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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 54 out of 5,069

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VAERS ID: 1457497 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-06-24
Onset:2021-07-05
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Lymph node pain, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Seasonal allergies - Takes Cetirizine Hydrochloride for seasonal allergies when needed
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: painful, enlarged lymph nodes on same side as vaccine (left)


VAERS ID: 1457519 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-25
Onset:2021-07-05
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Injection site reaction, Muscle spasms
SMQs:, Dystonia (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: Zoloft 100mg daily Combination birth control pill
Current Illness:
Preexisting Conditions:
Allergies: Tree nut allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Intense cramping in right arm at injection site. Cramps come and go


VAERS ID: 1457524 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

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

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

Write-up: PFIZER COVID VACCINE GIVEN TO PATIENT UNDER 12 YEARS OLD BECAUSE PARENT AND PATIENT GAVE FALSE INFORMATION


VAERS ID: 1458116 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-01
Onset:2021-07-05
   Days after vaccination:126
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Breast mass, Mammogram, Ultrasound scan
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, fish oil, vitamins C, D3 with calcium, hyaluronic acid, zinc
Current Illness: None
Preexisting Conditions: Injured knees
Allergies: None
Diagnostic Lab Data: Mammogram - 7/8/21 Ultrasound - 7/8/21
CDC Split Type:

Write-up: I now have a mass on my left breast that seems to have ?grown? very quickly. I will be scheduled for a biopsy soon.


VAERS ID: 1458469 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-03
Onset:2021-07-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0584 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein normal, Chest pain, Dizziness, Dyspnoea, Echocardiogram abnormal, Electrocardiogram ST segment elevation, Muscular weakness, Myocarditis, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, Troponin increased, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: COVID-19 positive on 6/6/21, asymptomatic, tested negative on 6/21/21
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 07/07/21 - ESR 22, CRP 0.5, Troponin 0.626 (peaked at 5.67 on 7/7/21), EKG with ST segment elevation. COVID-19 negative. Normal ECHO.
CDC Split Type:

Write-up: Patient is a 17 year old male with only past medical history of anemia at 1 year of age (resolved with iron and vit C supplementation), who presented to an Hospital on 7/7/21 with 2 days of chest pain radiating to his L arm, generalized upper extremity weakness, SOB, vomiting, found to have an an elevated troponin level of 0.626 with ST segment elevation on EKG, echo reportedly normal. Patient reportedly tested positive for COVID-19 on 6/6 and subsequently went into quarantine, was re-tested on 6/21 and tested negative. He arrived on 6/28 and received his 1st dose of Pfizer COVID-19 vaccine on 07/03/21. Of note, he was told he might feel dizziness and arm achiness after the vaccine but denies he was informed about possible inflammation of or around the heart after the vaccine. On 7/5 he was awakened in the morning by chest pain 6/10 and shortness of breath that started in the right lower sternal border and progressively moved to the left lower sternal border and then to his L shoulder and arm which he describes as feeling like he had been "punched" or a constant achy feeling. He took Tylenol x1 on Monday with minimal improvement. He initially thought it was reflux pain and took tums but it did not improve. He had one hour of relief but then the pain returned. He reportedly felt dizzy Monday evening as well. The pain was absent on Tuesday, but he woke up this morning again with the same chest pain and shortness of breath, prompting him to seek medical attention. In the outside ED, he had one NBNB emesis that was not preceded by nausea. En route from Hospital to Hospital he complained of chest pain 7/10 for which he was placed on 2L O2 which reduced the pain to 4/10. During his admission his troponin levels initially up trended and peaked at 5.67 before beginning to downtrend. He was diagnosed with myopericarditis and started on ibuprofen three times a day around the clock. He was discharged home on 7/8 with specific return precautions, follow-up appointment with cardiology, and strict instructions to avoid exercising and strenuous exercising until cleared by cardiology.


VAERS ID: 1458621 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-07-03
Onset:2021-07-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain upper, Anxiety, Blood test, Chest pain, Electrocardiogram, X-ray
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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: Steroids'' injection- allergy to Betamethasone
Other Medications: Iboprufen
Current Illness:
Preexisting Conditions: Hypothyroidism
Allergies: Betamethasone
Diagnostic Lab Data: Heart ECG Heart X-ray Blood work All tests were made on July 6th
CDC Split Type:

Write-up: Stubbing chest pain for a couple times for 1 day, bloating and pain stomach and anxiety (in the morning of July 4th and a few hours in afternoon) Following day mild chest pain and anxiety ( July 5th late afternoon and night) July 6th in morning I went to Emergency room to get checked.


VAERS ID: 1459472 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / 2 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Arthralgia, Asthenia, Chills, Headache, Injection site swelling, Nausea, Pain, Paraesthesia, Pyrexia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Site: Swelling at Injection Site-Medium, Systemic: Abdominal Pain-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Fever-Mild, Systemic: Headache-Mild, Systemic: Joint Pain-Mild, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Weakness-Mild


VAERS ID: 1459658 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-03
Onset:2021-07-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Chest discomfort, Injection site pain, Injection site swelling, Oedema peripheral, Pain, Tachycardia, Tremor
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Shakiness-Mild, Systemic: Tachycardia-Mild, Additional Details: patient describes shakiness, anxiety, swelling under and around arm, and pain. Reports taking 600 mg ibuprofen on tues and wed (600 mg po bid on Tues and Wed) "went away a bit and came back a little bit"


VAERS ID: 1459675 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-13
Onset:2021-07-05
   Days after vaccination:83
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 019B21A / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Parkinsons, diabetes mellitus 2, hypertension, obesity
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient completed her moderna vaccination series on 3/16 and 4/13. On 7/5 he presented to the hospital with 3 days of fever, dyspnea on exertion and generalized weakness after returning from another country, two weeks prior and tested positive for COVID on presentation. He was initially admitted because of an oxygen saturation of 90% on room air. He remained on room air and was treated with supportive care and discharged on 7/8.


VAERS ID: 1459786 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, Chills, Cough, Pain, Pyrexia
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), 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: estrodile
Current Illness: none
Preexisting Conditions: none
Allergies: pennicilian
Diagnostic Lab Data:
CDC Split Type:

Write-up: body aches, chills, fever, dry cough, loss of taste and smell.


VAERS ID: 1459826 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-02
Onset:2021-07-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Flank pain, Nausea, Pain, Pyelonephritis, Urinary tract infection, Urine analysis
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None known
Current Illness: none known
Preexisting Conditions: none known
Allergies: None known
Diagnostic Lab Data: 7/8/2021: CT with changes of pyelo, urinalysis with UTI
CDC Split Type:

Write-up: Right flank pain, nausea, body aches. Urinary tract infection/pyelonephritis diagnosed.


VAERS ID: 1459858 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-07
Onset:2021-07-05
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abortion spontaneous, Pregnancy test
SMQs:, Termination of pregnancy and risk of abortion (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Rocephin
Diagnostic Lab Data: Pregnancy confirmed by OBGYN on 6/15/21. Miscarriage confirmed by doctor on 7/5/21.
CDC Split Type:

Write-up: Miscarriage of pregnancy - conception occurred around the time of first dose. Shot given 5/7/21, miscarriage occurred 7/5/21.


VAERS ID: 1459868 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-25
Onset:2021-07-05
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 2 - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Menstruation irregular, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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: 6 years of taking LifeVantage Nrf2, Nrf1, Omega, Probiotic, NAD
Current Illness: None
Preexisting Conditions: Had hypothyroidism for 20 years but it was resolved with better health practices and nutrition.
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I?m menopausal and have not had a period for many months. On 7/5 a strong sudden period with strong cramps started. Previously I didn?t not have cramps. It was strong enough to bleed through pads within hour. On day 5 it?s even stronger and my prior periods would be diminishing by day 4. I have also felt tired, achey, nauseous but it?s manageable. Just want to report because this was abnormal experience.


VAERS ID: 1459885 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Nausea, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin
Current Illness:
Preexisting Conditions: Asthma
Allergies: Pt w/ Latex allergy, hx of allergy to an unknown food, and environmental allergies (treated with Claritin).
Diagnostic Lab Data:
CDC Split Type:

Write-up: "Pt w/ Latex allergy, hx of allergy to an unknown food, and environmental allergies (treated with Claritin). Pt PMH of Asthma. Pt was observed for 30 mins. She left the vaccination site but came back stating she had nausea and had a small rash/hives on dorsum of left hand. Denies dyspnea. She was speaking in full sentences. She reports working all day and have not eaten anything today. She was provided crackers and apple juice. She states is feeling better-- back to normal Assessment of her body and face does not show any rash or urticaria. Pt given 25mg PO Benadryl 36mins after vaccination. BP 140/86, HR 74, RR 16 -- $g 133/78, 74, 16. Denies itching. She was provided ER precautions and instructed to eat her meal. Pt stable and re-released from vaccinations site 50mins post vaccination. She was accompanied by her husband and son. Husband will be driving her home."


