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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)

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VAERS ID: 1489573 (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 UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Hypoaesthesia, Hypoaesthesia oral, Migraine, Muscle spasms
SMQs:, Peripheral neuropathy (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210740766

Write-up: PAINFUL MIGRAINE HEADACHE; LIPS NUMB; CRAMPS ON EYES MOUTH AND FINGERS; FINGER NUMB; STRONG HEADACHE; This spontaneous report received from a patient 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 16-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 painful migraine headache. On JUL-2021, the subject experienced lips numb. On JUL-2021, the subject experienced cramps on eyes mouth and fingers. On JUL-2021, the subject experienced finger numb. On JUL-2021, the subject experienced strong headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the strong headache, painful migraine headache, lips numb, cramps on eyes mouth and fingers and finger numb was not reported. This report was non-serious.


VAERS ID: 1489575 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Adverse drug reaction
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: USJNJFOC20210740931

Write-up: SIDE EFFECTS WERE EXAGGERATED; This spontaneous report received from a patient via a company representative 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 14-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 side effects were exaggerated. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from side effects were exaggerated. This report was non-serious.


VAERS ID: 1489851 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-08
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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:100; Comments: slight fever of 100
CDC Split Type: USPFIZER INC2021880921

Write-up: fever of 100; This is a spontaneous report from a non-contactable consumer (patient). A 38-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 08Jul2021(at the age of 38 years old) as single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Patient stated he got the COVID-19 shot yesterday, has a slight fever of 100 stated he is not sick just having COVID shot symptoms. The patient underwent lab tests and procedures which included body temperature:100 on an unspecified date on Jul2021 (slight fever of 100). Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1489856 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-16
Onset:2021-07-01
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 2 RA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOCETIRIZINE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: Covid-19 test; Test Result: Positive
CDC Split Type: USPFIZER INC2021890570

Write-up: Got 2 doses of the vaccine tested positive with the COVID-19 Virus; breakthrough infection/patient was just diagnosed last week Friday; Got 2 doses of the vaccine tested positive with the COVID-19 Virus; breakthrough infection/patient was just diagnosed last week Friday; Patient not feeling good; Severe Cold and Flu; Severe Cold and Flu; This is a spontaneous report from a contactable consumer (patient). A 49-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EN6208), dose 1 via intramuscular route, administered in arm left on 26Mar2021 at 09:30 (at the age of 48-year-old) as dose 1, single and dose 2 (Batch/Lot Number: ER8729) via intramuscular route, administered in arm right on 16Apr2021 at 09:30 (at the age of 48-year-old) as dose 2, single for COVID-19 immunisation. The patient medical history was not reported. Concomitant medications included Levocetirizine as allergy medication. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unspecified date in Jul2021, the patient experienced got 2 doses of the vaccine tested positive with the covid-19 virus; breakthrough infection/ patient was just diagnosed last week Friday and on an unspecified date in 2021, the patient not feeling good, severe cold and flu. The clinical course of the events was reported as: he mentioned that he got 2 doses of the vaccine and he was really glad to have the vaccine but unfortunately after that (incomplete sentence), well actually he got the 1st dose last 26Mar and the 2nd dose last 16Apr but unfortunately after a month he was tested positive with the COVID-19 Virus. He stated, he got diagnosed just last week and his shot were between 26Mar and 16Apr of this year and he did not have COVID before this ever. He stated that right now (as reported) since he was not feeling good he had some over the counter medication but when he first came down with this (COVID-19 Virus), the only thing I was taking was allergy medication. I take Levocetirizine (Intent: treatment), 5 mg and I take I once a day in the evening. Laboratory test: included sars-cov-2 test: positive on an unspecified date in Jul2021 and he stated, not for at least, he wanted to say 4 or 5 months, it was the last time he had lab test. Treatment in response to events: he stated, yes, he started on Nyquil and Dayquill and they were severe cold and flu. He took some Aspirin also. He added, that was everything, he just wanted to call and let Pfizer know what happened to see if they ever wanted more information. The outcome of the events was unknown. Product quality complaints: Conclusion: The complaint for lack of effect of the PFIZER-BIONTECH COVID-19 VACCINE INJECTABLE lot EN6208 was investigated. The investigation included reviewing manufacturing and packaging batch records, deviation investigations, and an analysis of complaint history for the reported lot. The final scope was determined to be the reported finished goods lot EN6208, fill lot EN5338, and the formulated drug product lot EN5329. A complaint sample was not returned. No related quality issues were identified during the investigation. There is no impact on product quality. No root cause or CAPA were identified as the complaint was not confirmed. All release testing performed prior to the release of the reported batch was within specifications.


VAERS ID: 1489857 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 INC2021894260

Write-up: Rash on his arm; This is a spontaneous report from a non-contactable consumer (patient). A 26-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number was not reported) via an unspecified route of administration on Jul2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced rash on his arm on Jul2021. The patient unsure if this has something to do with the vaccine or not and want to clarify if rashes on the arm is a common side effect. Patient also wanted to know, is still safe to get a second dose of BNT162B2. The outcome of the events was unknown. No follow-up attempts are possible; No further information is expected.


VAERS ID: 1490029 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Adverse event
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: USJNJFOC20210741809

Write-up: UNDER MINIMUM CONDITIONS; 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: Unk) dose was not reported, administered on 14-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 under minimum conditions. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from under minimum conditions. This report was non-serious. This case, from the same reporter is linked to 20210743283.


VAERS ID: 1490068 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Immediate post-injection reaction, Influenza like illness, Injection site pain, Pain, Uterine spasm
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (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: Vitamin D supplement (due to testing low at physical), multivitamin daily
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None, it just didn?t feel like any vaccine side effects I?ve ever felt so I decided they should be reported!
CDC Split Type:

Write-up: Immediately after vaccination I started to get a sore arm. It wasn?t like a sore arm with other vaccinations, it was like a golf ball was in my arm, and the site ached slightly. A few hours later, the aching feeling spread throughout my body and I felt like I was in the first stage of that ?flu? like feeling along with exhaustion. The strangest thing to me is that my uterus began to cramp somewhat, almost like the start of a period. I finally gave in and took ibuprofen, and drank tons of water. Felt somewhat better, slept through the night and all side effects slowly went away as the next day went on.


VAERS ID: 1490308 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-24
Onset:2021-07-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / IM

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

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

Write-up: Headache and rash (right wrist, right chest, left hip) began approximately 1 week after first Pfizer vaccine administered. Presented to PCP 2 weeks after symptoms began. Treated with naproxen 500mg BID and Benadryl 25mg BID x7 days. Patient returned to clinic with symptoms unimproved. Patient denied further treatment recommendations and prefers to try CBD and acupuncture.


VAERS ID: 1490745 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-06-23
Onset:2021-07-01
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Hypoaesthesia oral, Lymphadenopathy
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hearing impairment (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Bells Palsey in the left side of the face. Lasted approximately 2 weeks and still have numbness in my tongue. Prescribed prednisone 60mg for 7 days. Also experienced extremely swollen lymph nodes in my left neck for approximately 4 days.


VAERS ID: 1490876 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-20
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 3 LA / IM
VARZOS: ZOSTER (SHINGRIX) / GLAXOSMITHKLINE BIOLOGICALS K34C7 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Unevaluable event
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: OMEPRAZOLE 20MG QAM
Current Illness: N/A
Preexisting Conditions:
Allergies: PENICILLIN, CODEINE
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT DID NOT REPORT ANY ADVERSE REACTIONS.


VAERS ID: 1491001 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 reported skin condition flaring up causing a rash from wrist to neck, no anaphylaxis


VAERS ID: 1491224 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-06-09
Onset:2021-07-01
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Directional Doppler flow tests normal, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram ST-T segment abnormal, Electrocardiogram T wave inversion, Troponin I increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: 7/1/21 (echo): mom reports echo was normal - report and study not available to confirm 7/1/21 (ECG): ST segment elevation in the inferolateral leads. This was reported as normal but appears different than his other EKGs. There were upright T-waves in V5 and V6 7/3/21 (ECG): ST segment elevation has normalized but the T-waves have flipped and are inverted in V5 and V6 consistent with LV strain 7/21/21 (ECG): Continued abnormalities in T-wave morphology in V5 and V6 with inverted T-waves. LV strain, abnormal EKG. 7/21/21 (echo): Normal cardiac anatomy and structural relationships. No obvious intracardiac shunting identified. Right ventricular systolic pressure is estimated 19 mmHg plus mean right atrial pressure. Normal biventricular size with normal systolic function. No evidence of coronary aneurysm or ectasia identified. Normal abdominal aorta Doppler flow pattern. No pericardial effusion.
CDC Split Type:

Write-up: Severe chest pain 3 weeks, 1 day after 2nd COVID-19 vaccine. 911 called and patient needed Fentanyl, morphine and Toradol for pain. ECG w ST segment elevation in inferolateral leads and troponin-I 12,726 ng/L (normal < 45 ng/L). Patient admitted to cardiac telemetry floor. Ibuprofen given and troponin-I trended down to 3,600 upon D/C 7/4/21 repeat troponin-I sent today 7/21/21.


VAERS ID: 1492084 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: California  
Vaccinated:2021-01-29
Onset:2021-07-01
   Days after vaccination:153
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9263 / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Epistaxis, Full blood count normal, Platelet count normal
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Synthroid
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CBC normal, platelet count normal
CDC Split Type:

Write-up: I was lying on my bed reading and suddenly I felt my nose bleeding. I don''t get nosebleeds so it was unusual. I was able to stop it fairly quickly, but it was a very unusual event for me.


VAERS ID: 1492845 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cardiac disorder, Dyspnoea, Gait disturbance, Headache, Mental disorder, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: USJNJFOC20210738488

Write-up: SHORTNESS OF BREATH; HEART ISSUES; TROUBLE USING BATHROOM; MENTALLY NOT OK; HIVES (ITCH ALL THE TIME); SEVERE HEADACHE; This spontaneous report received from a patient 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, and batch number were not reported) dose was not reported, administered on 09-JUL-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. No concomitant medications were reported. On JUL-2021, the subject experienced shortness of breath. On JUL-2021, the subject experienced heart issues. On JUL-2021, the subject experienced trouble using bathroom. On JUL-2021, the subject experienced mentally not ok. On JUL-2021, the subject experienced hives (itch all the time). On JUL-2021, the subject experienced severe headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the shortness of breath, hives (itch all the time), heart issues, trouble using bathroom, mentally not ok and severe headache was not reported. This report was non-serious.; Sender''s Comments: V0 Medical assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1492846 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache, Hypersomnia, Vomiting
SMQs:, Acute pancreatitis (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)

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: USJNJFOC20210738640

Write-up: HEADACHE ALMOST MIGRAINE; MOSTLY SLEEPING; LITTLE TIRED; VOMITING EVERY WHERE; This spontaneous report received from a parent concerned a 25 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: 207A21A, 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 vomiting every where. On 03-JUL-2021, the subject experienced mostly sleeping. On 03-JUL-2021, the subject experienced little tired. On 04-JUL-2021, the subject experienced headache almost migraine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting every where on 04-JUL-2021, and headache almost migraine on JUL-2021, and was recovering from little tired, and mostly sleeping. This report was non-serious.


VAERS ID: 1492859 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210740966

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a consumer (contact) via a company representative via Social media concerned couple (two patients) of unspecified race and ethnicity. 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) 1 total, dose was not reported, administered on APR-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 an unspecified date in JUL-2021, the patients (couple) were diagnosed with covid-19 infection (suspected clinical vaccination failure and suspected covid-19 infection). It was unspecified which covid diagnostic test was performed. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the suspected clinical vaccination failure and suspected covid-19 infection was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210740966-Covid-19 vaccine ad26.cov2.-Suspected Clinical Vaccination Failure . This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS.


VAERS ID: 1492869 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Headache, Myalgia, Nausea, Neck pain, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 40 degree
CDC Split Type: USJNJFOC20210741427

Write-up: NECK PAIN; ARM PAIN; 40 DEGREE FEVER; STRONG HEADACHE; MUSCLE PAIN; NAUSEA; This spontaneous report received from a patient 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 13-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 neck pain. On JUL-2021, the subject experienced arm pain. On JUL-2021, the subject experienced 40 degree fever. On JUL-2021, the subject experienced strong headache. On JUL-2021, the subject experienced muscle pain. On JUL-2021, the subject experienced nausea. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 40 degree. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from neck pain, arm pain, 40 degree fever, strong headache, muscle pain, and nausea on 17-JUL-2021. This report was non-serious.


