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From the 11/12/2021 release of VAERS data:

Found 5,176 cases where Age is Unknown and Vaccine targets COVID-19 (COVID19) and Symptom is Acute endocarditis or Atypical mycobacterium pericarditis or Autoimmune myocarditis or Bacterial pericarditis or Carditis or Endocarditis or Endocarditis bacterial or Endocarditis enterococcal or Endocarditis noninfective or Endocarditis staphylococcal or Endocarditis viral or Eosinophilic myocarditis or Fungal endocarditis or Giant cell myocarditis or Immune-mediated myocarditis or Lupus endocarditis or Lyme carditis or Meningococcal carditis or Myocarditis or Myocarditis bacterial or Myocarditis infectious or Myocarditis septic or Myopericarditis or Pericarditis or Pericarditis constrictive or Pericarditis infective or Pericarditis lupus or Pericarditis meningococcal or Pericarditis rheumatic or Pericarditis tuberculous or Pleuropericarditis or Purulent pericarditis or Streptococcal endocarditis or Subacute endocarditis or Viral myocarditis or Viral pericarditis

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Case Details

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VAERS ID: 1423061 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Myocarditis
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Vaccine-induced myocarditis; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of MYOCARDITIS (Vaccine-induced myocarditis) in an adolescent male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced MYOCARDITIS (Vaccine-induced myocarditis) (seriousness criterion medically significant). At the time of the report, MYOCARDITIS (Vaccine-induced myocarditis) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. A medical professional physician reported that a second case of apparent vaccine-induced myocarditis in a teenage male 3 days after Moderna vaccine was admitted. No concomitant medication reported. No treatment information was reported. Company comment: Very limited information regarding this event has been provided at this time. Further information has been requested.; Sender''s Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.


VAERS ID: 1423071 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Myocarditis
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021318372

