room for further evaluation and treatment. 19:20 a unit arrived. patient was stable however, the patient stated that she it is hard for her to swallow. Patient body wide red rash had decreased. patient ambulated to the stretcher without any signs of respiratory distress.


VAERS ID: 1474409 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood lactic acid normal, Computerised tomogram head normal, Condition aggravated, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LORAZEPAM, MUPIROCIN 2% OINTMENT, ALBUTEROL SULFATE HFA, LAMOTRIGINE, IBUPROFEN
Current Illness: NONE REPORTED
Preexisting Conditions: SEIZURE DISORDER
Allergies: LATEX
Diagnostic Lab Data: 7/07/21 - CT SCAN OF HEAD WITHOUT CONTRAST - NEGATIVE, LACTOSE LEVEL - 4/H 7/08/21 - CT SCAN OF HEAD WITHOUT CONTRAST - NEGATIVE
CDC Split Type:

Write-up: INCREASED SEIZURE ACTIVITY - TRANSPORTED TO ER VIA AMBULANCE AND ADMITTED FOR OBSERVATION


VAERS ID: 1474440 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-07-01
Onset:2021-07-07
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Episcleritis, Eye pain, Ocular hyperaemia, Ophthalmological examination abnormal, Uveitis
SMQs:, Anaphylactic reaction (broad), Glaucoma (broad), Optic nerve disorders (broad), Corneal disorders (broad), Scleral disorders (narrow), Ocular infections (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: none
Current Illness: none
Preexisting Conditions: mild Crohn''s disease, in full remission and not on meds
Allergies: none
Diagnostic Lab Data: 7/8/21 - opthomologist appointment 7/13/21 - follow up opthomologist appointment
CDC Split Type:

Write-up: severe eye pain and redness in right eye. per eye doctor, diagnosed as Episcleritis or Uveitis


VAERS ID: 1474467 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-19
Onset:2021-07-07
   Days after vaccination:49
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: pt has been having a constant headache- frontal around to ocipital, Acute nonintractible headache, unspecified headache type. He had the vaccine in - I''m not sure what type of facility it was either


VAERS ID: 1474484 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 607D21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, Hypoaesthesia, Movement disorder
SMQs:, Peripheral neuropathy (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline, Amlodipine, Cetirizine, Pantoprazole, Isosorbide, Losartan, Aspirin, Potassium Chloride, Dexilant, Myrbetriq, Therems M, Midodrine
Current Illness: No other illnesses
Preexisting Conditions: Hypertension, (has heart stents), kidney problems, diabetes
Allergies: Allergy to Gabapentin
Diagnostic Lab Data: Pt went to ER but was sent home and told to monitor her symptoms and return if they worsened
CDC Split Type:

Write-up: 8-12 hours after pt received vaccination, she couldn''t stand up (described as her legs were dead) and had a temperature


VAERS ID: 1474518 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Headache, Hypersomnia, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Welbutrin 150 mg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: The evening after the vaccine I development fever, chills, body aches and a tremendous headache. The next day all I wanted to do was sleep and my head and body still ache but fever had diminished.


VAERS ID: 1474545 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-07-05
Onset:2021-07-07
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Burning sensation, Neuropathy peripheral, Tremor
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (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:
Current Illness:
Preexisting Conditions:
Allergies: Allergic to Shellfish, Chocolate and lamb
Diagnostic Lab Data:
CDC Split Type:

Write-up: burning sensation in feet, neuropathy in feet and legs to calf muscle, neuropathy in hands and some occasional tremor


VAERS ID: 1474552 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-23
Onset:2021-07-07
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (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: Losartan 100mg, Levothyroxine 75mg, Hydrochlorothiazide 25mg, Vitamine D3 2000IU, Magnesium 300mg
Current Illness:
Preexisting Conditions: Hashimoto''s Disease, Hypertension
Allergies:
Diagnostic Lab Data: none yet
CDC Split Type:

Write-up: Tinnitus Constant ticking, pulsating noise in left ear. Started exactly two weeks to the day after 2nd dose of vaccine.


VAERS ID: 1474568 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Diffuse urticarial rash started within 24 hours (both arms, both legs)


VAERS ID: 1474652 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin, atorvastatin, meloxicam, losartan, aspirin
Current Illness:
Preexisting Conditions: rheumatoid arthritis, diabetes
Allergies: codeine, lisinopril, pravastatin
Diagnostic Lab Data:
CDC Split Type:

Write-up: lightheadedness, palpitations


VAERS ID: 1474677 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-02-23
Onset:2021-07-07
   Days after vaccination:134
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032H20A / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea exertional, Lung opacity, Pain, Pleural effusion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Systemic lupus erythematosus (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, aggrenox, atorvastatin, furosemide, lisinopril, metoprolol, omeprazole, ergocalciferol, folic acid, pregabalin, rivastigmine, trazodone
Current Illness:
Preexisting Conditions: CAD, HTN, lung CA s/p LLL resection, alzheimer''s dementia, osteoarthritis, DM2, CKD stage 3, GERD
Allergies: celebrex, diovan, paxil, milnacipran, hair dye
Diagnostic Lab Data: 7/7: SARS CoV2 RNA PCR- positive 7/7: CXR- diffuse hazy opacities and moderate pleural effusion w/L upper lobe lobectomy hx.
CDC Split Type:

Write-up: Pt who resides in an assisted living facility w/multi comorbidities p/w SOB w/exertion, coughs and bodyaches. Was found to be COVID positive and O2 sats in the 80s. Was admitted for medical management of acute hypoxic respiratory failure 2ndary to COVID-19 viral PNA despite having received Moderna vaccines (1/26 & 2/23). She was initiated on dexamethasone and O2. Showed rapid improvements and was ultimately discharged 2 days later back to her assisted living facility w/follow-up.


VAERS ID: 1474827 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-05
Onset:2021-07-07
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Hypoaesthesia, Injection site erythema
SMQs:, Severe cutaneous adverse reactions (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (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: cabergoline 25mg
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: no
CDC Split Type:

Write-up: after 2 days of receiving the vaccine felt numbness at the top 2/3rds of her thumb index and middle finger of her left hand, redness at injection site and blistering on her arm


VAERS ID: 1475193 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-07-05
Onset:2021-07-07
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040C21A / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Not sure.
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient experienced swelling in his left upper lip about two days after taking the vaccine. On 07-15-21, he purchased some claritin to help with the symptoms.


VAERS ID: 1475194 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821287 / 1 - / -

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

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

Write-up: No issue with injection . Found out on 07/13/2021 that pt recieved Pfizer vaccine in March. Originally query in database system that store uses didn''t populate this for pt


VAERS ID: 1478025 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / 2 LA / IM

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

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

Write-up: Patient was given dose 1 of Pfizer 19MAY2021 at the vaccine clinic. Patient had surgery a few weeks later, and was told by separate staff that did their Covid test that they needed to restart their series because they were outside of 42 days since their first shot, incorrectly and against studies. The patient came back to the vaccine clinic and told staff they needed dose 1, and was given a dose of Moderna. Patient has had no known reaction since either vaccine, and is seen as dose complete.