VAERS ID: 1493152 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-05
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWB171 / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Expired product administered, Fatigue, Pain in extremity
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021846697

Write-up: the dose she received yesterday had expired by 30 minutes; moderate fatigue; diarrhea; lot of pain in her arm, moderate pain in her arm; This is a spontaneous report from a contactable consumer. This consumer (patient''s husband) reported for a 50-year-old female patient (reporter''s wife). A 50-years-old female patient received bnt162b2 (BNT162B2, solution for injection), dose 1 via an unspecified route of administration on 05Jul2021 (50-years-at the time of vaccination), (Batch/Lot Number: EWB171) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Reporter stated, "My wife got the Pfizer BioNTech Covid 19 vaccination yesterday, she had moderate fatigue, diarrhea and a lot of pain in her arm, moderate pain in her arm, now today was the day at pharmacy where was get her vaccination at, said that the vaccine that she got yesterday was expired 30 minutes, it was 30 minutes then she was given a next shot and she was and it was like that after the pharmacy tonight to get another shot and what I am concerned about is before her reaction been worse after giving the 2nd shot." Reporter was informed about the Pfizer Medical Information and provided with the number as # and requested to dial the option 3 and informed about timings as 8 AM to 8 PM from Monday to Friday as per EST. The clinical outcome of the events was unknown. Further probing could not be done as reporter don''t want to share further information. Hence, limited information available over the call.


VAERS ID: 1493179 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-07
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Feeling abnormal, Nausea, Vaccination site pain, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cataracts; Vehicular accident
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021861854

Write-up: Nausea/ She notes her nausea as being "awful"; Severe pain in the arm, really hurts./ injection site pain in her arm; My eyes shortly after getting the vaccine got blurrier/ She has worsening blurry vision; I feel terrible/ I didnt know it was going to be this bad; This is a spontaneous report from a non-contactable consumer (patient) medical team. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration on 07Jul2021 16:30 (Batch/Lot number: Not provided, NDC number: Not provided) as single dose for COVID-19 immunization. The patient had history of cataracts and she was in a car accident 2 weeks ago in Jun2021. Concomitant medications were not reported. On an unspecified date in Jul2021, the patient experienced worsening blurry vision, severe nausea and injection site pain in her arm. Reporter seriousness was unspecified. Caller would like to know if the vaccine contains "steroids", and the response was advised caller per attached document and advised that according to the ingredient list, steroids was not listed. Caller stated that she had nausea and would like to know if Ginger Ale would help relieve her symptom. She noted her nausea as being "awful". Caller agreed to transfer to hospital however disconnected before call agent was available to take the call and had the calls merged together. Caller noted having "severe pain in the arm, really hurt. It was not mild". Advised caller per PI; Adverse reactions nausea (1.1 %) as well as Adverse reactions were noted regarding injection site pain. LAB-1457-10.0 Revised: 25Jun2021. Advised caller that Pfizer was unable to make individual treatment recommendations and that her HCP would be the best to provide her with further guidance regarding her symptoms and possible treatment. Consumer calling stating she received a dose of the Pfizer COVID19 Vaccine yesterday 07Jul2021 1630. Caller reported "people said her that arm would be sore". Her question today was were there any reports of the vaccine affecting eyes, she would more specifically like to know since her having a history of cataracts already could the vaccine make it worse. She stated "her eyes shortly after getting the vaccine got blurrier". Caller also asked if there was any information or reported of the "shot affecting her breasts and the way they look". Caller also spoke on having nausea that was "awful" as well as "severe" arm pain. Attempted to transfer caller to hospital call center after calling being a little reluctant to do so initially, she stated "what good would it do". Spoke with hospital nurse. Caller disconnected from the call prior to being connected with hospital to file safety report. Caller declined to provide additional demographics other than her first name, therefore unable to contact caller back for full report. Will Transmit to safety for reported of AE. Advised caller, after review of the Information for Pfizer COVID19 Vaccine, she did not find information regarding blurry vision or visual changes or additional information pertaining to Cataract specifically as she was inquiring. Neither were any notes of breast changes/concerns. Advised as the Prescribing Information did not include all adverse reactions that had been reported or that might occur, please consult doctor/healthcare provider. Furthermore, advised caller that filing a report with hospital could help Pfizer with post authorization studies and data. Advised that she did not have record of fillings made to hospital and chose not to speak on her behalf of side effects, if any, following the vaccine. Caller understood and remained pleasant. Caller stated that she "regrets" getting the Pfizer vaccine because she "felt fine before and now she felt terrible". She proceeded to say "she did not want the MODERNA or the Johnson because she knew the company had been around for a long time. She felt as though she could trust you guys. She did not know it was going to be this bad. Empathized with caller regarding her concerns and referred back to HCP. Caller wanted to know how long her side effects should last and was there anything she could do to feel better. She stated she asked her doctor because she was supposed to pick up her car after she was in a car accident 2 weeks ago. She had to go to the body shop, and she told her HCP she could not even go to pick up her car. Caller stated her provider advised her if she was telling her eyes were blurry and she did not feel well then she should wait for tomorrow. Caller would like to know if agent agreed with HCP advice provided. HCP also advised her that her side effects should be better by 1630 today as it would be 24 hours post vaccination. Advised caller per attached document regarding "in general most side effects resolving within 24-48 hours (1-2 days). Also advised caller that Pfizer was unable to make treatment recommendations regarding individual clients and that her HCP would remain the best source of her medical care plan and directions. Advised that we would recommend she follow the guidance of her HCP and follow their plan of care. She had her first Pfizer Covid 19 vaccine yesterday, 07Jul2021 at 4:30 PM and wanted to report. She now had several side effects. She had worsening blurry vision, severe nausea and injection site pain in her arm. The caller had a history of cataracts. The caller provided no further demographic information other than her name. The caller disconnected prior to completion of transfer. No PQC present. No further information is provided or obtained. Outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1493183 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure measurement, Fatigue, Malaise, Oropharyngeal pain, Somnolence, Ultrasound scan
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: NOVOLIN R; NOVOLOG; LEVOTHYROXINE; VALSARTAN; CHLORTHALIDONE; EZETIMIBE; COMBIGAN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cholesterol (Ezetimibe: Has been taking for probably 3 months); Diabetic; Glaucoma; Hypertension NOS; Leg venous thrombosis; Thyroid disorder NOS (Products Levothyroxine: Has been taking at least a year)
Allergies:
Diagnostic Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:248/117; Test Name: ultrasound; Result Unstructured Data: Test Result:some blockages
CDC Split Type: USPFIZER INC2021861937

Write-up: bad sore throat; felt unwell; tired; groggy; This is a spontaneous report from a contactable other health care professional (patient). A 79-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: EW0198, Expiration date: Unknown), via an unspecified route of administration, administered in left shoulder on 30Jun2021 10:53 (at the age of 79-year-old) as single dose for COVID-19 immunisation at Pharmacy/Drug Store. Medical history included diabetes, blockages in her leg (Just found out she has blockages in her leg and has to go see a vascular surgeon), thyroid, blood pressure, glaucoma and cholesterol; all from an unknown date. Patient did not have relevant family medical history. The patient previously took flu shot (FLU VACCINE VII) on an unknown date for immunization and experienced needle stick and soreness in the arm. Concomitant medication(s) included insulin human (NOVOLIN R) from an unknown date and ongoing taken for diabetes mellitus (Has been taking for 2 years); insulin aspart (NOVOLOG) from an unknown date and ongoing taken for diabetes mellitus (Has been taking over 2 years); levothyroxine (MANUFACTURER UNKNOWN) from an unknown date and ongoing taken for thyroid (Has been taking at least a year); valsartan (MANUFACTURER UNKNOWN) from an unknown date and ongoing taken for hypertension (Has been taking at least a year); chlorthalidone (MANUFACTURER UNKNOWN) from an unknown date and ongoing taken for blood pressure; ezetimibe (MANUFACTURER UNKNOWN) from an unknown date and ongoing taken for cholesterol (Has been taking for probably 3 months) and brimonidine tartrate, timolol maleate (COMBIGAN) from an unknown date and ongoing taken for glaucoma. Additional vaccines were not administered on same date of the Pfizer suspect. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 01Jul2021, the patient experienced bad sore throat, felt unwell, tired and groggy. The patient underwent lab tests and procedures which included blood pressure measurement: suddenly 248/117 and ultrasound scan: some blockages; both on an unspecified date. Patient was received treatment for event felt unwell. It was reported that, On 30Jun2021, she had her first shot. It gave her a really bad sore throat. She just felt really tired and had to go to bed. She felt really unwell. She is getting the second shot 21Jul2021. She wanted to know whether the second one going to be worse than the first one. She noticed really bad sore throat in the next morning. She gargled salt water and mouth wash the second day, then it subsided, somewhat. She took Tylenol for that unwell feeling. Started the same time as the sore throat. It was not instantaneous or anything. By the second day, it was actually not lingering. She was going to a vascular surgeon on 19Jul2021. Does not know if this is pertinent or not. Patient was not visited to emergency room and physician office. The clinical outcome of event bad sore throat was resolving and outcome of other events was unknown.


VAERS ID: 1493192 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-07
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, Chills, Feeling abnormal, Myalgia, Pain, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210708; Test Name: Temperature; Result Unstructured Data: Test Result:100.6 Fahrenheit; Test Date: 20210708; Test Name: Temperature; Result Unstructured Data: Test Result:99.6 Fahrenheit
CDC Split Type: USPFIZER INC2021862226

Write-up: A fever started this morning; Right sore arm; Aches; I have relatively good health all my life, I can''t stand to feel this way; Bad muscle soreness; Chills/ On and off chills; This is a spontaneous report from a contactable consumer (patient). A 75-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0178 and Expiration Date: unknown), via an unknown route of administration, administered in right arm on 07Jul2021 at 13:30 (at the age of 75-years-old) as dose 2, single for covid-19 immunisation. The patient medical history was not reported. Concomitant medication included unspecified blood thinner. The patient previously took first dose of bnt162b2 (Lot number: EW0168), administered in right arm on 16Jun2021 at 12:30 PM (at the age of 74-years-old) for covid-19 immunisation and experienced sore right arm and a passing twingy headache on an unknown date in Jun2021. The patient reported that she received her 2nd covid-19 vaccine dose yesterday on 07Jul2021 at 1:30 PM. She saw there were somewhat common side effects for the covid-19 vaccine. Her side effects were really bad muscle soreness and aches, on and off chills started on an unknown date in Jul2021 and a fever that started morning on the day of reporting on 08Jul2021. On 08Jul2021, her first temperature was 99.6 degrees Fahrenheit, and her temperature went to 100.6 degrees Fahrenheit. She took Tylenol at 10:00 AM morning on 08Jul2021 and now at the time of reporting the time was about 3:45 PM. She would like to take a second Tylenol dose and wanted asked if it was OK for her to take the second dose of Tylenol for her side effects. Her right sore arm had eased up with her first vaccine dose, as well as today on an unknown date in Jul2021 with her second covid-19 vaccine shot. Patient reported that, she had relatively good health all her life, she could not stand to feel this way. She did not do anything today (as reported) on an unknown date in Jul2021. The case was assessed as non-serious. Therapeutic measures were taken as a result of aches, bad muscle soreness, chills/ on and off chills, a fever started this morning (pyrexia) and right sore arm. Outcome of events was unknown. No follow-up attempts needed. No further information is expected, batch/lot.no. has already been reported.


VAERS ID: 1493209 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-07-05
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH W7602805 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Condition aggravated, Product administered at inappropriate site, Vaccination site erythema, Vaccination site swelling, Vaccination site warmth
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 INC2021866538

Write-up: Gave me the shot closer to my elbow rather than my shoulder; Swollen, it started swelling but it was red, it''s still red and it''s swollen but it''s swollen quite a bit; Swollen, it started swelling but it was red, it''s still red and it''s swollen but it''s swollen quite a bit; Have swelling and it has increased quite a bit and it''s warm; Have swelling and it has increased quite a bit and it''s warm; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number W7602805, Expiration date: was not reported), via an unspecified route of administration on 05Jul2021 as dose number unknown, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient had the Pfizer shot on 05Jul2021 and I didn''t pay much attention as to where she gave me the shot but it''s closer to my elbow rather than my shoulder. So, I''m just wondering if and then I have, it was swollen, it started swelling but it was red, it''s still red and it''s swollen but it''s swollen quite a bit, it''s actually right across my shoulder like a band halfway around my arm. And I was wondering if I could send you a picture for you to see it. When confirmed about the swelling around shoulder, consumer stated, It''s not on patients shoulder, it''s down by patients bicep it''s not up on patients shoulder at all. It''s closer to patinets elbow maybe like 2 inches away from my elbow. She gave it to me at the wrong spot, so I''m just trying to find out if that''s okay or was she supposed to do it higher or what to do. And my sister in the hospital and she''s having Chemo therapy and one of the nurses, I sent her a picture so she could see because I wanted to go and visit her and the nurse said that, that was really strange as to how or where I''ve had the shot. And she suggested why don''t you better call on the website and know if there''s a problem with that. I do have swelling and it has increased quite a bit and it''s warm. And that''s one of the side effects that I''m just concerned as to where she gave me the shot. Hopefully on the shoulder, above my elbow, on my arm up high and it''s down near my elbow almost. I wasn''t watching her do it because I can''t stand needles so I was looking the other way I didn''t see where she put the shot and she''s rubbing alcohol on my arm it feel like a little higher than where she gave me the shot. The outcome of the events was reported as not recovered for vaccination site erythema and vaccination site swelling, while for the other events its was reported as unknown.