VAERS ID: 1459893 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Kansas  
Vaccinated:2020-12-30
Onset:2021-07-05
   Days after vaccination:187
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache, Myalgia, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), 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: NONE.
Current Illness: NONE.
Preexisting Conditions: NONE.
Allergies: NONE.
Diagnostic Lab Data: SARS-COV 19 Nasopharyngeal Swab PCR test Positive 8 July 2021.
CDC Split Type:

Write-up: Infection with SARS-COV 19. Cough, congestion, runny nose, fever, headache, sore throat, fatigue, chills, muscle aches.


VAERS ID: 1459952 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-29
Onset:2021-07-05
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax abnormal, Lipase increased, Pulmonary embolism
SMQs:, Acute pancreatitis (broad), Embolic and thrombotic events, venous (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Bilateral Pulmonary embolism based on CT chest, symptoms started after 5-6 days of J&J COVID vaccine. Possible pancreatitis


VAERS ID: 1459978 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-07-03
Onset:2021-07-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK LA / IM

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

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

Write-up: Patient came to the pharmacy 3 days after receiving the vaccine and complaint of red rash all over the body. Advise patient to seek care at the emergency room. Followed up with patients 2 days after, per patient the emergency room gave him medication for the allergic reaction and that he is doing well after the medication.


VAERS ID: 1460054 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-18
Onset:2021-07-05
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Rash, Rash pruritic
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: Benadryl Prilosec Lisinopril-hydrochlorothiazide Baby aspirin
Current Illness: Pseudo-aneurysm Hypertension
Preexisting Conditions: Pseudo-aneurysm Hypertension
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Redness and Rash on face; on forehead and cheeks. Patient applied Benadryl cream on rash starting Monday July 5th. At times rash is itchy, patient uses Benadryl for itchiness. Rash started on Monday July 5th.


VAERS ID: 1460189 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-06-04
Onset:2021-07-05
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood creatine increased, Blood creatine phosphokinase, Focal myositis, Oedema, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Creatine Kinase 7/5/21 CK=3855 (normal 30-150); serum creatinine 1.21 7/6/21 CK=2043; serum creatinine 0.76 7/9/21 CK=360
CDC Split Type:

Write-up: Approximately 1 month (on 7/5/2021)following 2nd COVID-19 vaccination, patient developed acute focal myositis of left arm--swelling occurred in left forearm (proximal) but patient reported "soreness" along L/arm and forearm. Patient had significant elevation of creatine kinase enzyme. Edema and soreness have resolved and creatinine kinase is closer to normal by 7/9/2021.


VAERS ID: 1460206 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078C21A / 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? 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: Pharmacy technician called the patient at home and reported that the pharmacist on duty, had given the patient a Covid-19 vaccine on 07/05/2021 from a vial that was punctured on 07/03/2021 at approximately 11:30. The punctured vial was stored in the refrigerator for the entire time after puncture however it does not meet the CDC temperature storage guidelines of discarding any unused vaccine after 12 hours of puncture.


VAERS ID: 1460215 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078C21A / 2 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? 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: Pharmacy technician called the RXM at home and reported that the pharmacist on duty had given the patient a Covid-19 vaccine on 07/05/2021 from a vial that was punctured on 07/03/2021 at approximately 11:30. The punctured vial was stored in the refrigerator for the entire time after puncture however it does not meet the CDC temperature storage guidelines of discarding any unused vaccine after 12 hours of puncture.


VAERS ID: 1460244 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078C21A / 2 LA / IM

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

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

Write-up: pharmacy technician called the patient at home and reported that the pharmacist on duty had given the patient a Covid-19 vaccine on 07/05/2021 from a vial that was punctured on 07/03/2021 at approximately 11:30. The punctured vial was stored in the refrigerator for the entire time after puncture however it does not meet the CDC temperature storage guidelines of discarding any unused vaccine after 12 hours of puncture.


VAERS ID: 1460343 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-25
Onset:2021-07-05
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Extreme intestinal gas. Lasted 2 days.


VAERS ID: 1460403 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-04
Onset:2021-07-05
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chest pain, Computerised tomogram thorax, Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer increased, Full blood count, Heart rate increased, Lipase, Metabolic function test, Nausea, Troponin, Urine analysis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Keppra , midodrine , metoprolol, B6, melatonin
Current Illness: None
Preexisting Conditions: Diagnosed with POTS and nonconvulsive seizure disorder in 2018.
Allergies: Seasonal , cat dander , Timothy hay , eeg adhesive
Diagnostic Lab Data: Cat scan chest , CBC, metabolic panel, u/a, ekg, d-dimer, lipase, triponin level
CDC Split Type:

Write-up: Sustained rapid heart rate over 150, chest pain , sob , nausea, elevated d-dimer and abnormal ekg


VAERS ID: 1461709 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Diarrhoea, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: I have had expected side effects such as soreness at injection site and achy joints/muscles, but I have also had diarrhea every day since receiving the vaccine. The Pfizer vaccine instruction sheet says symptoms (if any) may last 2-3 days, but this is day 5 with diarrhea each day, so I wanted to report it just so the data is captured. The other symptoms resolved by day 3. Thank you.


VAERS ID: 1461779 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Ear discomfort, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Systemic: Abdominal Pain-Mild, Systemic: Buring of the ear-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Mild, Additional Details: Patient''s original BP was 139/84 pulse 94 and second reading was 101/65 pulse 76.


VAERS ID: 1461811 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6983 / 1 RA / UN

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Confusional state, Dizziness, Haemorrhage, Head injury, Panic reaction, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weakness-Severe, Additional Details: PT received vaccine and then felt light headed and began to panic. She was being assisted by pharmacist and shift supervisor when she stood up to attempt to walk into the vaccination booth to calm down. She passed out, flew forward hitting her forhead on the corner of the wall, she was momentarily unconcious and she had a cut on her forehead and was bleeding. Shift supervisor called 911 while pharmacist tended to her until emts arrived.Her parents were contacted and she was taken to er


VAERS ID: 1461843 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Heart rate increased, Hypoaesthesia, Pain in extremity, Pruritus, Swelling, Vaccination site swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril 20 mg, Humalog pen
Current Illness: Diabetes, asthma, apnea, high pressure
Preexisting Conditions: Diabetes, asthma, rhinitis
Allergies: Aspirin, sulfa, late, moisture fungus
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain and numbness in the left arm, itching in the body, joint pain, swelling in vaccination area, neck and chest, faster than usual heartbeat, and still, after 6 days I feel the symptoms.


VAERS ID: 1461979 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 - / 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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1st dose pfizer vaccine was given to patient on 07/05/2021. We found out on 07/09/2021 that vaccine expiration was out side the recommended 31 day expiration date window. We reached out to pt on 07/10/2021. Pt did not communicate if there was any side effect. She will return to the pharmacy on 07/12/21 to receive the 1st dose again.


VAERS ID: 1462034 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-04
Onset:2021-07-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 2 LA / IM

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: jardiance, jentadueto, glimepiride, metoprolol, atorvastatin, omeprazole, hctz, potassium
Current Illness:
Preexisting Conditions: diabetes mellitus
Allergies: pcn
Diagnostic Lab Data:
CDC Split Type:

Write-up: The morning after her shot, the injection site became itchy and has been itchy ever since then.


VAERS ID: 1462045 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: DOSE INTERVAL WAS 13 DAYS, OUTSIDE OF THE 17-24 DAY INTERVAL. THIS DEVIATION DID NOT RESULT IN ANY ADVERSE EVENTS REPORTED THUS FAR.


VAERS ID: 1462150 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ear discomfort, Ear pain, Tinnitus
SMQs:, Hearing impairment (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: Rizatriptan, ginkgo biloba
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Immediately after receiving my shot I started having random thumping feelings in my left ear (2-7 beats at a time) lasting steady for 3 days. Day 3 was the worst with beats every 10-15 seconds. Almost debilitating with pressure and slight pain. At day 6 now I have it only a couple times a day so it?s thankfully getting better to almost gone.


VAERS ID: 1463081 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-30
Onset:2021-07-05
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Public       Purchased by: ?
Symptoms: Chills, Cough, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: started with chills, slight fever, went away after about 3 days, and then a hoarse cough like he needs to clear his throat, currently been 7 days and teen continues to cough about 15 times per day. Is this normal? doesnt seem to bother him much? Is this something to worry about?