VAERS ID: 1478101 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-13
Onset:2021-07-07
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 1 LA / IM

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

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

Write-up: None reported by client


VAERS ID: 1478112 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-27
Onset:2021-07-07
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: NKDA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Vaccinated twice using 2 different type of vaccine (Janssen and Moderna)


VAERS ID: 1478117 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-05
Onset:2021-07-07
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, Infection
SMQs:, Taste and smell disorders (narrow), Immune-mediated/autoimmune disorders (broad)

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

Write-up: BREAKTHROUGH INFECTION. LOSS OF TASTE AND SEMILL


VAERS ID: 1478155 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adnexa uteri pain
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: Promethazine
Current Illness:
Preexisting Conditions: POTS
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sharp twinges of pain in both ovaries.


VAERS ID: 1478184 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH COVID-19 VACCIN / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Diarrhoea, Dyspnoea, Lip swelling, Sensation of foreign body, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: Fluticasone Propionate x2/day; Losartan-Hydrochlorothiazide 50-12.5 mg per tablet x1/day; Famotidine 40 mg tablet x1/day; Pantoprazole 40 mg tablet x1/day; Levocetirizine 5 mg Tablet x1/day; Trazodone 50 mg tablet x2 tabs/day; B-complex wit
Current Illness: None.
Preexisting Conditions: Asthma.
Allergies: Aspirin - difficulty breathing; Peanuts - anaphylaxis; Shellfish - anaphylaxis; Bee Stings - late phase anaphylaxis.
Diagnostic Lab Data: None noted.
CDC Split Type:

Write-up: At approximately 7:00pm on 7/7/2021, I started to show signs of an anaphylaxis reaction. Those include: lip swelling, facial swelling, moderate difficulty breathing, anxiety, and severe diarrhea. Since it was late in the evening, I treated with an Albuterol inhaler, which provided very little relief. On 7/8/2021, I went to Urgent Care and was given a course of Prednisone, starting at 60mg and tapering down. Lip and facial swelling and diarrhea continued to be moderate to severe. On 7/9/2021, my breathing condition improved while still on 60mg of Prednisone. Facial and lip swelling continued. Additional diarrhea continued, but not as severe. On Sunday, 7/11/2021, as I reduced to 40mg of Prednisone, my condition deteriorated starting at 10:00am. Facial and lip swelling worsened, there was quite a bit of difficulty breathing and more diarrhea. However, I started to feel a lump in my throat as well. An on-call nurse asked me to take 25mg of Benadryl-- which I did. On 7/11/2021 at approximately 3:00pm, I went to the Emergency Room. O2 Sat levels ranged from 88 % to 95% and my BP was in the normal range. At 5:00pm, I was given additional Prednisone orally to increase that daily does to 60mg. I remain on a tapering dose today-- at 40mg and decending.


VAERS ID: 1478190 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-01-07
Onset:2021-07-07
   Days after vaccination:181
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0410 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin Amlodipine/Benazipril
Current Illness: None
Preexisting Conditions: Alergic Asthma Hypertension Elevated Cholestoral
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Diagnosis Probable Idiopathic Urticaria treated with Aatrax. 6 months post vaccination unknown cause of continual hive eruptions over the past 10 days . Multiple sites including Arms, Legs, Buttocks and face. Symptoms respond to antihistamine treatment but reoccur when medication is stopped. Currently on chronic antihistamine treatment as per physician.


VAERS ID: 1478282 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-06-24
Onset:2021-07-07
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Electrocardiogram abnormal, Heart rate increased, Pericarditis, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (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), Chronic kidney disease (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Gluten, soy, beets
Diagnostic Lab Data: EKG which he used to diagnose pericarditits. Calcium scan, haven''t received results back yet. Echocardiogram scheduled.
CDC Split Type:

Write-up: Started feeling chest pain and heart rate elevated. Hard time sleeping, breathing a bit more labored. Went to the cardiologist yesterday and he said I have pericarditis.


VAERS ID: 1478328 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

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

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

Write-up: J&J COVID 19 vaccine given 15 minutes after expiration.


VAERS ID: 1478385 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 1 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Pyrexia, Rash, Rash pruritic, Vaccination complication, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Partial Medication List: ? ascorbic acid 500 mg G-Tube Daily ? aspirin 81 mg G-Tube Daily ? cetirizine 10 mg G-Tube Daily ? chlorhexidine 15 mL Swish and Spit BID ? fluocinonide Topical BID ? Lactobacillus acidophilus 1 capsule G-Tub
Current Illness: Recent illnesses included severe c-diff infection and proteus UTI requiring ICU admission on 6/29. Pt continues to be treated for these issues
Preexisting Conditions: Pt w/ complex medical hx including anorexia, hypothyroidism, PEG, gait difficulty, Dysphagia, bed sores, and COVID hypoxia w/ severe hyponatremia in 2/21.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: "Pt w/ complex medical hx including anorexia, hypothyroidism, PEG, gait difficulty, Dysphagia, bed sores, and COVID hypoxia w/ severe hyponatremia in 2/21. Complete medical hx not available. Recent illnesses included severe c-diff infection and proteus UTI requiring ICU admission on 6/29. Transferred to the floor on 6/30. Now transfered to Hospital post vaccination for ongoing management. Pt developed rash post vaccination (mildly itchy, mostly on trunk) that has lasted $g4days. Pt also had fever and WBC of 20 w/in 24hrs that was attributed to the vaccine. Partial Medication List: ? ascorbic acid 500 mg G-Tube Daily ? aspirin 81 mg G-Tube Daily ? cetirizine 10 mg G-Tube Daily ? chlorhexidine 15 mL Swish and Spit BID ? fluocinonide Topical BID ? Lactobacillus acidophilus 1 capsule G-Tube Daily ? levothyroxine 25 mcg G-Tube Daily (0600) ? melatonin 3 mg G-Tube QHS ? multivitamin with folic acid 1 tablet G-Tube Daily ? neomycin-polymyxin-hydrocortisone 3 drop Left Ear QID ? sertraline 50 mg G-Tube Daily ? vancomycin 125 mg Oral BID"


VAERS ID: 1478446 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-16
Onset:2021-07-07
   Days after vaccination:113
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007N20A / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039AA21A / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Cough, Dyspnoea, Pneumonia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: HTN tpe 2 diabetes, hyperlipidemia, cardiomyopathy, CAD
Allergies: NKA
Diagnostic Lab Data: SARS COV 2 PCR COVID 19 detected on 7/8/2021
CDC Split Type:

Write-up: He received Moderna Vaccine on 02/16/2021 and 03/16/2021. No reactions developed after two vaccinations. 7.7.21: Patient developed difficulties of breathing one week and presented to ER on 7/7/2021 and has been hospitalized since 07/07/2021. Presented with cough, chest pain, and shortness of breath. Diagnosed with pneumonia 7.11.21: discharged home.