VAERS ID: 1493219 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-29
Onset:2021-07-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, COVID-19, Diarrhoea, Influenza, X-ray
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: Medical History/Concurrent Conditions: Diarrhea (The caller was severely sick in the winter with diarrhea for 8 months); Myasthenia gravis (mother has myasthenia gravis.); Sickness (The caller was severely sick in the winter with diarrhea for 8 months)
Allergies:
Diagnostic Lab Data: Test Name: X-ray; Result Unstructured Data: Test Result:Unknown; Comments: they didn''t show any stones
CDC Split Type: USPFIZER INC2021869052

Write-up: if the vaccine gave her Covid or if she had Covid in the winter and it brought Covid back.; Does it have the Flu virus in it where it could make the Flu come back if she had it before.; Diarrhea and cramping and all that came back; Diarrhea and cramping and all that came back; This is a spontaneous report from a contactable consumer. A 61-years-old female patient received bnt162b2 (BNT162B2, Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number EW0171), dose 1 intramuscular, administered in Arm Left on 29Jun2021 11:00 as dose 1, single for covid-19 immunisation (Age at vaccination 61 years). Medical history included myasthenia gravis mother has myasthenia gravis, diarrhoea the caller was severely sick in the winter with diarrhea for 8 months, illness the caller was severely sick in the winter with diarrhea for 8 months. The patient''s concomitant medications were not reported. No other products, no patient history. Weighs 170-180 pounds. Additional Vaccines Administered on Same Date of the Pfizer Suspect none. No Prior Vaccinations (within 4 weeks). Patient Medical History (including any illness at time of vaccination) none. On an unspecified date in 2021 patient experienced if the vaccine gave her covid or if she had covid in the winter and it brought covid back, diarrhea and cramping and all that came back on 01Jul2021 17:00, does it have the flu virus in it where it could make the flu come back if she had it before. No Emergency Room visit or Physician Office. The patient underwent lab tests which included x-ray: unknown they didn''t show any stones. She stated the doctor told her the shot will make her sick. He also told her that if she just got one dose of the vaccine she would be 50% protected against Covid. The caller asked if the second dose is easier than the first. She stated that since you already have it injected in our system it seems like you would already be used to it. Response: Read from the PI section 6 regarding comparison of reports of side effects after first vs second dose in the clinical trials. Explained that there are risks of side effects of the vaccine and that it would be a risk for either dose of the vaccine (referring to the fact sheet under "WHAT ARE THE RISKS OF THE PFIZER-BIONTECH COVID-19 VACCINE?" have the Covid virus in it what does it contain? Does it have the Flu virus in it where it could make the Flu come back if she had it before. Response: Offered to send the list of ingredients but the caller declined. Referred to the PI section 13. Referred to HCP. The caller asked if she had the Flu before getting the vaccine. She stated if the vaccine does not. The caller asked if the second dose is a "lighter" one than the first. Response: Read from the PI section 13 regarding both doses containing the same dose of the vaccine. Caller reported that she went to the stomach doctor during all this, referring to the diarrhea she had over the winter months. Caller reported that the doctor wants to do a gallbladder scan. Caller reported that she hasn''t had the scan done yet but the diarrhea had kind of gone away. Again, occurred on 09Jul2021, Caller reported that she was thinking that it was maybe not her gallbladder because she hadn''t had the diarrhea in 6 weeks. Caller stated little did she know that they scheduled that test. Caller reported that she missed the appointment for the test because she didn''t know it had been scheduled and they didn''t tell her. Caller reported that the stomach doctor was wanting her to have some more stomach tests done. Caller reported that when her doctor took X-rays, they didn''t show any stones but her doctor was wanting her to do a Hydascan. Caller reported that her doctor informed her that sometimes it is not gallstones but the gallbladder may not be working right anymore. Caller reported that she may go to the hospital. The outcome of the events diarrhea and cramping its not recovered. and others was unknown Follow-up attempts are completed. No further information is expected.


VAERS ID: 1493243 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-10
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure decreased, Blood pressure measurement, Circadian rhythm sleep disorder, Dizziness, Gait disturbance, Heart rate, Heart rate increased, Hypersensitivity, Lethargy, Nausea, Pallor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210711; Test Name: blood pressure; Result Unstructured Data: Test Result:160 and then it went to down to 126; Test Date: 20210711; Test Name: Heart was beating; Result Unstructured Data: Test Result:Very fast
CDC Split Type: USPFIZER INC2021878825

Write-up: She felt nauseated; Her heart was beating very fast; She didn''t look good, she was pale, her lips were very white; She had hard time to wake up; Her blood pressure was 160 and then it went to down to 126; She tried to come back and start to talk and was able to start to walk; Lethargic; Dizzy; Allergic reaction; This is a spontaneous report from a contactable consumer. A 37-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EW0198, Expiration date: Unknown), dose 1 via an unspecified route of administration on 10Jul2021 15:00 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Reporter stated, she had a, she do not know this part yet, she had a allergic reaction (Jul2021), she had a Pfizer shot yesterday at 3 o''clock in the afternoon. At 4 o''clock in the morning she felt nauseated and her heart was beating very fast (11Jul2021 04:00). She wanted to wake me up, she do not know what she said, in the morning she looked at her again she did not look good, she was pale (11Jul2021). she woke her up, she was lethargic (11Jul2021), she was like you know, she did not look good and she asked her to wake up and she had hard time to wake up (11Jul2021) but she was not, she was extremely dizzy and her lips were very white (11Jul2021). So, she took her to the bathroom, she needed help. Reporter stated, she called the paramedics and the paramedics came and her blood pressure was 160 and then it went to down to 126 (11Jul2021). She tried to come back and start to talk and was able to start to walk again (11Jul2021). Reporter again stated, it was the shot the number 1 shot the 1st shot she took for yesterday. Yes, it was a Pfizer COVID vaccine shot. Reporter stated, it''s not good to get like that. she do not know if it was safe for her to have the second shot. she do not think so. Reporter stated, "EW0198 and the date that it was given was yesterday, 10Jul2021. Reporter stated her heart was beating really fast that morning and she did not feel good and she got nausea she was she was worried about her heart you know going so fast. The patient underwent lab tests and procedures which included blood pressure: 160 and then it went to down to 126 on 11Jul2021, Heart was beating: very fast on 11Jul2021. The outcome of event she tried to come back and start to talk and was able to start to walk was recovered on 11Jul2021 and for other events was unknown.


VAERS ID: 1493244 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Balance disorder, Epistaxis, Headache, Malaise, Pyrexia, SARS-CoV-2 test, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anaphylaxis (history of anaphylaxis to different non-vaccine shot.); Autoimmune disorder (Yes - numerous including autoimmune); Drug allergy (allergic to many medications); Food allergy (allergic to food)
Allergies:
Diagnostic Lab Data: Test Date: 20210701; Test Name: fever; Result Unstructured Data: Test Result:99 degree; Test Date: 20210708; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Negative; Comments: Nasal Swab
CDC Split Type: USPFIZER INC2021880544

Write-up: increasingly off balance; 99 degree temp all week; feeling ill; Long narrow 3-4" red blood clot came out; Nose started bleeding profusely; Odd headache off & on 1st 2 days, then slowing increasing in frequency & duration & intensity. On day 5 around 10:30 pm I''d been sitting on couch a while talking on phone. Nose started bleeding profus; This is a spontaneous report from a contactable consumer (patient). A 51-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0187), via an unspecified route of administration in left arm on 01Jul2021 at 14:00 (at the age of 51 years old) as single for covid-19 immunisation. Medical history included autoimmune disorder (numerous including autoimmune). The patient had known allergies to numerous; history of anaphylaxis to different non-vaccine shot and many medications, food, etc. The patient received other medications within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. On 01Jul2021 at 18:00, patient experienced odd headache off and on 1st 2 days, then slowing increasing in frequency, duration and intensity. On day 5 around 10:30 pm (06Jul2021 22:00), she had been sitting on couch a while talking on phone. Nose started bleeding profusely. Ran to bathroom and blood squirting out right nostril w/her pulse. Long narrow 3-4" red blood clot came out. Blood everywhere, running down throat and spraying over sink/wall. Packed nose w/kleenex tightly and applied pressure. Left Kleenex in placed around 20 min, removed slowly but no blood on Kleenex which to implies bleeding was up higher or in sinuses. It was not a normal bloody nose. Day 6 (07Jul2021), headache continued, increasingly off balance, 99 degree temp all week and feeling ill. Advised to go to ER to rule out low platelets and stroke/brain bleed. The patient underwent lab tests and procedures which included pyrexia: 99 degree on 01Jul2021, sars-cov-2 test (Nasal swab): negative on 08Jul2021. The event resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care visit. Therapeutic measures were taken as a result of events with ER evaluation, CT scan. The outcome of events was recovering.


VAERS ID: 1493248 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-07-10
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Blood pressure measurement, Dehydration, Dyspnoea, Heart rate, Heart rate increased, Palpitations, Thirst
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: blood pressure; Result Unstructured Data: Test Result:166/102; Test Date: 202107; Test Name: blood pressure; Result Unstructured Data: Test Result:105/71; Test Date: 202107; Test Name: heart rate; Result Unstructured Data: Test Result:130; Test Date: 202107; Test Name: heart rate; Result Unstructured Data: Test Result:166
CDC Split Type: USPFIZER INC2021881795

Write-up: Heart racing; Thirst; The shot made her so dehydrated.; breathlessness with the increased heart rate; her blood pressure was 166/102 with a heart rate of 130; her blood pressure was 166/102 with a heart rate of 130/The highest her heart rate got was 166. Then, it would go to 130 or 120.; This is a spontaneous report received from a contactable consumer (patient). A 24-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EW0175 and expiry dates was not provided, 24-years-old at the time of vaccination) via an unspecified route of administration on left arm on 10Jul2021 (11:40, Saturday), at unknown dose single for COVID-19 immunisation. The patients medical history and concomitant medications were not reported. The patient was perfectly fine before the vaccine. Six hours later on 10Jul 2021, her heart started racing, she did not think about it at first. She road it out through the day. The next day, her heart was still racing. She went to Urgent care, and her blood pressure was 166/102 with a heart rate of 130 on an unspecified dated in Jul 2021. It was 100% from the shot. Her doctor downplayed it. He said he hopes it does not stop her from taking the second one, and she said what an idiot. Racing heart has been reported though. The patient did not have a history of high blood pressure or abnormal heart rates. It was sad because she did not get any other side effects. Other than this she feels 100 percent. Heart racing is not a good feeling. she just went to the walk-in pharmacy at the grocery store, she got the vaccine 48 hours ago on the 10Jul2021 at 11:40 am. Last night (on unspecified date), she went to the ER. She was told to drink a lot of water before the shot. Even her pharmacist told her that. The shot made her so dehydrated. She was drinking bottles of water down constantly. She went to the ER, and it looked like she did not drink any water. It depleted her. It made her so thirsty, and her heart was racing. It seemed like it would improve, but it kept spiking. The highest her heart rate got was 166. Then, it would go to 130 or 120. Her blood pressure last night was 105/71. The first and second day the thirst was worse. Today it has improved. She also experienced breathlessness with the increased heart rate. Her mother told her to go to the urgent care, she had an appointment tomorrow (on unspecified date) with her regular physician in the morning, she called drug safety over the weekend but could not understand the agent. The outcome of the event Heart racing, her blood pressure was 166/102 with a heart rate of 130 and Thrist was recovered on unspecified date in Jul2021, the outcome for event breathlessness with the increased heart rate and Dehydration was unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1493255 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-23
Onset:2021-07-01
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Public       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: XYZAL; CITALOPRAM
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: ADHD (Verbatim: ADHD); Depression
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021887152

Write-up: I had an outbreak of shingles or herpes zoster on my right hand.; This is a spontaneous report from a contactable consumer or other non hcp. A 57-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, (Lot number and expiry date was not reported) dose 1 via an unspecified route of administration at Arm Right on 23Jun2021 11:00 (at the age of 57-years-old) as a single dose, for covid-19 immunisation. Medical history included attention deficit hyperactivity disorder, depression from an unknown date and unknown if ongoing Verbatim: ADHD. Concomitant medication(s) included levocetirizine dihydrochloride (XYZAL), citalopram taken for an unspecified indication, start and stop date were not reported. patient had no Known allergies. 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 vaccines within four weeks prior to the vaccination. On 01Jul2021 04:00 the patient experienced outbreak of shingles or herpes zoster on her right hand. with outcome of recovering. No treatment was given for the event. Outcome of the event was recovering.


