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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 69 out of 5,069

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VAERS ID: 1470291 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-15
Onset:2021-07-01
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Limb discomfort, X-ray
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trazodone 200mg, Hydrohybamoate 50mg, Tamsulosin 0.4mg, Adderall, Mirtazapine 45mg, Atorvastatin 20mg, Aripiprazole 5mg, aspirin tabs 81mg, Doxepin 100mg,
Current Illness: no
Preexisting Conditions: COPD, Bronchitis, Emphysema
Allergies: no
Diagnostic Lab Data: yes, x rays at hospital
CDC Split Type:

Write-up: numbness from top of head all the way to the bottom of feet, heavy feeling in foot and arm on the left side, on right big toe numbness


VAERS ID: 1470329 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Headache, Vaccine positive rechallenge
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: had same reaction with pfizer first dose, persistent headache as well.
Other Medications: unknown
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: unknown
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: persistent headache since day after administration of second vaccine.


VAERS ID: 1470343 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Cough, Dyspnoea, Headache, Muscular weakness, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Dupixent
Current Illness: Mycobacterium Adium intracellulare. Eczema
Preexisting Conditions: MAI lung infection. Eczema
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Previous history covid in March 2021. After first shot reactivating of covid symptoms. Fatigue,fever,sever back pain,muscle aches,severe lethargy and headache. After second shot, shortness of breath,cough,headache,back pain and muscle weakness reactivated, cough, severe facial rash.


VAERS ID: 1470495 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-17
Onset:2021-07-01
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin 200mg daily
Current Illness: None
Preexisting Conditions: Bicuspid Aortic Valve
Allergies: None
Diagnostic Lab Data: EKG, 2D echo performed on: 7/9/21
CDC Split Type:

Write-up: Unknown lot #. Syncope s/p 2 weeks from vaccination


VAERS ID: 1470546 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Nausea, Pain in extremity, Peripheral swelling, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft 50mg, Xulane (Birth control patch), Vitamin D2.
Current Illness: None.
Preexisting Conditions: Asthma.
Allergies: Lactose
Diagnostic Lab Data:
CDC Split Type:

Write-up: After second vaccination became very nausea, arm is swollen. Arm currently still swollen, bruised, itchy and painful.


VAERS ID: 1470585 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2020-12-31
Onset:2021-07-01
   Days after vaccination:182
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: Diabetes, HTN, Sleep apnea
Allergies: None
Diagnostic Lab Data: Covid swab positive 7/2/2021
CDC Split Type:

Write-up: Developed cough, fatigue, congestion 7/1/21. Symptoms fully resolved by 7/12/21.


VAERS ID: 1470612 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-03-01
Onset:2021-07-01
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue, Headache, Myalgia, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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

Write-up: Vaccinated by Pfizer on 3/1/20 and 3/22/21. Symptom onset 7/1/21 with cough, runny nose, muscle aches, loss of smell, loss of taste, sore throat, nasal congestion, headache,, fatigue. Tested positive for Covid-19.


VAERS ID: 1470621 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-03-22
Onset:2021-07-01
   Days after vaccination:101
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue, Headache, Myalgia, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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

Write-up: Vaccinated with Pfizer on 3/1/21 and 3/22/21. Symptom onset 7/1/21 - cough, runny nose, muscle aches, loss of smell and taste, sore throat, nasal congestion headache and fatigue. Tested positive for Covid19 on 7/13/21.


VAERS ID: 1470673 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-15
Onset:2021-07-01
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821288 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injected limb mobility decreased, Injection site discomfort, Injection site hypoaesthesia, Injection site muscle weakness, Injection site pain, Injection site paraesthesia
SMQs:, Extravasation events (injections, infusions and implants) (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: Linsinpril Amlodipine Azathoriprin Hydroxychroquine Metoprolol
Current Illness:
Preexisting Conditions: Lupus Osteoarthritis
Allergies: Demorol ibuprofen
Diagnostic Lab Data:
CDC Split Type:

Write-up: I am experiencing a strong tingling in my left arm where I got the JJ vaccination. While its tingling my upper arm feels as if its being squeezed and I feel pain when it happens. Also it becomes numb to the point my arm is weak, and hard to lift. This happens through out my day, for the last 2wks.


VAERS ID: 1470756 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-06-25
Onset:2021-07-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest pain, Dizziness, Dyspnoea, Fatigue, Heart rate increased, Hypertension, Muscle tightness, Nausea, Presyncope
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (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: Klonopin
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin, omnicef, sulfa based antibiotics
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rapid heart rate, chest pain, shortness of breath, fatigue, high blood pressure, tight muscles, dizziness, feeling like passing out, nausea, joint pain


VAERS ID: 1470783 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-17
Onset:2021-07-01
   Days after vaccination:106
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Electrocardiogram, Headache
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamin, zoloft, digestive enzymes, omeprazole
Current Illness: None
Preexisting Conditions: Borderline high cholesterol, heartburn
Allergies: Penicillin, soy
Diagnostic Lab Data: Chest xray, blood work, EKG, (all done 7/3/21 at Emergency room)
CDC Split Type:

Write-up: 7/1/2021: Headache, chest pain (felt like heartburn).


VAERS ID: 1474031 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Dysphagia, Rash
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), 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: Ventolin, apixaban, klonipin, lamictal,zoloft
Current Illness: none
Preexisting Conditions: bipolar, migranes, asthma low back pain.
Allergies: Compazine, reglan, latex, iodinated products, shrimp
Diagnostic Lab Data: none
CDC Split Type:

Write-up: cough difficulty swallowing and chest rash 2 does of Epi given


VAERS ID: 1474361 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-06-21
Onset:2021-07-01
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Balance disorder, Blood test, Dizziness, Fatigue
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood work July 14th 2021
CDC Split Type:

Write-up: A week after vaccine. Felling extremely tired, unbalance, dizzy


VAERS ID: 1474364 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Muscle spasms
SMQs:, Retroperitoneal fibrosis (broad), 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: Flu vaccine, November of 2020, congestion, leg edema, fever, high blood pressure Flu vaccine 2012 or 2013 - hives
Other Medications: Nexium, vitamin d, xyzal, Flonase sensimist all taken within 24 hours of vaccine
Current Illness: Nasal congestion
Preexisting Conditions:
Allergies: Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: I am experiencing lower back pain and muscle spasms she. Standing for longer than 10-15 minutes. I did not include it in my vsafe check in because it wasn?t constant and I didnt think it was related to the vaccine. It wasn?t until I was making a note of when it started to make an appointment with my doctor that I realized that the first instance was within hours of me getting the vaccine.


VAERS ID: 1474381 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-07-13
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No medications prescriptive or otherwise taken.
Current Illness: None reported.
Preexisting Conditions: None reported
Allergies: no known allergies
Diagnostic Lab Data: N/a
CDC Split Type:

Write-up: No symptoms reported, but pt is 11yr and 9 months old.


VAERS ID: 1474441 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-03
Onset:2021-07-01
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011D21A / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin, amlodipene, atoravastatin, januvia, jardiance, lisinopril,
Current Illness:
Preexisting Conditions: Type 2 diabetes, hypertension
Allergies: Medication : sulfamethoxazole Foods: Peanuts, almonds, seasonal allergies- pollen, cherries, peaches, plums, apples, pears, raw carrots, raw celery,.....
Diagnostic Lab Data: none saught
CDC Split Type:

Write-up: Rash, cluster of tiny pimples on right shoulder approximately 2inch circumference


VAERS ID: 1474585 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / IM

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

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

Write-up: Patient got 1st dose on 05/20/21 and 2rd dose of vaccine on 07/13/21 53 days after 1st dose. No adverse effect was noticed


VAERS ID: 1474610 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Inflammation, Injection site pain, Joint range of motion decreased, Limb injury, Loss of personal independence in daily activities, Product administered at inappropriate site, Shoulder injury related to vaccine administration, X-ray
SMQs:, Dementia (broad), Drug abuse and dependence (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metoprolol 200 mg once daily Lisinopril 10 mg once daily Pantoprazole 10 mg once daily Montelukast 10 mg once daily Methimazole 10 mg once daily Trazadone 50 mg as needed for sleep Vitamin D3 5000 IU 3x week Lutein 25 mg once daily
Current Illness: None
Preexisting Conditions: Cardio myopathy (rapid heartbeat) hyper-thyroid
Allergies: None
Diagnostic Lab Data: Had an appointment on July 15, 2021 with my primary care provider. I was diagnosed with Shoulder Injury Related to Vaccine Administration (SIRVA). They did an X-Ray (no results yet), and prescribed a short-term dose of steroids. Will have follow-up appointment in mid-August, and may possibly need an MRI and/or Physical Therapy.
CDC Split Type:

Write-up: The injection was given into the shoulder joint rather than the deltoid muscle. This has resulted in an inflammatory process that has caused pain and injury to my left shoulder (e.g., tendons, ligaments, bursae, nerves). I now have persistent shoulder and upper arm pain, weakness, and limited range of motion that has worsened in the two weeks following the injection. I am dealing with chronic shoulder and upper arm pain, and am unable to carry out daily activities that were not an issue prior to vaccination. When the symptoms did not subside, I sought medical treatment from my primary care provider on July 15, 2021.


VAERS ID: 1474682 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Headache, Injection site pain, Lip swelling, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Swollen lip and rash around mouth that developed on the evening that 2nd dose of Covid vaccine was given (i.e on evening of 07/01/2021). Rash and swelling of lips and mouth initially seemed to improve, then worsened again by 07/06/21, at which time medical provider (this writer) was contacted. Rash was itchy. Other symptoms included chills, body ache, headache, and soreness at the injection site. Treated with oral Cetirizine with full resolution of symptoms. These symptoms were reported by parent via online messaging system to patient''s pediatrician (this writer).


VAERS ID: 1474754 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-07-01
   Days after vaccination:85
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood cholesterol, Blood test, Dizziness, Feeling abnormal, Head discomfort, Narcolepsy, Nausea, Pain, Petit mal epilepsy
SMQs:, Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Generalised convulsive seizures following immunisation (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, Atorvastatin, Metoprolol, Clopidogrel, Pantoprazole, Tylenol, Meloxicam, Aspirin, SpectoVite Womens
Current Illness: None
Preexisting Conditions: Seasonal Allergies, Stint, Artery clogged, Hypertension, prolapse mitral valve.
Allergies: Sulfa
Diagnostic Lab Data: Ordered MRI for 07/21/2021, Recent blood work showed no issues other than cholesterol.
CDC Split Type: vsafe

Write-up: Lightheaded with pressue and dizzy, nausea, brain fog, Shooting pains across cranium between temple but smaller pains across whole head, changed heart meds for low heart rate. Increasing issue since onset. Narcolepsy; petit mal.