VAERS ID: 1479643 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Aphthous ulcer, Chills, Dizziness, Ear pain, Eye irritation, Headache, Hot flush, Muscle twitching, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, Skin warm, Tinnitus, Vestibular neuronitis
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dyskinesia (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Corneal disorders (broad), Hearing impairment (narrow), Vestibular disorders (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Acid reflux
Preexisting Conditions:
Allergies: Sulfamethoxazole & Trimethoprim
Diagnostic Lab Data:
CDC Split Type:

Write-up: Felt dizzy 10-15 minutes right after the shot, but managed to drive home. High fever at night with chills, body ache, headache, abdominal pain, ear pain, arm pain, burning eyes and hot flash. Fever didn''t go away unitl 7/12 evening, chills were gone but all other symptoms stay. Since 7/8, also developed painful sore throat and canker sore on tongue. Dizziness is constant since day (7/7). On 7/14, had sudden increased dizziness, scalp twitching/headche, ring in left ear and sharp ear pain from right ear, right face hot to touch, almost fainted. Saw Internal doctor on 7/15, was diagnosed as Vestibular Neuronitis. Til today, I have constant dizziness, headache with scalp twitching, ear pain and right face hot to touch.


VAERS ID: 1481087 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Chills, Dyspnoea, Electrocardiogram, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210708; Test Name: Chest X-ray; Result Unstructured Data: Not reported; Test Date: 20210708; Test Name: EKG; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210716713

Write-up: SHORTNESS OF BREATH-A LITTLE; CHEST PAIN; CHILLS; NAUSEA; FEVER; MUSCLE PAIN; This spontaneous report received from a patient concerned a 23 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 06-JUL-2021 18:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 07-JUL-2021, the subject experienced shortness of breath-a little. On 07-JUL-2021, the subject experienced chest pain. On 07-JUL-2021, the subject experienced chills. On 07-JUL-2021, the subject experienced nausea. On 07-JUL-2021, the subject experienced fever. On 07-JUL-2021, the subject experienced muscle pain. On 08-JUL-2021, Laboratory data included: Chest X-ray (NR: not provided) Not reported, and EKG (NR: not provided) Normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from nausea, fever, chills, muscle pain, shortness of breath-a little, and chest pain. This report was non-serious.


VAERS ID: 1481091 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       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? 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: USJNJFOC20210717257

Write-up: INJECTION SITE SORE ARM; This spontaneous report received from a patient concerned a 75 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, expiry: UNKNOWN) dose was not reported, administered on 07-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-JUL-2021, the subject experienced injection site sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site sore arm. This report was non-serious.


VAERS ID: 1481096 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hyperhidrosis, Loss of consciousness, Peripheral coldness
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), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210718535

Write-up: LOST CONSCIOUSNESS; COLD TO THE TOUCH; SWEATY; This spontaneous report received from a consumer concerned a 25 year old male. The patient''s weight was 68 kilograms, and height was 170 centimeters. No past medical history or concurrent conditions were reported. The patient experienced drug allergy when treated with azithromycin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 206A21A expiry: UNKNOWN) dose was not reported, 1 total administered on 07-JUL-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 07-JUL-2021, few minutes after the vaccination, the patient lost consciousness and regained it a minute later. The patient was also cold to the touch and sweaty. The patient had visited the doctor/healthcare professional office. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from lost consciousness, cold to the touch, and sweaty on 07-JUL-2021. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210718535- covid-19 vaccine ad26.cov2.s-Lost consciousness. This event(s) is considered un-assessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1481121 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203AZ1A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Blood test, Computerised tomogram, Feeling abnormal, Hypoaesthesia, Nausea, Pain, Pain in extremity, Urine analysis, Vomiting, Weight decreased
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no reaction to vaccines previously.
Allergies:
Diagnostic Lab Data: Test Date: 20210708; Test Name: Blood test; Result Unstructured Data: not reported; Test Date: 20210708; Test Name: CAT scan; Result Unstructured Data: not reported; Test Date: 20210708; Test Name: Urine analysis; Result Unstructured Data: not reported
CDC Split Type: USJNJFOC20210723452

Write-up: HANDS, ARMS AND FACE BECAME FUZZY; HANDS, ARMS AND FACE BECAME NUMB; LOST 2 POUNDS IN 4 HOURS; SEVERE SORENESS IN HIS LEFT ARM; SORENESS IN SHOULDERS AND DOWN BACK; NAUSEA; SEVERE STOMACH PAIN; SEVERE VOMITING; SORENESS ALL DAY; This spontaneous report received from a parent concerned a 21 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no reaction to vaccines previously. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, expiry: unknown) dose was not reported, 1 total administered on 07-JUL-2021 10:30 to left arm for prophylactic vaccination. No concomitant medications were reported. On 07-JUL-2021 around 23.00 after vaccination, the patient developed severe soreness on left arm, shoulders and down back; it was reported that the patient had soreness all the day. The patient had severe vomiting to which patient lost two pounds in four hours. On 08-JUL-2021, patient was taken to ER (emergency room) at 5:45 and he continued to have severe stomach pain (stomach was moving), nausea and vomiting. The patient''s hands, arms and face became fuzzy and then numb. The patient was given multiple unspecified medications to ease symptoms, along with an unspecified IV (intravenous). The patient also had tests of blood, urine and a CAT (computerized tomography) scan and the results were not reported. The patient was treated with morphine and was discharged from ER (emergency room) around noon on 08-JUL-2021. The patient''s stomach was still not all the way well at the time of this report. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe stomach pain, and the outcome of severe vomiting, soreness all day, nausea, hands, arms and face became fuzzy, hands, arms and face became numb, severe soreness in his left arm, soreness in shoulders and down back and lost 2 pounds in 4 hours was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0- 20210723452- covid-19 vaccine ad26.cov2.s- severe stomach pain, severe vomiting, soreness all day, hands, arms and face became fuzzy, hands, arms and face became numb, lost 2 pounds in 4 hours . This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20210723452- covid-19 vaccine ad26.cov2.s- nausea, severe soreness in his left arm, soreness in shoulders and down back. This event(s) is labeled per Agency and is therefore considered potentially related.