VAERS ID: 1463082 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-13
Onset:2021-07-05
   Days after vaccination:53
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Dermatographia, migrating hives


VAERS ID: 1463532 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Confusional state, Contusion, Disorientation, Dizziness, Feeling abnormal, Headache, Hyperhidrosis, Induration, Injection site reaction, Nausea, Pain, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: Bee stings, sulfa, amoxicillin
Diagnostic Lab Data: None, i went to the urgent care and they refused to acknowledge any symptoms i explained except the visible severe covid arm, gave me an epi pen if i cant breathe. Pharmacy and urgent care both said this is normal effects, i said i only swelled and got sick like this when i was stung by a bee before. They gave no resolve and did nothing.
CDC Split Type:

Write-up: My arm swelled like a big knot, bruised and hardened. I felt woozy and out of it like not alert for 3 days already i would also sweat and feel weak like passing out, i had fever spikes of 100 degrees for 3 days and had to take tylenol plus had headpain, confusion. I felt nsuseated. I had flu chills in the first 24 hours and aches for 3 days the wooziness and disoriented effects lasted 5 days and came in waves. I took tylenol and stayed home from work


VAERS ID: 1463539 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-06-25
Onset:2021-07-05
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Deep vein thrombosis, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: NKA
Diagnostic Lab Data: 7/11/2021 hospitalization
CDC Split Type:

Write-up: DVT/Pulmonary embolus


VAERS ID: 1463597 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-19
Onset:2021-07-05
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injected limb mobility decreased, Injection site pain, Joint swelling, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Patient states she had unexplained swelling in her knees and legs. She was concerned about a possible clot so she went to the orthopedic doctor to be examined. They couldn''t determine cause of swelling asked if she wanted a CAT scan she declined. Also stated sever pain at injection site that doesn''t go away, tender to touch, limits mobility. I suggested she return to providers office and let them know she received Janssen COVID-19 vaccine and that additional test may be warranted.


VAERS ID: 1463670 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1st dose pfizer vaccine was given to patient on 07/0/2021. We found out on 07/09/2021 that vaccine expiration date was outside the recommended 31 day expiration window. We reached out to pt on 07/10/2021. Pt will return to the pharmacy on 07/12/2021 to get be revaccinated.


VAERS ID: 1463741 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-07-02
Onset:2021-07-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Dyspnoea, Electrocardiogram normal, Troponin normal
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: Novolog Insulin; 325mg Aspirin daily, Biotin, Mulitivitamin, Fish Oil, Melatonin
Current Illness: None
Preexisting Conditions: Type 1 diabetes, Lichens Planus
Allergies: Allergic to Bactrim
Diagnostic Lab Data: Chest X-ray, EKG & Triponin levels, all negative for heart attack.
CDC Split Type:

Write-up: Extreme crushing chest pain, shortness of breath


VAERS ID: 1464071 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-29
Onset:2021-07-05
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 RA / SYR

Administered by: Pharmacy       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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tirosint Vyvanse Pepcid Protonix
Current Illness: No
Preexisting Conditions: Hypothyroidism
Allergies: IV dye Peanuts
Diagnostic Lab Data:
CDC Split Type:

Write-up: Occasional Tingling in all extremities 6 days after 2nd dose


VAERS ID: 1464083 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Blood test, Cardiac disorder, Chest X-ray, Chest pain, Electrocardiogram, Fatigue, Impaired work ability, Pain in extremity, Palpitations, SARS-CoV-2 test, Somnolence, Urine analysis
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Abilify; gabapentin
Current Illness: Sinuses
Preexisting Conditions: None
Allergies: Ibuprofen
Diagnostic Lab Data: EKG July 8, 2021 10:21am and Full blood work, COVID test and urine test. X-Ray on lungs on July 8, 2021.
CDC Split Type: vsafe

Write-up: After shot experienced joint pain, left arm and next day work for two hours tired, weak, left early, second day felt sleepy again and chest pain and pounding heart. Third day came to work felt tired went to emergency room EKG. Fourth day sit down felt drowsy heart complications.


VAERS ID: 1464144 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Chest discomfort, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Headache, Myocarditis, Neck pain, Troponin increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: UNKNOWN
Preexisting Conditions: NONE
Allergies: UNKNOWN
Diagnostic Lab Data: ECHOCARDIGORAM DONE 07/10/21: "NORMAL LEFT VENTRICULAR SYSTOLIC FUNCTION WITH A CALCULATED LEFT VENTRICULAR EJECTION FRACTION OF 60 TO 65%." PER MEDICAL RECORD- "ELEVATED TROPONIN AT 9 WHICH TRENDED DOWN TO 7. ECG DEMONSTRATED DIFUUSE ST ELEVATION SUGGESTIVE OF MYOPERICARDITIS." PER MEDICAL RECORD NOTE FROM 07/10/21 REGARDING MYOCARDITIS: "ECG HIGHLY SUGGESTIVE WITH DIFFUSE ST ELEVATION. AT THIS POINT THE PATIENT IS CHEST PAIN FREE."
CDC Split Type:

Write-up: PER MEDICAL RECORDS RECEVED FROM THE HOSPITAL- PATIENT PRESENTED TO THE HOSPITAL WITH CHEST PAIN AFTER RECEIVING HIS SECOND COVID VACCINE THREE DAYS PRIOR. COMPLAINED OF NECK PAIN AND HEADACHE IN THE DAYS AFTER HIS SHOT. ON 7/7 THE PATIENT DEVELOPED CHEST PRESSURE IN THE RETROSTERNAL AREA. MEDICATIONS GIVEN INPATIENT: ASPIRIN, 81 MG = 1 TABS, ORAL, DAILY. LOPRESSOR, 12.5 MG = 0.5 TABS, ORAL, Q12H. SODIUM CHLORIDE 0.9% BOLUS, 1000ML, IV BOLUS, ONCE. SODIUM CHLORIDE 0.9% FLUSH, 5 ML, IV FLUSH, Q8H. PER MEDICAL RECORD, PATINET WAS DISCHARGED 07/10/21 AND WAS TO FOLLOW UP OUTPATIENT WITH 2 DIFFERENT DOCTORS


VAERS ID: 1464278 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 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? 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: Error: Improper Storage (temperature)-


VAERS ID: 1464430 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-28
Onset:2021-07-05
   Days after vaccination:68
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Hyponatraemia, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (narrow), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Hypoglycaemia (broad)

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

Write-up: R56.9 - Seizure (CMS/HCC) E87.1 - Hyponatremia


VAERS ID: 1464436 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-06-22
Onset:2021-07-05
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN EW0217 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral normal, Blood calcium decreased, Blood sodium decreased, CSF glucose increased, CSF protein increased, CSF test abnormal, Culture, Facial paralysis, Hypoaesthesia, Intensive care, Lymphocyte percentage decreased, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Neck pain, Neutrophil percentage increased, Paraesthesia, Scan with contrast normal, Speech disorder, Spinal pain, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic leukopenia (broad), Peripheral neuropathy (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (narrow), Hearing impairment (broad), Chronic kidney disease (broad), Arthritis (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Xanax 0.5mg by mouth PRN
Current Illness: Carotid Bruit
Preexisting Conditions: Carotid Bruit; history of depression
Allergies: None Known
Diagnostic Lab Data: 7/11 - CSF - Glucose 78; Protein 304, RBS 822, light yellow and hazy. Culture pending. WBC 8.8; Na 134. % lymphocytes 14.1, % neutrophils 79.1, Calcium 8.3. All other labs normal. MRI Brain = normal; MRI Cervical spine = No evidence of severe compressive sequelae or other acute abnormalities. MRI Thoracic Spine = Normal; CTA of Head with and without contrast = Normal
CDC Split Type:

Write-up: 7/5/2021 he started to notice numbness in his neck and shoulders, which he related to a possible pinched nerve. On Tuesday, 7/6 he noticed increasing numbness to neck a.m. shoulders with new onset left fingers tingling as well as bilateral feet, at which time he started taking Excedrin. On Wednesday, 7/7 he noticed increasing neck pain and numbness with his "entire spine "painful. On Thursday, 7/8 he noticed increase BL feet numbness. Today, 7/10 he woke up with numbness to the left side of his face, facial droop, mumbled speech and continued numbness to left fingers and BLE feet, for which he came to the ED for further evaluation management. Patient is currently hospitalized in ICU at the time of this report.