VAERS ID: 1474999 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Shoulder injury related to vaccine administration, X-ray limb
SMQs:, Arthritis (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: Trazodone, Pantoprazole, Lisinopril, Montelukast, Metoprolol ER, and Methimazole
Current Illness: No known illnesses
Preexisting Conditions: No known health conditions
Allergies: No known allergies
Diagnostic Lab Data: The patient received an x-ray on 7/15/21, which the results are unknown as of now.
CDC Split Type:

Write-up: The patient was given the Janssen Covid vaccine on 7/1/21 and she called in on 7/15/21 to report her adverse event. She said she had been having awful shoulder pain ever since receiving the vaccine and it continued to get worse. She went to see her Doctor on 7/15/21 and received and x-ray and prescriptions for oral steroids and an NSAID gel. She said her Doctor diagnosed her with a vaccine related shoulder injury. The results of the x-ray are unknown as of now and the medication was just started today. I told her I would be filling out reports on the incident and that I would check back with her in a few days to see if the medication was helping.


VAERS ID: 1475011 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-07-05
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / IM

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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ciclopirox cream, lorazepam, escitalopram, risperidone
Current Illness:
Preexisting Conditions:
Allergies: keflex
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient reports developing shingles shortly after receiving the dose of Pfizer vaccine


VAERS ID: 1477739 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-11
Onset:2021-07-01
   Days after vaccination:140
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Other       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: Hydrochlorothiazide, Lovastatin, Levothyroxine, Centrum multi-vitamins
Current Illness: None
Preexisting Conditions: Controlled hypertension, Controlled hypothyroidism, Controlled hypercholesterolemia
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Developed shingles on 07/12/2021. Never had shingles before. Started at skin area around T-12 and followed rib cage all the way around to midline on stomach. Doctor ordered acyclovir.


VAERS ID: 1478007 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-17
Onset:2021-07-01
   Days after vaccination:75
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Exposure during pregnancy, Labour complication, Respiratory disorder
SMQs:, Acute central respiratory depression (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Respiratory failure (broad)

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

Write-up: Diseases of the respiratory system complicating childbirth Labor and delivery, indication for care


VAERS ID: 1478055 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-07-16
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA MODERN / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Nauseas , had a fever of 102 for two days , chills, pain all over the body


VAERS ID: 1478310 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 3 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: a third dose was administered during community outreach vaccination in an village.
Current Illness: frail 83 year old female with several comorbidities.
Preexisting Conditions: several
Allergies: NA
Diagnostic Lab Data:
CDC Split Type:

Write-up: While conducting a door to door vaccination and covid testing campaign on 7/1/21 I administered a third dose of the Pfizer vaccination to a Elder. She had received her first two doses 4/21 and 5/11/21. The family reported to us that she was due for her second dose. The patient is HOH and we were using the family as interpreter as well. We do not have access to patient records while doing these kinds of public health operations in the community.


VAERS ID: 1478313 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-02
Onset:2021-07-01
   Days after vaccination:121
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic COVID-19, COVID-19, Fall, Hip fracture, SARS-CoV-2 test positive
SMQs:, Accidents and injuries (narrow), Osteoporosis/osteopenia (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Eliquid, tylenol, plavix, culturelle, colace, synthroid, ativan, namenda, nystatin, seroquel, senna
Current Illness: N/A
Preexisting Conditions: Hypothyroidism, alzheimers, hypertension, osteoarthritis, history of stroke, GERD
Allergies: Dust
Diagnostic Lab Data: Positive COVID PCR on 07/01/2021.
CDC Split Type:

Write-up: Fully vaccinated patient tested positive for COVID upon admission to hospital. Patient admitted through ED on 07/01/21 after fall resulting in hip fracture. Patient tested for COVID with routine admission testing and tested positive. Patient asymptomatic at time of admission for s/s of COVID.


VAERS ID: 1478326 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-17
Onset:2021-07-01
   Days after vaccination:106
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044A21A / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Fall, SARS-CoV-2 test positive
SMQs:, Accidents and injuries (narrow), 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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Eliquis, cardizem, flonase, lasix, avapro, xopenex, melatonin, lopressor, senna, zanaflex
Current Illness: N/A
Preexisting Conditions: hyperlipidemia, depression, ADHD, CKD stage 3, GERD, osteoarthritis, coronary artery disease, hypertension, afib, obesity, COPD, cardiorenal syndrome, RLS, cervical spinal stenosis
Allergies: ciprofloxacin, bee pollen, PCN, sulfa''s
Diagnostic Lab Data: COVID Positive PCR on 07/01/2021. Prior COVID positive test in April per family.
CDC Split Type:

Write-up: Fully vaccinated patient tested positive for COVID upon admission to hospital for unrelated event. Patient admitted through ED on 07/01/21 for orthopedic needs after a fall. No s/s COVID throughout stay. Patient also with positive COVID test in 04/2021.


VAERS ID: 1478347 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-03
Onset:2021-07-01
   Days after vaccination:120
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
SMQs:, 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Beta-carotene, lexapro, cozaar, lopressor, crestor, chemotherapy
Current Illness: Adenocarcinoma of right lung
Preexisting Conditions: history of Hodgkins lymphoma, adenocarcinoma of right lung, bronchiectasis, severe aortic stenosis, HTN, hyperlipidemia, CKD stage 3, depression, immunosuppressed from chemotherapy
Allergies: NKA
Diagnostic Lab Data: Positive COVID PCR on 07/01/21 and 01/13/2021.
CDC Split Type:

Write-up: Fully vaccinated patient with additional history of COVID infection in January positive for COVID and admitted for COVID PNA.


VAERS ID: 1478447 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-07
Onset:2021-07-01
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia, Rash, Rash pruritic, Sexually transmitted disease test, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: insulin
Current Illness: none
Preexisting Conditions: Diabetes type 1
Allergies: none, but Siamese cats.
Diagnostic Lab Data: Dr. prescribed me Singulair for allergies on 7/7/21. But they aren''t helping. I did a full STD panel on 7/12, all negative/normal. Still waiting to see a Dermatologist on 7/23/21
CDC Split Type:

Write-up: random body rashes from my feet to my neck for 15 days now. None on the genitals. Itchy and skin welts without even touching it. I''ve changed my diet, changed detergents, stopped taking all vitamins, nothing helps. they come and go all day and night. On 7/13/21 between 3pm-10pm my whole head went tingly, itchy, and semi-numb, including when I flossed my teeth.


VAERS ID: 1478461 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-01
Onset:2021-07-01
   Days after vaccination:91
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Condition aggravated, Cyanosis, Paraesthesia, Raynaud's phenomenon
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, cytomel, xiidra eye drops. probiotic, CoQ10, Vit C, Vit D, omega 3, wheatgerm extract, bio-identical hormones: estrogen, progesterone, testosterone
Current Illness: healthy
Preexisting Conditions: Raynaud''s syndrome
Allergies: Sulfa
Diagnostic Lab Data: I have photographs of my hand when it turns blue.
CDC Split Type:

Write-up: I have primary Raynaud''s syndrome. NO auto immune issues. This only affects me in the winter. This is the first summer where I am having Raynaud''s symptoms AND two new symptoms for me: 1. I have tingling in both my hands and feet and 2. My right fingers/hand turn blue out of no where. This has never happened to me before.


VAERS ID: 1478506 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-15
Onset:2021-07-01
   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 - / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Condition aggravated, Headache
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: Amitriptyline, TriLoSprintec, Zyrtec, Vitamin D
Current Illness:
Preexisting Conditions: Asthma, Migraine headaches
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headaches


VAERS ID: 1478638 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-05-22
Onset:2021-07-01
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram head, Computerised tomogram thorax, Electrocardiogram, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: CT scan of lungs and head EKG multiple blood tests
CDC Split Type:

Write-up: 2 pulmonary embolism of unknown origin


VAERS ID: 1478696 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Unknown  
Location: Virginia  
Vaccinated:2021-06-24
Onset:2021-07-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Feeling hot, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt reports being hot, shaky, and weak since shot, symptoms started on 7/1/21


VAERS ID: 1481147 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site pain, Insomnia, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (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: STOOL SOFTENER; LAXATIVE [BISACODYL]
Current Illness: Chronic obstructive pulmonary disease
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy (Penicillin - patient got itchy all over (occurred when they were a child)); Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210725350

Write-up: ACHE IN LEFT ARM AND PAIN RUNNING DOWN TO LEFT ARM; SORE ARM AT INJECTION SITE; REDUCED SLEEP; This spontaneous report received from a patient via a company representative concerned a 79 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included chronic obstructive pulmonary disease, and penicillin allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and expiry: UNKNOWN) dose was not reported, administered on 10-JUN-2021 for prophylactic vaccination. Concomitant medications included bisacodyl, and docusate sodium. On JUL-2021, the subject experienced reduced sleep. On JUL-2021, the subject experienced sore arm at injection site. On 08-JUL-2021, the subject experienced ache in left arm and pain running down to left arm. Treatment medications (dates unspecified) included: acetylsalicylic acid. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from ache in left arm and pain running down to left arm, and sore arm at injection site, and the outcome of reduced sleep was not reported. This report was non-serious.


VAERS ID: 1481182 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chills, Decreased appetite, Hypersomnia, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210726820

Write-up: SLEPT LIKE SHIT; LACK OF APPETITE; CHILLS; BAD JOINT PAIN; FEVER; NAUSEA; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on JUL-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On JUL-2021, the subject experienced slept like shit. On JUL-2021, the subject experienced lack of appetite. On JUL-2021, the subject experienced chills. On JUL-2021, the subject experienced bad joint pain. On JUL-2021, the subject experienced fever. On JUL-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from nausea, lack of appetite, and bad joint pain, and the outcome of slept like shit, fever and chills was not reported. This report was non-serious.


