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

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



Case Details (Reverse Sorted by Onset Date)

This is page 74 out of 5,069

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VAERS ID: 1464683 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Gait disturbance, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Inderal, Fosamax, ChlorTrimeton
Current Illness:
Preexisting Conditions: Recovering from Hip Replacement surgery in September 25, 2020
Allergies:
Diagnostic Lab Data:
CDC Split Type: 205A21A

Write-up: I received the Johnson & Johnson Covid19 vaccine at 3:30 PM on June 30, 2021. At 5:30 PM I experienced muscle pain in my right lower thigh muscles right below my hip replacement scar that continued throughout the night. The next day the muscle pain was so sever I could not walk on my right leg and had to get down my walker from my surgery. The following day the pain was less severe. It has been 12 days now since the vaccination and my right thigh muscles are still sore but I can walk OK.


VAERS ID: 1465346 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-10
Onset:2021-06-30
   Days after vaccination:112
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / N/A LA / SYR

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

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

Write-up: My left arm gets a tingling sensation, like ?pins and needles,? like it is ?falling asleep.? It lasts for several hours then goes away. This has happened to me twice since getting this vaccine, and never happened before getting it.


VAERS ID: 1465769 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 LA / IM

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

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

Write-up: Moderna administered on day 21; correct interval allowed is day 28 with a 4 day grace period (day 24) First dose was 6/9/2021, Second dose received on 6/30/2021


VAERS ID: 1466234 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-06-30
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Cough, Feeling abnormal, Gait inability, Headache, Mobility decreased, Myalgia, Neck pain, Pain, Paralysis, Speech disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (Patient states that she drinks a lot of wine.)
Preexisting Conditions: Medical History/Concurrent Conditions: Pulmonary thrombosis; Thrombosis leg; Comments: Patient had been on blood thinner before for the clot in her leg in the past
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210708353

Write-up: COULD NOT WALK / UNABLE TO WALK WITHOUT STUMBLING / COULD NOT WALK WITHOUT TREMENDOUS PAIN; COUGH; SPOKE VERY FAST AND HER WORDS WERE JUMBLED TOGETHER; COULD NOT GET OUT OF BED / COULDN''T MANEUVER; TRUCK RAN OVER HER BUT DID NOT BREAK HER BONES; HEADACHE; MUSCLE ACHE; BACK PAIN; SORE NECK / EXCRUCIATING PAIN IN BACK OF NECK/NECK PAIN / COULD NOT MOVE HER HEAD; RADIATING PAIN / BODY HURTED WHENEVER SHE TRIED TO MOVE/ UNBEARABLE PAIN THAT RADIATED FROM BACK OF HEAD TO GROIN AREA; PARALYSIS; This spontaneous report received from a patient concerned a 74 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included blood clot went to her lung, and clot in leg, and concurrent conditions included wine drinker, and other pre-existing medical conditions included patient had been on blood thinner before for the clot in her leg in the past. The patient was previously treated with rivaroxaban. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, expiry: 07-AUG-2021) dose was not reported, 1 total, administered on 22-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 30-JUN-2021, Patient was suffering from paralysis that was been going on for 3-4 days. Patient said that she could not walk without tremendous pain and her husband needed to get her in and out of bed. Patient took Advil for her symptoms, 2 tablets at a time. Her symptoms were unbearable, the pain radiated from the back of her head to the groin, as well as her neck was sore. Furthermore, patient mentioned that her body hurted whenever she tried to move, she could not walk without stumbling. Patient did not knew if she had a fever as she had no thermometer. Patient also experienced cough, radiating pain, headache, back pain. Patient had excruciating pain in the back of neck and was in hospital waiting for physician to see her at the time of reporting. Hospital took a lot of test she was waiting for Physician''s response. She mentioned that she had been on blood thinner before for the clot in her leg in the past, but she was able to get out bed in the hospital to go the bathroom. Patient called back after admitted to the hospital. Patient was very upset that she had not received a call back from J&J as she said she was told would happen. Patient did mention that the JANSSEN COVID-19 vaccine had paralyzed her. Patient spoke very fast and her words were jumbled together. Patient felt completely fine until 30-JUN-2021. From 30-JUN-2021 she felt like a truck ran over her but did not break her bones. She finally went to the hospital last night and was admitted. She could not walk, could not get out of bed, couldn''t maneuver, last night walking got a little better. Then pain became so severe in her neck, not a headache, that she could not move her head on 02-JUL-2021 or 03-JUL-2021. Patient was hospitalized on 05-JUL-2021. She woke up on 06-JUL-2021 morning and could almost sprint out of bed. Her head was better but she couldn''t move it all the way at the time of reporting. They had been giving her fluids. Patient had a blood clot in 2013 that went to her lung and had been on Xarelto for about a year. The only thing she had done done differently was getting her teeth cleaned and got the vaccination. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from cough, had not recovered from paralysis, muscle ache, radiating pain / body hurted whenever she tried to move/ unbearable pain that radiated from back of head to groin area, headache, back pain, and sore neck / excruciating pain in back of neck/neck pain / could not move her head, and the outcome of could not walk / unable to walk without stumbling / could not walk without tremendous pain, could not get out of bed / couldn''t maneuver, truck ran over her but did not break her bones and spoke very fast and her words were jumbled together was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0:20210708353-Covid-19 vaccine ad26.cov2.s-Paralysis, Could not walk / Could not walk without tremendous pain/ Unable to walk without stumbling ,Unbearable pain that radiated from back of head to groin area / Radiating pain/ Body hurts whenever she tried to move, Cough, Back pain, Excruciating pain in back of neck / neck pain/ Sore neck/could not move her head, Spoke very fast & her words were jumbled together, Could not get out of bed/ Couldn''t Maneuver ,Truck ran over me but did not break my bone . 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). V0:20210708353-Covid-19 vaccine ad26.cov2.s-Headache,Muscle aches. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1466497 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-06-15
Onset:2021-06-30
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 1 - / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. T022333 / UNK - / -
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS ABXA81EZ / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Facial paralysis, Feeling abnormal, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

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

Write-up: Pt is a 17 yr/o female who presents with numbness to right side of her face that started on Thursday. She reports Wednesday it felt funny but no numbness or paralysis. Patient reports Thursday she went to PMD for vaccinations face still felt funny but not numb or inability to smile or raise eyebrow. Patient reports Friday and today she is unable to lift eyebrow or smile on the right side. She has not had any blurry vision, no speech abnormality, no headaches, no extremity weakness. Patient with no difficulty ambulating. She has not had any recent illness, no hx of HSV or herpes, no hx of tick bites or removal of ticks from body and no recent fevers or rash. Mom did mention that she did have the covid vaccine pfizer on 6/15. She did not have any symptoms after the vaccines and did well until Thursday. She did receive vaccinations on 7/1, hep a and menigococcal B and conjugate vaccine. She has never had any previous reactions to vaccines. She is otherwise interactive gcs 15.


VAERS ID: 1466598 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-09
Onset:2021-06-30
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Heart rate increased, Hypertension
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: none
Allergies: None
Diagnostic Lab Data: Seen at ER. I did not do that work up but sounds as if it included x-ray, lab work, EKG
CDC Split Type:

Write-up: High blood pressure, high heart rate, chest pain


VAERS ID: 1466632 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Diarrhoea, Ear discomfort, Fatigue, Headache, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Paranasal sinus discomfort, Respiratory tract congestion
SMQs:, Acute pancreatitis (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), Arthritis (broad), Noninfectious diarrhoea (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: Prescriptions- Synthroid-Protonix Multivitamin/Probiotic/Vitamin B
Current Illness: No
Preexisting Conditions: No
Allergies: Allergic to Codeine, Climdamycin
Diagnostic Lab Data: Doctor''s visit
CDC Split Type:

Write-up: Day 1- 3: Red and swollen with rash and severe pain at injection site. Extreme fatigue, headache, joint pain on right knee. Day 3-10: Severe stomach cramping with diarrhea, headache Day 11- 14: Sinus pressure, congestion, unable to pop ears


VAERS ID: 1466649 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Disturbance in attention, Fatigue, Headache, Heart rate increased, Heavy menstrual bleeding, International normalised ratio normal, Joint swelling, Menstrual disorder, Muscle twitching, Peripheral swelling, Poor peripheral circulation, Prothrombin time shortened, Thrombosis, Vaccination site bruising, Varicose vein
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (broad), Dystonia (broad), Thrombophlebitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: omega 3, vitamin c and d
Current Illness:
Preexisting Conditions: lyme disease
Allergies:
Diagnostic Lab Data: on 7/8/21 had prothrombin time/INR lab was 10.5 for time and 1.0 for INR
CDC Split Type:

Write-up: 6/30/21, 20 minutes after headache and fatigue. More tired that usual over next few days and hard to concentrate. 7/2/21-7/13/21 twitching in my legs upon waking (think activated bartonella bacteria from lyme co-infection), 7/3/21-7/8/21- circulation poor in lower legs-had to move around a lot, veins protruding from lower legs-which I''ve never had before and some swelling in ankles, feet and fingers, 7/1/21 heart beating fast going up flight of stairs but quickly went back to normal also got menstrual cycle 10 days early- was heavier with blood clots (typically 28 day cycle), bruise under area received vaccine


VAERS ID: 1466727 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-03
Onset:2021-06-30
   Days after vaccination:88
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Hyperthyroidism, Investigation
SMQs:, Hyperthyroidism (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Rinvoq, Levothyroxine, Zocor, Actonel, Viactiv
Current Illness: none
Preexisting Conditions: Rheumatoid Arthritis, Hypothyroidism, Osteoporosis, High Cholesterol
Allergies: Albuterol, Tetracycline
Diagnostic Lab Data: Blood test(6/30/2021) chem panel, and usual screening.
CDC Split Type: vsafe

Write-up: During a routine exam, discovered that ususal hypothyroidism switched to hyperthyroidism. Changed prescription and will revisit in Sept.


VAERS ID: 1466736 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-26
Onset:2021-06-30
   Days after vaccination:96
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Magnetic resonance imaging head abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
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: MRI confirmed stroke
CDC Split Type:

Write-up: Stroke


VAERS ID: 1466906 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 1 - / IM

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

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

Write-up: Moderna Covid-19 Vaccines (Lot#002C21A; expiration date 10/14/21) were sent to our facility from a larger facility within our enterprise. The vials were sent in a bag with a sticker on the bag indicating the expiration date from the removal of the freezer which was 6/24/21. An RN drew up vaccines from these vials without realizing/seeing the expiration date on the bag. The RN labeled the drawn-up syringe with the expiration date/time since puncture of the vial. The vial itself did not have an expiration date on it. This patient was given this dose of the Moderna vaccine on 6/30/21.