VAERS ID: 1493372 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Oregon  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Headache, Injection site pain, Neck pain, Vision blurred
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Arthritis (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: USJNJFOC20210741003

Write-up: SHORTNESS OF BREATHING; FUZZY VISION IN RIGHT EYE; SORE NECK FROM RIGHT EAR DOWN TO COLLAR BONE; SEVERE SORENESS AT THE INJECTION SITE IN RIGHT ARM/CAN NOT MOVE ARM; SORE TEMPLES ON BOTH SIDES OF HEAD; This spontaneous report received from a patient concerned a 61 year old of unspecified 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 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUL-2021, the subject experienced shortness of breathing. On JUL-2021, the subject experienced fuzzy vision in right eye. On JUL-2021, the subject experienced sore neck from right ear down to collar bone. On JUL-2021, the subject experienced severe soreness at the injection site in right arm/can not move arm. On JUL-2021, the subject experienced sore temples on both sides of head. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from shortness of breathing, severe soreness at the injection site in right arm/can not move arm, fuzzy vision in right eye, sore neck from right ear down to collar bone, and sore temples on both sides of head. This report was non-serious.; Sender''s Comments: V0: Medical Assessment Comment not required as per standard procedure as case assessed as non serious.


VAERS ID: 1493375 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Adverse drug reaction
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: USJNJFOC20210743283

Write-up: SIDE EFFECTS WERE EXAGGERATED; 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: Unk) dose was not reported, administered on 14-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 side effects were exaggerated. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from side effects were exaggerated. This report was non-serious. This case, from the same reporter is linked to 20210741809 and 20210740931.


VAERS ID: 1493791 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Back pain, Constipation, Cough, Dyspnoea, Hypertension, Hypoaesthesia, Nausea, Neck pain, Rhinorrhoea, Swollen tongue, Throat irritation, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (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: Clavatin
Current Illness: COVID symptoms from having the virus in January
Preexisting Conditions: Yes
Allergies: Vicodin
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: My hands went numb, it started in my hands and feet. My nose and lips were getting numb. Throat feeling weird. Hypertension. Next day weak and nauseated. 3 day i got hives and tongue was swollen. Back and neck pain. constipation, I couldn''t breathe sitting down. body numbness in face, legs, hands, and feet. I had a cough and mucus in my throat. and very weak.


VAERS ID: 1494077 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-01
Onset:2021-07-01
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Tested COVID positive 7/21/2021


VAERS ID: 1494140 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-05-29
Onset:2021-07-01
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest X-ray normal, Electrocardiogram normal, Fall, Laboratory test normal, Loss of consciousness, Syncope, Urine analysis normal
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), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: seen in ED with normal labs, CXR, ECG, urine 7/1/21
CDC Split Type:

Write-up: syncope and collapse (LOC 5 minutes) occurred at rest further workup pending


VAERS ID: 1494146 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-12
Onset:2021-07-01
   Days after vaccination:80
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040A21A / 1 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032BZ1A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram neck, Differential white blood cell count, Full blood count, International normalised ratio, Metabolic function test, Prothrombin time, SARS-CoV-2 test, Sialoadenitis, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal infections (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Collagen, Glucosamine Chondroitin, Vegetarian Estrogen (Life Extension), Potassium Citrate Mind Supplement (Phytoral Brain Health) Vitamins B, C, D Black Cohosh Chamomile tea in the evenings
Current Illness: None
Preexisting Conditions: Kidney Stone
Allergies: No
Diagnostic Lab Data: BASIC METABOLIC PANEL CBC WITH AUTO DIFFERENTIAL COVID Testing - Viral RNA (PCR/NAAT) Imaging OSF CT NECK CBC WITH AUTO DIFFERENTIAL BASIC METABOLIC PANEL TYPE & SCREEN PROTIME AND INR TYPE AND RH RECHECK
CDC Split Type:

Write-up: Neck Swelling, Salivary gland infection


VAERS ID: 1494183 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-05-19
Onset:2021-07-01
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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 CONTINUES TO HAVE TINGLING AND NUMBNESS IN FINGERS


VAERS ID: 1494281 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-06-24
Onset:2021-07-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Rash erythematous
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient described a red rash that started about a week after the vaccination and resolved over a couple of days.


VAERS ID: 1497178 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Body temperature, Discomfort, Headache, Nausea, Pain in extremity, Peripheral coldness, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: Body temperature; Result Unstructured Data: 100.7 F
CDC Split Type: USJNJFOC20210743403

Write-up: ABDOMINAL PAIN FOR 8 DAYS; SKIN FELT COLD TO TOUCH; BODY FELT LIKE LEAD; LEG PAIN AT BACK OF LEG; FEVER OF 100.7 F; HEADACHE FOR 5 DAYS; NAUSEA; This spontaneous report received from a patient 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 JUL-2021 for prophylactic vaccination. . The batch number was not reported and has been requested. No concomitant medications were reported. On JUL-2021, the subject experienced abdominal pain for 8 days. On JUL-2021, the subject experienced skin felt cold to touch. On JUL-2021, the subject experienced body felt like lead. On JUL-2021, the subject experienced leg pain at back of leg. On JUL-2021, the subject experienced fever of 100.7 f. On JUL-2021, the subject experienced headache for 5 days. On JUL-2021, the subject experienced nausea. Laboratory data included: Body temperature (NR: not provided) 100.7 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache for 5 days on JUL-2021, had not recovered from leg pain at back of leg, and the outcome of abdominal pain for 8 days, nausea, fever of 100.7 f, body felt like lead and skin felt cold to touch was not reported. This report was non-serious.


VAERS ID: 1497184 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood glucose, Diabetes mellitus, General physical health deterioration
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: Blood glucose; Result Unstructured Data: Unstable
CDC Split Type: USJNJFOC20210744411

Write-up: HEALTH DECAYING; DIAGNOSED AS DIABETIC; This spontaneous report received from a consumer concerned a 22 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) dose was not reported, 1 total administered on 08-JUL-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 08-JUL-2021 (since vaccination), the patient''s health was decaying and he had good health before vaccination. On an unspecified date in JUL-2021, the patient was diagnosed as diabetic and his sugar level was unstable. Laboratory data included: Blood glucose (NR: not provided) Unstable. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from health decaying, and diagnosed as diabetic. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210744411-covid-19 vaccine ad26.cov2.s ? Diagnosed as Diabetic 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: 1497199 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Missouri  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site nodule, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210745471

Write-up: KNOT AT INJECTION SITE; SORE ARM; 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 19-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 knot at injection site. On JUL-2021, the subject experienced sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the sore arm and knot at injection site was not reported. This report was non-serious.


VAERS ID: 1497422 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high; Crohn''s disease; Diabetes; Heart disorder; Swollen lymph nodes; Thyroid disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021855484

Write-up: under her chin, a lump about the size of a golf ball; face really swollen; Huge painful; This is a spontaneous report from a contactable consumer (patient''s husband) and contactable nurse (patient herself). A 66-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on Jul2021 (Batch/Lot number was not reported) at the age of 66 years old as dose 1, single for COVID-19 immunization. Medical history included Blood pressure high, Heart disease, Diabetes, Thyroid diseases, Crohn''s disease and swollen lymph nodes, all from unknown dates and unknown if ongoing. Concomitant medications included taking medicine for high blood pressure, heart, thyroid and diabetes and has Crohn''s diseases. No prior vaccination (within 4 weeks). As reported, patient received vaccine 5 days ago (Jul2021) and on 07Jul2021 ("this morning"), she got up with her face really swollen and right under her chin, a lump about the size of a golf ball. Further stated that she''s had swollen lymph nodes before but nothing like this. It''s huge. None of her other lymph nodes seems to be tendered and nowhere under her arm so it''s just a lump under a chin. Further stated that, patient woke up and there was a huge painful (incomplete sentence) on Jul2021. Outcome of events were unknown. Information on the lot/batch number has been requested.


VAERS ID: 1497428 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Movement disorder, Pain, SARS-CoV-2 test
SMQs:, Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high; Diabetes
Allergies:
Diagnostic Lab Data: Test Date: 20210708; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC2021860707

Write-up: pain from top to bottom of her body; couldn''t lift right leg; This is a spontaneous report from a contactable consumer (patient). An 81-year-old female patient received 2nd single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT number: Ew0217, expiration date unknown) via an unspecified route of administration in the arm left on 30Jun2021 at 12:00 PM at age of 81-year-old for COVID-19 immunisation. Patient was not pregnant at time of vaccination and events onset. Medical history included blood pressure high (Hbp) and diabetes. Patient previously received 1st single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT number: EW0186, expiration date unknown) in the left arm on 08Jun2021 at 12:00 PM at age of 81-year-old for COVID-19 Immunization. The patient didn''t receive any other vaccines within 4 weeks prior to the COVID vaccine. Other medications the patient received within 2 weeks of vaccination was reported as monthly prescriptions. Patient reported pain from top to bottom of her body to the point she was having trouble concentrating on anything but her pain. Patient couldn''t lift right leg and Tylenol and ibuprofen were not making it go away. Adverse events start date was 01Jul2021. Adverse events start time was 07:00 AM. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care and disability or permanent damage. Outcome of the events was not recovered. Prior to vaccination, the patient wasn''t diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19 by Nasal Swab on 08Jul2021 which was negative.


VAERS ID: 1497429 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-06
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Chills, Headache, Illness, Influenza, Job dissatisfaction, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: Test Date: 20210707; Test Name: body temperature; Result Unstructured Data: Test Result:101; Comments: fever still 99.3 and yesterday it went to a 101; Test Date: 20210708; Test Name: body temperature; Result Unstructured Data: Test Result:99.3; Comments: fever still 99.3 and yesterday it went to a 101
CDC Split Type: USPFIZER INC2021861063

Write-up: fever/her temperature spiked to 101 and is 99.3 today; pain/body aches/ I just feel achy; she felt like her arm was "hit by a sledgehammer; headache; I feel like I had the flu; I can''t work and I just feel achy/unable to go to work; I am loosing work, I am home, sick; chills; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 64-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0217, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on 06Jul2021 (age at vaccination was 64 years) as dose 2, single for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0180, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on an unknown date (age at vaccination was unknown) as dose 1, single for COVID-19 immunization. The caller received her second dose of the vaccine on 06Jul2021 and yesterday and today, it was terrible. She said after her first shot she had nothing all. She had was like an arm ache, that was it and nothing else. The second one she was full blown. She was now experiencing shills/chills, fever, pain and was unable to go to work. She added that on the twelfth hour after the vaccine, at 11 pm, she felt like her arm was "hit by a sledgehammer" and then had the fever and chills. Her temperature spiked to 101 and was 99.3 today. And fever still 99.3 and yesterday it went to a 101 and she couldn''t work and she just felt achy. She said she was also experiencing body aches and headache. She did visit with her doctor yesterday because she thought she had the flu. Her doctor informed her that it could take up to two weeks sometimes, referencing the length of time people experience these side effects. The caller shared that ten people at work at the vaccine and didn''t experience any effects. The caller asked if she experienced side effects because she was older and wanted to know how long the side effects would last. She received the response stating that side effects that she may experience throughout the rest of your body, (systemic side effects) including fever and chills were observed with the first 1 to 2 days after vaccination and resolved shortly thereafter" and that her list of symptoms were among the commonly reported side effects. Also shared that everybody responds differently to vaccines. Recommended her to continue reaching out to HCP for treatment/monitoring of care. When asked permission to probe further, the consumer stated that she just wanted to talk to somebody who could tell her how long that was going to last because she was loosing work, she was home, sick. The consumer was informed about the role of Pfizer drug safety and Medical Information Department for the concern. The events were reported as non-serious. The outcome of events chills and I feel like I had the flu was unknown. The outcome of the other events was not resolved. Follow up (08Jul2021): New information received from a contactable consumer (patient) reported for herself included: Updated the details of the events and details of 1st and 2nd dose of vaccine.