VAERS ID: 1481224 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dysarthria, Mouth swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: No abuse or illicit drug usage
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210728488

Write-up: SWOLLEN LIPS AND TONGUE; SLURRED SPEECH; This spontaneous report received from a patient concerned a 67 year old female. The patient''s weight was 140 pounds, and height was 67 inches. The patient''s concurrent conditions included non-smoker, and non-alcohol user, and other pre-existing medical conditions included no abuse or illicit drug usage. The patient experienced anaphylactic reaction to morphine and drug allergy when treated with morphine, drug allergy when treated with codeine, lisinopril, hydrocodone bitartrate/paracetamol, and tramadol. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, expiry: 07-AUG-2021) dose was not reported, administered on 12-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On JUL-2021, the subject experienced slurred speech. On 12-JUL-2021, the subject experienced swollen lips and tongue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from slurred speech on JUL-2021, and was recovering from swollen lips and tongue. This report was non-serious.


VAERS ID: 1481248 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Oregon  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Application site pain, Fatigue, Lymphadenopathy, Paraesthesia, Pruritus, Pulmonary pain, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: USJNJFOC20210729308

Write-up: FELT LIKE ANTS WERE CRAWLING ALL OVER TINGLING AND POKING FROM HEAD TO TOE; FELT LIKE A BEE STING IN THE ARM; SWOLLEN LYMPH NODES; PAIN IN THE LUNGS; ITCHINESS ON THE CHEST; RED BLOOD DOT; TIREDNESS; This spontaneous report received from a patient concerned a 50 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A expiry: UNKNOWN) dose was not reported, administered on 12-JUL-2021 18:45 for prophylactic vaccination. No concomitant medications were reported. On JUL-2021, the subject experienced swollen lymph nodes. On JUL-2021, the subject experienced pain in the lungs. On JUL-2021, the subject experienced itchiness on the chest. On JUL-2021, the subject experienced red blood dot. On JUL-2021, the subject experienced tiredness. On 12-JUL-2021, the subject experienced felt like a bee sting in the arm. On 12-JUL-2021, the subject experienced felt like ants were crawling all over tingling and poking from head to toe. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from felt like a bee sting in the arm, and red blood dot, and had not recovered from tiredness, swollen lymph nodes, pain in the lungs, felt like ants were crawling all over tingling and poking from head to toe, and itchiness on the chest. This report was non-serious.


VAERS ID: 1481263 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Injection site pain, Poor quality sleep, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210730647

Write-up: TIREDNESS; SLIGHT FEVER; KEPT ME AWAKE; CHILLS; SORE ARM WHERE SHE GOT VACCINE; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on 12-JUL-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On JUL-2021, the subject experienced sore arm where she got vaccine. On 12-JUL-2021, the subject experienced kept me awake. On 12-JUL-2021, the subject experienced chills. On 12-JUL-2021, the subject experienced slight fever. On 13-JUL-2021, the subject experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from kept me awake, chills, sore arm where she got vaccine, slight fever, and tiredness on JUL-2021. This report was non-serious.


VAERS ID: 1481318 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-06-16
Onset:2021-07-01
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lip pain, Oral herpes
SMQs:, Oropharyngeal infections (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Systemic: cold-like sores on lip that are painful-Severe


VAERS ID: 1481443 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-06-26
Onset:2021-07-01
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / UNK RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Flu shot rashes
Diagnostic Lab Data: None
CDC Split Type:

Write-up: My symptoms are swollen right supraclavicular lymph nodes, non-tender, pea size and movable


VAERS ID: 1481451 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-07-17
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 RA / 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: Patient was given the Pfizer vaccine shot that was past stability in the fridge for more than 10 hours on 07/17/2021.


VAERS ID: 1481526 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-25
Onset:2021-07-01
   Days after vaccination:98
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027A21A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 2 LA / SYR

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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydroxychloroquine, Synthroid, low dose aspirin, nabumetome, iron, liothyronine, multi vitamin
Current Illness: None
Preexisting Conditions: Lupus, hypothyroidism
Allergies: None
Diagnostic Lab Data: Covid test on 7/9/2021
CDC Split Type:

Write-up: Covid positive diagnosis on 7/1 /2021. No known contact with infected individual


VAERS ID: 1482059 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-21
Onset:2021-07-01
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Facial paralysis, Hypoaesthesia, Hypoaesthesia oral, Motor dysfunction, Paraesthesia, Paraesthesia oral, Paralysis
SMQs:, Peripheral neuropathy (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad)

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Psoriasis
Allergies: None
Diagnostic Lab Data: None available in remote area
CDC Split Type:

Write-up: Numbness tingling and moderate paralysis and loss of motor function in left pinky, left thumb, left index, left forearm, left shoulder, left neck, left jawline, bottom lip of mouth, right shoulder


VAERS ID: 1483302 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-06-09
Onset:2021-07-01
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210701; Test Name: Temperature; Result Unstructured Data: Test Result:101.5; Comments: 101.5; Test Date: 20210701; Test Name: Temperature; Result Unstructured Data: Test Result:100.7; Comments: 100.7
CDC Split Type: USPFIZER INC2021821282

Write-up: Fever; This is a spontaneous report from a contactable consumer (patient). A 28-year-old male patient received first dose of bnt162b2 (BNT162B2, Solution for injection, Lot number: EW0196, Expiration date: Sep2021), via an unspecified route of administration, administered in left arm on 09Jun2021 as DOSE 1, SINGLE and dose 2 via an unspecified route of administration, administered in left arm on 30Jun2021 (Batch/Lot Number: EW0181; Expiration Date: Aug2031) as DOSE 2, SINGLE (age at the vaccination 28-year-old) for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient did not receive prior vaccinations (within 4 weeks). Patient experienced fever on 01Jul2021. Patient was not checked it in a while, but he still feels hot. The last time he checked it might have been ten minutes ago. patient confirms it was 101.5 ten minutes when he checked. When he checked it at first it was 100.7 The patient underwent lab tests and procedures which included body temperature: 101.5 and 100.7 on 01Jul2021. The outcome of the event was not recovered.


VAERS ID: 1483308 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / -

Administered by: Military       Purchased by: ?
Symptoms: Feeling abnormal, Illness, Pain in extremity, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021822039

Write-up: Fever; she was dazed/she didn''t feel good; Her arm was hurting; Sleepiness; sick; This is a spontaneous report from a contactable Nurse (patient''s mother). A 17-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in Arm Left on 30Jun2021 15:30 (at the age of 17-years-old) (Batch/Lot Number: EW0172) as single dose for COVID-19 immunisation. There were no medical history and concomitant medications. The patient had been a healthy child, she had not ever had any problems. No additional vaccines administered on same date of the Pfizer suspect. The patient did not receive any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s). There was no AE(s) following prior vaccinations. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 09Jun2021 (at the age of 17-years-old) (Batch/Lot Number: EW0150) for COVID-19 immunisation and with the first dose she was aright. The patient was 17 years old and got the 2nd dose of the Pfizer BioNTech Covid-19 Vaccine last day (30Jun2021) and was currently experiencing sleepiness and fever. With the first dose she was aright this second one was hitting her hard. She had came down with a fever and she was pretty much been sleeping all day. On 01Jul2021, morning at 4:30 AM, the patient got her mother up telling that her arm was hurting and that she didn''t feel good after that mother gave her some Tylenol. She felt her and she was pretty warm so she gave her the couple Tylenol and they would go from there and she had been asleep ever since. The patient woke up at 4:30 AM this morning (01Jul2021) and it was hitting her hard, she woke up and the caller gave her Tylenol to break the fever. She confirms the fever started 01Jul2021. The fever seemed to have broken with the Tylenol but when she checked on her she was dazed, she had been sleeping all day she has never had her sleeping like this. When asked when sleepiness began she said, they all went to bed around 10 or 10:30 last night and her daughter had been asleep ever since then, it was ongoing. She had been a healthy child, she has not ever had any problems with her being sick. Her fever had improved but the sleepiness it seems had gotten worse. They wanted to know if sleepiness and fever are included among the commonly reported side effects after the 2nd dose of the Pfizer BioNTech Covid-19 Vaccine. She wanted to know if that was a normal situation. They were referred to HCP. The AE(s) did not require a visit to: Emergency Room/Physician Office. There were no relevant tests and investigation assessment done. Outcome of the event fever was recovered on 01Jul2021, sleepiness was not recovered and other events was unknown. Follow-up actions are needed. Further information has been requested.


VAERS ID: 1483335 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Overdose, Product preparation error
SMQs:, Drug abuse and dependence (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021822779

Write-up: received undiluted doses of the vaccine; received undiluted doses of the vaccine; This is a spontaneous report from a contactable physician reported same events under the same suspect product for 4 patients. This is three of 4 reports. A 12-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, lot number: EW0179; expiration date: Aug2021), dose 2 via an unspecified route of administration, administered in left arm on 01Jul2021 (at the age of 12 years), as 0.3 ml single dose for COVID-19 immunisation. The patient had no medical history. The patient did not receive other products. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, lot number and expiration date were not reported), administered on an unknown date, as single dose for COVID-19 immunisation. On 01Jul2021, patient received undiluted 0.3 ml dose of the vaccine. The physician reported as serious. Outcome of an events was unknown. ; Sender''s Comments: Based on the information in the case report and a plausible temporal relationship, a possible causal relationship between the serious event "overdose"and suspect drug BNT162B2 cannot be excluded.,Linked Report(s) : US-PFIZER INC-2021822170 Same reporter/product/event, different patient


VAERS ID: 1483394 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Diarrhoea, Dizziness, Fatigue, Feeling hot
SMQs:, Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021829863

Write-up: having some side effects such as diarrhea; feeling really tired and I fall asleep; I am feeling weak; feeling a little hot; Dizzy; This is a spontaneous report from contactable consumer (Patient). A 46-year-old female received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, and Lot number: EW0187) via unspecified route of administration, administered in left arm on 01Jul2021 10:10 (at age of 46-year-old) as dose 2, single for COVID-19 Immunization. Patient medical history was not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications were none. Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0173) via unspecified route of administration in left arm on 10Jun2021 (at age of 46-years), as Dose 1 single, for COVID-19 Immunization. On 01Jul2021, the patient stated that she received the second dose yesterday and she had been having diarrhea ever since, it had not stopped and she was feeling weak, it seems like anything that she eats or drink it just did not stay in her stomach and she asked that what should she do and how long was this going to last. On the same day, the caller stated that she was feeling dizzy and weak; she was feeling really tired, and she fell asleep, and when she woke up, she was feeling a little hot, but she washed her face to cool off and she was okay. She was asking for recommendations on what she should do about the side effects she was experiencing. The caller was still experiencing events and was enquired about how long this was going to last. Patient did not receive treatment for events. The outcome of event feeling hot was considered as resolved, on an unspecified date in Jul2021, while the outcome of the rest of the events was not resolved. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1483401 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Dysgeusia
SMQs:, Taste and smell disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021829921