VAERS ID: 1467124 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-06-30
   Days after vaccination:81
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lymphadenopathy, Mammogram, Ultrasound scan
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisa Ryan, Metropol, Synthroid, Amlodipine
Current Illness: High blood pressure, Hashimoto?s, osteoarthritis ,
Preexisting Conditions: All if the above
Allergies: Corn, wheat, latex gloves
Diagnostic Lab Data: Mammogram, Ultrasound, physical examination by ob-gyn.
CDC Split Type:

Write-up: COVID Vaccine induced Axillary Lymphadenopathy


VAERS ID: 1467184 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-06-21
Onset:2021-06-30
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Hyperhidrosis, Hypoaesthesia, Hypoaesthesia oral, Peripheral coldness, Pruritus, Temperature intolerance
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: PEANUT, TOMATO, WHEAT, BARLEY, RYE
Diagnostic Lab Data: N/A. PATIENT CURRENTLY AT MEDICAL CENTER AWAITING TO BE SEEN BY A NEUROLOGIST (07/13/21). SUSPECT GUILLIAN BARRE FROM NURSE AT DOCTOR''S OFFICE.
CDC Split Type:

Write-up: NUMB FACE INITIALLY, NUMBNESS DOWN BOTH LEGS. NO FEELING OF HOT OR COLD ON THIGHS, ARMS. LIPS CURRENTLY NUMB. ICY-HOT SENSATION WHEN WIND HITS BODY WHEN SWEATING. HANDS IN COLD WATER FEELS "ICE, ICE, ICE FREEZING COLD". HEAT FROM SUN IS SIGNIFICANTLY ENHANCED AS IF THE SKIN WERE BURNING


VAERS ID: 1467200 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Condition aggravated, Mobility decreased, Muscle strain, Muscular weakness, Musculoskeletal stiffness, Paraesthesia, Tinnitus
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hearing impairment (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine
Current Illness: None
Preexisting Conditions: Three incidents of major lower back strain - 2005, 2015 and 2018.
Allergies: None known
Diagnostic Lab Data:
CDC Split Type:

Write-up: Within one day of vaccination experienced minor tinnitus, tingling in the left arm and significant stiffness in the left neck and left shoulder area. Stiffness in the left neck and shoulder lasted four days, tingling I the left arm on/off lasted eight days, and tinnitus lasted two days. On days seven and eight experienced weakness in the legs, especially first thing in the morning. On day nine my ?back went out? - this major lower back strain lasted five days to where it was difficult to move. On day 14-15 lower back pain still exists, but is more mild with limited mobility.


VAERS ID: 1467272 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-06-23
Onset:2021-06-30
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

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

Write-up: Tinnitus


VAERS ID: 1467286 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-06-03
Onset:2021-06-30
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SC

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: Vit D 3
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: last week June start with short of breath also feel like my hearth going to stop working and get desperate, happened at lease 5 times since that date, never happened before.


VAERS ID: 1467524 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Feeling cold, Loss of personal independence in daily activities, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concerta 36 MG 2 tab daily Multivitamin daily Neurvia supplement daily
Current Illness: NA
Preexisting Conditions: ADHD, pre-diabetes, and CAPD
Allergies: erythromycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: At 4:30 AM the day after the vaccine, I woke up with severe chills and shivering that my teeth were chattering. My body temp is naturally a degree higher than most people. I keep a jacket on in the winter, but it rarely is zipped up. I tried to drink warm tea. When that didn''t work, I took a warm shower. I threw up 3 moderate to large emesis during the warm shower, then 2 small to medium-sized emesis. I felt like I went through rigorous physical training; I was that weak. My body ached crazy for the whole day. I lost a day of school because of it. I am sick literally, maybe once or twice a year at most.


VAERS ID: 1467767 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-18
Onset:2021-06-30
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dysmenorrhoea, Menstrual disorder, Menstruation irregular, Uterine pain
SMQs:, Fertility disorders (broad)

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

Write-up: Worsening menstural symptoms and pain, length of cycle irregular, pain in uterus


VAERS ID: 1468381 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Atrial fibrillation, Balance disorder, Condition aggravated, Dysgeusia, Endometriosis, Feeling drunk, Hypoaesthesia oral, Palpitations, Paraesthesia oral, Vertigo
SMQs:, Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (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: Coconut oil, apple cider vinegar, codfish oil, butterbur, probiotics, ginger, super b complex, triple magnesium complex, calcium, NAC, turmeric.
Current Illness: Endometriosis, and AfiB.
Preexisting Conditions: Endometriosis, and afib.
Allergies: Aspartame, arnica, cipro
Diagnostic Lab Data: No tests done. I was told that these side effects can happen and I should get the second shot even if it does cause me bells palsey.
CDC Split Type:

Write-up: Within 5 minutes of getting the shot, I got a weird metallic/salty-saline taste in my mouth that lasted until Saturday/Sunday. Also gradually within an hour, my left side of my mouth (cheek, bottom lip, gums) went completelt numb. That last until Saturday then it became tingly like for the next few days after that. I was able to use facial muscles, I just literally had no feeling. My heart started to have palpitations and I am pretty sure it went into AFib until Friday. I also felt like I had vertigo for the first 24 hours. I could not keep balance like I was very intoxicated. With my endometriosis, it did also cause a d Flare up in my back pelvic area like my endo has returned to my "cal de sac" area. That lasted a few days too.


VAERS ID: 1469606 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-30
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210704533

Write-up: CHILLS; FEVER; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported 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 30-JUN-2021, the subject experienced chills. On 30-JUN-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills and fever was not reported. This report was non-serious.


VAERS ID: 1469677 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 2 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Incorrect dose administered, Pyrexia, Rash, Seizure, Tremor, Vaccination site pruritus, Vaccination site swelling
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PREMPRO
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210701; Test Name: body temperature; Result Unstructured Data: Body temperature was 101 F
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: Had a rash on her left arm; Her left arm itched from the inside out; Ser left arm was swollen up; She had 101F temperature; she almost had a seizure; Her body was shaking from head to feet; she received 2nd dose 49 days after the 1st dose; This spontaneous case was reported by a consumer and describes the occurrence of SEIZURE (she almost had a seizure) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included ESTROGENS CONJUGATED, MEDROXYPROGESTERONE ACETATE (PREMPRO) for an unknown indication. On 30-Jun-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jun-2021, the patient experienced INCORRECT DOSE ADMINISTERED (she received 2nd dose 49 days after the 1st dose). On 01-Jul-2021, the patient experienced SEIZURE (she almost had a seizure) (seriousness criterion medically significant), TREMOR (Her body was shaking from head to feet), RASH (Had a rash on her left arm), VACCINATION SITE PRURITUS (Her left arm itched from the inside out), VACCINATION SITE SWELLING (Ser left arm was swollen up) and PYREXIA (She had 101F temperature). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at a dose of 1 dosage form and DIPHENHYDRAMINE, PARACETAMOL, PHENYLPROPANOLAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE;PARACETAMOL;PHENYLPROPANOLAMINE HYDROCHLORIDE]) ongoing since an unknown date at a dose of 1 dosage form. On 01-Jul-2021, SEIZURE (she almost had a seizure), TREMOR (Her body was shaking from head to feet) and PYREXIA (She had 101F temperature) had resolved. At the time of the report, INCORRECT DOSE ADMINISTERED (she received 2nd dose 49 days after the 1st dose), RASH (Had a rash on her left arm), VACCINATION SITE PRURITUS (Her left arm itched from the inside out) and VACCINATION SITE SWELLING (Ser left arm was swollen up) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-Jul-2021, Body temperature: high (High) Body temperature was 101 F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient did not go to her doctor during the events but does plan to see her PCP. No treatment medications were reported. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. This case was linked to MOD-2021-175840 (Patient Link).; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.


VAERS ID: 1470709 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Urticaria papular
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: see above j&j reaction
Other Medications: Anoro Ellipta Pro Air Inhaler
Current Illness:
Preexisting Conditions: COPD Arthritis
Allergies: Bees Surgical Tape Moderna and Pfizer vaccine
Diagnostic Lab Data:
CDC Split Type:

Write-up: urticaria papular, erythema


VAERS ID: 1470791 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-07
Onset:2021-06-30
   Days after vaccination:84
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041B21A / 2 AR / IM

Administered by: Military       Purchased by: ?
Symptoms: Abdominal pain, Back pain, Blood test, Blood urine, Urine analysis abnormal
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin,vitamin d,B12,plaquinil,linzess,alprazolam, Omeprazole, Prednisone, methotrexate, amitriptyline, colchicine, gabapentin,folic acid,pentoxifyllin, promethazine, tramadol, Amlodipine, Flexeril diflucan,flonase
Current Illness:
Preexisting Conditions: Lupus sle, anxiety,ra, migraine, vitamint b deficiency, vitamin d deficiency,chest discomfort, palpation,Pseudoangiomatous stromal hyperplasia of breast, Degenerative disc disease, cervical,Lumbar radiculopathy, Leucocytosis,Renal cyst, right,Gross hematuria
Allergies: Tomato, cellcept,sulfa drugs, Bees
Diagnostic Lab Data: Urine and blood tests
CDC Split Type:

Write-up: Bloody urine, back pain, abdominal pain


VAERS ID: 1474411 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-27
Onset:2021-06-30
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026D21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Blood test normal, Dizziness, Dysarthria, Headache, Hypoaesthesia, Muscle twitching, Nodule, Tremor, Urine analysis normal
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu Shot - became very ill with the flu
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: I am allergic to latex, swiss cheese, and Teflon.
Diagnostic Lab Data: Blood work - Normal Urine Test - Normal
CDC Split Type: vsafe

Write-up: I experienced a knot in my arm which spread to a large section. My speech became blurry and I passed out at work along with a lot of shaking, twitching, and head numbness. I was rushed to the ER and I was transferred to another hospital that placed me on Prednisone and a Muscle relaxer for 5-days and finally was able to get a doctor''s appointment. My doctor put me on Meclizine and Clonazepam to help with anxiety and dizzy spells. I am taking Tylenol to help with the headaches until I can see the Neurologist on 08/10/2021.


VAERS ID: 1475000 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chest discomfort, Chills, Crying, Dyspnoea, Headache, Insomnia, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: migraines 1x a month
Allergies: mild allergies to whey protein, garbanzo beans, parsley, crab, oyster
Diagnostic Lab Data:
CDC Split Type:

Write-up: The first night (same day I got the J&J vaccine) I had a fever of 101.5 degrees, tight chest, mild difficulty breathing, strong body aches, strong chills, a splitting headache, and I couldn''t sleep that night. By morning the symptoms were gone except a felt very week and still had a mild headache. The headache got bad again by 10:00AM. And grew worse and worse until it was excruciating. I took 800mg of Advil, a muscle relaxant, and 2 hours later a Norco. Nothing reduced the pain. I stayed up and cried all night. I asked a relative to take me to the ER, but they were unwilling. In the early hours of the morning, it started to reduce. The next day I was weak, and I had a mild headache for the next 2 days.