Write-up: Myocarditis; The initial case was missing the following minimum criteria: ICH-Unspecified AE. Upon receipt of follow-up information on 18Jun2021, this case now contains all required information to be considered valid. This is a spontaneous report received from a contactable consumer (Patient). A 76-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EN6200) via an unspecified route of administration on an unspecified date as 2nd dose, single for COVID-19 immunization. No medical history and concomitant medications were reported. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EL9269) via an unspecified route of administration on an unspecified date as 1st dose, single for COVID-19 immunization and had abnormal side effects. On an unspecified date the patient experienced myocarditis. She mentioned that she was 76-year-old woman not a teenager or 30-year-old man. She stated that she had to run around and spend like 20minutes going through all these menus and was not helpful. Patient doctor wants to call and report that they think patient have Myocarditis. Patient wanted to connect to the medical department so that she can talk to the nurse to know if her problem was the result of the vaccine. The outcome of the event myocarditis is unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1425867 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Blood creatine phosphokinase, C-reactive protein, Chest pain, Chills, Computerised tomogram, Condition aggravated, Dyspnoea, Echocardiogram, Ejection fraction, Electrocardiogram, Magnetic resonance imaging, Myalgia, Myocarditis, Pyrexia, SARS-CoV-2 test, Serology test, Troponin
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: Creatine Kinase; Result Unstructured Data: U/L; Test Date: 2021; Test Name: Computed tomographic angiography; Result Unstructured Data: calcium score of 0 without coronary artery stenosis and small bilateral pleural effusions.; Test Date: 2021; Test Name: C Reactive Protein; Result Unstructured Data: mg/L; Test Date: 2021; Test Name: Transthoracic echocardiogram; Result Unstructured Data: normal; Test Date: 2021; Test Name: left ventricular ejection fraction; Result Unstructured Data: LVEF was 65%. No focal wall motion abnormality was seen; Test Date: 2021; Test Name: electrocardiogram; Result Unstructured Data: sinus rhythm without ischemic changes. The left ventricular ejection fraction (LVEF) was 65%. No focal wall motion abnormality was seen.; Test Date: 2021; Test Name: Cardiac magnetic resonance; Result Unstructured Data: normal LV size and EF (58%), patchy midmyocardial and epicardial delayed gadolinium enhancement, with superimposed edema; Test Date: 2021; Test Name: COVID-19 PCR; Result Unstructured Data: negative; Test Date: 2021; Test Name: viral serologies; Result Unstructured Data: negative (parvovirus B19, Ebstein-Barr virus, adenovirus, influenza, herpes simplex virus 1 and 2 and Lyme antibody were all negative); Test Date: 2021; Test Name: troponin; Result Unstructured Data: ng/mL
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Myocarditis; Substernal chest pain; Symptoms worsened; Deep inspiration; Fever; Chills; body aches; This literature-non-study case was reported in a literature article and describes the occurrence of MYOCARDITIS (Myocarditis), CHEST PAIN (Substernal chest pain), CONDITION AGGRAVATED (Symptoms worsened), DYSPNOEA (Deep inspiration) and PYREXIA (Fever) in a 24-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. LITERATURE REFERENCE: DS.. Myocarditis following COVID-19 vaccination. Case Rep. 2021;16:2142-45 No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced MYOCARDITIS (Myocarditis) (seriousness criteria hospitalization and medically significant), CHEST PAIN (Substernal chest pain) (seriousness criterion hospitalization), CONDITION AGGRAVATED (Symptoms worsened) (seriousness criterion hospitalization), DYSPNOEA (Deep inspiration) (seriousness criterion hospitalization), PYREXIA (Fever) (seriousness criterion hospitalization), CHILLS (Chills) and MYALGIA (body aches). The patient was hospitalized from sometime in 2021 to sometime in 2021 due to CHEST PAIN, CONDITION AGGRAVATED, DYSPNOEA and MYOCARDITIS. At the time of the report, MYOCARDITIS (Myocarditis), CHEST PAIN (Substernal chest pain), CONDITION AGGRAVATED (Symptoms worsened), DYSPNOEA (Deep inspiration), PYREXIA (Fever), CHILLS (Chills) and MYALGIA (body aches) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Blood creatine phosphokinase (49-348): 704 (High) U/L. In 2021, C-reactive protein: 26.4 (High) mg/L. In 2021, Computerised tomogram: abnormal calcium score of 0 without coronary artery stenosis and small bilateral pleural effusions.. In 2021, Echocardiogram: normal normal. In 2021, Ejection fraction: 65 LVEF was 65%. No focal wall motion abnormality was seen. In 2021, Electrocardiogram: abnormal sinus rhythm without ischemic changes. The left ventricular ejection fraction (LVEF) was 65%. No focal wall motion abnormality was seen.. In 2021, Magnetic resonance imaging: abnormal normal LV size and EF (58%), patchy midmyocardial and epicardial delayed gadolinium enhancement, with superimposed edema. In 2021, SARS-CoV-2 test: negative negative. In 2021, Serology test: negative negative (parvovirus B19, Ebstein-Barr virus, adenovirus, influenza, herpes simplex virus 1 and 2 and Lyme antibody were all negative). In 2021, Troponin (0.01-0.04): 18.94 (High) ng/mL. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered MYOCARDITIS (Myocarditis) and CHEST PAIN (Substernal chest pain) to be possibly related. No further causality assessments were provided for CONDITION AGGRAVATED (Symptoms worsened), DYSPNOEA (Deep inspiration), PYREXIA (Fever), CHILLS (Chills) and MYALGIA (body aches). Concomitant medication not provided. Treatment medication included betablocker medication. Patient was instructed to avoid strenuous activities for three months, as well as non-steroidal anti-inflammatory drugs (NSAIDs). 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. This case was linked to MOD-2021-223827 (Patient Link).; 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: 1427204 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Electrocardiogram ST segment elevation, Headache, Malaise, Myocarditis, Pain in extremity, Pericarditis, Pyrexia, Sitting disability
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021725584