VAERS ID: 1481159 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Ageusia, Anosmia, Feeling hot, Lower respiratory tract infection, Nasopharyngitis
SMQs:, Taste and smell disorders (narrow), Infective pneumonia (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:
Current Illness: Alcohol use (Occasionally); Non-smoker
Preexisting Conditions: Comments: The patient had no known allergies. The patient did not have any drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210725918

Write-up: LOSS OF SMELL; WARM; LOSS OF TASTE; CHEST COLD; HEAD COLD; This spontaneous report received from a patient concerned a 48 year old female. The patient''s weight was 145 pounds, and height was 64 inches. The patient''s concurrent conditions included alcohol user, and non-smoker, and the patient had no known allergies. The patient did not have any drug abuse or illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025, expiry: UNKNOWN) dose was not reported, 1 total, administered on 08-APR-2021 to left arm as prophylactic vaccination. No concomitant medications were reported. On 07-JUL-2021, the patient had head cold and chest cold. On 10-JUL-2021, the patient had loss of smell, taste and was warm. On 13-JUL-2021, the patient was scheduled for COVID test. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from head cold, loss smell, warm, chest cold, and loss of taste. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0 20210725918-COVID-19 VACCINE AD26.COV2.S-chest cold. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1481218 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Headache, Injection site pain, Myalgia, Pain in extremity, Rectal haemorrhage, Rhinorrhoea
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Ischaemic colitis (broad), Cardiomyopathy (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210728244

Write-up: SHORTNESS OF BREATHE WHILE DOING STRENUOUS WALKING; RUNNY NOSE; SLIGHT SORENESS IN LEFT ARM; SLIGHT SORENESS IN LEFT ARM DELTOID AND TRAPEZOID MUSCLE; INJECTION SITE SORENESS; EPISODES OF BOWEL MOVEMENT ACCOMPANIED BY BLOODY DISCHARGE FROM RECTUM; SLIGHT/MILD/DULL HEADACHE; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown expiry: unknown) dose was not reported,1 total administered on 07-JUL-2021 16:45 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 07-JUL-2021 16:45 after 30 minutes to one hour after the injection patient experienced slight headache, after fifteen hours of injection on 08-JUL-2021 patient experienced slight soreness in left arm, deltoid and trapezoid muscle and runny nose. Patient also experienced first bowel movement accompanied by bloody discharge from rectum after fifteen hours of injection followed by second bowel movement accompanied by bloody discharge from rectum after eighteen hours of injection on 08-JUL-2021 and third bowel movement accompanied by bloody discharge from rectum after twenty hours of injection on 08-JUL-2021. After forty two hours of injection on 09-JUL-2021 bowel movement was normal and no bloody discharge from rectum was there, his left arm was still slightly sore and had occasional mild headache and experienced shortness of breath later that day on 09-JUL-2021 when doing strenuous walking. Patient reported that approximately after seventy two hours of the injection there was slight soreness at injection site and dull headache at times. Patient stated not to experience all of these symptoms before the injection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from episodes of bowel movement accompanied by bloody discharge from rectum on 09-JUL-2021, was recovering from slight/mild/dull headache, slight soreness in left arm deltoid and trapezoid muscle, slight soreness in left arm, and injection site soreness, and had not recovered from shortness of breathe while doing strenuous walking, and the outcome of runny nose was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210728244-Covid-19 vaccine ad26.cov2.s-Episodes of bowel movement accompanied by bloody discharge from rectum. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1481252 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Poor quality product administered, Product storage error
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210729376

Write-up: SOME VACCINES DRAWN UP IN THE COOLER AT 8:30 AM AND DELIVERED THE LAST DOSE AT 3 PM IN THE AFTERNOON (AFTER MORE THAN 6 HOURS OF TIME); FILLED SYRINGE STORED FOR MORE THAN 6 HOURS IN A COOLER GIVEN TO A PATIENT; This spontaneous report received from a health care professional concerned a 74 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: 05-AUG-2021) dose was not reported, administered on 07-JUL-2021 15:00 for prophylactic vaccination. No concomitant medications were reported. On 07-JUL-2021, the subject experienced some vaccines drawn up in the cooler at 8:30 am and delivered the last dose at 3 pm in the afternoon (after more than 6 hours of time). On 07-JUL-2021, the subject experienced filled syringe stored for more than 6 hours in a cooler given to a subject. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the some vaccines drawn up in the cooler at 8:30 am and delivered the last dose at 3 pm in the afternoon (after more than 6 hours of time) and filled syringe stored for more than 6 hours in a cooler given to a patient was not reported. This report was non-serious.


VAERS ID: 1481289 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: California  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Hypoaesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210731904

Write-up: NUMBNESS OF TWO FINGERS AND THE RIBS OF THE PALM ON THE LEFT ARM; REDNESS HAS FORMED ON THE BEND OF THE ELBOW; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received COVID-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 01-JUL-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 07-JUL-2021, the subject experienced numbness of two fingers and the ribs of the palm on the left arm. On 07-JUL-2021, the subject experienced redness has formed on the bend of the elbow. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from numbness of two fingers and the ribs of the palm on the left arm, and had not recovered from redness has formed on the bend of the elbow. This report was non-serious.


VAERS ID: 1481352 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-24
Onset:2021-07-07
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW01A3 / 2 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Exposure during pregnancy, Foetal monitoring normal, Urine analysis normal, Vaginal discharge, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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: Prenatal Vitamins; Iron Supplement.
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: Urinalysis, 7/8/2021, normal; Fetal stress test, 7/8/2021, normal.
CDC Split Type: vsafe

Write-up: So basically at the seventh of July 2021, I had a pinkish red discharge. Then after the bleeding stopped there was some brownish discharge and I went to the doctor, the doctor monitored me on July 8th, 2021, checking baby''s heart and movement. They also checked my vagina and cervix to confirm there was no more bleeding at that time. They said I was okay and they not concerned about it. They also did a test of my urine and found nothing abnormal. I was at the doctor approximately three hours. This is my first child so I have not had any others. My date of delivery is September 21, 2021. The doctor I saw was a certified NP.


VAERS ID: 1481404 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EU0177 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline, Buprenorphine/Naloxone
Current Illness: None
Preexisting Conditions: Depression, Anxiety
Allergies: Sulfa drugs, penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extreme swelling of Face. Eventually swelling went away on its own over the course of a few hours. Have pictures of reaction. Afraid of getting second dose.


VAERS ID: 1483592 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoaesthesia, Joint range of motion decreased
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high (Diagnosed a million years ago.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021861212

Write-up: can''t lift his arm; feeling a lot of numbness; This is a spontaneous report from a contactable consumer (patient). A 59-year-old male patient received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration in arm right on 07Jul2021 (Lot Number: FA6780) as a single dose at the age of 59-year-old for covid-19 immunisation. Medical history included hypertension (diagnosed a million years ago). The patient previously received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route on 03Jun2021 (Lot Number: EV0179 or EVI079) as a single dose at the age of 59-year-old for covid-19 immunisation. The patient''s concomitant medications were not reported. The patient feeling a numbness started a few hours after the shot and unable to lift his arm started on 07Jul2021 night. The outcome of the events was not recovered. No follow-up attempts are possible; No further information is expected.