VAERS ID: 1497445 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-05
Onset:2021-07-01
   Days after vaccination:146
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0261 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Discomfort, Hypersensitivity, Injection site erythema, Rash, Vaccination site mass, Vaccination site pruritus, Vaccination site warmth
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENOBARBITAL; DILANTIN [PHENYTOIN]; VITAMIN B 2; VITAMIN B 12 [CYANOCOBALAMIN]; VITAMIN D3; VITAMIN C [ASCORBIC ACID]; VITAMIN E [TOCOPHEROL]; VITAMIN D [COLECALCIFEROL]; CALCIUM; MULTIVITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;FOLIC ACID;NICO
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high; Epilepsy; Metaplastic breast carcinoma (his wife had metaplastic breast cancer and passed away 12 years ago)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021862152

Write-up: experiencing in his left arm where the bump is a sensation of being red/ redness, heat and itching are in the location of the injection; redness, heat and itching are in the location of the injection/ feels hot; intermittent itchiness/ redness, heat and itching are in the location of the injection; it was just sort of like rash; it''s a delayed allergic reaction; I have only minor discomfort; Pfizer Covid-19 vaccine that was given at an angle and a bump occurred; This is a spontaneous report from a contactable consumer (patient). A 78-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: EL0261; NDC number, UPC number and expiry date: unknown) via an unspecified route of administration in left arm on 05Feb2021 (age at the time of vaccination was 78-year-old) as a single dose for COVID-19 immunization. The patient''s medical history included high blood pressure and epilepsy both from an unknown date and unknown if ongoing. The patient had low level of sodium in his system because of phenobarbital. The patient''s wife had metaplastic breast cancer and passed away 12 years ago. The patient''s concomitant medications included phenobarbital; phenytoin (DILANTIN [PHENYTOIN]); riboflavin (VITAMIN B 2); cyanocobalamin (VITAMIN B 12 [CYANOCOBALAMIN]); vitamin D3; vitamin C [ascorbic acid]; tocopherol (VITAMIN E [TOCOPHEROL]); colecalciferol (VITAMIN D [COLECALCIFEROL]); calcium; ascorbic acid, ergocalciferol, folic acid, nicotinamide, panthenol, retinol, riboflavin, thiamine hydrochloride (MULTIVITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;FOLIC ACID;NICOTINAMIDE;PANTHENOL;RETINOL;RIBOFLAVIN;THIAMINE HYDROCHLORIDE]) all taken for an unspecified indication, start and stop date were not reported. Previously, the patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EK4176; NDC number and expiry date: not reported) on 15Jan2021 for COVID-19 immunization and experienced dizziness, headache and chest discomfort. The patient received second dose and reported that the injection was given at an angle and then there was bulb (bump) on his arm for 4 months. In Jul2021, the patient had feeling of sensation in his arm, feeling of the thing red, felt hot and had inter massive itchiness. The patient reported that the redness, heat and itching were in the location of the injection (area was in the upper portion of his left arm, almost by his shoulder). At first, the patient didn''t really give it much attention because it was just sort of like rash and then it started becoming little bit attended and becoming little bit like heat there, the patient had no fever at all during the whole period. He had only minor discomfort and itching. The patient asked if anyone had experienced the sides effects which the patient felt at the injection site (feeling hot and intermittent itchiness). The events were reported as non-serious. The patient found an article on news entitled rare COVID arm phenomenon, a harmless immune response to vaccination, and the patient said that the article was talking about COVID arm, about where in 1st trial 344 people had the COVID arm but in the 2nd trial 64 people had COVID arm but this was the late body reaction that initially occur 10 to 14 days after the injection. The patient got 4 rounds of house treatment. The patient had been to safety and medical information. The patient had an article that he found online that covers all the symptoms that he had, that indicates that it was a delayed allergic reaction and that was the minor incidence and its extremely rare even on the global level. The patient reported that it occurred within the company Moderna, the other vaccine company like Pfizer that produced the 1st 2 vaccine. It was kind of same technology that they use, and the indication was that it will go away if an individual basically takes an aspirin or some anti-inflammatory for a few days. The patient was concerned about it because the way the owner of report said that the initial allergic reaction occurs with people within 10 to 14 days, the patient was 4 months after the effect and had symptoms. The patient explained the way he received injection. The patient reported that they may have given him the vaccine at an angle which created a small pocket through the medicine to stay into regional muscle and later it was released into his system and the patient experienced side effect, that was the minor side effect by description and he had an article that he can refer and even had a quotation medical journal of medicine, what they called a COVID arm phenomenon. The patient gave the reference of the website to other two ladies, where the rare phenomenon called the Covid arm was listed in detail. The patient further stated left upper right arm almost at the shoulder level. The patient did not receive any treatment medication. Investigations was not reported. The outcome of all the events was unknown.


VAERS ID: 1497455 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-24
Onset:2021-07-01
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angina pectoris, Chest pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021862969

Write-up: Heartache; sharp, pulsing pain in the left side of my chest; Muscle pain; This is a spontaneous report from a Non-contactable consumer (patient). A 38-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on 24Jun2021 (Batch/Lot Number: EW0168) at the age of 38-years-old as SINGLE DOSE for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 on an unknown date for covid-19 immunisation. 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. The patient experienced heartache, sharp, pulsing pain in the left side of her chest, and muscle pain on an unknown date in Jul2021. The clinical course as following: Heartache started about a week after getting 2nd shot of Pfizer. Never had heart issues before in her life. She had noticed sharp, pulsing pain in the left side of her chest while in store. There pain pulses lasted for about a minute, then subsided. Since it subsided, she though it might have been muscle pain. However, she had the same pain happening 2 days later. Now it has been 2 weeks since her 2nd shot of Pfizer and she continue to get pulsing pain in heart area almost daily. It usually last anywhere from 1-3 minutes and then subsides. The pain was sharp, but tolerable. The outcome of the events was not recovered. Since the vaccination, the patient was not been tested for COVID-19. No follow-up attempts are Possible. No further information is expected.


VAERS ID: 1497484 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-08
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bone densitometry, Headache, Migraine, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HYDROCORTISONE ACETATE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hemorrhoids (got a hemorrhoid''s flare up after going out at same time. Painful when go to the bathroom.); Spice allergy (had a black pepper in her flour that causes haemorrhoids)
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: bone density test; Result Unstructured Data: Test Result:diagnosis of Osteoporosis,; Comments: There was one area where she had osteopenia
CDC Split Type: USPFIZER INC2021872560

Write-up: Terrible headache; Migraine which started earlier this afternoon until now; Feels like she''s about to throw up because of the pain; feels like she''s about to throw up because of the pain; This is a spontaneous report from a contactable consumer (the patient). A 71-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), intramuscularly, administered in Arm Left (reported as left shoulder) on 08Jul2021 15:00 (at the age of 71-years-old) as a single dose for COVID-19 immunisation. Medical history included allergic to certain kinds of pepper (had a black pepper in her flour that causes haemorrhoids) and hemorrhoids (got a hemorrhoid''s flare up after going out at same time. Painful when go to the bathroom, not even suppositories work for her). Concomitant medication included hydrocortisone acetate suppository taken for haemorrhoids. The patient previously took ibuprofen and experienced harder on stomach. The patient also previously took first dose of bnt162b2 for COVID-19 immunisation on 17Jun2021 with which she experienced osteopenia and have lost lot of height because of the osteoporosis (Treatment for Osteoporosis and Osteopenia: Vitamin D and calcium). The patient was not received any other vaccine 4 weeks prior to COVID shot. On 09Jul2021, the patient experienced terrible headache, migraine which started earlier this afternoon until now. On an unspecified date in Jul2021, the patient feels like she''s about to throw up because of the pain. Consumer stated that she got vaccine second dose on Thursday i.e. on 08Jul2021 and had a terrible headache that started yesterday on Friday i.e. on 09Jul2021. She stated that her son was telling about the spike protein that can go to anywhere in the body including the heart or the brain and he feels like that the patient should not have gotten the vaccine. She stated that nurse has said to her that as long as she didn''t have numbness or weakness on one side or the other or stiff neck or if the headache is not doing worst, that she would be doing okay. On Jun2021, the patient underwent lab tests and procedures which included bone density test: diagnosis of Osteoporosis, there was one area where she had osteopenia. The patient was treated for adverse events. The outcome of events was not recovered. Information about lot/batch number has been requested.


VAERS ID: 1497486 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-02
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Circumstance or information capable of leading to medication error, Feeling abnormal, Feeling of body temperature change, Gait disturbance, Hypoaesthesia, Nasopharyngitis, Paraesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Autoimmune disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021872904

Write-up: I broke out with a rash; I felt caught in cold; feet got extremely numb and tingly; feet got extremely numb and tingly; felt like hot and cold on my feet, it felt like cold water going through; I had trouble walking; I felt really strange/ i am not feeling the greatest; Chills; I am not going to get the second shot; This is a spontaneous report from a contactable consumer (patient). A 63-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number was not reported; Expiration Date: 05Aug2021; NDC number and UPC number: unknown) via an unspecified route of administration on 02Jul2021 (at the age of 63-years-old) in right arm as a single dose for covid-19 immunization. Medical history included autoimmune disorder from an unknown date and unknown if ongoing. The patient takes a lot of unspecified medication. The report was not related to a study or programme. Patient got the shot a week ago and right away shortly she got a reaction. She felt that she caught in cold, felt really strange. They checked her for an hour. When she was walking to car her feet got extremely numb and tingly then she felt like hot and cold on her feet, like cold water going through and then she had trouble walking because of it. She went to the emergency room and then they said its part of the shot. She had not felt like ever since. She experienced chills and broke out with a rash; she was not feeling the greatest and she was not a happy champer. She reported that she will not take the second shot. The patient was treated with antihistamine like Claritin. The outcome of all the events was unknown. Information about lot/batch number has been requested.


VAERS ID: 1497497 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-09
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Myalgia, Nausea, Pain in extremity, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), 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: MENINGOCOCCAL VACCINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19
Allergies:
Diagnostic Lab Data: Test Name: Nasal Swab; Result Unstructured Data: Test Result:Unknown results
CDC Split Type: USPFIZER INC2021873757

Write-up: Nausea; Headache; Arm pain; Muscle aches; This is a spontaneous report from a non-contactable consumer (patient). An 18-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Not reported), via unspecified route, in right arm on 09Jul2021 as dose 1, single for COVID-19 immunization. Patient medical history included COVID-19. Concomitant medications included meningococcal vaccine for Meningitis. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient underwent lab tests and procedures which included nasal swab: results unknown on an unknown date. The patient experienced nausea, headache, arm pain and muscle aches in Jul2021. No seriousness criteria reported. No treatment was taken for the events. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1497503 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Maryland  
Vaccinated:2021-06-29
Onset:2021-07-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Feeling abnormal, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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 INC2021880403

Write-up: A pounding or fluttering heartbeat; Heart inflammation; Chest pain; A feeling of breathlessness; A pounding or fluttering heartbeat; This is a spontaneous report from a Pfizer sponsored program reported via consumer (patient''s wife). A male patient (reporter''s husband) received a second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, lot number: unknown) via an unspecified route of administration on 29Jun2021 as single dose for COVID-19 immunization. Medical history and concomitant medications of the patient were not reported. On 02Jul2021, two days after receiving second dose of vaccination, patient experienced heart inflammation, which include chest pain, a feeling of breathlessness and a pounding or fluttering heartbeat. Patient went to seek an emergency, but they did not find anything causing these. Outcome of the events were unknown. Information on the lot/batch number has been requested.


VAERS ID: 1497513 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-03
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EUA0198 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Epistaxis, Feeling abnormal, Headache, Hyperhidrosis, Nausea, Oropharyngeal pain, Pain, Pharyngeal swelling, Pyrexia, SARS-CoV-2 test, Sinusitis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202012; Test Name: Covid-19; Test Result: Positive
CDC Split Type: USPFIZER INC2021881064

Write-up: She had body aches; She had a headache.; She woke up about 4:00AM with flu like symptoms, she was shaking with chills, nauseous and sweating.; She woke up about 4:00AM with flu like symptoms, she was shaking with chills, nauseous and sweating.; She woke up about 4:00AM with flu like symptoms, she was shaking with chills, nauseous and sweating.; The next day, she still felt bad.; On the third day, she developed a sore throat. The next day her throat went from sore to scratchy to swollen.; On the third day, she developed a sore throat. The next day her throat went from sore to scratchy to swollen.; She is running a fever, about 100 degrees Fahrenheit.; She is blowing her nose a lot now, it is in her head. She feels like she has a sinus infection. She is blowing blood out of her nose.; She is blowing her nose a lot now, it is in her head. She feels like she has a sinus infection. She is blowing blood out of her nose.; This is a spontaneous report from a contactable consumer (patient, herself). A 55-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EUA0198) dose 1 via an unspecified route of administration, administered in the left arm on 03Jul2021 18:30 as dose 1, single for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. Her and her son both received the Pfizer COVID-19 vaccine on 03Jul2021. On 04Jul2021, the patient experienced she woke up about 4:00am with flu like symptoms, she was shaking with chills, nauseous and sweating. On 05Jul2021, the patient had body aches and had a headache. On an unspecified date in Jul2021, the next day, she still felt bad. On the third day, she developed a sore throat. The next day her throat went from sore to scratchy to swollen. She was running a fever, about 100 degrees Fahrenheit. she was blowing her nose a lot now; it was in her head. she felt like she had a sinus infection. she was blowing blood out of her nose. She felt fine right after. She received the COVID-19 vaccine about 6:30PM. Whenever she got home, she was fine. Whenever she went to bed, she was fine. She woke up about 4:00AM with flu like symptoms, she was shaking with chills, nauseous and sweating. She was not alarmed by it. The next day, she also had body aches and a headache. The next day, she still felt bad. She asked her mom if she could take Tylenol or Aleve, and her mom said yes. So, she started taking Aleve. On the third day, she developed a sore throat. The next day her throat went from sore to scratchy to swollen, that started on Friday. She still had a sore throat that feels swollen and was scratchy. She also called her Pharmacy, and they took her report over the phone, and they told her to call Pfizer directly. She was running a fever, about 100 degrees Fahrenheit. She was blowing her nose a lot now; it was in her head. She feels like she had a sinus infection. She was blowing blood out of her nose. It had over a week since she received the COVID-19 vaccine. She thinks that it had gotten worse because it progressed to a sore throat and not being able to talk. The day before yesterday she felt nauseous. She was not nauseous now; she thinks that the nausea had now subsided. The patient states that she was previously working on completing a report with someone, but she had to take a business call and was unable to complete the full report. The patient was calling back to provide some more information on the side effects she experienced from the COVID 19 Vaccine. The patient reports that she got through some patient details and event details with the previous agent, but she did not provide product details to the previous agent. The patient states that she had like this with her symptoms for a week. The patient had the COVID virus in Dec and she was very sick. The patient got the vaccine because now there was this delta coming around and she didn''t want to get sick. There was a medical information request was yes. The patient was hoping to get through to lab people or someone who can tell her how long she can expect to feel like this. She does not have a headache now because she had taking Mucinex D for the past two days. As long as she was taking Aleve she feels better. As soon as the Aleve starts to wear off, she does not feel good. She was doping herself up on medication to feel better. She was calling about the Pfizer COVID-19 vaccine. They told her to give Pfizer the lot number of EVO988 or something. She was calling to report side effects. She states she left a message with Pfizer over the weekend. Reason for no lot number of Pfizer COVID-19 vaccine was complainant hung up abruptly/transfer incomplete. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on an unspecified date in Dec2020. The patient received treatment with Tylenol or Aleve and Mucinex D. The outcome of the events she woke up about 4:00AM with flu like symptoms, she was shaking with chills, nauseous and sweating was not recovered, she had body aches was recovered on an unknown date in Jul2021, she had a headache was recovered on 09Jul2021, all other events outcome was unknown. Follow-up attempts are completed. No further information is expected.