Write-up: metallic taste; she didn''t lose taste completely; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported and expiry date: unknown), via an unspecified route of administration, on 01Jul2021 (Yesterday), as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 01Jul2021, the patient had experienced metallic taste in the mouth, she read up on it, she didn''t lose taste completely. She wants to know if it is a normal side effects and how long it lasts. Outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1483449 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-27
Onset:2021-07-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWU198 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Blood glucose, Blood glucose abnormal, Fatigue, Malaise, Pain in extremity, Rash
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Taste and smell disorders (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Diabetic ketoacidosis (he had problem''s before with DKA); Type 1 diabetes mellitus
Allergies:
Diagnostic Lab Data: Test Date: 20210702; Test Name: Sugar; Result Unstructured Data: Test Result:they have been okay today; Test Date: 202107; Test Name: Sugar; Result Unstructured Data: Test Result:they were off quite last couple days; Test Date: 202107; Test Name: Sugar; Result Unstructured Data: Test Result:extreme highs(600), extreme lows( 20 to 30); Comments: extreme highs going after 600, extreme lows of anywhere 20 to 30
CDC Split Type: USPFIZER INC2021831492

Write-up: They(sugar levels) were off quite last couple days, extreme highs going after 600, extreme lows of anywhere 20 to 30 and that is not normal for him; Rash covering his whole entire body and its looks like it bubbling out; He lost his sense of taste, he can''t taste anything.; He has not been feeling well; His body is extremely exhausted like he hasn''t slept; Arm is really sore; This is a spontaneous report from a contactable consumer (patient''s parent). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EWU198), via an unspecified route of administration on 27Jun2021 as dose 2, single for COVID-19 immunisation. Medical history included type 1 diabetes mellitus from an unknown date and unknown if ongoing, DKA (diabetic ketoacidosis) from an unknown date and unknown if ongoing (he had problem''s before with DKA). The patient''s concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: Unknown), via an unspecified route of administration on an unknown date as dose 1, single for COVID-19 immunisation and experienced no reactions. The reporter stated, "my" son received the Pfizer vaccine, we just got his second dose. He did not have any side effects after the first dose and second dose. We were seeing a bunch of things; it was scaring the heck out of me. He was a type 1 diabetic (history), so he was at high risk. He had a rash covering his whole entire body and it was looked like it was bubbling out. He lost his sense of taste; he could not taste anything. He could not tell orange juice from orange; he could not taste anything. He had never had COVID, but this just happened between yesterday and today (as reported) after receiving the vaccine on Sunday (as reported). The reporter stated, yes, he had been complaining that he had not been feeling well. The reporter had been keeping track of his sugar, they had been okay today (as reported), they were off quite last couple days, extreme highs going after 600, extreme lows of anywhere 20 to 30 and that was not normal for him and that did not happen till after the vaccine as well. The arm sore, his body was extremely exhausted like he had not slept, he said arm was really sore to where reporter gave him some Ibuprofen (treatment) because this has been bothering him so much. Reporter''s biggest concern was just making sure that some of these side effects do not turn into bigger problems with his heart or anything like that. The reporter stated, besides he had problems before with DKA (Further not clarified) and this rash and just wanted to make sure it was not going to turn into something else after that, we just need to be prepared for, or this was considered serious one of the side effects that we need to take him in, the reporter does not know. The patient underwent lab tests and procedures which included sugar (blood glucose): they were off quite last couple days in Jun2021, sugar (blood glucose): they have been okay "today" on 02Jul2021, sugar (blood glucose): extreme highs (600), extreme lows (20 to 30) on an unknown date in Jul2021. The outcome of the events was unknown. Reporter was unwilling to complete the report. Hence, limited information was available.


VAERS ID: 1483452 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Unknown  
Location: Massachusetts  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood glucose, Blood glucose increased, Dizziness
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Diabetes
Preexisting Conditions: Medical History/Concurrent Conditions: Thyroid disorder (When probed for any concomitant medication, consumer stated, "Thyroid medication.")
Allergies:
Diagnostic Lab Data: Test Date: 20210701; Test Name: Blood glucose; Result Unstructured Data: Test Result:increased; Comments: my sugar is high
CDC Split Type: USPFIZER INC2021831541

Write-up: Feeling very heavy dizziness; wave in my head like dizziness in vision; light headed; Affects diabetes; my sugar is high; This is a spontaneous report from a contactable consumer (patient). A 59-year-old patient of an unspecified gender received bnt162b2 (manufacture: unspecified, formulation: solution for injection; Batch/Lot Number: FA6780; NDC number, UPC number and Expiry Date: unknown), dose 1 via an unspecified route of administration on 01Jul2021 as dose 1, single for covid-19 immunisation. Medical history included thyroid (when probed for any concomitant medication, consumer stated, "Thyroid medication") from an unknown date and unknown if ongoing and ongoing diabetes from an unknown date. The patient''s concomitant medications were not reported. The patient got the first shot yesterday on 01Jul2021 and after that patient felt very heavy dizziness today and the sugar was high, high that affected diabetes and patient had lightheaded. They told to know at the Pharmacy, wave in the head like dizziness in vision. This shot affects diabetes like and said the sugar was high. Patient was all set, this was too much will call the doctor. The patient underwent lab test blood glucose which was increased on 01Jul2021. The outcome of the events was unknown. When asked for any treatment for the event, consumer stated, no the only I had done with, my insulin for my blood sugar. The outcome of the events was unknown.


VAERS ID: 1483481 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Feeling of body temperature change, Influenza like illness, Myalgia, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions: Medical History/Concurrent Conditions: Heart disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021831983

Write-up: Second dose: muscle soreness and muscle pain; Second dose: flu-like symptoms, hot and cold, chills and fever; Second dose: flu-like symptoms, hot and cold, chills and fever; Second dose: flu-like symptoms, hot and cold, chills and fever; Second dose: flu-like symptoms, hot and cold, chills and fever; Second dose: arm soreness; This is a spontaneous report from a contactable nurse (patient). A 72-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: EW0187; NDC number and expiry date was reported as unknown) via an unspecified route of administration on 01Jul2021 at 15:00 (at the age of 72-years-old) in right arm as a single dose for covid-19 immunization. Medical history (including any illness at time of vaccination) included multiple sclerosis from 1980 and ongoing. Family medical history relevant to adverse event was reported as heart disease from an unknown date and unknown if ongoing. No investigation assessment was reported. It was unknown if the patient had SARS-CoV2 antibodies at diagnosis. No information was provided on multiorgan failure or any new/ worsened symptoms/signs during the covid-19 illness experienced (including date of onset/worsening). The patient was not a smoker/former smoker. She was not taking any medications routinely prior to the event being reported. Additional vaccines administered on same date of the Pfizer suspect were reported as none. Prior Vaccinations (within 4 weeks) and list of any other vaccinations within four weeks prior to the first administration date of the suspect vaccine included nothing except for the first shot. The patient''s concomitant medications were not reported. The patient historical vaccine included first dose of BNT162B2 (COVID Pfizer vaccine; lot number: EW0176; NDC number and expiry date was reported as unknown) on 11Jun2021 in right arm for COVID-19 immunization and experienced sore arm. The patient did not have a positive test for SARS-CoV2. The patient experienced flu like symptoms, chills, fever and she was hot and cold on 01Jul2021 at 20:30. She also had muscle soreness and muscle pain on 01Jul2021 at 23:00. She noticed arm soreness before she went to bed, somewhere around 23:00. The events were bothering her. She did not require emergency room and physician office visit. The patient was not hospitalized or admitted to an intensive care unit and she did not require supplemental oxygen. Treatment medication included Tylenol. Relevant tests were reported as none. The outcome of all the events was not resolved.


VAERS ID: 1483487 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-28
Onset:2021-07-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mobility decreased, Muscle spasms, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CLARITIN ALLERGIC; SERTRALINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Kidney absent (other medical_history: 1 working kidney); Sulfonamide allergy (known allergies: Sulfa Drugs)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021832091

Write-up: What looked like a Seizure 4 days after vaccine.; Intense muscle spasms, couldn''t move fingers or hands for about 15 minutes.; Intense muscle spasms, couldn''t move fingers or hands for about 15 minutes.; This is a spontaneous report from a contactable consumer. This 23-year-old male consumer (patient) reported for himself that: the patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection) via an unspecified route of administration on 28Jun2021 10:00 (Batch/Lot Number: Ew0202) as a single dose for COVID-19 immunization. Medical history included Single functional kidney, Drug hypersensitivity from an unknown date and unknown if ongoing known allergies: Sulfa Drugs and historical vaccine included the first dose of BNT162B2 for COVID-19 Immunization as First dose with Lot number Ew0187 administered on 07Jun2021, 11:15 AM in Left arm. Concomitant medication(s) included Oxymetazoline Hydrochloride (CLARITIN ALLERGIC); Sertraline (SERTRALINE) taken for an unspecified indication, start and stop date were not reported. The patient experienced What looked like a seizure 4 days after vaccine, Intense muscle spasms, couldnt move fingers or hands for about 15 minutes on 01Jul2021 at 20:45. the patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and also Since the vaccination, the patient has not been tested for COVID-19. The patient did not receive any treatment for any of the events. The outcome of event was recovering for all the events. Information on Lot/Batch number was available. Additional information has been requested. Follow-Up (06Jul2021): Follow-up attempts are completed. No further information is expected.