VAERS ID: 1475444 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-21
Onset:2021-06-30
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Computerised tomogram thorax, Culture, Full blood count, Metabolic function test, Pneumonia
SMQs:, Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nifedipine, Lisinopril, Vit D, Vit C, B Vit
Current Illness: None
Preexisting Conditions: Hypertension Chronic Kidney Disease
Allergies: None
Diagnostic Lab Data: Routine pneumonia evaluation....... CBC, Chem, CXR, CT Chest, C&S
CDC Split Type:

Write-up: Developed PNEUMONIA, Admitted to Hospital on 07/04/2021 Discharged on 07/10/2021 in stable condition. UNKNOWN if the vaccine precipitated the pneumonia or not. Never with pneumonia before.


VAERS ID: 1478129 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Depression Headaches
Allergies: Penicillins
Diagnostic Lab Data: EKG on 7/16/2021
CDC Split Type:

Write-up: Nausea, vomiting and diarrhea every morning beginning 6/30/2021. Patient states it is worsening and has led to decreased appetite with no weight loss. Pt states it began after receiving second dose of Covid vaccine. Pt was ordered zofran and Pepcid and ordered to follow up with gastroenterologist.


VAERS ID: 1478563 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-25
Onset:2021-06-30
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Dizziness, Ear discomfort, Headache, Magnetic resonance imaging head normal, Malaise, Nausea, Sleep disorder, Vertigo, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)

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

Write-up: I woke up at 3 am with extreme vertigo, the room spinning, very nauseous, for the next 24 hours I could not keep anything down, I went to the ENT that afternoon and they gave me some medications. For the next 2 days I continued with extreme vertigo. I kept throwing up. For the last 12 days I still have dizziness and ear pressure, my balance is bad, I have trouble seeing, I have terrible head ache. Its almost been 3 weeks since I started having symptoms. I have never been this sick in my whole life. They did a brain MRI but it came back normal. I also saw my PCP and they gave me a 5 day prednisone pack but it did not really helped.


VAERS ID: 1478622 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hyperhidrosis, Malaise, Pain, Pyrexia, Rhinorrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: Lipitor, Cymbalta, Glucotrol, Metformin, trazodone
Current Illness: None
Preexisting Conditions: Type 2 Diabetes, depression/anxiety, hyperlipidemia
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Day after receiving COVID vaccination, patient developed fever of 102, diaphoresis, diarrhea, vomiting, malaise, body aches and runny nose.


VAERS ID: 1478680 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 1 LA / SC

Administered by: Pharmacy       Purchased by: ?
Symptoms: Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient passed out about 10 minutes after vaccination.


VAERS ID: 1479619 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-06-09
Onset:2021-06-30
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Electrocardiogram abnormal, Myalgia, Pain, Pain in extremity, Sinus rhythm
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xyzal
Current Illness: None
Preexisting Conditions: None
Allergies: Maple pollen Dust
Diagnostic Lab Data: ECG on 7-7-2021, sinus rhythm ECG on 7-15-2021 sinus rhythm
CDC Split Type:

Write-up: Burning pain in the middle of my chest along with shortness of breath. Pain spreads from my chest to my right arm and makes the muscles in my right arm sore.


VAERS ID: 1481617 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-10
Onset:2021-06-30
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: C-reactive protein increased, Cardiomegaly, Chest X-ray abnormal, Chest pain, Condition aggravated, Dyspnoea, Echocardiogram abnormal, Exposure during pregnancy, Inflammation, Painful respiration, Pericarditis, Pulmonary oedema, Troponin increased, Ultrasound Doppler normal
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: All tests done 6/30. Chest X-ray- borderline cardiomegaly and mild pulmonary edema. Echocardiogram - mild cardiomegaly. Venous ultrasound - negative. Troponin level elevated. C reactive protein elevated 5.3
CDC Split Type:

Write-up: Started having left sided chest pain on 6/27 which progressively worsened over the next few days, called OB on 6/30 who instructed me to go to emergency department to be evaluated. Throughout the day the chest pain became progressively worse especially on inspiration also accompanied with difficulty to take a full breath. After testing done in emergency room I was admitted and diagnosed with pericarditis and said to be having an acute inflammatory response post covid vaccination. At time of adverse event I was 26 weeks pregnant with an uncomplicated pregnancy, estimated delivery date is 9/29


VAERS ID: 1481756 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-28
Onset:2021-06-30
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Dysgeusia, Dysphagia, Gingival swelling, Hand-foot-and-mouth disease, Illness, Lymphadenopathy, Mouth ulceration, Oral disorder, Oral mucosal blistering, Oral pain, Viral infection
SMQs:, Severe cutaneous adverse reactions (broad), Angioedema (narrow), Systemic lupus erythematosus (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: USMODERNATX, INC.MOD20212

Write-up: swollen gums; got very sick when I got the first and second shot to the point I thought I was going to die; pain is worse than having a child; cant swallow/hard time drinking water/painful talking; hand, foot and mouth disease; They said it is a virus / They also said it could be hand, foot and mouth disease.; lymph nodes are swollen; severe white spots in mouth/mouth ulcers/blisters on roof of my mouth, gums, outside of lips and on the inside of my cheeks and throat/she has lesions in mouth ulcers which look like blisters; funny metallic taste; severe blisters with a funny metallic taste/she has lesions in mouth ulcers which look like blisters; lesions in my month; This spontaneous case was reported by a consumer and describes the occurrence of MOUTH ULCERATION (severe white spots in mouth/mouth ulcers/blisters on roof of my mouth, gums, outside of lips and on the inside of my cheeks and throat/she has lesions in mouth ulcers which look like blisters), HAND-FOOT-AND-MOUTH DISEASE (hand, foot and mouth disease), GINGIVAL SWELLING (swollen gums), ILLNESS (got very sick when I got the first and second shot to the point I thought I was going to die), ORAL MUCOSAL BLISTERING (severe blisters with a funny metallic taste/she has lesions in mouth ulcers which look like blisters), ORAL DISORDER (lesions in my month), ORAL PAIN (pain is worse than having a child), DYSPHAGIA (cant swallow/hard time drinking water/painful talking), DYSGEUSIA (funny metallic taste), VIRAL INFECTION (They said it is a virus / They also said it could be hand, foot and mouth disease.) and LYMPHADENOPATHY (lymph nodes are swollen) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 28-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jun-2021, the patient experienced MOUTH ULCERATION (severe white spots in mouth/mouth ulcers/blisters on roof of my mouth, gums, outside of lips and on the inside of my cheeks and throat/she has lesions in mouth ulcers which look like blisters) (seriousness criterion medically significant), ORAL MUCOSAL BLISTERING (severe blisters with a funny metallic taste/she has lesions in mouth ulcers which look like blisters) (seriousness criterion medically significant), ORAL DISORDER (lesions in my month) (seriousness criterion medically significant), DYSGEUSIA (funny metallic taste) (seriousness criterion medically significant) and LYMPHADENOPATHY (lymph nodes are swollen) (seriousness criterion medically significant). On 03-Jul-2021, the patient experienced HAND-FOOT-AND-MOUTH DISEASE (hand, foot and mouth disease) (seriousness criterion medically significant) and VIRAL INFECTION (They said it is a virus / They also said it could be hand, foot and mouth disease.) (seriousness criterion medically significant). On an unknown date, the patient experienced GINGIVAL SWELLING (swollen gums) (seriousness criterion medically significant), ILLNESS (got very sick when I got the first and second shot to the point I thought I was going to die) (seriousness criterion medically significant), ORAL PAIN (pain is worse than having a child) (seriousness criterion medically significant) and DYSPHAGIA (cant swallow/hard time drinking water/painful talking) (seriousness criterion medically significant). The patient was treated with LIDOCAINE for Blisters, at an unspecified dose and frequency and AMOXICILLIN for Tooth infection, at an unspecified dose and frequency. At the time of the report, MOUTH ULCERATION (severe white spots in mouth/mouth ulcers/blisters on roof of my mouth, gums, outside of lips and on the inside of my cheeks and throat/she has lesions in mouth ulcers which look like blisters), HAND-FOOT-AND-MOUTH DISEASE (hand, foot and mouth disease), GINGIVAL SWELLING (swollen gums), ILLNESS (got very sick when I got the first and second shot to the point I thought I was going to die), ORAL MUCOSAL BLISTERING (severe blisters with a funny metallic taste/she has lesions in mouth ulcers which look like blisters), ORAL DISORDER (lesions in my month), ORAL PAIN (pain is worse than having a child), DYSPHAGIA (cant swallow/hard time drinking water/painful talking), DYSGEUSIA (funny metallic taste), VIRAL INFECTION (They said it is a virus / They also said it could be hand, foot and mouth disease.) and LYMPHADENOPATHY (lymph nodes are swollen) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient reported that she got the first Moderna COVID-19 vaccination 28 days prior to second dose. On 02-Jul-2021, she called her dentist who gave her amoxicillin for a tooth infection. She took this until she went to urgent care who told her it wasn''t a tooth infection and to stop taking it. She went to urgent care on 03-Jul-2021 and the emergency room on 03-Jul-2021. On 06-Jul-2021, patient went to the doctor who told her she had lesions in mouth ulcers which look like blisters. Patient also reported that a week after Halloween of 2020 her young child had a cough. He had a COVID test which tested positive. Her and her other son were in quarantine for two weeks but they never tested them so she doesn''t know if she had COVID-19 or not. Action taken with mRNA-1273 in response to the events was not applicable. No concomitant medication has been reported. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This case was linked to MOD-2021-250541 (Patient Link).; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1483175 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Hyperhidrosis, Malaise, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021813645

Write-up: I am not feeling well; I am having the fever; there is a mess with my breathing; I am keep sweating up under the fan. I keep sweating. I am breaking in sweat.; This is a spontaneous report from a contactable consumer. A 54-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number: FA6780, Expiry date: unknown, at the age of 54-year-old), dose 1 via an unspecified route of administration on 29Jun2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient reported, she was having some side effects. She was not feeling well. There is a mess with her breathing, little bit. She was having fever and kept sweating up under the fan. She was breaking in sweat all on 30Jun2021. Outcome of the events was unknown.