VAERS ID: 1464556 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-12
Onset:2021-07-05
   Days after vaccination:84
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 325 mg tablet allopurinoL (ZYLOPRIM) 300 mg tablet aspirin 81 mg tablet diclofenac sodium (VOLTAREN) 1 % gel donepeziL (ARICEPT) 10 mg tablet finasteride (PROSCAR) 5 mg tablet lidocaine (LIDODERM) 5 % patch metoprolo
Current Illness:
Preexisting Conditions: Nervous Benign paroxysmal positional vertigo Macular degeneration, bilateral Peripheral neuropathy Pruritus senilis Vestibular dizziness Epigastric pain Respiratory Pulmonary nodule/lesion, solitary Circulatory Permanent atrial fibrillation Aortic stenosis Carotid atherosclerosis Essential hypertension Non-ischemic cardiomyopathy (CMS/HCC) Digestive Esophageal reflux Obesity Vitamin D insufficiency Musculoskeletal Gouty arthropathy Osteoarthritis of both knees Restless legs syndrome Closed fracture of multiple ribs of right side Closed fracture of sternum Closed fracture of first lumbar vertebra with routine healing Hematoma of left thigh Thumb laceration Laceration of right upper extremity Endocrine/Metabolic Hyperlipemia Other Chronically dry eyes Depression Insomnia MVC (motor vehicle collision), initial encounter Blood alcohol level of 120-199 mg/100 ml
Allergies: Definity [Perflutren Lipid Microspheres] Tetanus ToxoidOther (document details in comments)
Diagnostic Lab Data: Updated Procedure 07/06/21 0345 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 07/06/21 0211 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical 07/06/21 0345 COVID-19 PCR Collected: 07/06/21 0211 | Final result | Specimen: Swab from Nasopharynx
CDC Split Type:

Write-up: UNKNOWN ED to Hosp-Admission Discharged 7/5/2021 - 7/10/2021 (5 days) Hospital DO Last attending ? Treatment team MVC (motor vehicle collision), initial encounter


VAERS ID: 1464632 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-02-22
Onset:2021-07-05
   Days after vaccination:133
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test negative, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine, aspirin, atorvastatin, cyanocobalamin, ferrous sulfate, insulin aspart, insulin glargine, levothyroxine, metoprolol, omeprazole, venlafaxine, vitamin D3
Current Illness:
Preexisting Conditions: Abnormal LFTs, allergic contact dermatitis, anemia of diabetes, arthropathy associated with neurological disorders, bilateral cataracts, CAD, charcot''s arthropathy, CHF, chronic anemia, chronic foot ulcer, chronic pain, CKD stage 4, COPD, Dementia associated with other underlying disease, depression, DM type 1, diabetic retinopathy, diastolic dysfunction, hx of DKA, dyspnea on exertion, hx of encephalopathy, food deformity, general weakness, headaches, HX of MRSA and VRE, hyperlipidemia, hypertension, hypothyroidism, leg edema, lumbago, memory loss, osteoporosis, OSA, peripheral neuropathy, PVD, pilonidal cyst, posterior reversible encephalopathy syndrome, seizure related to diabetes, ST segment depression, thrombocytosis, HX TIA, vitamin D deficiency.
Allergies: Angiotensin Receptor Blockers, Losartan, lanolin
Diagnostic Lab Data: All COVID tests listed above were PCR
CDC Split Type:

Write-up: Pt initially tested positive back on 12/16/2020. She was subsequently vaccinated with the Pfizer vaccine on 2/1/2021 and 2/22/2021. She tested negative on 6/1/2021 and 6/20/2021. As part of SNF admission requirement, she was tested upon discharge from hospital on 7/5/2021 and it resulted positive. Pt was here for non covid reasons and was admitted on 6/20/2021, negative on admit. CT value was over 30 and therefore the viral replication is insignificant for sequencing . She had subsequent negative COVID tests on 7/6/2021 and 7/7/2021. Remained asymptomatic for covid.


VAERS ID: 1464838 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-06-21
Onset:2021-07-05
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (broad)

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

Write-up: Shingles outbreak on right thigh and knee exactly 2 weeks after Covid shot. Sought medical attention on July 7th, 2021. Taking valacyclovir (VALTREX) 3 times daily for 7 days starting on July 7th, 2021.


VAERS ID: 1464852 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-28
Onset:2021-07-05
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Pain at injection site two weeks after


VAERS ID: 1465573 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-02
Onset:2021-07-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Swell on left side of face Swelling under left eye Swelling on left eye lif
CDC Split Type:

Write-up: Swelling under left eye Swelling on left eye li Swelling on left side of face


VAERS ID: 1466245 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-07-05
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test, Sinus headache, 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:
Current Illness:
Preexisting Conditions: Comments: none reported
Allergies:
Diagnostic Lab Data: Test Date: 20210708; Test Name: COVID-19 PCR test; Result Unstructured Data: positive
CDC Split Type: USJNJFOC20210722832

Write-up: CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; SINUS PRESSURE HEADACHE; This spontaneous report received from a parent concerned a 29 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included none reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown expiry UNKNOWN) frequency 1 total dose was not reported, administered at right arm on 15-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 05-JUL-2021, at night the patient started experiencing symptoms until next morning on 06-Jul-2021 the patient had sinus pressure headache, mild sore throat, some body aches, cough, chills, fever. On 07-JUL-2021, the patient experienced more severe sore throat, increased body aches, loss of taste. It was reported that he did not actually take his temperature but felt that he had fever. On 08-JUL-2021, Laboratory data included: COVID-19 PCR test and patient experienced confirmed covid-19 infection and confirmed clinical vaccination failure. On 09-JUL-2021 he received his positive results. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sinus pressure headache, and the outcome of confirmed covid-19 infection and confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210722832-COVID-19 VACCINE AD26.COV2.S-Confirmed clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1466439 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-07-05
   Days after vaccination:86
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bronchitis, Diplopia, Sinusitis
SMQs:, Ocular motility disorders (broad), Hypoglycaemia (broad)

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

Write-up: Double vision. I also read about Guilluan Barre and respiratory and sinus infection of which I was just diagnosed w sinusitis and bronchitis, of which I''ve never had in my life.


VAERS ID: 1466461 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-06-28
Onset:2021-07-05
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: none known
Diagnostic Lab Data:
CDC Split Type:

Write-up: Right leg feels numb and tingly, feels like it''s asleep and he can''t wake it up. Went to urgent care and was evaluated and ruled out a blood clot. Was prescribed a short course of "steroids" but it is not better.


VAERS ID: 1466510 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Pain in extremity, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: flu vaccine and pneumococcal Fall 2019 I was 66 years old I experience a rash all over my body specially my legs itching, My ar
Other Medications: levothyroxine 0.8mg 1 a day, lisinopril 25mg 2 a day, Tylenol , vitamin D and My allergist prescribed Zyrtec 1 day before the vaccine and 1 day after
Current Illness: None
Preexisting Conditions: Graves Diseases, Hypo thyroid, High cholesterol, Hypertension.
Allergies: FLU vaccine and pneumococcal vaccine
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: My arm began to get sore the same day of vaccination around 8pm I noticed it was very, very sore and I started putting cold compress and took Tylenol it lasted till Wednesday and my bed time on Wednesday the 7th and my chest all the way to my collarbone it was very swollen and felt squishy and when I woke up Thursday 7/8 morning I felt big lump across my collar bone going down to my left shoulder. My doctor said it should resolve within a couple of days on its own and it did.


VAERS ID: 1466556 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-31
Onset:2021-07-05
   Days after vaccination:96
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Decreased appetite, Dizziness, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Vestibular disorders (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ARIPiprazole, Cyanocobalamin (VITAMIN B-12), amLODIPine, aspirin 81 mg, clopidogrel, dulaglutide, famotidine, fluOXETINE, hydrALAZINE, insulin aspart U-100, insulin degludec, metoclopramide HCl, ranolazine, rosuvastatin
Current Illness:
Preexisting Conditions: Arthritis, Coronary artery disease, Depression, Diabetes mellitus, Dyslipidemia, Esophagitis, Essential (primary) hypertension, Family history of premature CAD, Gastritis, and Glaucoma
Allergies: Pepper, lisinopril
Diagnostic Lab Data: SARS-CoV-2 test positive on 7/5
CDC Split Type:

Write-up: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Pfizer series completed on 3/31/2021). Patient was admitted to the hospital on 7/5/21 for cough, poor appetite and dizziness for at least 3 weeks and tested positive SARS-CoV-2. On admission patient was febrile to 100.3, O2 SAT 95% on RA but desaturated to 89-90% with ambulation. He did not receive any COVID specific therapies and was discharged in stable condition on 7/7/21.


VAERS ID: 1466586 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-06-30
Onset:2021-07-05
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 051C21A / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pruritus, Injection site rash, Pain in extremity, Pyrexia, Skin warm
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Rash/itchy at injection site. Arm is warm and sore. Fever.