VAERS ID: 1483626 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-04
Onset:2021-07-07
   Days after vaccination:94
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VALTREX; WELLBUTRIN; BERBERINE; MAGNESIUM; K2; OMEGA 3 & 6
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Sulfonamide allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210619; Test Name: Nasal Swab; Test Result: Negative ; Test Date: 20210701; Test Name: Nasal Swab; Test Result: Negative ; Test Date: 20210710; Test Name: Nasal Swab; Test Result: Positive
CDC Split Type: USPFIZER INC2021874727

Write-up: COVID-19 confirmed by positive COVID-19 test; COVID-19 confirmed by positive COVID-19 test; This is a spontaneous report from a contactable consumer, the patient. A 47-years-old non-pregnant female patient received BNT162B2 (Lot Number: emu199) via an unspecified route of administration, administered in Left arm, on 13Mar2021 at 13:00 as dose 1, single (age at vaccination: 47 years) and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number: ew0150), via an unspecified route of administration, administered in Left arm on 04Apr2021 at 14:00 as dose 2, single (age at vaccination: 47 years) for COVID-19 immunization. Medical history included known allergies to sulfa drugs from an unknown date and unknown if ongoing. Concomitant medication included valaciclovir hydrochloride (VALTREX); bupropion hydrochloride (WELLBUTRIN); berberine; magnesium; menaquinone-7 (K2) and fish oil, oenothera biennis oil, tocopheryl acetate (OMEGA 3 & 6), all taken for unspecified indications, start and stop dates were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient stated that, on 07Jul2021, she contracted COVID and COVID-19 confirmed by positive COVID-19 test on 10Jul2021. Reportedly, the patient was not diagnosed with COVID-19, prior to vaccination and since the vaccination, had been tested for COVID-19 via Nasal Swab on 19Jun2021 and 01Jul2021, both with negative results. There was no corrective treatment. The outcome of the events was not recovered. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1483633 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-29
Onset:2021-07-07
   Days after vaccination:69
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Bronchitis, COVID-19, Malaise, Pneumonia, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210710; Test Name: molecular test; Test Result: Positive ; Test Date: 20210707; Test Name: Rapid COVID swab; Test Result: Positive
CDC Split Type: USPFIZER INC2021880789

Write-up: COVID-19 confirmed by positive COVID-19 test; thought she had pneumonia or bronchitis; Caller states she would have reported within 24 hours, but she just did not feel well enough.; thought she had pneumonia or bronchitis; COVID-19 confirmed by positive COVID-19 test; This is a spontaneous report from a contactable consumer (patient). A 44-years-old female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot Number: ER8736), via an unspecified route in the right arm on 29Apr2021 at 08:00 (at the age of 44-years) as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: GN6204), via an unspecified route in the left arm on 08Apr2021 at 08:00 as dose 1, single for COVID-19 immunization. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 07Jul2021, the patient experienced and went to urgent care, she thought she had pneumonia or bronchitis, they did a rapid test and the rapid test came back positive and that day, she went to the store drive-thru to get a molecular test and on 10Jul2021, the molecular test came back positive but they didn''t specify if it was the variant or not. Patient stated that she would have reported within 24 hours, but she just did not feel well enough and she is perfectly healthy, she''s not on any medications. The patient visited to physician office and not went to emergency room. The outcome of the events was unknown.


VAERS ID: 1483795 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chest pain, Laboratory test normal
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: I started having chest pains. Thought I was having a heart attack.


VAERS ID: 1483910 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-28
Onset:2021-07-07
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

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

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

Write-up: delayed rash that started on arms and has now spread to trunk area


VAERS ID: 1483942 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-06
Onset:2021-07-07
   Days after vaccination:62
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Peripheral artery thrombosis
SMQs:, Embolic and thrombotic events, arterial (narrow)

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

Write-up: right brachial artery thrombosis


VAERS ID: 1484047 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-24
Onset:2021-07-07
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: phenobarbitol, carbamezopine, amlodopine, isebertan, centrum multi
Current Illness: none
Preexisting Conditions: avm brain
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: SWELLING OF RIGHT EYE , ITCHY RASH MULTIPLE ARES ON BODY


VAERS ID: 1484069 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-04-21
Onset:2021-07-07
   Days after vaccination:77
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram abnormal, Chest X-ray, Chest pain, Electrocardiogram, Fibrin D dimer, Full blood count, Haemoptysis, Hepatitis viral test, Metabolic function test, Pulmonary embolism, Troponin, Urine analysis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: tamsulosin, atorvastatin, omeprazole
Current Illness: None
Preexisting Conditions: mixed hyperlipidemia, BPH, GERD, hx Hepatitis C (treated)
Allergies: NKDA
Diagnostic Lab Data: CTA, CBC, hepatic panel, UA, troponin, D dimer, BMP, CXR, EKG 7/6/2021
CDC Split Type:

Write-up: Patient had no problems at the time of either first or second vaccine. He started having chest pain and hemoptysis on 7/2/2021 and was seen an a local emergency hospital on 7/6/2021. He was diagnosed with a pulmonary embolism, by CTA. No history of VTE and no provoking factors - had short flight prior to onset of symptoms.


VAERS ID: 1484574 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-25
Onset:2021-07-07
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011D21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Back pain, Dizziness, Dyspnoea, Fatigue, Flank pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (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: none listed
Current Illness: none listed
Preexisting Conditions: none listed
Allergies: none listed
Diagnostic Lab Data: none told
CDC Split Type:

Write-up: Patient began having lots of abdominal and side pain. Went to the ER to rule out appendicitis. ER sent pt home. He continues to have pain in side, abdomen and now pain in back and front of legs, also has fatigue, very winded and sort of short of breath and also dizzy.


VAERS ID: 1484682 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-23
Onset:2021-07-07
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood test, Computerised tomogram, Condition aggravated, Guillain-Barre syndrome, Headache, Hypoaesthesia, Mobility decreased, Paraesthesia, Plasmapheresis, Walking aid user
SMQs:, Peripheral neuropathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations: Swine Flu -1970s- diagnosed with GBS
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Cat scans Blood work plasma blood exchange
CDC Split Type:

Write-up: Bad headaches, tingling and numbness in hands and feet, getting weaker, unable to move around. Getting very weak. Knew it was GBS. Went to hospital for plasmas exchange. Has had GBS before. Worried about taking Covid vax. Needs walker to get around. Taking physical therapy at home.