Write-up: it is like pericarditis or myocarditis something like that; it is like pericarditis or myocarditis something like that; chest tightening and chest pain; elevation of the ST in the EKG; chest tightening and chest pain; ever harder for him to laid down so he is no comfortable in sitting up he woke up with a chest pain lying down; she had the fever; body malaise; Headache; soreness on the arm; This is a spontaneous report from a contactable other health care professional (nurse) reported for female patient (reporters daughter). A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via intramuscular route of administered in right arm, deltoid on 06Jun2021 at 03:00 as dose 2, single for COVID-19 immunization. Patient previously was taken first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via unspecified route of administration on an unspecified date at dose 1, single for Covid-19 immunization was no reaction on previous exposure to vaccine. The patient medical history and concomitant medications were not reported. On 04Jun2021, he had his second dose of the Pfizer vaccine and he is 17 years (Not clarified hence not captured in tab) old male ok. On the second day patient have to go, he woke up with chest tightening and chest pain, so patient have to go to the emergency room, so we were there some a lot of test were, there were some test that they run and one of which the ultrasound of the heart and the EKG in which they saw that that there was elevation of the ST in the EKG and then you know patient was given know some medicine reporter think its Ibuprofen or something and then they said that it was you know fine or it is like pericarditis or myocarditis something like that so when we were advised in the discharged notes that what you were so observe were there for like more than was whole night we were discharge at the emergency room on Monday 07Jun2021 around 4 am so, the discharge note it says that if you still feel the chest pain or anything or he feel, he get sore and he feel not much better then we have to go back but then and advised to be seen by the primary care doctor or paediatrician which we did on 3 days after on the 9th that was the Wednesday he is seen by his primary doctor so all the paper work was sent to him and we were advised to be seen still waiting to be seen our current paediatric current in neurology. We don''t really know patient don''t really know if from the plan of the emergency room if you know what''s going on with his heart hopefully it get resolved you know or something but reporter then still don''t know firstly was on the emergency room we don''t know and there is no medication you know only in the discharge note if he feel pain or something he give him like the Ibuprofen (Treatment) you know Morphine (Further clarification unknown) other stuff but a since the time that they were out of the emergency room they didn''t give him, patient didn''t give him that because he didn''t feel the way he did when we went to the emergency room Its first time that happened to him and you know on me when he had that when he had the shot after 2 days the chest tightening and you know it was you ever harder for him to laid down so he is no comfortable in sitting up he woke up with a chest pain lying down. when both went to the emergency room, they gave him like I think that was Ibuprofen of something 0. (Incomplete sentence) that''s it. nothing else because you know their are 4 in the family reporters younger is 14 and she also had the Pfizer vaccine last her second dose was just recently on the 14th and you know he didn''t see anything like that she only felt like you know she had the fever, body malaise, headache, soreness on the arm (Further not clarified) nothing what my son had, you know me and reporters husband too we had the Pfizer vaccine too nothing like that happen too you know yeah just report this. Reporter called this because it was given to by viars because they were vires in behalf of the CDC. So reporter called to report he told me that patient told to report he told the Pfizer adverse you know reports also so reporter did ok. The outcome of events was considered as unknown. Causality: Nurse stated, In my opinion I believe so because my son doesn''t have history of heart problem or pericarditis or anything that effect and also I think because it happened 2 days after the vaccine. Information on the lot/batch, further information has been requested.; Sender''s Comments: Based on known drug safety profile, there is reasonable possibility of causal association between the events myocarditis, pericarditis, chest pain and chest discomfort and the suspect drug. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1429445 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Electrocardiogram, Electrocardiogram abnormal, Myocarditis
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: EKG; Result Unstructured Data: Test Result:abnormal
CDC Split Type: USPFIZER INC2021734012