VAERS ID: 1466774 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-28
Onset:2021-07-05
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, Erythema, Eye swelling, Swelling, Vaccination complication, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: The day after the shot, had "covid arm", as I had after first shot, but milder, redness/swelling, temp under 101...no problem.... then about a week later, left eye swelled shut, not conjunctivitis, it was my lid and my cheek. Is diminishing with time, no infection, it appears to be inflamation or allergic reaction. Strange, ugly, but more curious than anything. No vision changes, still somewhat... swollen and red (orangey), but not like first couple days.


VAERS ID: 1466915 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-07-05
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER7533 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 07/05/21 2006 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 07/05/21 1759 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical
CDC Split Type:

Write-up: ASYMPTOMATIC


VAERS ID: 1466946 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-29
Onset:2021-07-05
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Delivery, Exposure during pregnancy, Haemoglobin decreased, Iron deficiency anaemia, Patient isolation, Perineal injury, Postpartum haemorrhage, SARS-CoV-2 test positive, Suture insertion
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Accidents and injuries (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKA
Diagnostic Lab Data: 07/05/21 0605 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 07/05/21 0445 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical 07/05/21 0605 Asymptomatic Patients - COVID-19 PCR Collected: 07/05/21 0445 | Final result | Specimen: Swab from Nasopharynx
CDC Split Type:

Write-up: ASYMPTOMATIC Admission Discharged 7/5/2021 - 7/7/2021 (2 days) Last attending ? Treatment team 39 weeks gestation of pregnancy Principal problem Discharge Summary (Resident) ? ? Family Medicine Cosigned by: MD at 7/7/2021 10:24 PM Attestation signed at 7/7/2021 10:24 PM I was present on the 3rd floor and saw this patient prior to her discharge. I agree with the key elements of the discharge note as written by Dr. Routine anticipatory guidance given including need for follow-up, daily vitamin, and pelvic rest. Discussed birth control options, post-partum depression issues, and other issues that would warrant a call to the office. Obstetric Discharge Summary BRIEF OVERVIEW Admitting Provider: DO Discharge Provider: DO;Nic* Primary Care Physician at Discharge: N/A Admission Date: 7/5/2021 Discharge Date: 7/7/2021 Primary Discharge Diagnosis 1-Postpartum day #2 post vaginal delivery 39 weeks gestation of pregnancy 2-Postpartum hemorrhage Secondary Discharge Diagnosis 1-Iron deficiency anemia 2-Asymptomatic COVID-19 positive test Hospital Course PT is a 19-year-old G1P0 at 39w4d admitted on labor. Patient was GBS negative. Patient completed COVI-19 vaccine schedule and tested positive on admission to the unit. No evidence of respiratory symptoms during hospital stay. Following unit policy isolation measures were placed. Patient had spontaneous vaginal delivery of viable female infant. Labor course was uncomplicated. However, persistent bleeding was noted after delivery. Fundal tone was adequate following active management of the 3rd stage with oxytocin and then use of misoprostol 1000 mcg were given following delivery of the placenta. Due to the persistence of bleeding examination was remarkable for bilateral sulcal laceration with brisk bleeding that were controled with repair (suture). Total blood loss during delivery: 1400 ml. Postpartum course in the hospital was uncomplicated. Her hemoglobin at the time of discharge was 9.6 g/dL and she was discharged with ferrous sulfate 325 mg p.o. twice daily. Patient was stable for discharge to home with appropriate follow-up.


VAERS ID: 1467138 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Chest pain, Delusion, Dizziness, Fatigue, Neuralgia, Pain in extremity, Paraesthesia, Peripheral swelling, Pyrexia, Tinnitus, Visual impairment
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: none
Preexisting Conditions: Auto immune disease, thyroid condition
Allergies: Eggs Milk, Shrimp, Some types of trees
Diagnostic Lab Data: None yet, but I have an ear doctor apt and a dermatologist apt soon
CDC Split Type:

Write-up: In the beginning i was very tired and exhausted and dizzy. I was delusional the first day and very out of it on the second day, by the third or fourth day my arm stared to swell and I had a phone doctor visit the doctor prescribed doxycycline. my ears starting ringing really bad and my vision got weird. the top of my head was burning and had only a low grade fever. My hands and fingers are tingling. and My chest has been hurting. The pain in my hands and feet feel like nerve pain.


VAERS ID: 1467147 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Improper Storage (temperature)-


VAERS ID: 1467982 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Expired 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:

Write-up: 2nd dose pfizer vaccine was given to patient on 07/06/2021. We found out on 07/09/2021 vaccine was stored outside the recommended 31 day expiration window.


VAERS ID: 1467984 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 - / 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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1st dose pfizer vaccine was given to patient on 07/06/2021. We found out on 07/09/2021 vaccine was stored outside the recommended 31 day expiration window.


VAERS ID: 1467989 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / IM

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

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

Write-up: 2nd dose pfizer vaccine was given to patient on 07/05/2021. We found out on 07/09/2021 vaccine was stored outside the recommended 31 day expiration window.


VAERS ID: 1467991 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: 2nd dose pfizer vaccine was given to patient on 07/06/2021. We found out on 07/09/2021 vaccine was stored outside the recommended 31 day expiration window.


VAERS ID: 1467995 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Expired 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:

Write-up: 2nd dose pfizer vaccine was given to patient on 07/05/2021. We found out on 07/09/2021 vaccine was stored outside the recommended 31 day expiration window.


VAERS ID: 1468191 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Expired 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:

Write-up: 2nd dose pfizer vaccine was given to patient on 07/05/2021. We found out on 07/09/2021 vaccine was stored outside the recommended 31 day expiration window.


VAERS ID: 1468193 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2nd dose pfizer vaccine was given to patient on 07/05/2021. We found out on 07/09/2021 vaccine was stored outside the recommended 31 day expiration window.


VAERS ID: 1468204 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / IM

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

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

Write-up: 2nd dose Pfizer vaccine was given to patient on 07/05/2021. We found out on 07/09/2021 vaccine was stored outside the recommended 31 day expiration window.


VAERS ID: 1469615 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-07-05
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Antiphospholipid antibodies, Arthralgia, Back pain, Body temperature, Chest discomfort, Chills, Dyspnoea, Headache, Heart rate, Heart rate increased, Hypoaesthesia, Injection site pain, Limb discomfort, Neck pain, Oropharyngeal pain, Oxygen saturation, Pain in extremity, Pallor, Paraesthesia, Pyrexia, Tinnitus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (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:
Current Illness: Abstains from alcohol; Allergy to chemicals; Antiphospholipid syndrome; Heart rate high; Latex allergy; Non-smoker; Rubber sensitivity
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: Oxygen saturation; Result Unstructured Data: 96-99%; Test Date: 202107; Test Name: Heart rate; Result Unstructured Data: 99-110; Test Date: 20210705; Test Name: Body temperature; Result Unstructured Data: 102.3 F; Test Date: 20210706; Test Name: Body temperature; Result Unstructured Data: 101.1 F; Test Date: 20210706; Test Name: Heart rate; Result Unstructured Data: 117; Test Date: 20210706; Test Name: Oxygen saturation; Result Unstructured Data: 97 %; Test Name: Lupus anticoagulant; Result Unstructured Data: positive, slightly high; Test Name: Heart rate; Result Unstructured Data: high
CDC Split Type: USJNJFOC20210713526