VAERS ID: 1484695 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: New York  
Vaccinated:2021-02-12
Onset:2021-07-07
   Days after vaccination:145
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Headache, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprolol tartrate 25 mg PO q12h Mycophenolate mofetil 500 mg PO BID Cyclosporine 75 mg PO BID Nifedipine ER 60 mg PO once daily Mirabegron 25 mg ER PO once daily Metronidazole 0.75% cream
Current Illness:
Preexisting Conditions: Rosacea Alcoholic cirrhosis C. difficile Liver transplant 4/2015 Chronic kidney disease stage 3 Hyperlipidemia Idiopathic progressive neuropathy Hypertension Frequent urination
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient returned from vacation and subsequently developed headache, cough, dyspnea. He was found to be COVID+ on 7/12. He was admitted to the hospital on 7/15 due to worsening dyspnea, where he is currently on high-flow nasal cannula.


VAERS ID: 1484717 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-06-29
Onset:2021-07-07
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Pain, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt presented to ED 8 days after second covid injection due to pain for 5 days and diagnosed with PE


VAERS ID: 1485047 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Feeling hot, Hyperhidrosis, Nausea, Oropharyngeal discomfort, Tremor, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VALIUM 5MG TAB Q 6 HRS FOR MUSCLE SPASMS BENADRYL PRN FOR ALLERGIES GABAPENTIN 1 CAPS TID ZOFRAN, SEROQUEL HS, IMITREX FOR ONSET OF MIGRAINES TOPAMAX
Current Illness: UNKNOWN
Preexisting Conditions: ANXIETY, ASTHMA, SCHIZOPHRENIC DISORDER PER MEDICAL RECORDS
Allergies: PENICILLIN, LATEX, RELAFEN, GEMIFLOXACIN, CYCLOBENZAPRINE
Diagnostic Lab Data: PER MEDICAL RECORD CLIENT WAS GIVEN ''50 OF BENEDRYL IV BY EMS AND SHE REPORTED IMPROVEMENT IN HER THROAT. GIVEN SOLUMEDROL IN THE ER PER MEDICAL NOTES. CLIENT DISCHARGED AFTER ABOUT 2.5 HRS.
CDC Split Type:

Write-up: CLIENT STATES SHE WAS FEELING WARM, DIZZY, AT 10:45, STARTED TO SWEAT AND STATED THAT SHE HAD A ''FROG IN HER THROAT'' AND STARTED TO GASP. 10:47 0.15 MG OF BENEDRYL GIVEN IM IN R THIGH AND EMS WAS CALLED CLIENT SP O2 IS 88%, CLIENT REPORTS BEING NAUSEAOUS AND SHAKING THROWS UP SMALL AMOUNT OF FOAMY CLEAR FLUID. CLIENT SP 02 IS 98% EMS ON SITE, TAKES CLIENT TO ER VIA AMBULANCE. LEAVES CLINIC BY 11AM APPROXIMATELY CLIENT GOES TO ER


VAERS ID: 1485103 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-28
Onset:2021-07-07
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 051C21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Menstrual disorder, Polymenorrhoea, Premature ovulation
SMQs:, Fertility disorders (narrow)

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

Write-up: I ovulated early (day 11) and my menstrual cycle was only 21 days long. I am actively trying to get pregnant so I have 1+ years worth of cycle history to show that this 21 day cycle, 10 day luteal phase and day 11 ovulation was an abnormal event.


VAERS ID: 1485121 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-02
Onset:2021-07-07
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site pain
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)

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

Write-up: Since the second shot of the vaccine I have been experiencing numbness in my feet and hands like they are falling asleep. Also thought it was weird that everybody complained about getting a little sick after the second shot and with me I did not get any side affects. Of course arm hurt where the shot was but only for a few hours. Other then that no side effects except for the feet and hand thing which might not even be related to the vaccine. Just thought I would let you know just in case others have had the same thing happen. Thanks


VAERS ID: 1485199 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Feeling hot, Headache, Neck pain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad)

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

Write-up: Patient felt hot, fainted, and fell out of chair. He regained consciousness and was helped up while EMS arrived. The patient was assessed and given water and a snack. He informed the pharmacist on duty that his neck and head were a little sore from the fall but that he was feeling better.. After speaking to EMS he stayed for about 20 minutes then left.


VAERS ID: 1485431 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Blood test, Chills, Disorientation, Fatigue, Headache, Muscle spasms, Pain, Pyrexia, Urine analysis, White blood cell count decreased
SMQs:, Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Finasteride Minixodil Vitamin E Fish Oil supplement
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I went to the ER on 7/10. Blood and urine were collected and tested and my vitals were all healthy. Slightly low white blood count.
CDC Split Type:

Write-up: Two days of severe body aches, chills, mild fever. Five additional days of severe leg cramps, loss of strength, headaches, disorientation, extreme fatigue.


VAERS ID: 1485839 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-06-30
Onset:2021-07-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011D21A / 1 LA / IM

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

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

Write-up: pt said she got covid arm 1 week after dose administered and now has tingling and numbness in her arms and legs


VAERS ID: 1485844 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-03-16
Onset:2021-07-07
   Days after vaccination:113
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ? Estradiol (ESTRACE) 0.01 % (0.1 mg/gram) Vagl Crea INSERT 1 GRAM INTRAVAGINALLY ONCE A WEEK 42.5 g PRN ? RETIN-A 0.1 % Top Crea Apply to affected area(s) daily 20 g 99 docusate sodium, vit, bcomplex. mag
Current Illness:
Preexisting Conditions: hyperlipidemia and GERD
Allergies: Sulfa and Thimerosal
Diagnostic Lab Data: PCR Covid test 7/7/2021
CDC Split Type:

Write-up: Positive covid test 7/7/2021. Pt did report of a negative covid test done outside of clinic after this positive.


VAERS ID: 1486818 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-12
Onset:2021-07-07
   Days after vaccination:117
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Inflammatory marker test, Intensive care, Laboratory test, SARS-CoV-2 test positive
SMQs:, Cardiomyopathy (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Rosuvastatin 20mg Vit C Vit B complex
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Covid test Multiple lab tests Inflammatory markers Chest X-ray
CDC Split Type:

Write-up: Currently, my husband is in the ICU with Covid pneumonia and on full psh oxygen of 80 liters fighting for his life. The J & J vaccine gave him little or no protection against the virus


VAERS ID: 1486869 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

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

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

Write-up: No adverse event has been reported. This form is being completed because a Jansen vaccine was given to a young man about 1 month away from being 18.


VAERS ID: 1486911 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-02-15
Onset:2021-07-07
   Days after vaccination:142
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none
Preexisting Conditions: HTN
Allergies: unknown
Diagnostic Lab Data: SARS CoV-2 PCR positive 07/19/2021.
CDC Split Type:

Write-up: Received 2nd Pfizer Covid vaccine as listed above on 02/15/2021. Sinus symptoms starting 07/09/2021. Positive Covid-19 PCR test 07/19/2021.