VAERS ID: 1483178 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Constipation, Feeling abnormal, Headache, Pain in extremity
SMQs:, Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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 INC2021813737

Write-up: experiencing really bad constipation; arm is sore; headache; feeling really crazy; This is a spontaneous report from a Pfizer sponsored Program. A contactable consumer (patient) reported that a 54-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 29Jun2021 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 30Jun2021, the patient experienced experiencing really bad constipation, arm is sore, headache, feeling really crazy. The patient received her first dose of the Pfizer Covid 19 Vaccine yesterday evening and states she was "experiencing really bad constipation", her arm is sore and she has a headache and stating "I''m feeling really crazy". The patient wants to know if she can take a laxative, magnesium citrate specifically. Outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1483270 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Axillary pain, Back pain, Pain, Peripheral swelling, Swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (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 INC2021820689

Write-up: pain and soreness in her back and shoulder,; pain and soreness in her back and shoulder,; pain, the regular soreness; she was feeling the armpit pain; swollen arm/whole right arm and hand swollen; armpit is painful and swollen; This is a spontaneous report from a Pfizer sponsored program . A contactable consumer (patient) reported that a 21-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EW0183), via an unspecified route of administration in right arm on 29Jun2021 at 08:17 (at the age of 21 years old) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient not had history of previous immunization with the Pfizer vaccine considered as suspect. No family medical history relevant to adverse events was provided and no relevant tests were performed. The patient did not receive additional vaccines on same date of the Pfizer suspect. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. She had initial onset of side effects on 30Jun2021 starting with pain, the regular soreness; then she was feeling the armpit pain and then slowly during the day started feeling the back pain; she is having back pain and her whole right arm and hand are swollen. She is not sure about the back pain; she can''t sleep on her right arm because of having the vaccine shot and usually she sleeps on that side; so it could be that being tensed up from not sleeping on the right side could have caused the back pain. The armpit pain and swelling of right arm and hand she is not sure about. She is experiencing swollen arm, armpit is painful and swollen, pain and soreness in her back and shoulder, whole right arm and hand swollen. She asked for further information about these side effects. She specified outcome of side effects as persistent. The patient did not visit emergency room or physician office. Treatment received: Tylenol 500mg every 6 hours after the vaccine for the soreness; they told her to take it so she did and it helped the pain come down a little bit. Tylenol: Lot: SMA034, Expiry: Aug2022, UPC: Unknown, but . The outcome of events was not recovered.


VAERS ID: 1483281 (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: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW01 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Pain, Pyrexia, Vaccination site pain, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LORAZEPAM; LITHIUM; QUETIAPINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (If covid prior vaccination: Yes)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021820939

Write-up: Vomiting; Fever; Body aches; Headache; Painful injection site; This is a spontaneous report from a contactable consumer (patient). A 24-year-old non-pregnant female patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: ew01), via an unspecified route of administration in arm left on 30Jun2021 at 11:00 (at the age of 24-years-old) as dose 1, single for COVID-19 immunisation. The medical history of the patient included COVID-19 from an unknown date and unknown if ongoing. The concomitant medications of the patient included lorazepam (LORAZEPAM), lithium (LITHIUM), quetiapine (QUETIAPINE) and one a day multi start date and stop dates were not reported. The patient did not receive any other vaccines within 4 weeks prior to the covid vaccine. Since the vaccination, the patient not been tested with covid-19. On 30Jun2021 the patient experienced vomiting, fever, body aches, headache, painful injection site. The outcome of the events was reported as unknown. Follow-Up (05Jul2021): Follow-up attempts are completed. No further information is expected.


VAERS ID: 1483285 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Heart rate increased, Hyperhidrosis, Malaise, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre 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:
CDC Split Type: USPFIZER INC2021821060

Write-up: sweaty; heart rate became rapid; not to feel well; his arms and legs got tingly; This is a spontaneous report from a contactable consumer. This consumer (patients Grandmother) reported for a 13-year-old male patient (reporters Grandson) that he received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot number: EW0181 and Expiry date was not reported) via an unspecified route of administration in the right arm on 30Jun2021 (age at vaccination was 13-year-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications were not reported. On 30Jun2021 reporter stated on behalf of her 13-year-old grandson who received the Pfizer COVID-19 vaccine yesterday and did not experience any side effects until 7 pm that night when he went to an exercise class. She states that he started not to feel well, and his arms and legs got tingly, he became sweaty and rapid heartbeat for a short period of time. She states that by the time he got home he was feeling better. The patient took couple of tylenol and went to sleep and seem to be fine. Unspecified treatment received for the events. The outcome of the events was recovered on an unspecified date in 2021. Follow up information has been requested.


VAERS ID: 1483286 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood cholesterol, Heart rate, Heart rate increased, Hypertension, Pain in extremity, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Tendinopathies and ligament disorders (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: ASPIRIN; METOPROLOL SUCCINATE; VITAMIN B COMPLEX; VITAMIN C [ASCORBIC ACID]; CITRACAL [CALCIUM CITRATE]; COQ10 [TOCOPHERYL ACETATE;UBIDECARENONE]; SYNTHROID
Current Illness: Blood pressure high; High cholesterol; Hypothyroidism; Osteoporosis; Spinal stenosis
Preexisting Conditions: Medical History/Concurrent Conditions: Osteoarthritis; Supraventricular tachycardia
Allergies:
Diagnostic Lab Data: Test Name: Cholesterol; Result Unstructured Data: Test Result:340; Test Name: Heart rate; Result Unstructured Data: Test Result:111
CDC Split Type: USPFIZER INC2021821113

Write-up: her blood pressure went sky high (upper number is over 200, bottom number is 135); heart rate was 111; continuous tremors and shaking that went with this; her left 2nd and 3rd toes (counting from the big toe) were with shooting pain right after the shot but have gone away right now; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 70-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration (at the age of 70-years), administered in arm left on 30Jun2021 as dose 1, single for COVID-19 immunization. Medical history included ongoing high blood pressure and she clarified she was told she has Labile hypertension. She was not sure when she had high blood pressure, it was before 2016. 2016 was the first time she took medicine for it and went to the hospital. Her heart was beating so fast, ongoing hypothyroidism and she had it for about 20 years, ongoing osteoporosis and she got osteoporosis within 10 years after taking Synthroid or it could have been 5 years. There was nothing wrong with her bones before but if one looks at the Synthroid website, they say women can get osteoporosis if you get too much dosage. At first, her dose was experimental and it took over a year to get her dose, ongoing high cholesterol and she said her cholesterol was in the 340s. It was getting better before she took the vaccine, ongoing spinal stenosis, supraventricular tachycardia and osteoarthritis from an unknown date and unknown if ongoing. Concomitant medications included aspirin (ASPIRIN) taken for high blood pressure from an unspecified start date to 27Jun2021 and she stopped Aspirin since around Sunday because of taking the Pfizer vaccine. She had been taking Aspirin for a few years, metoprolol succinate ER taken for high Blood Pressure from Nov2016 to an unspecified stop date, vitamin b complex and vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID, calcium citrate (Citracal Petites 2 tablets per day), tocopheryl acetate, ubidecarenone (COQ10 [TOCOPHERYL ACETATE;UBIDECARENONE]) and levothyroxine sodium (SYNTHROID) taken for hypothyroidism, start and stop date were not reported. A minute or two after the vaccine, her blood pressure went sky high (upper number is over 200, bottom number is 135). Patient heart rate was 111. Pharmacist called EMT to come and get the caller. Patient also had continuous tremors and shaking that went with this. Patient mentioned she had a history of high blood pressure and is on Metoprolol but never had this issue. Patient mentioned her diastolic never goes to 135 and that she is much better this year so she is surprised when this happened. Patient mentioned that whenever her blood pressure goes to 180 to 200, she usually has tremors. Patient also mentioned that her left 2nd and 3rd toes (counting from the big toe) were with shooting pain right after the shot but have gone away right now. She also had spinal stenosis. She wanted to know if these had been reported side effects to the vaccine and what to do next. She wanted to know if she should still get the second dose of the Pfizer BioNTech COVID-19 vaccine 3 weeks from now. Can the Pfizer BioNTech COVID-19 vaccine be mixed with other COVID-19 vaccines like Johnson and Johnson and Moderna? She stated that yesterday she went to get the Pfizer Covid-19 vaccine and her blood pressure went sky high. She had tremors and shaking continuously. The drug store called the emergency medical, clarified as EMT. Eventually, slowly her blood pressure went down. The EMTs were afraid for her because of the shaking and all that. She explains these symptoms just came on. It was not long after she got the shot. The pharmacist at the drug store and both EMTs told her to call her doctor and to find out if she should use the Pfizer vaccine in 3 weeks as her second dose. She said because they kept saying she might not want that- the second dose and all of these vaccines make one feel sicker or get worse. She clarified that her doctor and EMT''s were afraid of her getting the second shot because the second shot is worse and that her blood pressure might go above what it was. They kept mentioning Johnson and Johnson as a second way. Caller is thinking Johnson and Johnson is one whole shot for one whole year. She thought this might be too much taking that plus the first Pfizer COVID vaccine she received. She then thought of the Moderna vaccine, however the callers husband believes he heard you couldn''t combine the Moderna with the Pfizer shot to take part 2 of the vaccine, but he wasn''t sure. She clarifies her husband believes he heard that, but he wasn''t sure, he was nervous to say. She explains they are in their 70s and she is not apart of the young group of young people that get heart conditions because of the COVID. Caller stated that she thought it was good to report this so Pifzer can learn from her experience. She said she had another thing that happen and went away fast and one of her toes was hurting a lot, intermittently, every once in awhile. She explained that this did not happen right after the shot, but soon after. The pain was not in the big toe on the left side, but the next toe after. There was like a shooting pain and then it would go away. It depends if she stood up, there was shooting pain. It hurt. She noticed this morning she was fine, but she did get a couple of small shooting pains in the middle of the night. She clarified she noticed the shooting pain more when she was standing or like when she was putting her sock on. It also happened when she was sitting as well, as she was trying to recover from the blood pressure. It happened in the middle of the night a couple of times, but it was no big deal, it wasn''t as strong. She stated that she had a history of high blood pressure which was getting better before the vaccine. Her doctor was going to give her an additional medicine, but her doctor did not when she went to see him a couple of weeks ago at her appointment. She does have a history of high blood pressure and other stuff being her age. She said that the pharmacy called the EMTs after a while, after 40 minutes or something. They were trying to find a blood pressure machine and they could not find one. The caller heard one person say they did not use them anymore because of COVID. They had to open a new box and look for batteries so it took a while. Her blood pressure was around the 160s and 180s and then it went down. The second number was about 113 or 180, something like that. But her heart rate also went up to 111. She didn''t see the other readings. She doesn''t know for sure but she saw at the beginning that her heart rate was at 111. She clarifies she saw the first number (systolic) was over 200, but she doesn''t know what it was. The second number was 135, she has never had the second number go that high or seen the number this high on a machine before. Her blood pressure had been doing really good until she went yesterday. She stated that she got the shot around 10:00, 10:15 or so. The toe thing happened when she got home around 11:00ish, she really doesn''t remember the time. It happened throughout the day. It was intermittent. She clarified the toe hurting started directly after getting the vaccines, she could feel it. She told her husband she thought it was one of the effects. Then, she started getting the high blood pressure feeling which was like within minutes. She confirmed her toe has stopped hurting. She clarified when she woke up today, 01Jul2021, she was fine. She stated she was hopefully recovered. She just happened to go to her doctor, (withheld) but she turned out to be looking better. She was concerned about the different factors of what might happen. Then, she saw on TV, these nurses that were risking their lives, putting in all these hours, and people were not taking shots. After hearing that, she goes wow. Her brothers were in the military and (Withheld) and her husband and Dad were in the military, and here she is not doing her part. She figured she would risk it and get the shot. She felt it was her turn to do her part and not be selfish. She thought it was time. Her husband got his shot about a week or 2 ago. She was trying to gather information and then she decided to go for it. When she was asked where she got the shot on her body, she stated the left arm in the muscle then she said that her arm didn''t hurt at all. She stopped Aspirin since around Sunday, 27Jun2021 because of the COVID-19 vaccine. She hasn''t taken it since then. She knew that Aspirin was probably one of the bad things to take before going to get the Pfizer shot and she didn''t want to take a chance. For Synthroid, her dose varies. Right now she takes 75mg four days a week and 50mg three days a week. She clarifies her dose varies because right now she was in the middle of changing it so the dose may be 5 days a week and the other dose 2 days a week, she is a little confused on that. She was seeing an Endocrinologist and she''s been switching the caller dose. She had a blood test done the day before the COVID shot so that her doctor could get an idea of how her Thyroid was and all of that. Caller stated she had been on Synthroid over 10 years. Then she corrected it and said she thought it was about 20 years. She said that she got osteoporosis from the Synthroid. She tells the call handler that if she knows anybody that takes Synthroid to tell them to take calcium or talk to their doctor. She confirmed the Metoprolol Succinate ER seems to be helping a lot. She mentions she had to go to the hospital because she had Supraventricular Tachycardia (when the heart beats too fast) so she was started on this medication. They had to stop her heart for a moment (that was the only time she had that done). They stopped her heart, just like a flash, with the medicine, Adenosine, and then she felt bad after that event for months, but she recovered. When caller stated that she was taking vitamins, she said that she stopped Vitamin D a month or two ago. She said it was too much Vitamin D. It was almost like toxic. It was the only time her blood pressure went up, when she had that, so she stopped taking that separate. It''s not that she can''t take Vitamin D but not too much. She stated a lot of things affect her blood pressure a lot of medications and food she eats such as cinnamon and ginger, a lot of the pills she takes, if she takes certain brands. She was concerned about taking the COVID-19 vaccine or not because she has problems with her blood pressure at the drug store. When probed for when osteoporosis was diagnosed, the caller explains up to a certain age, it was when she was still allowed to take the DEXA Test. She said she just learned something about her spine that had nothing to do with the vaccine. She clarifies it is called spinal stenosis, it has to do with the nerves and stuff like that. She said that she went to the eye doctor a couple of years ago, she was told she was going to have macular degeneration of the eyes. At the time of this report event outcome was recovered on 01Jul2021. Information on the lot/batch number is expected.