VAERS ID: 1497514 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-05
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Burning sensation, Erythema, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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: USPFIZER INC2021881090

Write-up: Arm is really swollen; It was on fire; After the second one, it is very swollen and red, the whole arm, the whole upper arm, there''s a fever in there; After the second one, it is very swollen and red, the whole arm, the whole upper arm, there''s a fever in there; This is a spontaneous report from a contactable consumer, the patient. A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection), via an unspecified route of administration on 05Jul2021 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunization. The patient medical history was not reported. The patient''s concomitant medications were not reported. Historical vaccine included previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection), via an unspecified route of administration (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunization and did not experience any adverse reaction. Caller stated she had her second Pfizer shot on 05Jul2021 and on an unknown date in Jul2021, her arm was really swollen and it was on fire. Caller stated the fire was kind of gone out now (on an unknown date in Jul2021). Caller stated she was really concerned, and reported they gave her the shot at home. Caller stated the first one was fine, but after the second one, it was very swollen and red, the whole arm, the whole upper arm, there was a fever in there and also stated what she really needs to know was if those people that gave her the shot could come back and check her arm. The outcome of the event It was on fire was recovered on an unknown date in Jul2021, whereas for rest of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1497516 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-02
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Feeling hot, Hypoaesthesia, Nausea, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021881134

Write-up: her left hand (on the same arm where she got the vaccine) went numb and it stayed like that for a little while; Caller mentioned that she is also extremely nauseous since taking the vaccine; She also has rashes on her stomach; Her head is also really hot; She also had itching all over; This is a spontaneous report from a contactable consumer or other non hcp (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, batch/lot number was not reported) via an unspecified route of administration, administered in arm left on 02Jul2021 as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that on 02Jul2021 the patient received first dose of vaccine and 45 minutes after being vaccinated, her left hand (on the same arm where she got the vaccine) went numb and it stayed like that for a little while. She further mentioned that on Jul2021 she was also extremely nauseous since taking the vaccine. She was very nauseous even without eating and she finds it hard to eat because of the nausea. She also had itching all over on Jul2021 and she has taken 4-6 Benadryl tablets to help with the itching. She also has rashes on her stomach on Jul2021. Her head was also really hot but it was not the kind that you get when you have fever. It was just hot. She finds that covering herself with ice packs helps with this adverse event. Patient wanted to know what to do with her adverse events (specifically treatment recommendations). She also mentioned that she had a side effect after the first dose of the vaccine, so should she get the second dose and if she should take the Moderna COVID-19 vaccine instead of the second dose of the Pfizer COVID-19 vaccine. Reporter complained that she has done her part, she has gotten the vaccine and now she needs help, and no one can give her treatment recommendations. The outcome of the events was unknown. Information about lot/batch number has been requested.


VAERS ID: 1497523 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-09
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Hepatic pain, Hypokinesia, Musculoskeletal discomfort
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (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 INC2021881370

Write-up: he was literally hit with the sensation that his back got thrown out/ His back and liver area is hurting.; I didn''t lift anything, I didn''t do any new activity./ it almost dropped me to my knees; His back and liver area is hurting.; back pain; This is a spontaneous report from a contactable consumer (patient himself). A 38-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Lot number and expiry date were not reported) via an unspecified route of administration on 09Jul2021 as a dose 2, single for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (COVID Pfizer vaccine) on an unspecified date for COVID-19 immunization. On 10Jul2021 he was literally hit with the sensation that his back got thrown out. On an unspecified date in Jul2021, his back and liver area was hurting. It came out of nowhere, I didn''t lift anything, I didn''t do any new activity. Then Saturday he was hit with literally the sensation that his back got thrown out. He was a healthy person. He does not even take Tylenol. He unfortunately was forced to take the covid vaccine. He was asking has anyone else reported this. His back and liver area was hurting. He thought that it would pass. It gets better, and here today it came back. Patient''s concern was it returned again today, he was helping his 03-year-old son put on his seat belt when it hit him like it did on Saturday, it almost dropped him to my knees and guess his concern was that resurfaced fairly quickly and it never dissipated completely but it hit him like it did Saturday at work. The outcome of the event movements reduced was unknown and for all other events was not resolved. Information on batch/lot number has been requested.


VAERS ID: 1497575 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, Pyrexia, SARS-CoV-2 test, Upper respiratory tract infection
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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 Name: fever; Result Unstructured Data: Test Result:100 (+) Fahrenheit; Test Date: 20210701; Test Name: PCR-confirmed COVID-19.; Test Result: Positive
CDC Split Type: USPFIZER INC2021889793

Write-up: mild URI symptoms; fever; confirmed COVID-19; confirmed COVID-19; This is a spontaneous report from a contactable consumer or other non-health care professional. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration on an unspecified date as dose 2, single and dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation and co-suspect moderna covid-19 vaccine (COVID-19 VACCINE MRNA (MRNA 1273)), via an unspecified route of administration from an unspecified date (Batch/Lot number was not reported) to an unspecified date, at dose 1, single for immunisation. The patient medical history and concomitant medications were not reported. The reporter stated that "three patients, all since 01Jul2021, with PCR-confirmed COVID-19. Isolates sent for genotypic profiling - probably get results next winter. 2 with relatively mild URI symptoms but fever 100 (+). All received mRNA vaccine (Pfizer x 2, Moderna x 1) between Feb2021 and Apr2021. None with classic immunocompromising conditions but 1 was a robust 76". The events vaccination failure and Covid-19 were assessed as serious (medically significant). The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 01Jul2021 and pyrexia: 100 (+) fahrenheit on an unspecified date. Therapeutic measures were taken as a result of events include TLC (tender loving care) with every other day follow-up. The outcome of the events was unknown. Information about batch/lot number has been requested.


VAERS ID: 1497585 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-14
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021900214

Write-up: Dizziness; This is a spontaneous report from a contactable consumer reporting for the mother. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number was not reported), via an unspecified route of administration on 14Jul2021 as dose number unknown, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient took the vaccine on 14Jul2021 and she was experiencing side effects. It was reported that patient was in like lot of pain and then cleared as she had no pain, just dizziness in Jul2021. The outcome of event was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1497695 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Headache, Myalgia, Pain, Proctitis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific inflammation (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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210718; Test Name: Body temperature; Result Unstructured Data: 37.4?C
CDC Split Type: USJNJFOC20210746669

Write-up: FEVER; INFLAMMATION IN RECTAL MUSCLE; VERY SORE; MUSCLE PAIN; HEADACHE; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 11-JUL-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUL-2021, the subject experienced inflammation in rectal muscle. On JUL-2021, the subject experienced very sore. On JUL-2021, the subject experienced muscle pain. On JUL-2021, the subject experienced headache. On 18-JUL-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 37.4?C. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from muscle pain, headache, and fever, and the outcome of inflammation in rectal muscle and very sore was not reported. This report was non-serious.


VAERS ID: 1440599 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-30
Onset:2021-07-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Headache, Pain
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dizzy headache aches in body


VAERS ID: 1444740 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Enzimatik (multienzymes) and Hyosymol (paracetamol and hyoscine) Both due to a gas accumulation issue
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I haven''t been to the doctor yet.
CDC Split Type: PID - 03543689

Write-up: Hives or rash on two points: Tummy at the level of the liver and on the climb in the lower part of the right lung. Permanent thickness.


VAERS ID: 1450241 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 UN / IM

Administered by: Public       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:
CDC Split Type:

Write-up: Patient came in to Vaccine pod and stated he was there for first vaccine. Patient given Pfizer. After vaccine given he states that it was his first vaccine of Pfizer but that he had received different vaccine. Patient was given follow up phone call and states he has had no side effects from the vaccine.


VAERS ID: 1473614 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Foreign  
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 (MODERNA)) / MODERNA 3002615 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea, Fatigue, Headache, Migraine, Migraine with aura, Nausea, Peripheral swelling, Rash erythematous, SARS-CoV-2 test, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: FEXOFENADINE HYDROCHLORIDE; IBUPROFEN; PARACETAMOL; PENICILLIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative ; Result Unstructured Data: No - Negative COVID-19 test
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Red rash; Headache; Vomiting; Nausea; Diarrhea; Migraine aura; Migraine; Swelling arm; Tiredness; This regulatory authority case was reported by a consumer and describes the occurrence of MIGRAINE WITH AURA (Migraine aura), MIGRAINE (Migraine), PERIPHERAL SWELLING (Swelling arm), RASH ERYTHEMATOUS (Red rash), DIARRHOEA (Diarrhea), HEADACHE (Headache), VOMITING (Vomiting), NAUSEA (Nausea) and FATIGUE (Tiredness) in an 18-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002615) for COVID-19 vaccination. The patient''s past medical history included Lactation decreased. Concomitant products included FEXOFENADINE HYDROCHLORIDE from June 2018 to an unknown date for Hay fever, PARACETAMOL for Migraine, IBUPROFEN for Period pains, PENICILLIN from 18-May-2021 to 27-Jun-2021 for Tonsillitis and Acute kidney infection. On 01-Jul-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 01-Jul-2021, the patient experienced FATIGUE (Tiredness) (seriousness criterion hospitalization). On 02-Jul-2021, the patient experienced PERIPHERAL SWELLING (Swelling arm) (seriousness criterion hospitalization). On 04-Jul-2021, the patient experienced MIGRAINE WITH AURA (Migraine aura) (seriousness criterion hospitalization), MIGRAINE (Migraine) (seriousness criterion hospitalization), DIARRHOEA (Diarrhea) (seriousness criterion hospitalization) and NAUSEA (Nausea) (seriousness criterion hospitalization). On 05-Jul-2021, the patient experienced RASH ERYTHEMATOUS (Red rash) (seriousness criterion hospitalization), HEADACHE (Headache) (seriousness criterion hospitalization) and VOMITING (Vomiting) (seriousness criterion hospitalization). The patient was hospitalized from 07-May-2021 to 07-May-2021 due to DIARRHOEA, FATIGUE, HEADACHE, MIGRAINE, MIGRAINE WITH AURA, NAUSEA, PERIPHERAL SWELLING, RASH ERYTHEMATOUS and VOMITING. On 04-Jul-2021, MIGRAINE WITH AURA (Migraine aura) and PERIPHERAL SWELLING (Swelling arm) had resolved. On 05-Jul-2021, RASH ERYTHEMATOUS (Red rash), DIARRHOEA (Diarrhea), VOMITING (Vomiting) and NAUSEA (Nausea) had resolved. On 07-Jul-2021, FATIGUE (Tiredness) had resolved. At the time of the report, MIGRAINE (Migraine) and HEADACHE (Headache) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: negative (Negative) No - Negative COVID-19 test. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. Laboratory details was mentioned as blood taken for tests. Treatment information was mentioned as patient was given intravenous anti sickness to stop vomiting and was discharged around 9:30am the same day. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1473896 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Foreign  
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 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Lactation decreased; Suspected COVID-19 (Unsure when symptoms started; Unsure when symptoms stopped)
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: Positive
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Covid-19 test positive; Fever; Fever; Headache; This regulatory authority case was reported by a consumer and describes the occurrence of the first episode of PYREXIA (Fever) and HEADACHE (Headache) in an 18-year-old female patient who received mRNA-1273 (COVID-19 Vaccine Moderna) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Lactation decreased and Suspected COVID-19 (Unsure when symptoms started; Unsure when symptoms stopped). On 01-Jul-2021, the patient received first dose of mRNA-1273 (COVID-19 Vaccine Moderna) (Intramuscular) 1 dosage form. On 01-Jul-2021, the patient experienced the first episode of PYREXIA (Fever) (seriousness criterion medically significant), HEADACHE (Headache) (seriousness criterion medically significant) and the second episode of PYREXIA (Fever). On an unknown date, the patient experienced SARS-COV-2 TEST POSITIVE (Covid-19 test positive). At the time of the report, HEADACHE (Headache) and the last episode of PYREXIA (Fever) had not resolved and SARS-COV-2 TEST POSITIVE (Covid-19 test positive) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (COVID-19 Vaccine Moderna) (Intramuscular) was unknown. No concomitant medications were reported. Treatment information was not provided. Based on the current available information and temporal association between the use of the product and the start date of the events fever and headache, a causal relationship cannot be excluded. Events seriousness was assessed as per source document by regulatory authority. Based on the mechanism of action of mRNA-1273 causal association between the event of SARS-CoV-2 test positive and mRNA-1273 is assessed as not applicable; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events fever and headache, a causal relationship cannot be excluded. Events seriousness was assessed as per source document by regulatory authority. Based on the mechanism of action of mRNA-1273 causal association between the event of SARS-CoV-2 test positive and mRNA-1273 is assessed as not applicable