Write-up: SHORTNESS OF BREATH; CHEST PRESSURE; STOMACH PAIN; BACK PAIN; NECK PAIN; NUMBNESS IN CALVES; TINGLING IN FEET/SKIN FEELS STRANGE; SORE THROAT; BUBBLED EARS/RINGING IN EARS; PALE HANDS AND LEGS; RESTING HEART RATE WAS 99-110; SHOULDER PAIN; RIGHT LEG PAIN; HEAVINESS IN LEGS; CHILLS; PAIN AT INJECTION SITE (DURING ADMINISTRATION OF VACCINE); FEVER; HEADACHE; This spontaneous report received from a parent concerned an 18 year old female. The patient''s weight was 153 pounds, and height was 65 inches. The patient''s concurrent conditions included positive for lupus anticoagulant factor (anti-phospholipid factor), non smoker, non-alcohol user, latex allergy, rubber allergy, allergic to silicone, and resting heart rate runs high. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, expiry: UNKNOWN) dose was not reported, administered on 05-JUL-2021 11:15 for prophylactic vaccination. No concomitant medications were reported. On JUL-2021, Laboratory data included: Heart rate (NR: not provided) 99-110, and Oxygen saturation (NR: not provided) 96-99%. On 05-JUL-2021, the subject experienced shortness of breath. On 05-JUL-2021, the subject experienced chest pressure. On 05-JUL-2021, the subject experienced stomach pain. On 05-JUL-2021, the subject experienced back pain. On 05-JUL-2021, the subject experienced neck pain. On 05-JUL-2021, the subject experienced numbness in calves. On 05-JUL-2021, the subject experienced tingling in feet/skin feels strange. On 05-JUL-2021, the subject experienced sore throat. On 05-JUL-2021, the subject experienced bubbled ears/ringing in ears. On 05-JUL-2021, the subject experienced pale hands and legs. On 05-JUL-2021, the subject experienced resting heart rate was 99-110. On 05-JUL-2021, the subject experienced shoulder pain. On 05-JUL-2021, the subject experienced right leg pain. On 05-JUL-2021, the subject experienced heaviness in legs. On 05-JUL-2021, the subject experienced chills. On 05-JUL-2021, the subject experienced pain at injection site (during administration of vaccine). On 05-JUL-2021, the subject experienced fever. On 05-JUL-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 102.3 F. On 06-JUL-2021, Laboratory data included: Body temperature (NR: not provided) 101.1 F, Heart rate (NR: not provided) 117, and Oxygen saturation (NR: not provided) 97 %. Laboratory data (dates unspecified) included: Heart rate (NR: not provided) high, and Lupus anticoagulant (NR: not provided) positive, slightly high. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from pale hands and legs, had not recovered from neck pain, and the outcome of fever, pain at injection site (during administration of vaccine), headache, sore throat, chills, heaviness in legs, tingling in feet/skin feels strange, shortness of breath, bubbled ears/ringing in ears, stomach pain, back pain, numbness in calves, chest pressure, right leg pain, shoulder pain and resting heart rate was 99-110 was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment Comment not required as per standard procedure as case assessed as non serious.


VAERS ID: 1470253 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-12
Onset:2021-07-05
   Days after vaccination:115
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025A21A / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Nasal congestion, Oropharyngeal pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: sore throat,nasal congestion,headache


VAERS ID: 1470440 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-01
Onset:2021-07-05
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 2 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angioedema, Endotracheal intubation, Troponin abnormal
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow), Respiratory failure (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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: AMLODIPINE, HYDROCHLOROTHIAZIDE, COREG
Current Illness: NONE
Preexisting Conditions: HYPERTENSION, OSA, OBESITY
Allergies: LISNIOPRIL-ANGIOEDEMA
Diagnostic Lab Data: POSITIVE TROPONIN
CDC Split Type:

Write-up: ANGIOEDEMA REQUIRING INTUBATION


VAERS ID: 1470832 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-03
Onset:2021-07-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Dysphagia, Oesophageal pain, Oropharyngeal pain, Sensation of foreign body, Sleep disorder, Throat irritation
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), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Persistent sore throat and sever cough at night especially causing lack of sleep. Difficulty in swallowing and gulping. Feeling of an object lodged in back of throat. Tonsils, esophagus hurts with so much coughing. Irritating sensation in throat.


VAERS ID: 1471008 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-07-05
Onset:2021-07-05
   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: Product administered to patient of inappropriate age
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: unknow
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: There were no adverse reaction but we are reporting that it was discovered that patient was only 11 when the vaccine was administered. His mother lied about his age and lied that he had no insurance. We had checked store''s system and had to add him new. Later once it linked with system, it was discovered that he was only 11 and she lied about his age and insurance. I phoned her and at first she stated she had a birth certificate to prove his age, but later admitted she lied because she was worried about him going back to school with no masks required. I told her we could not administer the second dose until it becomes approved for his age.


VAERS ID: 1471060 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-07-02
Onset:2021-07-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Malaise, Migraine, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xanax 1 mg Valtrex 1 gram
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Hydrogen peroxide
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient stated after receiving the vaccine she got really sick. Patient stated she had a fever of ~103 degrees F and had a terrible migraine for several days. She stated she was almost hospitalized due to her severe reaction.


VAERS ID: 1474011 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-05
Onset:2021-07-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injected limb mobility decreased, Injection site pain, 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:

Write-up: Site: Pain at Injection Site-Medium, Additional Details: Patient stated that he had pain with the arm where the injection was given. He said he feels the pain when he does some kind of work with it and at one point had some difficulty lifting the arm. He said he never tried taking any otc pain medication. I suggested he try that first. If he still has any pain, he should contact his regular dr.


VAERS ID: 1474264 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-07-04
Onset:2021-07-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA EW0217 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Chest discomfort, Chest pain, Electrocardiogram QT interval, Electrocardiogram normal, Feeling abnormal, Full blood count normal, Hyperhidrosis, Hypotension, Loss of consciousness, Metabolic function test, Nausea, Syncope, Troponin increased
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Current Outpatient Medications: ? albuterol 108 (90 Base) MCG/ACT inhaler, Inhale 2 puffs by mouth every 6 hours as needed for Wheezing, Disp: , Rfl: ? amLODIPine (NORVASC) 5 MG tablet, Take 1 tablet (5 mg) by mouth daily, Disp: 90 tabl
Current Illness:
Preexisting Conditions:
Allergies: Allergen Reactions ? Crestor [Rosuvastatin] Diarrhea ? Doxycycline Hives ? Invokana [Canagliflozin] Caused dehydration which lead to renal insufficiency and syncope ? Lipitor [Atorvastatin] Nausea And Vomiting Muscle cramps-severe nausea/vomiting
Diagnostic Lab Data:
CDC Split Type:

Write-up: 7/5/21 ER HPI: 56 y.o. male who presents with complaint of syncopal episode about 1.5 hr ago that happened at home. Patient said he woke up to fix sandwich and felt like his blood sugar was low, sat down to check his blood sugar and passed out for unknown length of time. Patient complained of some chest pressure left lower anterior chest without radiation. No cough or shortness of breath, no nausea or vomiting, no headache or dizziness, no abdominal pain. Patient blood pressure was low 88/64. Discharged home 7/13/21 ER to inpt admission: 56 y.o. male with a past medical history of ischemic cardiomyopathy status post biventricular ICD, CAD with last stent placed 11/2020, atrial fibrillation on Xarelto, insulin-dependent diabetic who presents to the ED with chest pain. Patient states that he has had some episodes of low blood pressure in the past. Last week he had an episode of low blood pressure and a syncopal event. He states that he was seen on July 5th in Hospital ED where he was hypotensive. He states that since this event he has been quite felt right. He states that this evening he was watching TV and started feeling bad. He took his blood pressure and it was 146/113 on his home monitor. He states that he was sweating, having chest discomfort and epigastric pain. He states that his chest pain was a 4 to 5/10 when it occurred. He was having a little bit of nausea but no vomiting. He states that he kept on feeling well therefore he took 4 baby aspirin and nitro. He states that the nitro seemed to improve his chest pain. He states that now his pain is just a mild discomfort. He states that this is not similar to any of his previous chest pain. He denies any abdominal pain, shortness of breath, swelling. He states that he follows with the Dr. at the hospital. In the ED, vital signs showed a blood pressure 115/76 temperature 97.8, pulse 84, respiratory rate 18, SpO2 94%. CBC is unremarkable. CMP shows a glucose of 178, creatinine 0.7, sodium 137, potassium 4.0 (hemolyzed). Troponin is 11. EKG shows normal sinus rhythm at 81 beats per minute, QTC 420. Patient was given nitroglycerin patch in the ED. Patient was admitted for further evaluation and management of his chest pain.


VAERS ID: 1475421 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-07-04
Onset:2021-07-05
   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 - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pyrexia, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: sertraline lidocaine patch
Current Illness: none
Preexisting Conditions: cmt
Allergies: diazepoam
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, seizure


VAERS ID: 1475646 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-03
Onset:2021-07-05
   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 EW0217 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Lip swelling, Paraesthesia, Periorbital swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Periorbital and eyelid disorders (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: Patient reported taking chlorpheniramine 4 mg tablets, primarily for allergies.
Current Illness: Patient report(s) season allergies, and taking chlorpheniramine 4 mg, to self-medicate.
Preexisting Conditions:
Allergies: No known drug allergies.
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient has stated that she has been having cases of minor swelling, puffiness, and slight numbness and tingling over the recent twelve days, following the first dose of the COVID vaccine. She reports having several different reactions to where she has swelling in her upper or lower lip, numbness near her cheek area, and slight puffiness under her left eye. Not all of these events occur at the same time, rather they seem to occur on seperate occasions. The sights of these events seem to rotate around the facial area as well. She reports that she has been self-medicating, taking chlorpheniramine 4 mg, as an over-the-counter oral tablet. This antihistamine medication appreas to help reduce the swelling and puffiness. An allergy specialist that she visited within the last week, also recommended that she continue to take that antihistamine medication. As per the current CDC recommendations, I have stated that it would be most appropriate for her to not receive the second dose of the COVID vaccine. She will continue to monitor her symptoms, and continue to take the antihistamine medication as she has been taking it previously.