VAERS ID: 1483291 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / UNK RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dysphagia, Oropharyngeal pain
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)

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: Depression; Fibromyalgia; Migraine
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021821140

Write-up: Sore throat; Difficulty in swallowing; This is a spontaneous report from a contactable Nurse. This 54-year-old female nurse (patient) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EW0171), via an unspecified route of administration (on the right arm) on 30Jun2021 at 16:00 (at the age of 54-year-old) as dose number unknown, single for COVID-19 immunization. Medical history included migraine, depression and fibromyalgia. Concomitant medications were not reported. Nurse stated, "I wanted to just report a side effect. It just hurts to swallow. It is a sore throat and difficulty in swallowing which started about an hour after I got the vaccine which was about 4''o clock yesterday afternoon and it got a little better with the Tylenol but it comes back again". The patient took some medications for depression, for sleep and some PRN medication for migraine. The reporter provided the causality as related (method of assessment: global introspection) to the drug. The therapeutic measures were taken in response to the events. Outcome of the events was not resolved.


VAERS ID: 1483341 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Muscle twitching, Pain, Pain in extremity
SMQs:, Dyskinesia (broad), Dystonia (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: USPFIZER INC2021823350

Write-up: right arm is visibly pulsating and twitching; Arm is throbbing; right arm was getting sore; This is a spontaneous report from a contactable consumer (patient). A 44-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0217 and Expiration Date: 30Sep2021), via an unknown route of administration, administered in right arm on 30Jun2021 at 11:00 (at the age of 44-years-old) as dose 2, single for covid-19 immunisation. The patient has no medical history. Patient''s concomitant medications were not reported. Patient previously took first dose of bnt162b2 via an unknown route of administration in right arm on 06Jun2021 (at the age of 44-years-old) (Lot number: EW0177 and Expiration date: 31Aug2021) and got period again and arm was a little sore. Prior vaccination, patient has not received any other vaccine within 4 weeks. Patient has no family history relevant to adverse event. On 30Jun2021, the patient reported that within 4-5 hours after vaccination the right arm was getting sore, later in the evening there was minor soreness. She was knowing that the second shot would be worse. She reported that with the soreness, it kind of hurts to move her arm but it''s nothing excruciating. She cannot really lift her arm up high or anything, but its getting better. She was able to deal with the discomfort through the night. On 01Jul2021, she reported that her arm was throbbing. At time of call on 01Jul2021, she had her arm and its totally relaxed. She reported that her arm was pulsing and it just started happening. She said that her right arm was visibly pulsating and twitching even her child can see it. She had never seen anything like that. Her daughter stated that her arm was pulsating almost as fast as she is blinking. She explained that she can move her arm halfway up "freely", otherwise if she moves it up any further the pulsating was worse. She said that pain really was not an issue. Emergency room visit was not required for adverse event. Outcome of event right arm was getting sore was recovering and outcome of other events was unknown.


VAERS ID: 1483387 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Illness, Influenza like illness, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021829809

Write-up: Whole entire body is aching; Flu-like symptoms; Fever; He feels really, really sick; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 56-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 30Jun2021 (age at the time of vaccination was 56-year-old) as single dose for COVID-19 immunization. The patient''s medical history and concomitant medication were not reported. The patient did not receive any other products. Previously, the patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. On 30Jun2021 (in the middle of the night on the day of vaccination), the patient experienced whole entire body was aching, had flu-like symptoms and fever. The patient felt really, really sick. The patient asked that she need help and what should the patient take. The caller confirmed details provided by transfer agent. The caller stated that the patient had to skipped work two days now. The caller stated that the patient was not going to answer questions. The patient was not going to give all this information about the experience and not get help. The patient felt like this was unsafe. There are people that have been experiencing this. The needed help. Received communication reported that the caller informed that for medical treatment or advice the patient would have to reach out to his doctor or if the patient was having an emergency that the patient would need to call or go to the emergency room. Caller then abruptly disconnected the call. Full details unable to be obtained. The outcome of the events was unknown. Information about lot/batch number is requested.


VAERS ID: 1483398 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-24
Onset:2021-06-30
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Exposure to SARS-CoV-2
Allergies:
Diagnostic Lab Data: Test Date: 20210630; Test Name: COVID-19 antigen test; Result Unstructured Data: Test Result:Negative; Test Date: 20210630; Test Name: COVID-19 antigen test; Result Unstructured Data: Test Result:Negative; Test Date: 20210630; Test Name: Covid-19 PCR test; Result Unstructured Data: Test Result:Positive; Test Date: 20210702; Test Name: Covid-19 PCR test; Result Unstructured Data: Test Result:unknown; Comments: not resulted yet
CDC Split Type: USPFIZER INC2021829906

Write-up: He has tested positive 30JUN2021 with symptoms of stuffy/runny nose; This is a spontaneous report from contactable reporter (patient mother) via COVAX US Support. A 15-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: ER8729, Expiry Date: Unknown), via an unspecified route of administration, administered in the left arm on 24Jun2021 at 14:00 (at the age of 14-year-old) as a single dose for covid-19 immunisation at Hospital. The patient had no medical history and did not administered any concomitant medications. The patient does not take any regular medications or have any other medical conditions. Reporter stated no, thank God, he''s healthy. Patient did not receive any prior vaccinations (within 4 weeks) and AE following prior vaccinations. The patient had no family medical history. The patient went through a drive through Covid-19 screening facility at the health department. Patient received his first dose of the Pfizer Covid-19 vaccine on 24Jun2021. He was exposed to Sars-COV-2 on 26Jun2021 on his birthday and after 6 days from vaccination, patient tested positive, which was confirmed by PCR test on 30Jun2021 and had a stuffy/runny nose. She (patient mother) reported that he had another Covid-19 PCR test done today, 02Jul2021, but they do not have results yet. She stated that there is a small chance that the patient received a false positive on Wednesday, 30Jun2021, but you never know, and she enquired if the patient''s PCR test from today, 02Jul2021, came back negative, would he still be able to get the second dose of the Covid-19 vaccine after 3 weeks. Currently awaiting for PCR test, antigens test resulted negative. She enquired whether she should delay the second dose of the Covid-19 vaccine or not for her son. HCP indicated to wait ninety days for second dose. The patient underwent lab tests and procedures which included sars-cov-2 PCR test, which was positive on 30Jun2021, 2 Covid-19 antigen tests which were negative on 30Jun2021, Covid 19 PCR test unknown, has not resulted yet on 02Jul2021. The event did not result in emergency room or physician office. The outcome of the event was unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1483432 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-06-25
Onset:2021-06-30
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Crying, Dysuria, Myalgia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN D [COLECALCIFEROL]
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021830746

Write-up: severe aches and pains in muscles and joints; severe aches and pains in muscles and joints; it hurt to pee; in tears from the pain; throwing up; This is a spontaneous report from a contactable consumer (patient). A 15-year-old non pregnant female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0168, Expiration date: Unknown), via an unspecified route of administration, administered in right arm on 25Jun2021 at 10:00 (at the age of 15-year-old) as a single dose for covid-19 immunisation at Center. The patient had no medical history and no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Concomitant medications included Colecalciferol (VITAMIN D), birth control and anti-depressant medications received within 2 weeks of vaccination. The patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: ER8736, Expiration date: Unknown), via an unspecified route of administration, administered in right arm on 04Jun2021 at 10:00 (at the age of 15-year-old) as a single dose for covid-19 immunisation. The patient was fine at first from the day of vaccination, on 30Jun2021 at 07:00, (after 5 days of vaccination) she started having severe aches and pains in muscles and joints. No one could touch her. She thought it was the vaccine and then she mentioned that it hurt to pee. Patient was taken to urgent care to rule out UTI infections, which they did and then referred her to the E.R (emergency room) because no one could touch her. She was in tears from the pain, and she was also throwing up. Patient received pain medications through an IV (intravenous) and anti-nausea medication as a treatment. The events resulted in emergency room/department or urgent care. The reporter assessed the events as non serious. The outcome of the events was not recovered. Follow up needed, further information has been requested.