VAERS ID: 1486935 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: LATEX, BUT NO REACTION TO ANY VACCINE IN THE PAST
Diagnostic Lab Data:
CDC Split Type:

Write-up: BLOTCHY CHEST RASH, NAUSEA/VOMITING


VAERS ID: 1486945 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-13
Onset:2021-07-07
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abnormal uterine bleeding, Anaemia, Dizziness, Dyspnoea, Vaginal haemorrhage
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), 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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: N93.9 - Abnormal uterine and vaginal bleeding, unspecified ANEMIA DIZZINESS SHORTNESS OF BREATH


VAERS ID: 1487033 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO178 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Gait inability, Intervertebral disc protrusion, Pain, Pain in extremity
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Shoulder pain, body aches and pain, and right leg was unable to walk


VAERS ID: 1487125 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-03
Onset:2021-07-07
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011D21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Cardiac stress test, Chest pain, Echocardiogram, Electrocardiogram, Electroencephalogram, Inflammation, Pericarditis, Urine analysis, X-ray
SMQs:, Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Losartan 100MG once Daily Celecoxib 100MG once Daily Metformin HCL 250MG Twice Daily Atorvastatin 20MG once Daily Claritin once Daily Men''s One-A-Day Vitamin
Current Illness: None
Preexisting Conditions: High Blood Pressure High Cholesterol Diabetes
Allergies: Zovorax Coconut
Diagnostic Lab Data: EEG EKG Echocardiography X-Rays Heart Stress Test Blood Test Urine Test
CDC Split Type:

Write-up: Received 1st Moderna Vaccine on July 3, July 7 started having light chest pains, over the following days, chest pains increased, July 18, 2021 chest pains increased to severe. Went to Hospital ER, received aspirin and numerous blood test and was admitted into hospital for further testing. Testing revealed inflammation of the chest cavity around the heart. Discharged day later, advised to rest to allow inflammation to decrease.


VAERS ID: 1487193 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-07-07
   Days after vaccination:89
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test abnormal, Gastroenteritis viral
SMQs:

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, vitamin d, fish oil, Magenisum, calcium.
Current Illness: none
Preexisting Conditions: diabetes, hypertension, reflux, sleep apena.
Allergies: Penicillian, sulfer, clyndiamic, Emicin, most antibodies . Bananas and tape.
Diagnostic Lab Data: blood work
CDC Split Type: vsafe

Write-up: I went to the doctor for a stomach virus and found a smudge cell.


VAERS ID: 1489773 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-10
Onset:2021-07-07
   Days after vaccination:147
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9269 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: atorvastatin (LIPITOR) 10 mg tablet buPROPion XL (WELLBUTRIN XL) 150 mg 24 hr tablet busPIRone (BUSPAR) 15 mg tablet cholecalciferol, vitamin D3, 1,000 unit tablet diphenoxylate-atropine (LOMOTIL) 2.5-0.025 mg per tablet DULoxetine (CYMBALT
Current Illness: None
Preexisting Conditions: Nervous BPV (benign positional vertigo) Circulatory Aortic stenosis Essential hypertension Hypertension Digestive Full incontinence of feces Incontinence of feces Musculoskeletal Fibromyositis Endocrine/Metabolic High cholesterol
Allergies: PenicillinsSwelling Lisinopril Penicillin
Diagnostic Lab Data: COVID-19 PCR
CDC Split Type:

Write-up: Cough


VAERS ID: 1489822 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Incomplete course of vaccination, Poor quality product administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021861185

Write-up: Unable to verify if two patients received the correct valid dose of Pfizer Covid 19 vaccine or only diluent; Unable to verify if two patients received the correct valid dose of Pfizer Covid 19 vaccine or only diluent; This is a spontaneous report from a contactable pharmacist. A 12-years-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 07Jul2021 17:00 (age at vaccination 12-years) (Batch/Lot Number: EW0198; Expiration Date: Sep2021) as single dose for covid-19 immunisation at pharmacy. The patient medical history and concomitant medications were not reported. Historical vaccine included first dose of bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 16Jun2021 (Batch/Lot Number: EW0217; NDC/expiration: 59267100001) as single dose for COVID-19 immunization. Pharmacist reported a potential invalid dose of the Pfizer Covid 19 vaccine administered to two patients. Pharmacist is unable to verify if two patients received the correct valid dose of Pfizer Covid 19 vaccine or only diluent. Per the Pharmacist there is no concrete information at this time. The two patients would have been receiving the second dose of the Pfizer Covid 19 vaccine series when this event occurred. Pharmacist shared that additionally, one of the doses of the vaccine may have been a lower than authorized dose (unable to determine if extra diluent used/unable to estimate/thinks it was lower dose). Still unable to provide which patient got potential invalid dose vs. actual dose of vaccine. On 07JUL2021 it was reported that it is unknown if patient got full dose of vaccine or mostly diluent, for second dose. Caller states he called Medical Information earlier to report that, reclarified, the vaccine was given to two people, and they were unsure if one patient got the full vaccine, and one person may have gotten diluent. Further states they used up a vial, and someone tried to mix a new dose with a small amount of vaccine, he estimates less than 5 or 1 percent, of vaccine. No additional Vaccines Administered on Same Date of the Pfizer Suspect. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. No AEs was following prior vaccinations. The outcome of events was unknown. Information about lot/batch number is available. Follow-up attempts are needed