VAERS ID: 1483498 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Malaise, Pain, Pyrexia, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Diabetes (Verbatim: Diabetes)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021832407

Write-up: Fever; Headache; Feels like my tongue is swollen; Body aches in different places; Started feeling poorly, my condition got worse; This is a spontaneous report received from a contactable consumer (patient). 74-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: EW0191), via an unspecified route of administration on 01Jul2021 at 10:00 (at the age of 74-year-old) as single dose for covid-19 immunisation. Medical history included diabetes from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. Patient stated I called because I had the Pfizer vaccine at 10: 00 on 01Jul2021 2 days ago and I started feeling poorly yesterday afternoon and today my condition got worse, I just wanted to know if that is normal, I have fever, a headache, my body aches in different places, and it feels like my tongue is swollen on Jul2021. Therapeutic measures were taken as a result of the events with Tylenol 500mg. The outcome of the events was reported as unknown. Follow up attempts are possible. Further information is expected.


VAERS ID: 1483519 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary mass, Pain in extremity, SARS-CoV-2 test negative
SMQs:, Tendinopathies and ligament disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210623; Test Name: Covid 19 virus test; Result Unstructured Data: Test Result:negative
CDC Split Type: USPFIZER INC2021834638

Write-up: Golf ball to baseball size lump under his left armpit; Soreness underneath his left arm; This is a spontaneous report from a contactable consumer (patient). A 56-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0196), dose 1 via unspecified route of administration, administered in left arm (left shoulder) on 30Jun2021 (at 10:45AM) as single for covid-19 immunization. The patient medical history was not reported. The patient''s concomitant medications were not reported. On 01Jul2021, the patient experienced soreness underneath his left arm. On 02Jul2021 (late afternoon the day after the first injection), the patient experienced golf ball to baseball size lump under his left armpit. When he just got into the shower a little bit ago he discovered the source of the soreness. There is a golf ball to baseball size lump under his left armpit, the same arm he received the Covid 19 vaccine. Patient has not seen his primary care doctor or gone to the emergency room. He noticed the soreness in his left armpit late yesterday afternoon, 01Jul2021. When he got into the shower today, 02Jul2021 and lifted his arm, he thought holy cow, there''s a lump. When probing for reason why he decided to get the Covid 19 vaccine he reports it was work related. He either had to wear a mask or get the Covid 19 vaccine. He adds if this persists for another day or two he was going to see his primary care doctor. He had a Covid 19 test done on the 23Jun2021 that came back negative. When probing adverse events with any other vaccine he reports soreness or stiffness. He has served in the military and has had multiple vaccinations. He doesn''t recall any vaccine specifically that caused stiffness or soreness. He was asking if there are any other recommendations on how to get rid of the lump under his armpit. The outcome of all the events was not recovered.


VAERS ID: 1483576 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / 1 RA / -

Administered by: School       Purchased by: ?
Symptoms: Vaccination site pain, Vaccination site vesicles
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021848850

Write-up: Came up with this bubble like on her skin; maybe like it get burned or something; skin blisters; Came up with this bubble like on her skin; maybe like it get burned or something; skin blisters on right arm at injection site; This is a spontaneous report from a contactable consumer (parent). A 14 years old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection; Lot Number: EP7534, Expiration date, NDC number and UPC number: Unknown), via an unspecified route administered in Right Arm on 30Jun2021 at 11:45 AM (14 years old at vaccination) as DOSE 1, SINGLE for COVID-19 immunization. The patient''s medical history was not reported. No known allergies were reported. Patient did not receive any medications in 2 weeks. The patient did not take any other vaccine in four weeks of vaccination. The patient did not have Covid-19 prior to vaccination. Patient took the vaccine and about a day or so after, on 01Jul2021, patient had this bubble like on her skin. If it could visualize what kind of thing, maybe like it get burned or something ''and'' her skin blisters on right arm at injection site. Since vaccination, the patient was not tested for Covid-19 infection. The patient did not receive any treatment for the events. The outcome of the events was not recovered.


VAERS ID: 1483586 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic COVID-19, Drug ineffective, SARS-CoV-2 test
SMQs:, Lack of efficacy/effect (narrow), 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: 202107; Test Name: Rapid test; Test Result: Positive ; Test Date: 202107; Test Name: RT-PCR Test; Test Result: Positive
CDC Split Type: USPFIZER INC2021855458

Write-up: Her daughter tested positive both on the rapid and RT-PCR Test for COVID-19. Her daughter is asymptomatic; Her daughter tested positive both on the rapid and RT-PCR Test for COVID-19. Her daughter is asymptomatic; This is a spontaneous report from a contactable consumer (patient''s mother) from a Pfizer sponsored program. This consumer reported for 20-Year-old female patient that received dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number and expiration date was not reported), via an unspecified route of administration on 01Jul2021 dose 1 single as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Reportedly, the reporter''s son tested positive for COVID-19, so they all went out to get checked and her daughter tested positive both on the rapid and RT-PCR Test for COVID-19 on an unspecified date Jul2021. Her daughter was asymptomatic. Patient was scheduled to take her 2nd shot of the Pfizer vaccine on 22Jul2021. Reporter wanted to know if her daughter could still get the 2nd dose of the Pfizer COVID Vaccine on 22Jul2021. The outcome of each event was unknown. Information about batch/lot number has been requested.


VAERS ID: 1483587 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Chest pain, Dizziness, Headache, Nausea, Stress
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021855471

Write-up: maybe she is just stressed.; she has constant headaches at night; nausea; chest pain; dizziness; mild abdominal pain; This is a spontaneous report from a Pfizer sponsored program. A contactable 50-year-old female consumer (patient) via medical information team. A 50-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: Unknown), via an unspecified route of administration on 01Jul2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The reporter was a consumer who received the 1st dose of the Pfizer-Biontech COVID19 vaccine on 01Jul2021 and six days after was still experiencing side effects which include headache that happens mostly at night, nausea, chest pain, and sometimes dizziness, as well as mild abdominal pain. She said that her main concern was the headache in which she takes Tylenol extra strength at 500 mg but it only works temporarily. She was not sure if the vaccine was causing the headache or maybe she is just stressed. The reporter was asked if it was normal for day 6 of being vaccinated to be having side effects. Medical questions were addressed by this program forwarded/referred to medical information. The outcome of the events was reported as not resolved. Information about lot/batch number is requested.


VAERS ID: 1483594 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: SARS-CoV-2 infection; Test Result: Positive
CDC Split Type: USPFIZER INC2021861566

Write-up: tested positive after getting the first dose (Jul2021), but patient did not have any symptoms; This is a spontaneous report from a Pfizer sponsored Program. The contactable consumer (patient''s mother) reported for her daughter (the patient). A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number and expiration date were unknown), via an unspecified route of administration, on 01Jul2021, as single dose, for COVID-19 immunization. Medical history and concomitant medications were not reported. Patient received the first dose of COVID-19 vaccine on the first of this month (01Jul2021) and then tested positive after getting the first dose (Jul2021), but patient did not have any symptoms and just wanted to report that now what reporter should if patient should get the second dose. Reporter wanted to know if patient should go on 22Jul2021 for her second dose. Outcome of the event was unknown.


VAERS ID: 1483596 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-07
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: temperature; Result Unstructured Data: Test Result:102.1
CDC Split Type: USPFIZER INC2021861860

Write-up: Running with fever 102.1; This is a spontaneous report from a contactable consumer (patient''s mother). A female patient of unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 07Jul2021 (Lot Number: Unknown) as a single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on unspecified date as a single dose for covid-19 immunisation. The patient received vaccine shot yesterday (on Jul2021, second one) and she left with she is running with fever 102.1. Patient took one tylenol for the event and patient''s husband told she shouldn''t take that, so she didn''t take the second (Tylenol). The reported want to know can patient take the tylenol with the vaccine if she has the fever. The outcome of event was unknown. No follow-up attempts are possible; No further information is expected.


VAERS ID: 1483614 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 antibody test
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: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: other medical history: No
Allergies:
Diagnostic Lab Data: Test Date: 20210701; Test Name: Rapid Test; Test Result: Positive ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC2021868953

Write-up: I contracted Covid-19 two months after getting my second dose with symptoms; I contracted Covid-19 two months after getting my second dose with symptoms; This is a spontaneous report from a contactable consumer (patient). A 29-yeas-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EW0171), dose 2 via an unspecified route of administration, administered in left arm on an unspecified date, as single dose and dose 1 via an unspecified route of administration, administered in left arm on 03Apr2021 (Lot Number: ER8730), as single dose for COVID-19 immunisation. The patient had no other medical history and no known allergies. The patient had no any other medications received within 2 weeks of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient contracted COVID-19 (01Jul2021 at 10:00) two months after got her second dose with loss of taste and smell, body aches, nausea, vomiting and chills and fever while on vacation. The patient underwent lab tests and procedures which included rapid test (nasal swab): positive on 01Jul2021. Event occurred in a location different from that of the reporter. The patient did not receive treatment in response to the events. Outcome of the events was resolving. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1483616 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-09
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021872786

Write-up: Does not feel well; Headache; This is a spontaneous report from a contactable consumer. This consumer (patient''s parent) reported for a 16-year-old female patient (reporter''s daughter) that: A 16-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: EW0198), via an unspecified route of administration on 09Jul2021 (at the age of 16-year-old) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Reporter stated I have a question I got a new information about Pfizer that their vaccine is not as effective now because of the new variant. My daughter is 16, so the Pfizer vaccine is the only one she qualified for right now, yesterday she got her first vaccine. Reporter stated she does not feel well today on 10Jul2021, but she said she doesn''t eat any Tylenol or anything, she also had a headache on unknown date in Jul2021 that''s the only thing. No therapeutic measures were taken as a result of the events. The outcome of the events was reported as unknown.


VAERS ID: 1483627 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-07-12
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021878122

Write-up: Diarrhea; This is a spontaneous report from a contactable consumer. This consumer (patient) of unspecified age and gender reported that the patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: the number was 19289, it was EW0196 (as reported), Expiry Date: Unknown), via an unspecified route of administration on 12Jul2021 as dose number unknown, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. In Jul2021, after the patient took the shot, the patient had diarrhea. The outcome of event was unknown. Information about lot and batch number was requested.


VAERS ID: 1483998 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-16
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Bone pain, Bone swelling, Pain in extremity
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Osteonecrosis (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: Prozac 20 MG
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left arm pain and soreness. Left side collarbone was in pain. and swollen.


VAERS ID: 1484490 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-07-16
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026B21A / 1 RA / IM

Administered by: Senior Living       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: N/A
Current Illness: Was covid positive 46 days before vaccine
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Staff member is under the age of 18


VAERS ID: 1484577 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Menstruation delayed, Migraine
SMQs:, Fertility disorders (broad)

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

Write-up: So far, four days late in starting cycle. This is highly unusual, in fact it has never happened. Definitely a side effect of the vaccine. Migraine headache on day one after the vaccine also.