VAERS ID: 1479411 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Foreign  
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 FD5613 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBPFIZER INC2021829328

Write-up: Faint; This is a spontaneous report from a contactable pharmacist received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202107011716107680-VHM7M, Safety Report Unique Identifier is GB-MHRA-ADR 25578243. An 18-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: FD5613) via an unspecified route of administration on 01Jul2021 as dose 1, single for COVID-19 immunisation. Medical history included lactation suppressed from an unknown date. Patient has not had symptoms associated with COVID-19. Not had a COVID-19 test. Patient is not enrolled in clinical trial. Patient is not pregnant, is not currently breastfeeding. The patient''s concomitant medications were not reported. The patient experienced faint on 01Jul2021. The event was reported as serious (medically significant). The clinical course was reported as follows: patient was observed for 15 minutes and left vaccine center but fainted in store. Came round immediately and unharmed. Brought back to the vaccine center by staff member and observed for a further 15 minutes after which she felt fine and left. Advised to seek medical attention if symptoms recur. The patient recovered from faint on 01Jul2021. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1485475 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-07-02
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 FC9001 / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Haemorrhage in pregnancy, Maternal exposure during pregnancy, Pain in extremity, SARS-CoV-2 test, Scan, Subchorionic haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Tendinopathies and ligament disorders (broad), COVID-19 (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: LEVOTHYROXINE
Current Illness: Pregnancy
Preexisting Conditions: Medical History/Concurrent Conditions: Bleeding; Hypothyroidism; Lactation decreased; Pregnancy
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test; Test Date: 20210630; Test Name: anomaly scan; Result Unstructured Data: Test Result:normal; Comments: found no abnormalities 48 hours prior to the vaccine
CDC Split Type: GBPFIZER INC2021863957

Write-up: subchorionic bleeding; placental bleed; "mostly sleeping" (painful arm); fatigued; Maternal exposure during pregnancy/patient was exposed to the medicine second-trimester; This is a spontaneous report from a contactable consumer (patient) received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202107061533466910-DE6JO, Safety Report Unique Identifier GB-MHRA-ADR 25604824. A 40-year-old female pregnant patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via unspecified route of administration on 02Jul2021 (batch/lot number FC9001 and expiry date unknown) at 40 years of age as dose 2, single for covid-19 immunization. Medical history included bleeding, pregnancy on unspecified date, lactation decreased, ongoing pregnancy, hypothyroidism. The patient has not had symptoms associated with COVID-19, was not enrolled in clinical trial, was not currently breastfeeding. Concomitant medications included levothyroxine taken for hypothyroidism from 01Oct2020. On 02Jul2021, the patient experienced maternal exposure during pregnancy. On 03Jul2021, the patient experienced subchorionic bleeding, placental bleed. In Jul2021, the patient experienced "mostly sleeping" (painful arm). The patient was exposed to the medicine second-trimester (13-28 weeks). The patient informed that she had a placental bleed at 21 weeks of pregnancy. The bleed began 24 hours after having the second dose of the Pfizer vaccine (03Jul2021). The patient informed that during those 24 hours after the vaccine (Jul2021), she had been mostly sleeping as she felt very fatigued after the vaccine. There was no other obvious cause for the bleeding other than the vaccine and she had a normal anomaly scan that found no abnormalities 48 hours prior to the vaccine (30Jun2021). The patient was admitted to hospital (Jul2021). The events were reported serious as life threatening. The patient underwent lab tests and procedures which included COVID-19 virus test: no - negative COVID-19 test on unspecified date. The patient has not tested positive for COVID-19 since having the vaccine. The outcome of the event fatigued was unknown, while not recovered for the rest of the events. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1488467 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA1027 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Presyncope, SARS-CoV-2 test, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021829225

Write-up: Patient fainted; vomited; Vasovagal reaction; This is a spontaneous report from a contactable other hcp received from the regulatory authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202107011830001640-NACUS, Safety Report Unique Identifier GB-MHRA-ADR 25578571. A 17-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: FA1027) via an unspecified route of administration on 01Jul2021 (age at vaccination 17-year-old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 01Jul2021, the patient experienced vasovagal reaction, on an unspecified, date patient fainted and vomited. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on No - Negative COVID-19 test. Patient has not had symptoms associated with COVID-19. Patient was not enrolled in clinical trial. Patient had not tested positive for COVID-19 since having the vaccine. No report relates to possible blood clots or low platelet counts. The outcome of event vasovagal reaction was recovering, and other events were unknown. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1491530 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Limb discomfort, Monoplegia, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBPFIZER INC2021853338

Write-up: dead arm; Painful arm; Arm paralysis; Heaviness in arm; This is a spontaneous report from a contactable consumer. This is a report received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202107020920259890-4SQBG, Safety Report Unique Identifier GB-MHRA-ADR 25582572. An 18-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot# was not reported), via an unspecified route of administration on 01Jul2021 at age of 18-year-old as single dose for COVID-19 immunization. Medical history included suppressed lactation. Patient had not had symptoms associated with COVID-19. Not had a COVID-19 test. Patient was not enrolled in clinical trial. Patient was not pregnant. Patient was not currently breastfeeding. The patient''s concomitant medications were not reported. The patient experienced dead arm, painful arm, arm paralysis, heaviness in arm on 01Jul2021. All events were medical significant. Reported as: In the night after I have the vaccine I had a dead arm when I woke up in the night. The outcome of dead arm was unknown. The outcome of painful arm, arm paralysis, heaviness in arm was not recovered. Patient has not tested positive for COVID-19 since having the vaccine. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1491716 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Maternal exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FOLIC ACID
Current Illness: Pregnancy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBPFIZER INC2021853590

Write-up: headache; Maternal exposure during pregnancy/patient was exposed to the medicine second-trimester; This is a spontaneous report from a contactable consumer received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202107031216070510-DESFC, Safety Report Unique Identifier GB-MHRA-ADR 25590397. A 35-years-old female pregnant patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via unspecified route of administration on 01Jul2021 (batch/lot number and expiry date unknown) at 35 years of age as dose 1, single for covid-19 immunization. Medical history included ongoing pregnancy. Concomitant medications included folic acid taken for supplementation, start and stop date were not reported. On 01Jul2021, the patient experienced maternal exposure during pregnancy, headache. The patient was exposed to the medicine second-trimester (13-28 weeks). The event was reported serious as other medically important condition. The patient has not tested positive for COVID-19, since having the vaccine. The outcome of the event headache was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1493786 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-07
Onset:2021-07-01
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal distension, Arthralgia, Condition aggravated, Face oedema, Limb discomfort, Pain of skin, Sensitive skin, Skin discomfort
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan Potassium/ Hydrochlorothiazide 50/ 12.5
Current Illness:
Preexisting Conditions: Pre-hypertension, arachnoidocele seal, mild mitral and tricuspid regurgitation, adremal adenomas, all under control by physicians.
Allergies: Penicillin, albumin, peanuts, animal fur, dust, sawdust, etc
Diagnostic Lab Data:
CDC Split Type:

Write-up: After the 1st dose (+/-12 days later) I had skin rash with a lot of urticaria especially in the area of fold under the breast. I went to the dematologist who put me on a treatment for supposed candidiasis that has not had an effect. They are like lacerations under the area. Some upset stomach and nausea. Extreme skin sensitivity and I noticed that any previous lesion such as warts or scars became irritated causing discomfort and pain on the skin. I also, have hot flashes skin irritation and I must mention that it is not menopause since I had surgery at 41 years old and those symptoms are similar to the old hot flashes that I have already overcome, without so much intensity. From 1-10 the discomfort and pain on the skin has reached to an 8. I don''t know if it is due to the vaccine but now after the 2nd dose it has worsened again and I am mainly with extreme skin sensitivity. I have also had cramp like discomfort in the extremities and abdomen, as well as a kind of gastritis and a lot of intestinal bloating that although mild, I did not have before. Also, edema in the face and joint pain in the hands. If I had pain before the vaccine has increased it. But I never suffered from candidiasis in my life. I have not changed the way I lived my life from before to now. Hygiene is always optimal.


VAERS ID: 1434520 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Dizziness, Hypertension, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: 0917 am anxiety, n/v, dizziness, feeling faint, hypertension


VAERS ID: 1434913 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

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

Write-up: Pt began to feel light headed and began to vomit. Pt was taken back to a pt room were vital were taken which were normal. Pt began to feel normal again after about 15 minutes.


VAERS ID: 1437276 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram, Computerised tomogram thorax abnormal, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASA 81 mg daily, DuoNeb nebulizer QID, amlodipine 5 mg daily, Ambien 10 mg QHS, Xanax 0.5 mg daily PRN, pravastatin 40 mg daily, Zoloft 100 mg daily, Lopressor 50 mg daily
Current Illness: No acute illnesses
Preexisting Conditions: Severe COPD, pulmonary fibrosis/ILD, current smoker, insomnia, HTN, dyslipidemia, CAD, sp PTCA and CABG, RLS, depression/anxiety
Allergies: NKA
Diagnostic Lab Data: Confirmed by CTA chest6/14/2021
CDC Split Type:

Write-up: Pulmonary embolism, with symptoms starting one week following administration of vaccine.


VAERS ID: 1437344 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-24
Onset:2021-06-30
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA8721 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA9091 / 2 LA / SYR

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

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

Write-up: Red dots all over the body including face, arms, neck, legs. Also a big rash at the place of injection


VAERS ID: 1437353 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Patient is currently being monitored for side effects. She was given the vaccine without the vial having the diluent added. This resulted in the patient having too high of a dose given.


VAERS ID: 1437369 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue
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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NKDA
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Fatigue, lightheadedness and dizziness


VAERS ID: 1437374 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

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

Write-up: Was given the vaccine in the right arm and about 5-10 mins after being vaccinated as the patient was walking out of the consultation room the patient became lightheaded Patient sat down for about 15 mins and given 2 small cups of water to sip


VAERS ID: 1437384 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Vertigo
SMQs:, Anticholinergic syndrome (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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: dizziness, vertigo


VAERS ID: 1437385 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood glucose normal, Blood pressure increased, Loss of consciousness, Swollen tongue, Urinary incontinence
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: per pt chart- 1/7/2015 (22years of age at time of vaccination) pt had a seizure after receiving flu, Tdap, and HPV vaccines
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediately after receiving Pfizer vaccine, pt experienced loss of consciousness for approximately 3 minutes, tongue swelling, incontinence of urine. Epi pen given x1, pt regained consciousness immediately after receiving epi. Vital signs as follows: BP 144/69, HR 63, O2 100% then approx 8 minutes later BP 113/63, HR 74, O2 99%, blood sugar 101. Provider assessed pt and recommended to call an ambulance for possible seizure. Pt refused to go to hospital. After incident occurred, pt stated that he has had a reaction to vaccines in the past but was unsure which ones. Pt chart stated that patient had an adverse reaction (seizure) after receiving flu, Tdap, and HPV vaccines in 2015.


VAERS ID: 1437409 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-06-28
Onset:2021-06-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary mass, Pain in extremity
SMQs:, 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: Tamsulosin 0.8mg daily, Meloxicam 15mg daily as needed, donepezil 5mg at bedtime, Albuterol HFA 1 puff as needed for wheezing, Eliquis 5mg twice daily, Fluticasone Nasal spray 2 sprays each nostril daily, Atorvastatin 40mg daily, Amlodipine
Current Illness:
Preexisting Conditions: Arthritis, Asthma, Chest pain, Depression, Enlarged prostate, High blood pressure, Hypercholesterolemia, Dementia (early stages), Schizophrenia, Seizures, Pain
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient''s wife called around 10:30a on 06/30/2021 and said he had a knot under his left arm. She stated his arm was sore in addition to knot. It was recommended by pharmacist that he could take acetaminophen for the soreness and apply a cool compress for the swelling. I asked her to call us if anything changes or if she notices any new symptoms. We will follow up with patient in 24 hours to assess how he is doing.