VAERS ID: 1483480 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cheilitis, Fatigue, Loss of consciousness, Syncope, Tooth injury
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), Hypersensitivity (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: Medical History/Concurrent Conditions: Multiple sclerosis (Verbatim: Multiple sclerosis he has been okay for the past 7 years)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021831973

Write-up: unconscious for 15 minutes.; two teeth knocked out; lips busted; laid up for 3 days; fainted; This is a spontaneous report from a contactable consumer (Patient). A 71-years-old male patient received bnt162b2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Lot Number EW0179, expiration date not reported), via an unspecified route of administration on 30Jun2021 as dose 2, single for covid-19 immunization (71 years when vaccinated). Historical vaccine included bnt162b2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Lot Number EWO170, expiration date not reported), via an unspecified route of administration on 30Jun2021 as dose 1, single for covid-19 immunization (71 year when vaccinated) and had no adverse effect. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. The patient was not diagnosed with COVID-19 prior to the vaccination. Since the vaccination, the patient had not been tested for COVID-19. Medical history included multiple sclerosis from an unknown date in Jan2002 to an unknown date (he has been okay for the past 7 years, as reported). The patient''s concomitant medications were not reported. The patient previously took Avonex for central nervous system lesion and experienced adverse drug reaction (very bad). On 30Jun2021, the patient received his second dose and after 10mins the patient headed for home and the patient drove for about 400 yards from the country health department, walked in the kitchen and as soon as he got inside the patient fainted. The patient was unconscious for 15min. The fainting resulted in lips busted, two teeth knocked out and was laid up for 3days. The patient was not hospitalized for the events. The patient did not visit any emergency room or physician due to the events. The outcome of the events was reported as unknown at the time of report. Information about lot/batch number has been requested. Follow-Up (07Jul2021): Follow-up attempts are completed. No further information is expected.


VAERS ID: 1483506 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021833165

Write-up: blacked out; This is a spontaneous report from a non-contactable consumer or other non hcp (Patient). A patient of unspecified age and gender received second dose of bnt162b2 (BNT162B2, Batch/Lot number was not reported, Expiry date: unknown), via an unspecified route of administration on 30Jun2021 at 10:15 as DOSE 2, SINGLE for covid-19 immunisation. Patient historical vaccine included received first doe of bnt162b2 (BNT162B2, Batch/Lot number was not reported, Expiry date: unknown), via an unspecified route of administration on unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 30Jun2021 at 10:30, The patient experienced blacked out for 15 minutes after the second injection. I blacked out for 15 minutes when I got home which had been about 26 minutes after I got the shot. The outcome of the event was unknown.


VAERS ID: 1483831 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-06-04
Onset:2021-06-30
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: School       Purchased by: ?
Symptoms: Acute left ventricular failure, Acute myocardial infarction, Cardiogenic shock, Catheterisation cardiac abnormal, Coagulation test, Coronary artery occlusion, Echocardiogram abnormal, Electrocardiogram change, Platelet count normal, Respiratory symptom, SARS-CoV-2 test negative, Temporary mechanical circulatory support, Ventricular assist device insertion
SMQs:, Cardiac failure (narrow), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, arterial (narrow), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Sever''s disease
Allergies: None
Diagnostic Lab Data: COVID-19 PCR 07/13 and 07/14/21 negative Platelets 07/10/21 = 285
CDC Split Type:

Write-up: Patient received 2nd Moderna vaccine 06/04/2021 through his college. Around 06/30/2021, patient started having upper respiratory symptoms and sought care on 07/10/2021. At this time he had EKG changes and was scheduled for an ECHO on 07/13/2021. Patient received ECHO on 07/13/2021 and STEMI alerted from ED. Taken to cath lab after ECHO showed acute systolic HF. LHC to work up anterior STEMI, acute systolic heart failure and cardiogenic shock. RRA access. Acute thrombotic occlusion of the distal LAD and the D2. Temporary mechanical circulatory support was placed using an Impella. Patient was transferred to another Medical Center, cannulated and is now status post LVAD and temporary RVAD. Hypercoagulable work up is in process.


VAERS ID: 1483944 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-06-20
Onset:2021-06-30
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Electrocardiogram normal, Impaired work ability, Laboratory test, Malaise, Night sweats, Pain, Panic attack, 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: Mirtazapine 30mg
Current Illness: Sinus infection
Preexisting Conditions: Asthma previous anxiety
Allergies: Morphine
Diagnostic Lab Data: ER labs and EKG/ normal and prescribed Hydroxizine. Not helping.
CDC Split Type:

Write-up: Fever, chills, body aches, night sweats for nine days that started June 21, 2021 after vaccine. Next day had severe panic attack. Went to see Primary physician and he prescribed Xanax. I?m taking a full Xanax at night and sleeping okay. During the day panic attacks are continuous causing me to loose two weeks work. Still on Xanax and no relief. Went to ER for this issue. Labs and ekg were fine, but still not feeling well. Prior to first dose of Pfizer, no issues with panic attacks.


VAERS ID: 1484115 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW1079 / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, X-ray
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

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

Write-up: trouble breathing possible myocarditis cannot afford CT scan to confirm at this time


VAERS ID: 1484528 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-25
Onset:2021-06-30
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Axillary Lymphadenophathy (left)


VAERS ID: 1484702 (history)  
Form: Version 2.0  
Age: 90.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Musculoskeletal chest pain
SMQs:, Arthritis (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: Oxycodone prn
Current Illness: hip pain; uncertain if other health conditions
Preexisting Conditions: hip pain . uncertain if other health conditions
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient reported today that she has pain in shoulder blade & rib area after 24 hours of receiving vaccine. She takes Oxycodone for hip pain but states no relief with rib & shoulder


VAERS ID: 1484915 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
Vaccinated:2021-01-23
Onset:2021-06-30
   Days after vaccination:158
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9262 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Dry eye, Facial paralysis
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Corneal disorders (broad), Hearing impairment (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Dehydration (broad)

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

Write-up: 1st dose 01/02/21 pfizer,Lot#EL0142 2nd dose: 01/23/21,Pfizer,Lot# EL9262 Diagnosed with Bell''s palsy on 6/30/21; patient believes this is related to the Pfizer COVID vaccine, which she received on 1/2/21 and 1/23/21, reports she developed right-sided facial droop. She was evaluated at ED, reassured, prescribed oral steroid and anti-viral medication. states her symptoms are improving; she is still experiencing some dryness in her R eye for which she has been prescribed moisturizing eye drops.


VAERS ID: 1485032 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-04-20
Onset:2021-06-30
   Days after vaccination:71
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Caesarean section, Cardiac dysfunction, Cleft palate, Cleft uvula, Exposure during pregnancy, Heart rate decreased, Premature delivery
SMQs:, Cardiac failure (broad), Arrhythmia related investigations, signs and symptoms (broad), Congenital, familial and genetic disorders (narrow), Cardiomyopathy (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Birth Defect? Yes
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: Baby delivered via emergency C Section at 32 weeks 5 days. Showing low heart rhythms and function. Born needing oxygen. Also born with cleft soft palette and bifurcated uvula.


VAERS ID: 1485184 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-06-10
Onset:2021-06-30
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal, Paraesthesia, Scan with contrast, Tenderness
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? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Ulcerative colitis
Preexisting Conditions: Ulcerative colitis
Allergies: Shellfish
Diagnostic Lab Data: MRI of brain(7.15)and spine(7.13) w/ and w/out contrast
CDC Split Type:

Write-up: Paresthesia spreading from left lower extremity to other extremities with significant pain on light touch.


VAERS ID: 1485956 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-23
Onset:2021-06-30
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Skin disorder
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: SKYRIZI [RISANKIZUMAB]
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies, had not taken any concomitant drugs and had no relevant medical history.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210732569

Write-up: SKIN DISORDER/ARMS AND LEGS HAD BUMPS; This spontaneous report received from a patient concerned a 28 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies, had not taken any concomitant drugs and had no relevant medical history. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 23-JUN-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch/lot numbers. Concomitant medications included risankizumab for moderate to severe chronic plaque psoriasis. On 30-JUN-2021, the subject experienced skin disorder/arms and legs had bumps. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from skin disorder/arms and legs had bumps. This report was non-serious.


VAERS ID: 1486842 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Peripheral swelling, Rash, Rash erythematous, Skin discolouration
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: The patient states she doesn''t take any medication, dietary supplements, or herbal remedies.
Current Illness: No illness at the time of vaccination
Preexisting Conditions: No chronic or long-standing health conditions
Allergies: No allergies were known previouly.
Diagnostic Lab Data: No medical test or laboratory results
CDC Split Type:

Write-up: Next after the vaccine dose (6/30/21), the patient begins feeling symptoms: a red rash on the side of the stomach, on arms and part of the legs, swollen foot. The symptoms last until July 9th. The patient used Benadryl as treatment- (didn''t work). The rash left her with light brown spots.


VAERS ID: 1486940 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-17
Onset:2021-06-30
   Days after vaccination:105
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Cerebral infarction
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Ischaemic central nervous system vascular conditions (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: I63.9 - Cerebral infarction, unspecified N17.9 - Acute kidney failure, unspecified


VAERS ID: 1487099 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Bone pain, Burning sensation, Claustrophobia, Electric shock sensation, Fatigue, Headache, Herpes zoster, Hot flush, Hyperhidrosis, Neuralgia, Pain, Pain in extremity
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Osteonecrosis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: bladder infection treated with 7 day course
Preexisting Conditions: zero/none
Allergies: Avelox
Diagnostic Lab Data: urgent care visit for: diagnosis of Shingles, continued hot flashes, body aches, "nerve pain" 07/17-18/2021 Hot flashes from vaccine time not resolved-even to date of this writing, severe Shingles pain not yet resolved either.
CDC Split Type:

Write-up: shot @5:44 pm by 8:00 pm severe pain due to "dead arm" lasted from 6/30/2021 to 7/3/2021. On 7/1/2021 the following began: hot flashes, temp 100.1, severe headache (behind the eyes), severe body aches, severe bone achiness, "electric burning" body cell pain (generalized nerve pain) --as if every cell was being zapped with electricity, more frequent/longer lasting hot flashes with markedly increased profuse body sweating, fatigue, claustrophobia accompanying hot flashes. By 07/17 all but the hot flashes and Shingles symptoms/pain resolved. New urgent care visit for hotflashes/shingles 07/17-18/2021


VAERS ID: 1487156 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 1 LA / IM

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

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

Write-up: Vaccine that was given was drawn up on 06/29/2021. Recommended time for administering vaccine from draw time is 12 hours. A vaccine was administered that was drawn up the previous day.