VAERS ID: 1484615 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Spironolactone, Lasix and Cardivodol
Current Illness: Congestive Heart Failure, Bilateral Knee Pain, Allergies and Hypertension
Preexisting Conditions: Congestive Heart Failure, Bilateral Knee Pain, Allergies and Hypertension
Allergies: Amoxicillin, Penicillian, Nuts, List
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain in both legs and feet. Tingling pain in hand and tips of fingers


VAERS ID: 1484632 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-07-16
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 1 RA / IM

Administered by: Private       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: Escitalopram
Current Illness:
Preexisting Conditions:
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient is 16 years old, does not fall into authorized age group.


VAERS ID: 1484763 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-07-01
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood test abnormal, Diplegia, Diplopia, Dysuria, Facial paralysis, Frequent bowel movements, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture abnormal, Magnetic resonance imaging abnormal, Miller Fisher syndrome, Vision blurred
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Ocular motility disorders (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Carbamazepine
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Two MRIs, three spinal taps, blood work
CDC Split Type:

Write-up: Acute back pain leading to numbness in both legs causing paralysis in both legs, facial paralysis, blurred and double vision, trouble urinating and having bowel movements. Has been diagnosed with GBS/ Miller-fisher disease.


VAERS ID: 1484932 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 054C21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hot flush, Intermenstrual bleeding, Migraine
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Flexaril, Gabapentin, Ibuprofen, Advil
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Percocet, Zithromax
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Pt. states that after receiving the 1st dose of Moderna 07/01/2021, started the experience a spotting period from the 17th continuing with hot flashes, migraines, possible chills. No primary visit noted.


VAERS ID: 1484981 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-07-19
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Viral warts, unspecified type Elevated blood pressure reading without diagnosis of hypertension Peroneal tendinitis, left CIN I (cervical intraepithelial neoplasia I) Chronic tension-type headache, intractable Benign paroxysmal positional vertigo, unspecified laterality
Preexisting Conditions: Gastrointestinal Gastroesophageal reflux disease Renal / Genitourinary CIN I (cervical intraepithelial neoplasia I) Behavioral / Psychiatric Bipolar 1 disorder Depression ENT / Dental Benign paroxysmal positional vertigo Other Antidepressant overdose
Allergies: NKA
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: it was not noted or mentioned after the Pfizer vaccine was given that patient''s first dose was the moderna brand on 6/18/2021


VAERS ID: 1485176 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

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

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

Write-up: A few minutes after receiving the vaccine, the pharmacist was informed that the patient was falling over in our waiting area. The pharmacist got to the patient and caught him before he hit the floor. He lost consciousness for less than a minute and EMS were contacted. The patient was helped into a sitting position, given water and monitored. The patient was alert and by the time the paramedics arrived. He was assessed by them and the patient did not go to the hospital.


VAERS ID: 1485443 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 RA / IM

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

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

Write-up: Patient passed out after receiving immunization. vaccine received at (6:18 pm) Patient fell from chair hit her head on the ground 5 minutes after. I, a health care professional ran out to the patient after mom yelled she passed out. I called for a fan and Ice pack. RPH called emergency services immediately . patient was escorted to hopsital by ambulance.


VAERS ID: 1485934 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Neurological symptom
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210726496

Write-up: POSSIBLE GUILLAIN BARRE SYNDROME SYMPTOMS; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 02-JUL-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On JUL-2021, the subject experienced possible guillain barre syndrome symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of possible guillain barre syndrome symptoms was not reported. This report was non-serious.


VAERS ID: 1485935 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210726702

Write-up: SUFFERED BY PREETY BAD HEADACHE FOR 3 WHOLE DAYS; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on JUL-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On JUL-2021, the subject experienced suffered by preety bad headache for 3 whole days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of suffered by preety bad headache for 3 whole days was not reported. This report was non-serious.


VAERS ID: 1485957 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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: USJNJFOC20210732631

Write-up: FACIAL PARALYSIS; This spontaneous report received from a patient via a company representative via social media concerned a male of unspecified age, race and ethnic origin. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown, expiry: unknown) dose was not reported, 1 total, administered on JUN-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On JUL-2021, the patient experienced facial paralysis from last week after vaccination (second week of JUL-2021). The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The outcome of facial paralysis was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210732631-Covid-19 vaccine ad26.cov2.s -Facial Paralysis. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1485962 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821288 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Emotional distress, Head titubation, Influenza like illness, Injection site pain, Muscle fatigue, Muscular weakness, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (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:
Current Illness: Abstains from alcohol; Fibromyalgia; Marijuana use (a joint per day for pain)
Preexisting Conditions: Comments: The patient had no known allergies. The patient did not have any drug abuse/illicit drug use.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210733688

Write-up: HEAD TREMORS; BLURRED VISION; CONSTANT MUSCLE FAILURE; FLU-LIKE SYMPTOMS; SEVERE MUSCLE WEAKNESS; INJECTION SITE SORENESS; WEAKNESS, NO ENERGY, NO STRENGTH; EMOTIONALLY DEGRADING; This spontaneous report received from a patient concerned a 51 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included fibromyalgia, 1 pack per day medical marijuana a joint per day for pain, and non alcohol user, and other pre-existing medical conditions included the patient had no known allergies. the patient did not have any drug abuse/illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1821288, and expiry: 15-SEP-2021) dose was not reported, administered on 03-JUL-2021 11:00:00 for prophylactic vaccination. No concomitant medications were reported. On JUL-2021, the subject experienced emotionally degrading. On 04-JUL-2021, the subject experienced head tremors. On 04-JUL-2021, the subject experienced blurred vision. On 04-JUL-2021, the subject experienced constant muscle failure. On 04-JUL-2021, the subject experienced flu-like symptoms. On 04-JUL-2021, the subject experienced severe muscle weakness. On 04-JUL-2021, the subject experienced injection site soreness. On 04-JUL-2021, the subject experienced weakness, no energy, no strength. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu-like symptoms, and weakness, no energy, no strength on 06-JUL-2021, had not recovered from injection site soreness, severe muscle weakness, head tremors, blurred vision, and constant muscle failure, and the outcome of emotionally degrading was not reported. This report was non-serious.


VAERS ID: 1485977 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Dizziness, Fatigue, Head discomfort, Headache, Insomnia, Pain, Palpitations, Paraesthesia, Vertigo
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (2 - 3 glasses per week); Allergy to grains; Fibromyalgia (DIAGNOSIS 10 YEARS AGO, VERY PRONE TO THESE SYMPTOMS); Milk allergy; Non-smoker
Preexisting Conditions: Comments: No Drug abuse or illicit drug usage. patient was not pregnant at the time of the event.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210738371

Write-up: PRESSURE IN HEAD; TREMENDOUS AMOUNT OF PAIN IN THE LOWER BACK; GENERALIZED PAIN OVER BODY; FATIGUE; HEADACHE WITH PRESSURE; INTERMITTENT HEART PALPITATIONS; VERTIGO; DIZZINESS; NUMBNESS/TINGLING IN IN RIGHT HAND THEN SPREAD TO LEFT HAND.; COULDN''T SLEEP; This spontaneous report received from a patient concerned a 53 year old female. The patient''s weight was 129 pounds, and height was 68 inches. The patient''s concurrent conditions included fibromyalgia, gluten allergy, casein allergy, alcohol consumption, and non-smoker, and other pre-existing medical conditions included no drug abuse or illicit drug usage. patient was not pregnant at the time of the event.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 201A21A, expiry: UNKNOWN) dose was not reported, administered on 01-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On 01-JUL-2021, the subject experienced numbness/tingling in in right hand then spread to left hand. On 01-JUL-2021, the subject experienced intermittent heart palpitations. On 01-JUL-2021, the subject experienced vertigo. On 01-JUL-2021, the subject experienced dizziness. On 01-JUL-2021, the subject experienced couldn''t sleep. On 01-JUL-2021, the subject experienced headache with pressure. On 02-JUL-2021, the subject experienced generalized pain over body. On 02-JUL-2021, the subject experienced tremendous amount of pain in the lower back. On 02-JUL-2021, the subject experienced fatigue. On 16-JUL-2021, the subject experienced pressure in head. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache with pressure on 03-JUL-2021, was recovering from generalized pain over body, and vertigo, had not recovered from numbness/tingling in in right hand then spread to left hand., fatigue, intermittent heart palpitations, dizziness, and pressure in head, and the outcome of tremendous amount of pain in the lower back and couldn''t sleep was not reported. This report was non-serious.


VAERS ID: 1485978 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Burning sensation, Chest discomfort, Eye irritation, Eye pain, Fatigue, Headache, Hypersensitivity, Injection site pain, Intermenstrual bleeding, Lacrimation increased, Menstrual disorder, Nausea, Neck pain, Oropharyngeal discomfort, Pain in extremity, Pyrexia, Rhinorrhoea, Throat irritation, Vision blurred
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Lacrimal disorders (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin Omega 3
Current Illness: Na
Preexisting Conditions: Na
Allergies: Na
Diagnostic Lab Data:
CDC Split Type:

Write-up: Day one: pain in arm, extreme fatigue, nausea, fever, blurred vision, heavy chest, headache, eye burning pain, pain in side of neck and intonarmoit, pain in right calf, runny nose, burning in nose and throat, oversensitive to touch like clothes Day 2: runny nose, fatigue. congestion, headache, injection site pain Day 3: scratchy throat, watery eyes, arm sore at infection site, naseua, low energy Over the next four days symptoms lessened. At day seven finally felt back to normal. Day 18 &19- spotting blood, period is 9 days early which is not normal. I''m never this early or irregular


VAERS ID: 1485996 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Dry mouth, Headache, Hypoaesthesia, Injection site erythema, Injection site mass, Injection site nodule, Injection site pruritus, Nausea, Paraesthesia, Pruritus, Sensory disturbance
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (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), 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: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210738403