VAERS ID: 1437466 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-06-26
Onset:2021-06-30
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysphagia, Facial paralysis, Tenderness
SMQs:, 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), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HBP, DYSLIPIDEMIA
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT CALLED SAYING SYMPTOMS STARTED TODAY 6/30: DROOPING ON ONE SIDE OF FACE, REPORTS TENDERNESS, TROUBLE SWALLOWING; DENIES TROUBLE BREATHING OR SIGNIFICANT PAIN IN AREA. EXPLAINED IT MAY BE BELLS PALSY. PT WILL BE GOING TO ER TO BE FURTHER EVALULATED.


VAERS ID: 1437475 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Dizziness, Headache, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Vestibular 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: Prenate mini, hair, skin and nails supplement
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Fever 101, chills, sore throat and extremely severe body aches, headache, weakness and dizziness. Treatment: Tylenol 325 mg Ibuprofen 600mg No improvement in symptoms


VAERS ID: 1437483 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0011D21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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 in the system
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient got her 1st shot of COVID Moderna Vaccine at the pharmacy on 06/30 @ 11:40 AM. After 15 minutes of sitting in the waiting area, patient reports that she is feeling a general mild itchy feeling all over her body that comes and goes in phases. Patient did not report swelling, throat tightening, injection site pain, or injection site itching. Injection site redness or swelling was not observed. Pharmacist decided to administer one dose of diphenhydramine 25mg, gave one more capsule for patient to take home, and counseled on the sign and symptoms of anaphylaxis allergic reaction. Patient feels fine after another 15 minutes observation.


VAERS ID: 1437484 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-28
Onset:2021-06-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Brain natriuretic peptide, C-reactive protein increased, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Pericarditis, Red blood cell sedimentation rate normal, Troponin normal
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (broad), Arrhythmia related investigations, signs and symptoms (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG with diffuse ST elevation CRP 1.2, ESR nml, troponin <0.012, BNP <15
CDC Split Type:

Write-up: Chest pain with evidence of pericarditis on EKG discharged with close PMD follow-up and NSAIDs


VAERS ID: 1437497 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-26
Onset:2021-06-30
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Injection site pain, Urticaria
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? No
Office Visit? Yes
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 experienced fatigue and soreness at the site that improved. This morning developed uticaria - all over .


VAERS ID: 1437498 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 RA / IM

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

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

Write-up: Right arm and hand become numb within 5 minutes after vaccination. Can feel only pressure in R upper extremity. Patient will follow up with urgent care if symptoms persist.


VAERS ID: 1437512 (history)  
Form: Version 2.0  
Age: 95.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-06-24
Onset:2021-06-30
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 RA / -

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

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

Write-up: Floris experienced two welts on her back, almost a week after receiving the shot.


VAERS ID: 1437522 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO171 / UNK - / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Blood glucose normal, Dizziness, Heart sounds abnormal, Nausea, Pallor, Presyncope, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: POC blood glucose = 97
CDC Split Type:

Write-up: Approx 5-10 minutes after administration of 2nd Pfizer vaccination, employee became very very pale and complained of feeling faint. Auscultation of lungs revealed clear to all fields and heart sounds revealed an irregular rhythm. Assessed if employee had ever had a cardiac issue in the past and employee stated that nothing was known. Employee continued to be near syncopal and EMS was activated. Upon their arrival, EMS also noted the irregularity and offered to transport employee to ER for further evaluation. Employee refused to go to ER. Monitoring of employee by facility staff continued for approx 40 minutes longer and condition did improve but did not resolve. Employee admitted having vertigo and some nausea but refused to be taken home or go to ER despite much encouragement from nursing leadership and supervisor.


VAERS ID: 1437524 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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

Write-up: PATIENT FELT NAUSEAOUS AND THREW UP ABOUT 5 MIN AFTER RECEIVING SHOT. SHE ALSO FELT LIGHT HEADED AND I HAD HER PUT HER HEAD DOWN WHICH MADE HER FEEL BETTER. BLOOD PRESSURE NORMAL. NOT SWEATING OR HOT. AFTER ABOUT 20 MINUTES SHE WAS FEELING BETTER AND LEFT THE STORE ON HER OWN. SHE DID NOT HAVE ANYTHING TO EAT THAT MORNING.


VAERS ID: 1437531 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / UNK LA / IM

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

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

Write-up: No known issues, pt got a 3rd dose which is not recommended. Patient requested second dose at our pharmacy, had gotten a dose at another previously and had a vaccination card indicating first dose only had been administered. Upon accessing the state record though it became evident that a had already administered his first dose 3/16 and the "first" dose we saw on 4/25 was actually his second. a third dose of vaccine is not in the recommendation


VAERS ID: 1437534 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2020-06-30
Onset:2021-06-30
   Days after vaccination:365
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Disorientation, Dizziness, Loss of consciousness, Musculoskeletal stiffness, Parosmia, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None reported
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: None reported
Diagnostic Lab Data: I took his BP and HR about 5 minutes later BP 100/62 and HR 48.
CDC Split Type:

Write-up: Patient was seated in the passenger seat of the car. We talked for a few minutes prior to administration and I actually administered a vaccine to the person in the driver''s seat first. I walked over to give his shot and he then tells me he "doesn''t do well with vaccines." He later told me he felt sick to his stomach after getting the shot and had a metallic smell similar to a bloody nose. About 1 minute after administering his vaccine, the patient''s head went back, his muscles went very stiff, and he appeared to convulse. We called 9-1-1. His mom was sitting in the back seat and placed an ice cube on the back of his neck which seems to have pulled him out of it. During the episode, he reports "blacking out" without orientation to time or place. After the episode, he was dizzy and lightheaded for a few minutes. Soon there after he was jovial. I took his BP and HR about 5 minutes later BP 100/62 and HR 48. Paramedics also took vitals which were a bit higher than these. He reported having a small cereal bar for breakfast and 2 cups of coffee.


VAERS ID: 1437536 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
SMQs:, Medication errors (narrow)

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

Write-up: Client came in with appointment from our state vaccine portal for his 1st Pfizer vaccination. He completed a prevaccinatin checklist stating he had not had any other covid vaccine. He was asked prior to vaccination as well. He was made aware that he was getting the pfizer covid vaccine and was given Pfizer covid vaccine factsheet. Vaccine administered. Nurse, while reviewing in state registry, noted he had had 2 Moderna Vaccinations on 2/23/21 and 3/24/21. Client states he doesn''t remember getting those but did get a Shingrix shot so maybe that was they were. No adverse reaction noted during time a clinic. Client stated he would call his PCP. He was encouraged to call his physician with any medical concerns or go to ER if symptoms warranted. Client verbalized understanding and agreement.


VAERS ID: 1437551 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3246 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Allergy to vaccine, Cough, Dermatitis contact, Nasal congestion, Pruritus
SMQs:, Anaphylactic reaction (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I developed a severe allergic reaction to nail dipping powder. I have been getting my nails done for years and never had any issues. Since getting the Vaccine, even the slightest exposure to the dip powder would cause my neck to itch, severe coughing fits, and complete swelling of my nasal passages. I have always been healthy and continued drinking beverages with vitamin C, turmeric, cayenne pepper, cinnamon and other natural inflammatories but nothing helped so eventually my doctor prescribed steroids which finally alleviated my symptoms. As I get further away from my vaccination dates, my allergies upon exposure to the dip powder have gotten more and more mild to the point now where I barely have any reaction at all. I have been doing my nails on my own at home and am using the exact same products that I used back when I was getting a reaction. I''m seeing a clear correlation of the allergic reaction with the proximity of the vaccine having been administered. This is obviously not life threatening and has thankfully resolved itself over time but I do believe that it is worth noting.


VAERS ID: 1437582 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 105A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (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: Patient was feeling fine before the vaccine was administered. After administering vaccine, patient suddenly collapsed briefly from a sitting position to the ground. Patient wasn''t responsive at first but then was able to verify his name and birth date. Blood pressure was taken and it was 93/60. Patient rested on the ground until his BP normalized and was given a cup of water.


VAERS ID: 1437583 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Cold sweat, Injection site haemorrhage, Malaise, Skin warm, Vision blurred
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

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

Write-up: When asked, patient states he did not eat or drink anything today. He noticed a tiny spot of blood at injection site, while his band-aid was being applied, he asked "Is this bad?". Shortly after after her complained of not feeling well. He complained of having blurry vision and the chills while his skin was warm and moist. Patient was laid down on the chaise lounge, and instructed to do isometrics with legs. Ice bags applied to back of neck and forehead. Vitals at 1152 were B/P - 108/58, SPO2: 99%, pulse: 66 bpm. Vitals at 1157 were B/P - 102/60, SPO2: 98%, pulse: 82 bpm. Patient was given water to drink and encouraged to drink lots of fluids today. Color was pink, skin was warm and dry when stood up to leave with mom and brother. Encouraged to eat and drink before second vaccination three weeks from now.


VAERS ID: 1437598 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure decreased, Fall, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Patient Fainted and fell over; blood pressure was taken and it had dropped to 78/50. Waited several minutes for patient to feel better since he did not feel like he needed emergency support. Later, it was taken and it went up 116/79.


VAERS ID: 1437609 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Seizure, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: UNKNOWN
Preexisting Conditions: UNKNOWN
Allergies: PEANUTS
Diagnostic Lab Data: Patient was taken to hospital for further testing. Unaware of outcome thus far. Paramedics mentioned her blood pressure.
CDC Split Type:

Write-up: Patient passed out momentarily. She was sitting and fell back in chair and had convulsions. Eyes remained slightly open, breathing not affected in any way. Patient was awake, alert and responsive within a minute. 911 called and patient taken to hospital.


VAERS ID: 1437634 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / 2 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dyspnoea, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: levothyroxine, zoloft, birth control
Current Illness: none
Preexisting Conditions: hypothyroidism
Allergies: prednisone
Diagnostic Lab Data: none at time of filing
CDC Split Type:

Write-up: rapid heart rate (105 bpm) and subjective shortness of breath


VAERS ID: 1437645 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-06-26
Onset:2021-06-30
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis, Injection site pain, Odynophagia, Tenderness
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Bell''s Palsy-Medium, Additional Details: PT DESCRIBED DROOPING ON ONE SIDE OF FACE AND TENDER TO TOUCH; EXPRESSED SLIGHT PAIN SWALLOWING; DENIED TROUBLE BREATHING OR SIGNIFICANT PAIN


VAERS ID: 1437656 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenopia, Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Corneal disorders (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: Multivitamin centrum
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Eyes felt heavy, slight headache, dizzy


VAERS ID: 1437658 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Flushing, Hyperhidrosis, Injection site pain, Loss of consciousness, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

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

Write-up: Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Additional Details: PATIENT REPORTED ARM PAIN AND PASSED OUT BRIEFLY (ABOUT 15-20 SECONDS) - GAVE WATER AND MONITORED FOR 30 MINS. TOOK BP 105/78 WHICH MOM REPORTS AS NORMAL FOR PT. FULL RECOVERY EXPECTED


VAERS ID: 1437668 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011D21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fall, Flushing, Head injury, Headache, Hyperhidrosis, Loss of consciousness, Muscle spasms, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Fainted-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Medium, Additional Details: Patient lost consciousness shortly after receiving vaccination. She was sitting down in the waiting area while the pharmacist and technician were observing her. She started to get light headed and dizzy. She didn''t say anything to the pharmacy staff and thought she could breath through it. She fell forward and hit her head on the floor. AMR/ EMT arrived at seen to evaluate patient. She regained consciousness after about 60 seconds. She compained of her head hurting and hands cramping.


VAERS ID: 1437683 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), 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: N/A
Current Illness: N/A
Preexisting Conditions: Hx syncope with medical procedures
Allergies: Bee venom
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediate vasovagal syncope at time of injection AEB brief loss of consciousness, diaphoresis, and pallor noted. Lowered pt to floor and elevated BLLE w/ chair. Pt awakened to smelling alcohol pad and verbal cues. calm and cooperative, AOx4. Denies pain, denies SOB. Taken to MedObs via litter where pt was assessed and encouraged to eat snack and drink water as pt reports he has not eaten or had any fluids today. Pt drank 1 bottle of water and declined a snack. Pt VSS though BP elevated and pt encouraged to monitor daily at home and f/u w/ provider. Pt allowed to leave at approx 1405 after 30 minutes, VSS and reported feeling "fine" Not edema, erythema, hives, SOB or any other s/s allergic reaction noted VITALS 1337 sitting HR 86, RR 18, BP 163/98, O2 96%RA 1342 sitting HR 84, RR 16, BP 146/96, O2 96%RA 1347 sitting HR 74, RR 18, BP 161/100, O2 96%RA 1354 sitting HR 76, RR 18, BP 156/94 (manual BP), O2 98%RA 1400 standing HR 80, RR 18, BP 168/98, O2 96%RA


VAERS ID: 1437685 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / UNK - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenopia, Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Corneal disorders (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: Omega 3
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heavy eyes, slight headache, dizzy


VAERS ID: 1437707 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048C21A / 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No known meds
Current Illness: No known illness
Preexisting Conditions: No known health conditions
Allergies: No Known allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient received Moderna Vaccine


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