VAERS ID: 1478147 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-30
Onset:2021-07-05
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Anosmia
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Made me lose my sense of smell


VAERS ID: 1478152 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-03
Onset:2021-07-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH DR14468 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Feeling abnormal, Hyperhidrosis, Injection site pain, Lymphadenopathy, Nausea, Paraesthesia, Pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, Vitamin D, Calcium
Current Illness: NA
Preexisting Conditions: NA
Allergies: Environmental Allergies
Diagnostic Lab Data: N/A.
CDC Split Type: vsafe

Write-up: I had a sore arm at the injection site. I was nauseous I felt a little weird and had stomach cramps. Those symptoms went on for about 2 days. I started itching very bad on back of my scalp. A couple days after that I started sweating really bad from head to toe. I have also had some tingly in my foot/leg. I had some swollen glands in my neck/throat area. I called my PCP she said I need to see an allergist before getting my 2nd shot, at this time I haven''t received my 2nd vaccine.


VAERS ID: 1478333 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-06
Onset:2021-07-05
   Days after vaccination:90
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6206 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Computerised tomogram thorax, Dyspnoea, Echocardiogram, Electrocardiogram, Magnetic resonance imaging heart, Myocarditis, SARS-CoV-2 test, Troponin
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril - 40mg Amlodopine - 10mg Hydrochlorothaizid - 25mg Astrovastatin - 40mg Omenprazole - 40mg Aspirin - 81mg Zyrtec - 10mg B12 Multivitamin
Current Illness: None
Preexisting Conditions: High Blood Pressure Cholesterol
Allergies: Pennicillin Iodine Dye Zofran Nitroglycerin Astrovastatin
Diagnostic Lab Data: EKG Detailed Blood work Troponin test Chest Xray SARS Cov 2 test Chest CT Scan Echo Cardigram Cardiac MRI
CDC Split Type:

Write-up: Woke up with severe chest pain and shortness of breath. Called 911, stayed in the hospital for 5 days. was diagnosed with Myocadititis.


VAERS ID: 1478443 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-07
Onset:2021-07-05
   Days after vaccination:89
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0043A21A / UNK UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, Cough, Dyspnoea, Pneumonia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), 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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: lisinopril, aleve, albuterol, metformin, gabapentin, tramadol,
Current Illness:
Preexisting Conditions: hypertension, asthma, chronic back pain
Allergies: No known allergies
Diagnostic Lab Data: SARS CoV 2 PCR Detected 6/29/2021
CDC Split Type:

Write-up: 6.29: Patient recently seen on 6.29.21 at hospital ER and was diagnosed with COVID-19. He was sent home and told to return if symptoms worsened. 7.5.21: patient presents with shortness of breath and cough that have become increasingly worse. Hospitalization due to COVID-19 infection. diagnosed with community acquired pneumonia secondary to COVID-19, acute hypoxic respiratory failure. Patinet has history of receiving the J&J COVID-19 vaccine in April 2021. 7.16: as of the date of this report submission, the patient is still admitted.


VAERS ID: 1478445 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-16
Onset:2021-07-05
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Hypoxia, Myalgia, Pneumonia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril, Tessalon pearls, dexamethason,
Current Illness:
Preexisting Conditions: Diabetes and asthma
Allergies: No known allergies
Diagnostic Lab Data: SARS CoV 2 PCR Detected 7/2/2021
CDC Split Type:

Write-up: 7.2.21: patient seen in ED and diagnosed with COVID-19. 7.5.21: Patient returned to the ED due to symptoms worsening. Symptoms included: myalgias, weakness and cough. Hospitalization due to COVID-19 infection. Diagnosed with community acquired pneumonia and hypoxia. Remdesivir started. 7/8: Completed a 4 day course of remdesivir and was discharged home.


VAERS ID: 1478522 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-19
Onset:2021-07-05
   Days after vaccination:108
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Fatigue, Head discomfort, Nasopharyngitis, Pain, Pyrexia, SARS-CoV-2 test positive, Sinusitis
SMQs:, 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-Vitamin, Vitamin C, Vitamin D3, Vitamin B Complex, Calcium, Probiotic, Vitamin K, Turmeric, S-Acetyl Glutathione, Low Dose Baby Aspirin Faslodex, Lupron,
Current Illness: None
Preexisting Conditions: Breast Cancer
Allergies: Codeine and Sulfa based drugs
Diagnostic Lab Data: July 7, 2021: Rapid Covid-19 test returned positive
CDC Split Type:

Write-up: On July 5, 2021, traveling. I felt like I had a really bad cold/sinus infection. Tuesday morning, was running a low grade fever (99.6-to 99.8)By Wednesday, July 7th, was not feeling better and that morning I noticed I had lost my senses of taste and smell. Decided to have a Covid test done just to be sure. The facility performed a rapid Covid-19 test and it came back positive. As my head was extremely stuff, I was prescribed Prednisone and Fluticasone nasal spray. That evening, my fever had spiked to 102.8. I was achy, tired, and still felt like I had the worst cold/sinus infection. As of today, 7/16/21, I still do not feel 100%. Am currently taking Augmentin, still using the nasal spray, and taking Sudafed to combat the sinus/stuffy head feeling. Have not had a fever since the 7th.


VAERS ID: 1478595 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-04-15
Onset:2021-07-05
   Days after vaccination:81
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Computerised tomogram, Glucose tolerance test, Swelling, Swelling face, Vibratory sense increased
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Cat-Span - 07/09/2021 Sugar Level Test - 07/09/2021
CDC Split Type:

Write-up: Pt. states after receiving the 2nd dose of Moderna 04/15/2021, started to experience swelling in the face and neck 07/05/2021 and believes he has been suffering from Gilliam Bar syndrome. ER visit 07/09/2021 recommended injection of Prednisone and Benadryl, fluids. Neurologist visit recommended. Still experiencing buzzing sensation throughout the body.


VAERS ID: 1479429 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-06-05
Onset:2021-07-05
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysgraphia, Dysphemia, Fine motor skill dysfunction, Muscle spasms, Sleep disorder, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None taken that day.
Current Illness: None to report
Preexisting Conditions: Polycystic Ovarian Syndrome, exercise-induced asthma, dissociative disorder NOS, dissociative amnesia, PTSD,
Allergies: Allergy to poultry and latex
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: I have started having an involuntary, uncontrollable tremor/spasm in my right hand. It shakes and stops me from being able to control my hand or use my hand as I was (for instance, if I am writing, I usually have to wait out the tremor before continuing writing). It seems to be getting worse with time - with originally happening, maybe, once a day. Now it happens several times a day and throughout the night - even waking me, at times. I do not know if it is related, but I have developed a mild stutter, as well.


VAERS ID: 1481124 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: D.C.  
Vaccinated:0000-00-00
Onset:2021-07-05
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 test, Suspected COVID-19, 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:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies and no medical history.
Allergies:
Diagnostic Lab Data: Test Date: 20210710; Test Name: COVID-19 rapid POC test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20210723839

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a patient concerned a 27 year old male of unspecified ethnicity. The patient''s height, and weight were not reported. The patient had no known allergies and no medical history. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, and expiry: unknown) dose was not reported, 1 total administered on 10-APR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 05-JUL-2021, the patient experienced a low grade fever. On 07-JUL-2021, patient had loss of taste, smell and was coughing. On 10-JUL-2021, the patient underwent SARS COV-2 antigen test and results came as positive (suspected clinical vaccination failure, suspected covid-19 infection). It was reported that the patient''s felt his symptoms would have probably worst without the vaccination. The patient had not seen his health case professional at the time of this report. The outcome of the suspected clinical vaccination failure and suspected covid-19 infection was not reported. This report was serious (Other Medically Important Condition). The suspected product quality complaint has been confirmed to be not void (meet PQC) based on the PQC evaluation/investigation performed. This report was associated with product quality complaint: 90000185601.; Sender''s Comments: V0: 20210723839-COVID-19 VACCINE AD26.COV2.S-SUSPECTED CLINICAL VACCINATION FAILURE. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS: Suspected Vaccination failure.