Write-up: NUMBNESS IN RIGHT HAND AND FINGERTIPS; TINGLING IN RIGHT ARM AND FINGERTIPS; TINGLING IN LEFT ARM AND FINGERS; DRY MOUTH; COULD NOT EAT MUCH; FELT LIKE A TRUCK HIT; INJECTION SITE WAS RED AND RAISED FOR 3-4 DAYS; BAD HEADACHE; NAUSEA; INJECTION SITE WAS RED AND RAISED FOR 3-4 DAYS; WHOLE BODY ITCHED; INJECTION SITE WAS ITCHY; BIG HARD LUMP AT INJECTION SITE LIKE A MOSQUITO HAD BITTEN; This spontaneous report received from a patient concerned a 46 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included asthma. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, expiry: UNKNOWN) dose was not reported, administered on 01-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On 01-JUL-2021, the subject experienced big hard lump at injection site like a mosquito had bitten. On 02-JUL-2021, the subject experienced injection site was red and raised for 3-4 days. On 02-JUL-2021, the subject experienced whole body itched. On 02-JUL-2021, the subject experienced injection site was itchy. On 02-JUL-2021, the subject experienced injection site was red and raised for 3-4 days. On 02-JUL-2021, the subject experienced bad headache. On 02-JUL-2021, the subject experienced nausea. On 04-JUL-2021, the subject experienced tingling in right arm and fingertips. On 04-JUL-2021, the subject experienced tingling in left arm and fingers. On 04-JUL-2021, the subject experienced dry mouth. On 04-JUL-2021, the subject experienced could not eat much. On 04-JUL-2021, the subject experienced felt like a truck hit. On 05-JUL-2021, the subject experienced numbness in right hand and fingertips. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from injection site was red and raised for 3-4 days, injection site was red and raised for 3-4 days, bad headache, and nausea on 04-JUL-2021, and tingling in left arm and fingers on 07-JUL-2021, was recovering from whole body itched, and injection site was itchy, had not recovered from big hard lump at injection site like a mosquito had bitten, numbness in right hand and fingertips, and tingling in right arm and fingertips, and the outcome of dry mouth, could not eat much and felt like a truck hit was not reported. This report was non-serious.


VAERS ID: 1486286 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood urine present, Chills, Pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021829759

Write-up: Blood in urine; Pain in all of her body/ body ache; Chills; This is a spontaneous report from a contactable consumer or other non hcp. A 42-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0186, Expiry Date: unknown), dose 1 via an unspecified route of adminstration, administered in Arm Left on 30Jun2021 at 12:30 (at the age of 42-years-old) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Family medical history relevant to AE was none. History of all previous immunization with the Pfizer vaccine was not considered as suspect. No additional vaccines administered on same date of the pfizer sus-pect. No other vaccinations was done within four weeks prior to the first administration date of the suspect vaccine. On 01Jul2021, the patient experienced blood in urine, pain in all of her body/ body ache and chills. The events did not cause Emergency Room or physician office visit. It was reported that yesterday the patient woke up with body ache, chills and blood on her urine. Today she has no longer have chills or body ache, but there is still blood in her urine and she wanted to know if it was normal. Blood in her urine is worst in the morning. When she cleans herself she can see the blood. She stated that she has been drinking a lot of water and it is about the same color now. She denied any medical conditions, medications, labs, testing or treatments relevant to events. Upon follow-up 0n 02Jul2021, vaccine information including lot number, start date, anatomical location was provided. This report is not related to a study or programme. Seriousness of the events were unspecified. NDC number of Pfizer Covid 19 Vaccine was unknown. Investigation Assessment was not provided. The patient provided her doctors name but did not provide contact information for her HCP. Vaccine was not administered at military facility. Outcome of the event blood in urine was not recovered and the outcome of the other two events were recovered on 02Jul2021.


VAERS ID: 1486287 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Malaise, Sleep deficit
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AMLODIPINE; METFORMIN HCL; ATORVASTATIN
Current Illness: Blood pressure high (He had it over the years. He started medication in Jan2021.); Cholesterol (It had been a little longer than 2 years, but he did not think much longer. it was along the same line with the blood pressure.); Type 2 diabetes mellitus (He was diagnosed not longer than 2 years.)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021829959

Write-up: tiredness;Did not feel rested like he should; feeling unwell; feels a little woozy; He explains that he felt like he did not get enough sleep; headache; This is a spontaneous report from a contactable consumer (patient). A 69-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Right on 30Jun2021 17:00 (at the age of 69-year-old) as single dose for COVID-19 immunisation. Medical history included ongoing High Blood Pressure (Had high blood pressure over the years. He started medication in Jan2021), ongoing type 2 diabetes mellitus (diagnosed not longer than 2 years), ongoing cholesterol (It had been a little longer than 2 years, but he did not think much longer. It was along the same line with the blood pressure). Concomitant medications included amlodipine 5 mg taken for High Blood Pressure from Jan2021 and ongoing, metformin hcl 500 mg taken for type 2 diabetes mellitus from an unspecified start date and ongoing, atorvastatin 10 mg taken for cholesterol from an unspecified start date and ongoing. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EW0176), via an unspecified route of administration, administered in Arm Right on 11Jun2021 13:00 as single dose for COVID-19 immunisation. Additional vaccines administered on same date of the Pfizer suspect was provided as none. Prior vaccinations within 4 weeks and AEs following prior vaccinations was none. Consumer reported that side effects from the last dose of vaccine started on 01Jul2021. Consumer reported tiredness, feeling unwell and feels a little woozy on 01Jul2021. He explained that he felt like he did not get enough sleep. Today is experiencing the same tiredness. He states, "I do not look like it but I feel like it if that makes sense". Consumer disclosed tiredness and headache as of today when referencing the list of side effects on the handout he has access to currently. Caller stated that he would not consider this severe. He was still able to function and do what he needed to do. He was feeling more tired than he normally does. He said he did not feel rested like he should. He was still driving. He did not have any dizziness or anything like that. He had a tiredness feeling. The adverse events did not require a visit to emergency room or physician office. Reporter seriousness for events was unspecified. The outcome of event sleep deficit and headache was unknown and for rest of the events was not recovered. Information about batch/ lot number has been requested.


VAERS ID: 1486290 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, Chills, Ear discomfort, Injection site erythema, Insomnia, Pain, Pyrexia, Skin discomfort, Vaccination site swelling
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (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: B12 [CYANOCOBALAMIN]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Chronic migraine; Irritable bowel syndrome; Latex allergy; Vertigo
Allergies:
Diagnostic Lab Data: Test Date: 20210701; Test Name: Body temperature; Result Unstructured Data: Test Result:103-104
CDC Split Type: USPFIZER INC2021830905

Write-up: Inability to sleep; Body aches; Skin uncomfortable to touch,; 4 days with a fever; the first two with a fever between 103-104,; Injection site red and swollen to the circumference of a golf ball.; Injection site red and swollen to the circumference of a golf ball.; Severe body chills; On the 4th day after, my left ear(the same side I got the injection on) feels clogged up; This is a spontaneous report from a contactable consumer (patient). A 24-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 01Jul2021 11:30 (at the age of 24-years-old) as dose number unknown, single for covid-19 immunization. Facility where the most recent COVID-19 vaccine was administered: Pharmacy or Drug Store. The patient past Medical history included irritable bowel syndrome (IBS-C) from an unknown date and unknown if ongoing, vertigo from an unknown date and unknown if ongoing, chronic migraine from an unknown date and unknown if ongoing, known allergies for latex from an unknown date and unknown if ongoing. Concomitant medication(s) included cyanocobalamin (B12) supplement taken for an unspecified indication. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccine within 4 weeks prior to covid-19 vaccination. On 01Jul2021, the patient experienced injection site red and swollen to the circumference of a golf ball, 4 days with a fever; the first two with a fever between 103-104, inability to sleep, severe body chills, body aches, skin uncomfortable to touch, on the 4th day after, on unspecified date in Jul2021, her left ear (the same side she got the injection on) feels clogged up like there''s water in it. Adverse events resulted in doctor or other healthcare professional office/clinic visit. The patient underwent lab tests and procedures which included Body temperature: 103-104 on 01Jul2021. The patient was treated with pain relievers for fever and unspecified treatment for rest all other. The outcome for events was not recovered. Device date was 04Jul2021. Information on the lot/batch number has been requested.


VAERS ID: 1486301 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-03
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Eye disorder, Gait inability, Herpes zoster, Rash, Rash pustular, Vertigo, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021844223

Write-up: He actually woke up with vomiting/ he threw up; Couldn''t walk for a week; The room was spinning and he threw up; Rash over the body and it''s on one side of the body right now the inside they''re little balls, bubbles with some kind of puss inside, water or puss; Rash over the body and it''s on one side of the body right now the inside they''re little balls, bubbles with some kind of puss inside, water or puss; Not sure, we look at pictures they look like shingles; He has side effects on his left eye; This is a spontaneous report from a contactable consumer (parent). A 17-year-old male patient (reporter''s son) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on 03Jul2021 at around 10 at night (at the age of 17-year-old) (Batch/Lot number was not reported) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on an unknown date (Batch/Lot number was not reported) as single dose for covid-19 immunization and did not experience any adverse event. Reporter stated, "my son had the Pfizer and he in the states right now and he went to play hockey, he took the second COVID on the next Saturday, he got it around 10 o clock in the night on 03Jul2021 and on 04Jul2021 he actually woke up with vomiting, could not walk for a week, the room was spinning and he threw up, I don''t know if I said that and barely made a back to the bedroom, woke up had a rash over the body and it was on one side of the body right now the inside they were little balls, bubbles with some kind of puss inside, water or puss". The reporter also stated "not sure, we look at pictures they look like shingles, I see on the internet that in some rare cases it can be activate shingles in your body and I want to know how rare these side effects are and what to do about it". When confirmed that the vaccine son took was Pfizer COVID-19 Vaccine, reporter stated, yes, he was 17 and he had to take it. When probed anatomical site where vaccine was administered, reporter stated, I don''t know that. I know that he has side effects on his left eye (on an unknown date in Jul2021). I don''t know what side he got the injection. I would assume you got it in his left hand because he uses his right hand for lot of things". The outcome of the events was unknown. Information regarding the lot/batch number has been requested.