Write-up: Myocarditis,with abnormal EKG-they said this is just inflammation; Abnormal EKG; This is a spontaneous report from a contactable consumer (patient). This is report 1 of 3. A female patient of an unspecified age was reporting for herself that she was received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0176, NDC/Expiry: Not provided), via an unspecified route of administration on an unspecified date as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient was received first dose of BNT162B2 on an unspecified date for Covid-19 immunization and no reaction on previous exposure to vaccine. On an unspecified date, the patient experienced myocarditis, abnormal Electrocardiogram (EKG) and inflammation. Additional context reported as the patient was consumer also patient for this report who got second dose of Pfizer Covid Vaccine and had adverse event of Myocarditis with onset 7 days after second dose-ended up in urgent care with abnormal EKG-they said this is just inflammation and it took 4 weeks to go away for her. Patient had first dose of Pfizer Covid Vaccine with different Lot number and had no problem after that first dose. The patient knows they are only talking about that with 19-year-old. They are all fine, but it might be an issue of bad batches of Lot numbers of Pfizer Covid Vaccine. They all recovered. The patient underwent lab tests and procedures which included EKG: abnormal on an unspecified date. Therapeutic measures were taken as a result of myocarditis, abnormal EKG. Outcome of the events was recovered. Follow up attempts are needed. Additional information has been requested.


VAERS ID: 1442670 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Florida  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Myocarditis, Nausea, Pyrexia, Vomiting, Wheezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune 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: ADVIL 12 HOUR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021734191

Write-up: This is a spontaneous report from a contactable consumer (reporter''s son). A male patient of unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number and expiration date not reported) via an unspecified route of administration on as single dose of for COVID-19 immunization. Patient medical history not reported. Patient concomitant medications include IBUPROFEN (ADVIL 12 HOUR). Patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number expiration date not reported) via an unspecified route of administration on (at age on unspecified date as single for COVID-19 immunization. Reporter reported that her son got the second dose of the COVID vaccine and after the vaccine he had worse side effects on unspecified date. Caller reports he had fever and chills. Caller states she gave him advil and he was able to sleep and 4 hours after the Advil he woke up vomiting. She reports he had a lot of vomit about 20 times, almost 20 times. In the morning he started wheezing, he had a stomach ache and sharp pains in his stomach and was very nauseous. He had a lot of pain in his stomach. Caller states that the pediatrician, was no help to her. She was very worried, today he woke up better, no more vomit, no more stomach ache. She saw on the news, about 1 boy who had the same side effects, inflammation in his heart. Her son is better now but she does not know if he has Myocarditis now because the boy in the news had the same side effects as her son and had vomiting and stomach ache. Caller enquired she just needs to know what she needs to do. Is this a normal side effect. The Outcome of event stomach ache and vomiting recovered in 2021, outcome of other events was unknown.


VAERS ID: 1442672 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Myocarditis
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021734255

Write-up: myocarditis; Chest pain; This is a spontaneous report from a contactable consumer (Reporter''s girlfriend). This is report 3 of 3. A female patient of an unspecified age received first dose of bnt162b2 (Pfizer-BioNTech Covid-19, Solution injection; Batch/Lot Number: EW0153), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced myocarditis starting about 5 days after Covid Vaccine first dose. The patient never went back for the second dose because the chest pain was so intense. It took the patient about 4 weeks for adverse event to go away. The patient was treated and have moved on but maybe patient was a little bit healthier than the next person would be. Caller was concerned that they had gotten bad batches. Caller wanted to know how many vaccines are in each batch. Caller verified that she believes the third character in Lot number is the letter O, not the numeral zero. Caller questioned if the vaccine Lot numbers are sequentially in order, like numerically; and if there is a particular number of batches manufactured for each Lot number: like are there 10,000 or 100 of one Lot number manufactured, and then they make the next batch of the next Lot number. She called the CDC to ask those questions, but CDC did not know the answers. Caller reported she and her girlfriends experienced adverse events after Pfizer Covid Vaccine and they all kind of joked and said it must have been the Pfizer Covid Vaccine. They finally compared their cards and their vaccines Lot numbers were all within digits of each other. Caller feels it is worthwhile to look into it. They are all fine, but it might be an issue of bad batches of Lot numbers of the Pfizer Covid Vaccine. They all recovered; but if there is a bad batch Pfizer needs to know this. This patient and her girlfriends were in different locations for their Pfizer Covid Vaccine doses; they just all happened to sit down together and compare their cards. If all of the sudden it is asked why are these people who weren''t in the same locations experiencing these adverse events, it might be worthwhile to consider if those Lot numbers were bad batches. She also asked if someone ends up in the emergency room or urgent care are they at the emergency room or urgent care required to report the information; or is it just for the patient to report it. What is the protocol they are supposed to do on the emergency room or urgent care''s side. Caller was unwilling to complete the report. Further details for report and vaccine supplemental form not provided. The outcome of event was recovered. Follow-up attempts completed. No further information expected.