VAERS ID: 1489536 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-06-30
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Hypersomnia, Increased appetite, Stress
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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: USJNJFOC20210733828

Write-up: INCREASED APPETITE; FATIGUE; SLEPT FOR 14 TO 16 HOURS; STRESS; 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, and batch number were not reported) dose was not reported, administered on 30-JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 30-JUN-2021, the subject experienced sleepiness (slept for 14 to 16 hours). On 30-JUN-2021, the subject experienced stress. On an unspecified date, the subject experienced increased appetite, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fatigue, increased appetite, sleepiness (slept for 14 to 16 hours) and stress was not reported. This report was non-serious.


VAERS ID: 1490356 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-06-30
Onset:2021-06-30
   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 - / UNK - / -

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

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

Write-up: Tingly nose


VAERS ID: 1490720 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-30
Onset:2021-06-30
   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 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Abdominal pain upper, Appendicitis, Computerised tomogram abdomen abnormal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: clairitin tamoxifin (did not take day of vaccination)
Current Illness:
Preexisting Conditions: Breast cancer. Had radiation for 4 weeks, completed May 10, 2021
Allergies: codine, egg whites
Diagnostic Lab Data: CAT scan showed Acute appendicitis 7.30.21
CDC Split Type:

Write-up: Seven hours after i got my shot, i had severe stomach ache and right abdominal pain that was deep and also severe.


VAERS ID: 1490827 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-30
Onset:2021-06-30
   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 - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Headache, Influenza A virus test negative, Influenza B virus test, Influenza like illness, Nasal congestion, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Heart arrhythmia
Allergies: Ceclor; wheat gluten; dairy; lactose; meat
Diagnostic Lab Data: PCR Covid neg; negative Influenza A & B
CDC Split Type:

Write-up: Moderate flu symptoms persisted for 21/2 weeks, after first vaccination shot. Symptoms included fever, congestion, runny nose, headaches. PCR (after 2weeks of symptoms) was negative for COViD, and also negative for Influenza A & B. Please update vaccination info handouts to reflect that vaccination side effects may last longer than the current ? 3 days ? stated on the info sheets. It is irresponsible to tie up healthcare facilities for simple vaccination side effects. My test and trip would not jave been necessary if the information provided to me was accurate.


VAERS ID: 1490989 (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: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / IM

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

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

Write-up: pt received dose not stored according to manufacturer


VAERS ID: 1492068 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-02-01
Onset:2021-06-30
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Bell's palsy, Dysgeusia, Hypoaesthesia, Hypoaesthesia oral
SMQs:, Peripheral neuropathy (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Bystolic, Flecinaide
Current Illness: None
Preexisting Conditions: Controlled A-Fib, was in sinus rhythm
Allergies: None
Diagnostic Lab Data: 10 JULY 21. ER Room. Mentioned if it could be from COVID Vaccine she related was a very interesting question that needs to be looked at.
CDC Split Type:

Write-up: Started with metallic taste in my mouth when eating food, then progressed to any liquid tasting salty. Two days after Metallic taste left side of face and moth went numb. Diagnosis was Bells Palsy.


VAERS ID: 1492078 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-06-22
Onset:2021-06-30
   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 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Biopsy skin abnormal, Lichenoid keratosis, Metabolic function test, Rash, Urine analysis
SMQs:, Anaphylactic reaction (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Skin tumours of unspecified malignancy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: metabolic syndrome X, allergic rhinitis,
Allergies: Amoxicillin and latex
Diagnostic Lab Data: CMP wnl except ALT mildly elevated at 20, AST 18. UA 2+ blood but was on menses. Skin biopsies: Left popliteal skin-lichenoid dermatitis with eosinophils. Per pathology report- changes could be related to COVID vaccine although this is less common pattern than typically seen. Periumbilical skin-mixed inflammatory infiltrate with eosinophils,es pathology report stat this reaction pattern is more typical of that seen after COVID vaccine.
CDC Split Type:

Write-up: Developed rash on 06/30 that started on her abdomen, then spread to behind the knees, up her legs, with a mild amount a rash on her back and her forearms, left greater than right. Rash is not itchy, peaked around 7/9 and is slowly improving.


VAERS ID: 1493141 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-29
Onset:2021-06-30
   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 EW0181 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Migraine
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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none, Comment: none
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021829003

Write-up: she has experienced massive headaches nonstop; she experienced is a blinding headache; This is a spontaneous report received from a contactable Pharmacist (patient). A 62-year- old pharmacist received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: solution for injection; Batch/Lot Number: EW0181), via an unspecified route of administration in the left arm on 29Jun2021 (at the age of 62-years-old) as a single dose for COVID-19 vaccination. Time the vaccination was given as sometime in the evening, about 19:00 or maybe a little earlier, 18:30. Medical history was reported as none. Concomitant medications were not reported. The patient stated she was in a clinical trial last year, 2020, for the Astra Zeneca Vaccine and received the active Astra Zeneca Vaccine. The patient stated no one recognizes the Astra Zeneca Vaccine here. An Airline told the caller they would not fly her and she was considered not vaccinated. In order to secure a CDC Card, the caller had to go and have the Pfizer Covid 19 Vaccine. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Had first dose of the Pfizer COVID-19 vaccine on 29Jun2021. Since then she had experienced massive headaches nonstop. She had read from the internet that there had been reports of headaches but what she experienced was a blinding headache. For two or three days the patient had been running a blinding headache. The patient''s headache was not subsiding. The patient had taken Aspirin and Tylenol. The patient stated, today is Friday, 02Jul2021, on Wednesday, 30Jun2021 and Thursday 01Jul2021, the patient was incapacitated sitting at home and trying to put an ice pack. The patient rotated warm packs and ice packs. The patient could not function. When asked if the headache had improved, persisted or worsened the patient replied the headache was just as it is, its blinding. The headache had not improved even after taking the over the counter pain pills. The outcome of events was not resolved. Additional Information: Description of Product Complaint: Tylenol (Lot: P108696, NDC: 0363-0519-12, Expiration: Jan2020, Additional lot numbers: P108696) The patient reported a blinding headache after receiving the first dose Pfizer Covid 19 Vaccine. The patient stated the headache has continued even after taking over the counter pain medication. The patient stated the headache had continued and the patient has taken Tylenol. The patient stated she needed to put on glasses to read the information on the Tylenol bottle. Description of Product Complaint: Aspirin (Lot: P121168, expiration: Jul2022, NDC: 0363-0563-32, Additional lot numbers: P121168) The patient reported a blinding headache after receiving the first dose Pfizer Covid 19 Vaccine. The patient stated the headache had continued even after taking over the counter pain medication. The patient stated the headache had continued and the patient had taken Aspirin. Follow up needed, further information has been requested.


VAERS ID: 1493392 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-30
Onset:2021-06-30
   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 EW0196 / 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Error: Wrong Dose of Vaccine - Too Low-


VAERS ID: 1493402 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-30
Onset:2021-06-30
   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 EY0584 / 1 LA / IM

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

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

Write-up: Error: Patient Too Young for Vaccine Administered-


VAERS ID: 1493611 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 1 LA / ID

Administered by: Private       Purchased by: ?
Symptoms: Expired product administered, No adverse event
SMQs:, Medication errors (narrow)

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

Write-up: Patient was given injection that expired on 06/25/21. Injection given 06/30/21 The patient has not called with any problems. Moderna has been notified and we are still waiting for the company to tell us what we need to do.


VAERS ID: 1494179 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-04-01
Onset:2021-06-30
   Days after vaccination:90
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Arrhythmia, Bacteraemia, Intensive care, Renal failure, Sputum culture positive
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sepsis (broad), Opportunistic infections (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, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atenolol, Rosuvaststin
Current Illness: None
Preexisting Conditions: Hypertension, Hyperlipidemia.
Allergies: Amoxicillin, Penicillin
Diagnostic Lab Data: Positive sputum culture for PHOTOEHABDUS LUMINESCENS
CDC Split Type:

Write-up: Pt having signs/sympathy of Pneumonia for 2 weeks, went to urgent care and received antibiotics. Progressively got worse and was admitted to Medical Center July 11, 2021. At that time, the only test result pt grew was in her sputum culture, Photoehabdus Luminescens. Pt received both Covid-19 vaccines in April of 2021, they were both Pfizer. During pts stay the ICU, the pt was going into renal failure and having multiple cardiac arrhythmias, despite multiple IV antibiotics. Pt was transferred to a higher level of care on July 19, 2021


VAERS ID: 1494193 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-18
Onset:2021-06-30
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Headache, Varicella zoster virus infection
SMQs:, Opportunistic infections (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: Estradiol, Zyrtec, Albuterol, Epi-Pen
Current Illness:
Preexisting Conditions: Asthma, Allergies, Migraines, Gastroparesis
Allergies: Penicillin, Levaquin, Zithromax, Sulfa, Doxycycline, Contract Dye, Fish, Shell Fish, Seaweed, Walnuts, Hazelnuts, Mushrooms, Pineapple
Diagnostic Lab Data:
CDC Split Type:

Write-up: Head started evening of second injection(June 18, 2021) Head has continued daily including today, July 22, 2021. Shingles (Zoster) symptoms started on June 30, 2021, 12 days after second injection. Zoster was diagnosed on July 4, 2021.


VAERS ID: 1495671 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Asthenia, Fatigue, Gait disturbance, Inflammation, Injection site pain, Malaise, Myalgia, Pain, Pain in extremity, Sleep disorder, Somnolence
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament 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: Methylprednisolone, Pro Air inhaler, Tylenol.
Current Illness: None.
Preexisting Conditions: Rheumatoid arthritis, fibromyalgia, asthma, osteoarthritis, Hashimoto''s disease, bleeding ulcers, silent reflux, dry eye.
Allergies: Apples, kiwis, oranges, mangos, strawberries, crab, shrimp, cat dander, dog dander, lobster, German cockroaches, Bermuda grass, Johnson grass, rye grass, acacia tree, cottonwood tree, elm tree, juniper tree, oak tree, olive tree, mugwort, Russian thistle, common pigweed, ragweed, peanut butter, sesame seeds, soy, cow''s milk, wheat, corn, possibly tree nuts.
Diagnostic Lab Data: None.
CDC Split Type: vsafe

Write-up: As I was driving home shortly after my shot, I felt unusually tired, so much so that I wanted to fall asleep at the wheel. When I got home, I had a lie-down and fell fast asleep. Later, I was awoken from my sleep by pain and the injection site. I put an ice pack on it, and the pain intensified. The pain was such that I was in and out of sleep all night long; I couldn''t get a sound sleep on account of the pain. The following day when I woke up, I found it excruciatingly painful to raise my left arm. I took two Tylenol and then noticed that the muscles in my legs were extremely sore. I found it painful to walk. My legs felt like they had run a marathon! I ended up using a walker for about 2 1/2 weeks. I had already dealt with chronic pain, but this wasn''t normal for me, so I called the doctor. She told me to wait a few more days and to come to the clinic if it didn''t subside. Ultimately, I didn''t go to the clinic. About 3 weeks after the leg pain began, the pain finally began to subside. During these three weeks, not only did I have leg pain and a sore injection site, but I also felt extreme malaise and weakness. I also experienced great anxiety, for which my doctor prescribed a 3-day supply of the lowest dose of lorazepam. During the time that I received the vaccine, I was already taking methylprednisolone to treat my RA and fibromyalgia. The inflammation in my body was also high. I now wonder if the interaction of the vaccine and methylprednisolone exacerbated the inflammation.