VAERS ID: 1486325 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021868589

Write-up: My son woke up on thursday 01Jul2021 the day after he received the 2nd dose of the covid 19 vaccine with partial facial paralysis and was diagnosed with bells palsy; My son woke up on thursday 01Jul2021 the day after he received the 2nd dose of the covid 19 vaccine with partial facial paralysis and was diagnosed with bells palsy; This is a spontaneous report from a contactable consumer or other non hcp. A 14-year-old male patient received second dose of BNT162b2 (CONMINTARY, Solution for injection, Lot No: EW0196), via an unspecified route of administration, administered in Arm Left on 30Jun2021 17:45 (at the age of 14-year-old), as 2nd dose single for COVID-19 immunization (Administered at Pharmacy or Drug Store). The patient''s medical history and concomitant medications were not reported. Historical vaccine included first dose of BNT162B2(CONMINTARY, Solution for injection, Lot No: EW0191), via Left arm on 23May2021, 01:00 PM (at the age of 14-year-old), for 1st dose, single for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient had no known allergies. No other medical history was reported. Patient did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The reporter stated that their son woke up on Thursday 01Jul2021 the day after he received the 2nd dose of the covid 19 vaccine with partial facial paralysis and was diagnosed with bell''s palsy. Events resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Therapeutic measures were taken as a result of facial paralysis and bell''s palsy. Treatment received included prednisolone. No seriousness criteria was reported. Outcome of the events was not recovered at the time of reporting. Device Date was 09Jul2021. No follow-up attempts needed. No further information expected.


VAERS ID: 1486328 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New York  
Vaccinated:2021-06-01
Onset:2021-07-01
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021868996

Write-up: Diarrhoea; Vomiting; This is a spontaneous report from a contactable consumer (Patient). A 25-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on an unspecified date (Saturday) in Jun2021 (at the age of 25-year-old), as DOSE 1, SINGLE for Covid-19 immunization and took it from the facility. The patient past medical history and concomitant medication was not reported. On 01Jul2021, the patient experienced Diarrhea and vomiting, a week ago when took Pfizer vaccine. The patient stated that the schedule date for second dose was "22 or 21 days after". When probed if the patient was still experiencing adverse event to which he responded that he was still experiencing, everyday like, two times a day, diarrhea. The patient did not take any treatment for the reported events. The patient stated "Did you poop? This makes me happy. I watched videos women pooping." The patient hung up the call hence limited information was available over the call. The event outcome Diarrhea was not resolved while the outcome of the other event was unknown. No follow up attempts are needed; information about lot/batch number cannot be obtained.


VAERS ID: 1486330 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Feeling abnormal, Headache, Rash, Vaccination site mass, Vertigo, Vision blurred
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Accidents and injuries (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ESTRADIOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (Covid Prior Vaccination? Yes)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021869039

Write-up: Vertigo/room spinning; Blurry vision; General "fuzzy" head feeling; Headache going from back of head (left side) to the front.; Had a small rash that has since turned into the bruise; Had a small rash that has since turned into the bruise; Bruised knot at injection site still hasn''t cleared; This is a spontaneous report from a contactable other healthcare professional (patient). A 28-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0196) via an unspecified route of administration, in the left arm on 01Jul2021 (at the age of 28-years-old) as dose 1, single for COVID-19 immunization at pharmacy or drug store. The patient medical history included covid-19 from an unknown date and unknown if ongoing. Concomitant medication within 2 weeks of vaccination included ESTRADIOL, 0.5mg once daily taken for an unspecified indication, start and stop date were not reported. Allergies to medications, food, or other products included dilaudid and lortab. Prior to vaccination patient was diagnosed with COVID-19 and did not received any other vaccines within 4 weeks. Since the vaccination, the patient had not been tested for COVID-19. On 01Jul2021, the patient experienced headache going from back of head (left side) to the front started within an hour of receiving the vaccine and hadn''t stopped since, and Still ongoing; and also had Bruised knot at injection site still hadn''t cleared and had a small rash that has since turned into the bruise. On 03Jul2021, on day 3 after vaccine patient had Vertigo including blurry vision, room spinning, and general fuzzy head feeling started and lasted until day 7. The reporter assessed the events as non-serious The patient did not receive any treatment for the event. Outcome of the events vertigo, blurry vision and general fuzzy head feeling was recovered on 07Jul2021 and outcome of other events was not recovered.


VAERS ID: 1486345 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-07-07
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Pain, Tension headache
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021872806

Write-up: I have body ache and headache; It''s almost like a tension headache on top of my head.; I have body ache and headache; This is a spontaneous report from contactable consumer (patient). A patient of an unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number was not reported), via an unspecified route of administration on 07Jul2021 at 05:00 PM (48 hours ago on Wednesday at 5pm) as dose number unknown, single for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date in Jul2021, the patient experienced body ache and headache the 1st 24 hours. Patient had a very bad headache. It was almost like a tension headache on top of the head. Patient wanted to know if that was normal. The outcome of the events was unknown. Follow-up attempts are needed; information about lot/batch number can be obtained.


VAERS ID: 1486846 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-07-12
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 054C21A / 1 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyskinesia, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)

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

Write-up: Pt called left message stating numbness in arm and muscle jerking following up with neurologist


VAERS ID: 1486847 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram, Pain, Pericarditis
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: verapamil 120 mg melatonin 5mg
Current Illness: bronchitis
Preexisting Conditions: afib complicated by svt
Allergies: codeine bandage adhesive
Diagnostic Lab Data: ekg - 7/19/2021
CDC Split Type:

Write-up: Diagnosed with pericarditis. Chest pain/pressure that did not resolve itself after a week, shortness of breath, pain in left


VAERS ID: 1486969 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-07-15
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / N/A - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trazadone 300mg PO Q HS
Current Illness: None
Preexisting Conditions: Chronic Neuro Other insomnia G47.09 7/15/2021 No details Chronic Psych Cannabis abuse, uncomplicated F12.10 7/15/2021 No details Chronic Psych Major depressive disorder, recurrent, unspecified F33.9 7/15/2021 No details Chronic Psych Nicotine dependence unspecified, with withdrawal F17.203 7/15/2021 No details Chronic Psych Other stimulant dependence, uncomplicated F15.20 7/15/2021 No details
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient received the J&J vaccine on 7/15/2021 after receiving the first dose of Moderna vaccine on 4/23/2021. Patient had no adverse reactions or side effects reported from the second vaccination.


VAERS ID: 1487115 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-05-26
Onset:2021-07-01
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Balance disorder, Balance test, Fatigue, Memory impairment
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Escitalopram, valium, naltrexone, vitamin D supplement, OTC anti-allergy
Current Illness:
Preexisting Conditions: Fibromyalgia, benign joint hypermobility syndrome
Allergies: Latex, walnuts, cats (all very mild)
Diagnostic Lab Data: Basic neurology/balance test conducted by doctor. Doctor noted impaired balance and requested for me to make a neurology appointment, which is currently scheduled for December of 2021.
CDC Split Type:

Write-up: Beginning roughly May 15th, I began tapering off of diazepam to stop taking the medication at 0.5 mg a week (from original 5 mg dose); beginning around the week of July 5th, I started experiencing significant fatigue, balance issues, and memory problems. This has not resolved, but has not gotten worse. I strongly suspect this is due to withdrawal, but got the CDC phone call and decided it was worth reporting anyway, in case the vaccine increased the severity of my withdrawal symptoms.


VAERS ID: 1487169 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-01-17
Onset:2021-07-01
   Days after vaccination:165
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Cardiac failure
SMQs:, Cardiac failure (narrow), Cardiomyopathy (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknow
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: Employee reports hospitalization and new diagnosis of heart failure


VAERS ID: 1487254 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-31
Onset:2021-07-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic enzyme increased, Liver function test
SMQs:, Liver related investigations, signs and symptoms (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: increased liver enzymes.


VAERS ID: 1487313 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023C21A / 1 RA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hallucination, visual, Headache, Hypophagia, Injection site erythema, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: made eyes feel weird first time, worst the second time, fever for 5 hrs seeing things. redness around shot 4 inches round fouth day still there . didnt eat for three days, head ache. felt like arm was going to fall off. fourth day feel better, arm still red.


VAERS ID: 1487408 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-20
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 LA / IM

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

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

Write-up: Moderna was given as first dose, and Pfizer given as second dose in series. Pt had no reportable reaction at time of vaccination.


VAERS ID: 1487756 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-24
Onset:2021-07-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Antinuclear antibody, Arthralgia, Blood creatine phosphokinase normal, C-reactive protein, Metabolic function test, Muscular weakness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Cmp normal; normal total CK, sed rate, crp; ANA titer 1:320
CDC Split Type:

Write-up: Diffuse myalgia and arthralgia with proximal girdle muscle weakness of hips.


VAERS ID: 1489542 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210735321

Write-up: SO SO SO ACHEY; SHIVERS; MASSIVE FEVER; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on JUL-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On JUL-2021, the subject experienced so so so achey. On JUL-2021, the subject experienced shivers. On JUL-2021, the subject experienced massive fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the massive fever, shivers and so so so achey was not reported. This report was non-serious.


VAERS ID: 1489545 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: South Carolina  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal, Injection site pain, Injection site reaction, Injection site swelling, Myalgia, Soft tissue injury
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210738379

Write-up: PAIN AS FEELING LIKE A BUBBLE OF FLUID; PAIN FEELS LIKE A DEEP, SOFT TISSUE INJURY; INJECTION SITE SWOLLEN; PRESSURE UNDER THE MUSCLE; INJECTION SITE ARM PAIN AND TENDER; SPACEY; This spontaneous report received from a patient concerned a 37 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 204A21A, and expiry: UNKNOWN) dose was not reported, administered on 01-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On 01-JUL-2021, the subject experienced spacey. On 01-JUL-2021, the subject experienced injection site arm pain and tender. On 16-JUL-2021, the subject experienced pain as feeling like a bubble of fluid. On 16-JUL-2021, the subject experienced pain feels like a deep, soft tissue injury. On 16-JUL-2021, the subject experienced injection site swollen. On 16-JUL-2021, the subject experienced pressure under the muscle. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from spacey on 01-JUL-2021, and had not recovered from injection site arm pain and tender, pain as feeling like a bubble of fluid, injection site swollen, pressure under the muscle, and pain feels like a deep, soft tissue injury. This report was non-serious.


VAERS ID: 1489567 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210739896

Write-up: SORENESS; MINOR FATIGUE; This spontaneous report received from a consumer concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 13-JUL-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On JUL-2021, the subject experienced soreness. On JUL-2021, the subject experienced minor fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the minor fatigue and soreness was not reported. This report was non-serious.


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