VAERS ID: 1449462 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Myocarditis
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Myocarditis; This spontaneous case was reported by a non-health professional and describes the occurrence of MYOCARDITIS (Myocarditis) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced MYOCARDITIS (Myocarditis) (seriousness criterion medically significant). At the time of the report, MYOCARDITIS (Myocarditis) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication details were reported. No treatment medication details was reported. Company comment Very limited information regarding the event has been provided at this time. Further information is not expected.; Sender''s Comments: Very limited information regarding the event has been provided at this time. Further information is not expected.


VAERS ID: 1449483 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:2021-06-16
Onset:2021-06-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH GW0217 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Chills, Cough, Myocardial infarction, Myocarditis, Pain, Pyrexia, Respiratory disorder
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Respiratory failure (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? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021738285

Write-up: Heart attack; Myocarditis (heart inflammation); Chest pain; Having breathing problems; dry cough; fever; chills; body aches; This is a spontaneous report from a contactable consumer (patient). A 29-year old male patient received bnt162b2 (Solution for injection), dose 2 via an unspecified route of administration, administered in Arm Left on 16Jun2021 14:00 (Batch/Lot Number: GW0217) as single dose for covid-19 immunisation at Pharmacy or Drug Store. He had received bnt162b2 (Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 26May2021 14:00 (Batch/Lot Number: EW0191) for covid-19 immunisation. The patients medical history and concomitant medications were not reported. The patient did not have allergies to medications, food, or other products. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. After 12 hours of 2nd shot on 17Jun2021, the patient experienced fever, chills, body aches. On 18Jun2021, started having breathing problems, chest pain, dry cough. On 19Jun2021 patient ended up in Hospital suffered heart attack and was suffering myocarditis (heart inflammation). Patient was hospitalized for 3 days. The events were reported as serious with seriousness criteria life threatening, caused/prolonged hospitalization. Adverse event (AE) resulted in Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event). Therapeutic measures were taken as a result of the events. Myocarditis treatment was taken. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1449547 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-10
Onset:2021-06-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Feeling abnormal, Pain, Pericarditis, Vomiting
SMQs:, Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021817295

Write-up: Her doctor now says she has pericarditis due to the shot.; she had felt real bad; all over pain; vomiting; This is a spontaneous report from two contactable consumers. An adult female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, lot number and expiry date not reported) via an unspecified route of administration on 10Jun2021 as dose number unknown, single, for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and patient had not been tested for COVID-19 prior vaccination and post vaccination. It was unknown if the patient was diagnosed with COVID-19 prior to vaccination. On 10Jun2021, the patient felt real bad after the injection with vomiting and all over pain. The doctor said she has pericarditis due to the shot. The patient visited emergency room/physician office due to the events. Therapeutic measures (unspecified) were taken as a result of the events. The outcome for the events were not recovered. Information on Lot/Batch information has been requested.


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