VAERS ID: 1481337 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-05
Onset:2021-07-05
   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 EW0181 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Systemic: Nausea-Medium, Systemic: Vomiting-Medium


VAERS ID: 1481355 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-24
Onset:2021-07-05
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest discomfort, Dyspnoea, Heavy menstrual bleeding, Joint swelling, Menstruation irregular, Painful respiration
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Fertility disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glucosomine, Vitamin D, Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: The MD physician advised to go to the ER if problems persisted. Since we have medical that would cost us thousands, I did not go. I would say my symptoms were mild, but did exist nonetheless. This was more concerning to me since this was my first dose. I am hesitant and have not yet received my second dose.
CDC Split Type:

Write-up: Monday morning I woke up with tightness in my chest, slightly to the left (where my heart is). It continued for several hours and I also experienced shortness of breath. It did go away during the day. That night, when I went to bed, it came back. It hurt more as a took a deep breath and when I was lying down. The next morning, it persisted and I still experienced shortness of breath. I did call the center and MD (I do not have a primary physician because I''m in good health overall). It went away by the next day and has not returned. I also had an earlier and extremely heavy period that month after vaccination and more swelling/joint pain in my right knee, which I had surgery on 11 months prior.


VAERS ID: 1481561 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-05
Onset:2021-07-05
   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 EW0181 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Condition aggravated, Muscle spasms, Pain in extremity, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 1st dose of COVID 19 (Pfizer)
Other Medications: Has a Mirena IUD
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient mentioned when she came for her 2nd COVID vaccine that she had some pain in her inner thigh up to her groin (on the same side as her shot) that started soon after her 1st dose and lasted about 4 hours. She also started bleeding 4 hours after her shot and this lasted for about 6 hours along with some mild cramping. She did not report this after the 1st dose because she didn''t really know if it was related to her vaccine or not. After receiving her 2nd dose she started having some pain in her ankle that went to her shin and lasted about 2 hours. She also had some mild cramping right after the shot. She called the pharmacy later to report that she started bleeding again 4 hours after the shot. The bleeding was off and on for the rest of the night and into the next morning. She has a Mirena IUD for birth control and hasn''t had a period in years. She did contact her OBGYN after the 2nd shot and her MD had not heard of any of these reactions with any patients with the Mirena IUD.


VAERS ID: 1481671 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-14
Onset:2021-07-05
   Days after vaccination:52
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Muscular weakness, Pruritus, Scab
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: N/a
CDC Split Type:

Write-up: I started getting really itchy in my extremities I thought I had mosquito bites from the night before I was outside. I also noticed the tips of my pointer and middle finger on my left hand felt numb. The numbness has gone away but my hands and legs still feel weak, people are saying that I have been walking funny. The itching wouldn?t stop and areas after I scratched 30 minutes or so later had what looked like dried puss. This has been happening for almost 2 weeks and it?s happening all over my extremities. The itchiness is there as soon as I wake up, it goes away and comes back periodically. When I take my pants off it happens to my knees. I have scratched open flesh all over my body little scabs everywhere. I know it?s not poison ivy or anything like that because it comes and goes and I know it?s not hives.


VAERS ID: 1483541 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-02-10
Onset:2021-07-05
   Days after vaccination:145
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9267 / 2 LA / -

Administered by: Private       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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CRESTOR
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: High cholesterol
Allergies:
Diagnostic Lab Data: Test Date: 20210705; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Positive
CDC Split Type: USPFIZER INC2021841739

Write-up: This is a spontaneous report from a contactable consumer (patient) reported for himself that a 47-year-old male patient BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL9267), dose 2 via an unspecified route of administration, administered in left arm on 10Feb2021 (at the age of 47 years old) as dose 2, single for COVID-19 immunisation. Previously the patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL3249) via an unspecified route of administration, administered in left arm on 20Jan2021 (at the age of 47 year sold) as single dose for COVID-19 immunisation. Medical history included High cholesterol. No known allergies reported. Concomitant medication included rosuvastatin calcium (CRESTOR) at 40 mg, the patient received within 2 weeks of vaccination. The patient was not receive any other vaccines within 4 weeks prior to the COVID vaccine. Facility where the most recent COVID-19 vaccine was administered was doctor''s office/urgent care. On 05Jul2021 at 11:00 AM, the patient tested positive to COVID-19. The patient reported that he knows that the vaccine is not 100%, but research at this time is very important. The adverse event result in visit to emergency room or department or urgent care. Treatment was received for the adverse event include 2 bags of fluids, vitamin b, c, d, in injection. The patient has not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination and has been tested for COVID-19 since the vaccination. The patient underwent lab tests and procedures which included nasal swab: positive on 05Jul2021. Therapeutic measures were taken as a result of the events. The report was assessed as serious. Outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1483835 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-28
Onset:2021-07-05
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Joint swelling, Pain, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have experienced swelling in both ankles and feet. There is pain in the left inner ankle but not the right. It hurts to touch and with movement, but I can twist/move it freely. There has been no injury to neither foot/ankle. The swelling reduces with rest and elevation but has not gone completely away since it began.


VAERS ID: 1484939 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-21
Onset:2021-07-05
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Crying, Gait inability, Guillain-Barre syndrome, Impaired work ability, Pain, Paralysis
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (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, 30 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Birth control Lexipro
Current Illness: None
Preexisting Conditions: None
Allergies: Dairy
Diagnostic Lab Data: I don?t have all the details. Hospitalization is ongoing and estimated for weeks to come!
CDC Split Type:

Write-up: I took my daughter to ER twice on July 7th and July 11th and she has been in the hospital ever since. They suspect GBS. She can?t walk, has extreme pain, and is struggling to understand what is happening to her. She was a healthy 19 year old woman jumping on a trampoline and enjoying her life as we hiked through the park just 2 weeks ago. Now she can not walk, has 80% paralysis and has pain that makes her cry constantly. As a reference she is a tough woman - she had her wisdom teeth removed and never used the pain medication they sent home with her. She is in the hospital with no clear path back to a normal life and all of the doctors implied that the most logical cause is the vaccine. She has insurance for the moment (through me) but she can?t work and my insurance may not renew. This will destroy her (and possibly me) financially if there is no help.


VAERS ID: 1485079 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-02
Onset:2021-07-05
   Days after vaccination:33
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: Unknown       Purchased by: ?
Symptoms: Erection increased
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: Pantoloc
Current Illness: GERD
Preexisting Conditions: GERD
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Erect penis size increased by 20% post 2nd dose


VAERS ID: 1485099 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-02-01
Onset:2021-07-05
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PCR test 7/7/2021, other tests at hospital
CDC Split Type:

Write-up: Hospitalized with Covid on 7/11/2021


VAERS ID: 1486317 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Missouri  
Vaccinated:2021-04-09
Onset:2021-07-05
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 - / -

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210705; Test Name: Nasal swab covid test; Test Result: Positive
CDC Split Type: USPFIZER INC2021855055

Write-up: covid test was positive after both doses; covid test was positive after both doses; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EP7534) via an unspecified route of administration on 19Mar2021 as dose 1, single; and later received second dose of BNT162B2 (Lot number: ER8734) on 09Apr2021 as dose 2, single; both for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that patient received the two parts of Pfizer vaccine on 19Mar2021 and 09Apr2021 and experienced a week of symptoms, losing taste and smell was the clincher in Jun2021. After that patient went to a local urgent care and had a nasal swab covid test that was positive on 05Jul2021. Patient was told that many vaccinated people were testing positive in his/her area. On 05Jul2021, the patient underwent lab tests and procedures which included sars-cov-2 test which result was positive. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1486369 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Colorado  
Vaccinated:2021-02-18
Onset:2021-07-05
   Days after vaccination:137
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 2 - / -

Administered by: Private       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210708; Test Name: COVID nasal swab test; Test Result: Positive ; Comments: Nasal swab
CDC Split Type: USPFIZER INC2021881490

Write-up: Caller''s husband was diagnosed with COVID after having been administered both doses of Pfizer Covid Vaccine.; diagnosed with COVID after having been administered both doses of Pfizer Covid Vaccine.; This is a spontaneous report from a contactable consumer (patient''s wife). This is report 2 of 3. This is for the reporter''s husband. A 40-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot number: EL8982 and expiry date was unknown) via unspecified route of administration as first dose in arm on 26Jan2021, via unspecified route of administration as second dose in arm on 18Feb2021 (Lot number EN6200 and expiry date was unknown) as a single dose to prevent the coronavirus at a Hospital. Medical history was not reported. Concomitant medications were not reported. Patient did not have any other prior vaccinations any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. No additional vaccines administered on same date of the Pfizer suspect. Patient had COVID, symptoms onset on 05Jul2021 in the morning and had COVID nasal swab test on 08Jul2021 with result positive diagnosed with COVID after having been administered both doses of Pfizer Covid Vaccine. Outcome of the event was recovering. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1486817 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-03-02
Onset:2021-07-05
   Days after vaccination:125
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 2 LA / IM

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

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

Write-up: Tested positive for covid-19


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