VAERS ID: 1490047 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047C21A / UNK LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Agitation, Arthritis, Burning sensation, Localised infection, Mania, Oedema peripheral, Pain in extremity, Peripheral swelling, Stasis dermatitis, Systemic lupus erythematosus, Vaccination site pain
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Bipolar disorder; Drug allergy (Allergy to Prednisone.); Drug allergy (Allergy to Peroxide (topical).); Drug allergy (Allergy to Methothrexate.); Hepatitis B carrier; Intra-cerebral aneurysm clipping
Preexisting Conditions: Medical History/Concurrent Conditions: Cellulitis; Psoriasis
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Burning sensation on both of her legs; Statis dermatitis; Agitated; Infection leg; arm soreness; Excruciating pain on both legs; Arm soreness at the injection site; Extreme edema in both legs; Triggered Manic episodes; Lupus flare up; Arthritis flare up; Swelling of both legs; This spontaneous case was reported by a patient and describes the occurrence of SYSTEMIC LUPUS ERYTHEMATOSUS (Lupus flare up) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 047C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Psoriasis, Cellulitis and Intra-cerebral aneurysm clipping since an unknown date. Concurrent medical conditions included Drug allergy (Allergy to Methothrexate.), Drug allergy (Allergy to Prednisone.), Drug allergy (Allergy to Peroxide (topical).), Hepatitis B carrier and Bipolar disorder. On 07-Jul-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Jul-2021, the patient experienced SYSTEMIC LUPUS ERYTHEMATOSUS (Lupus flare up) (seriousness criterion medically significant), ARTHRITIS (Arthritis flare up), PERIPHERAL SWELLING (Swelling of both legs), OEDEMA PERIPHERAL (Extreme edema in both legs), MANIA (Triggered Manic episodes), PAIN IN EXTREMITY (Excruciating pain on both legs) and VACCINATION SITE PAIN (Arm soreness at the injection site). On an unknown date, the patient experienced BURNING SENSATION (Burning sensation on both of her legs), STASIS DERMATITIS (Statis dermatitis), AGITATION (Agitated), LOCALISED INFECTION (Infection leg) and PAIN IN EXTREMITY (arm soreness). The patient was treated with AMOXICILLIN at an unspecified dose and frequency and TRAMADOL at an unspecified dose and frequency. On 09-Jul-2021, VACCINATION SITE PAIN (Arm soreness at the injection site) had resolved. At the time of the report, SYSTEMIC LUPUS ERYTHEMATOSUS (Lupus flare up), ARTHRITIS (Arthritis flare up), PERIPHERAL SWELLING (Swelling of both legs), BURNING SENSATION (Burning sensation on both of her legs), OEDEMA PERIPHERAL (Extreme edema in both legs), AGITATION (Agitated), LOCALISED INFECTION (Infection leg), PAIN IN EXTREMITY (Excruciating pain on both legs) and PAIN IN EXTREMITY (arm soreness) outcome was unknown and MANIA (Triggered Manic episodes) and STASIS DERMATITIS (Statis dermatitis) had not resolved. 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. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1490267 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Cardiac monitoring, Echocardiogram, Electrocardiogram, Electrocardiogram QT prolonged, Tachycardia
SMQs:, Torsade de pointes/QT prolongation (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Torsade de pointes, shock-associated conditions (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamictal
Current Illness: Epilepsy
Preexisting Conditions: Epilepsy
Allergies: No.
Diagnostic Lab Data: EKG, blood test, heart monitor, heart ultrasound
CDC Split Type:

Write-up: ER visit where diagnosed with tachycardia and prolonged QT. 2 weeks later still high heart rate of 165 with constant ER visits. On heart monitor until August 12. Mild heart attack suspected on Monday June 11, 2021.


VAERS ID: 1490322 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-30
Onset:2021-07-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Muscular weakness, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Painful and extreme weakness in left hand. Specifically, the palm. I cannot make a tight fist or grip anything for long. I took sleeve to help with the pain for 10 days but it has not gone away.


VAERS ID: 1490382 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EYO584 / 2 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO217 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Dizziness, Hypoaesthesia, Nausea, Pain, Pain in extremity, Paraesthesia, Skin tightness
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Extreme pain in arm, getting worse and today has become unbearable. Thumb is numb. Tingling started in forearm, now felt in bicep. Feeling of tightening in arm, pain radiating up through the shoulder and down through elbow. Entire arm feels numb to the touch. Episodes of increasing pain with tightening and numbness. Nausea and dizziness.


VAERS ID: 1490391 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-03-05
Onset:2021-07-07
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood test normal, Chest pain, Computerised tomogram thorax abnormal, Pulmonary embolism, SARS-CoV-2 test negative
SMQs:, Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Drugs
Diagnostic Lab Data: All blood tests including BioFire on 7/9/21 showed nothing out of the ordinary & negative for COVID-19. CT scans on 7/7/21 & 7/10/21 show pulmonary embolism.
CDC Split Type:

Write-up: Although it has been four months since I received the vaccine, I wonder if there is a connection. On 7/7/2021 I went to the emergency room with chest pain. They were able to rule out a heart attack, and with a CT scan discovered I had an acute pulmonary embolism in the lower lobe of my left lung. There is no explanation for where the blood clot came from as I am healthy and active, have had no recent surgeries, no evidence of blood clots elsewhere in the body, and no long trips that could explain the development of a blood clot. I am undergoing lots of tests but so far no underlying health condition has been discovered that would explain how a blood clot got into my lung. Treatment = Xarelto (blood thinner).


VAERS ID: 1490445 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (narrow)

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

Write-up: 2nd dose of Covid vaccine given at 21 days instead of 28 days.


VAERS ID: 1490447 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (narrow)

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

Write-up: Given at 21 days from 1st dose


VAERS ID: 1490462 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (narrow)

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

Write-up: 2nd dose of Covid given at 21 days instead of 28 days.


VAERS ID: 1490471 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (narrow)

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

Write-up: 2nd dose of Covid vaccine given at 21 days instead of 28 days.


VAERS ID: 1490477 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (narrow)

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

Write-up: Second dose given at 21 days.


VAERS ID: 1490488 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (narrow)

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

Write-up: Second dose given at 21 days after first.


VAERS ID: 1490504 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (narrow)

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

Write-up: 2nd dose of Covid vaccine given at 21 days instead of 28 days.


VAERS ID: 1490514 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2020-12-21
Onset:2021-07-07
   Days after vaccination:198
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Descovy
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Positive covid antigen test 7/8/2021. Repeat covid PCR test on 7/09/21 positive.
CDC Split Type:

Write-up: Developed runny nose, low grade fever (99.9) and dry cough 7/7/2021. Lost sense of taste and smell 7/10/21. Full resolution of symptoms by 7/16/21.


VAERS ID: 1490667 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-07-06
Onset:2021-07-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Diarrhoea, Fatigue, Injection site swelling, Injection site warmth, Malaise, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I woke up with chills the night after the shot. I had heat and swelling where the shot was injected. I felt sick fatigue, vomitting, diarrhea for about a week. I also ran a fever.


VAERS ID: 1490707 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN NOT LISTED / 1 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multi vitamin, vitamin d
Current Illness: None-have not been sick since I had mild Covid in March of 2020.
Preexisting Conditions: Deviated septum.
Allergies: Allergic to dust.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: After about 2 and a half hours, right side neck lymph node swelled up -also pain & tingling in right arm-both lasted 2 days. I got the shot on my right side. Also got a headache & fever the first night,


VAERS ID: 1490800 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / IM

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

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

Write-up: Describe the adverse events, treatment, and outcomes?: enter: ?Patient received vaccine that was stored improperly. Vaccine was moved from ultra-cold freezer to freezer on 6/17/21. According to guidance from Pfizer, vaccine stored in the freezer after day 17 is considered improperly stored, and the patient will need to be re-vaccinated.?


Result pages: prev   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=47&PERPAGE=100&ESORT=ONSET-DATE&REVERSESORT=ON&VAX=COVID19&DIED=No


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