VAERS ID: 1496305 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-26
Onset:2021-06-30
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Dyspnoea, Neck pain, Pain, Skin warm, Sleep disorder, Swelling, Thrombophlebitis superficial, Ultrasound scan
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (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: sulfa medication and Excedrin tabs
Diagnostic Lab Data: ultrasound and blood work and patient has upcoming appointment to further confirm blood clot is dissolved
CDC Split Type:

Write-up: woke up with pain that shot up to the neck. the area was swollen and hot. which prompt patient to go to ER. The physician subsequently diagnosed patient with superficial arm blood clot. patient has a follow up visit to investigate if a presence of blood clot which is causing sob is related to the immunization


VAERS ID: 1496341 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-30
Onset:2021-06-30
   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 EW0196 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site bruising, Injection site erythema, Injection site rash
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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: none
Current Illness: none
Preexisting Conditions: none.
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: The shot was to the right arm. After approximately 5-10 minutes after the shot, my son noticed on the underside of his lower left arm there was a streak of dark reddish clotting or bruising underneath the skin. He felt okay, with no adverse symptoms/reactions. I notified the pharmacist and believed it was a mild rash reaction and to wait for any adverse reaction. We went home afterward and the clotting/bruising went away after a few days. I am concerned about whether he should go ahead with a 2nd shot or be evaluated due to the immediate non-adverse reaction. My son took a picture of his left arm after we got home. So if you need to look at it, we have it.


VAERS ID: 1497446 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-06-30
Onset:2021-06-30
   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 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Agitation, Anxiety, Depressed mood, Diarrhoea, Dizziness, Dyspnoea, Feeling hot, Heart rate increased, Malaise, Nausea, Panic attack, Panic reaction, Pyrexia, Tremor, Tunnel vision
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (narrow), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ATENOLOL; MAGNESIUM SULFATE; VITAMIN D3; VITAMIN C [ASCORBIC ACID]; FISH OIL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy (Dietary/external histamine); High cholesterol (Weaned off of Atenolol to take vaccine and dieting to lower cholesterol); Hypertension; Sleep apnea (Use CPAP); Tachycardia, unspecified (Tachycardia (Unspecified) & Sleep Apnea (Use CPAP), hypertension)
Allergies:
Diagnostic Lab Data: Test Date: 20210630; Test Name: Elevated pulse; Result Unstructured Data: Test Result:Elevated
CDC Split Type: USPFIZER INC2021862180

Write-up: 50 hours after shot, had waves of agitation; mild panic; sadness; later fever; shaking; Not right; elevated pulse; Things looked like tunnel vision sort of; A few minutes after vaccine, starting feeling harder to breathe & felt a warm clammy wave starting from my waist & rising up. Things looked like tunnel vision sort of. My sister told me I was having; A few minutes after vaccine, starting feeling harder to breathe & felt a warm clammy wave starting from my waist & rising up. Things looked like tunnel vision sort of. My sister told me I was having; She was having a panic attack; had 2 episodes of diarrhea; a few brief waves of nausea,; 1 brief dizzy moment at one point which dissipated as I raised my head from looking down reading my tablet; I assumed all of those last symptoms were anxiety related; This is a spontaneous report from a contactable consumer, reporting for herself. A 55-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number unknown) via an unspecified rout of administration in right arm on 30Jun2021 01:00PM (at the age of 55-year-old) at single dose for COVID-19 immunisation. Relevant medical history included tachycardia (unspecified), sleep apnea (CPAP use), hypertension and high cholesterol (weaned off of atenolol to take vaccine and dieting to lower cholesterol). In addition, the patient was sensitive to dietary and external histamine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Concomitant medication included atenolol, magnesium sulfate, vitamin D3, vitamin C and fish oil. The patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. A few minutes after vaccine (reported as 30Jun2021 at 01:00PM) the patient started feeling harder to breathe and felt a warm clammy wave starting from her waist and rising up. Things looked like tunnel vision sort of. Her sister told her she was having a panic attack. The patient held off on Epipen that she had asked doctor to prescribe and after a moment she assessed that she was still able to breathe. While staying in clinic for quite a while, the patient had two episodes of diarrhea, a few brief waves of nausea, one brief dizzy moment at one point which dissipated as she raised her head from looking down reading her tablet. The patient assumed all of those last symptoms were anxiety related. At 50 hours after shot, the patient had waves of agitation, mild panic, sadness, not right, later fever and shaking, elevated pulse. Outcome of the events was unknown. Information on lot/batch number has been requested.


VAERS ID: 1497507 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-06-29
Onset:2021-06-30
   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 EW0198 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Axillary pain, Breast tenderness, Condition aggravated, Cyst, Dyspnoea, Fatigue, Nodule, Pain
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (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: Asthma (diagnosed over 15 years ago)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021880805

Write-up: nodule under left armpit, very painful; nodule under left armpit, very painful was reported as worsened.; nodule under left armpit, very painful was reported as worsened.; states it keeps growing and growing and is now the size of a quarter, states it has developed like a head on it, like a cyst; hard time breathing; Fatigue; tender breasts and under left armpit; tender breasts and under left armpit/ arm pits were starting to hurt; This is a spontaneous report from a contactable consumer (Patient). A 48-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot Number: EW0198), dose 2 via an unspecified route of administration, administered in Arm Left on 29Jun2021 (at the age of 48 years) as dose 2, single for COVID-19 immunisation. Medical history included ongoing asthma diagnosed over 15 years ago. There were no concomitant medications. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot# EW0186), dose 1 via an unspecified route of administration in Left arm on 20May2021 (at the age of 48 years) for COVID-19 immunisation. Consumer stated, on 30Jun2021, the next day consumer was fatigued and her breasts were really tender and arm pits were starting to hurt. On an unspecified date consumer developed a small nodule under left armpit a few days later, it kept growing and growing and now the size of a quarter and it has developed like a head on it, like a cyst, today it had a whitehead on it, stuff started coming out of it, put some peroxide and Neosporin on it and it hurts really bad and also taking Aleve and Ibuprofen every 6 hours and was applying cold compress and warm compress to the site. Consumer stated that consumer was having a hard time breathing after second dose and treated with nebulizer, hydrated and was told that consumer could be fatigued. Consumer thought the cyst was from her skin rubbing. The outcome of event painful nodule and breathing difficult was not recovered and for all rest events was unknown. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1443038 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045D21A / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Chest pain, Dizziness, Dyspnoea, Fatigue, Headache, Heart rate increased, Injection site erythema, Injection site pain, Movement disorder, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: Significant Joint Pain. Fever over 40. Swelling. Redness and Pain at injection site (over 6cm diameter) not itchy Sharp Pains in middle of chest that lasted approx 5 mins and made it difficult to breathe or move. Bad headache. Lightheaded. Didn?t get out of bed for 24 hours. 3rd day swelling and redness and pain on arm has not improved and tired. Fever was gone on day 2. On June 30 after the sharp pains we called our local health question line 811 and after their assessment they called 911 and sent ambulance. Pain in chest didn?t come back. They confirmed fever and elevated heart rate but were not concerned And said she should be ok


VAERS ID: 1450293 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-14
Onset:2021-06-30
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH E40578 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Cardiac arrest, Cardiac monitoring abnormal, Echocardiogram, Electrocardiogram, Hypertension, Loss of consciousness, Seizure, Syncope, Ultrasound abdomen, Vomiting projectile
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Convulsions (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cold FX (x2) Vitam D (x2) Vitam B Daily Multi Vitamin
Current Illness: Have been perfectly healthy and exercising for years. Daily walks with wife (4 km up and down hills), pre-covid would go to gym daily for weights and cardio exercise.
Preexisting Conditions:
Allergies: Slighty allergic to foods containing Urushiol: Mangoes, Cashews
Diagnostic Lab Data: Echo, Ultrasound, EKG... Blood tests Doctors have not told me much other than my only option is to get a pacemaker!!! Will this event go away?
CDC Split Type:

Write-up: Delayed reaction? Fainting and seizure twice @ 1pm and 2pm on June 30 2021 Fainting and projectile vomitting twice @ 4pm and 4:30pm Taken to hospital and lost consciousness and had seizures 3 times - instant vomiting each time on awaking. After being connected to oxygen, a heart monitor, and an IV - I had Asystole pause twice of 10 seconds and 6 seconds. (my heart signal was gone for 10 and 6 seconds). Was given Isoproterenol through IV - to speed up my heart. Never have had high blood pressure in my life, however after coming off IV and this event my blood pressure has been as high as 162/110. Hypertension Please follow up on this as the hospital has suggested that I put in a pacemaker which I would prefer to avoid if the adverse effect will not happen again. Again I have no history of any health problem related to the heart. Only have ever had my tonsils and appendix removed - no other health issues!!! Please help


VAERS ID: 1462642 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Blood count, Body temperature, Chest pain, Dizziness, Electrocardiogram, Pyrexia, Rash, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data: Test Name: blood count; Result Unstructured Data: Low; Test Name: Body Temperature; Result Unstructured Data: 38; Test Name: ECG; Test Result: Inconclusive ; Result Unstructured Data: Inconclusive; Test Date: 20210701; Test Name: COVID-19 virus test; Test Result: Negative ; Result Unstructured Data: Negative
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Rash; High temperature; Chest pain; Dizziness; This regulatory authority case was reported by a consumer and describes the occurrence of CHEST PAIN (Chest pain), DIZZINESS (Dizziness), RASH (Rash) and PYREXIA (High temperature) in an 18-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) for COVID-19 vaccination. The patient''s past medical history included Lactation decreased. On 29-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jun-2021, the patient experienced CHEST PAIN (Chest pain) (seriousness criterion hospitalization) and DIZZINESS (Dizziness) (seriousness criterion hospitalization). On 02-Jul-2021, the patient experienced RASH (Rash) (seriousness criterion hospitalization) and PYREXIA (High temperature) (seriousness criteria hospitalization and medically significant). At the time of the report, CHEST PAIN (Chest pain), DIZZINESS (Dizziness), RASH (Rash) and PYREXIA (High temperature) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-Jul-2021, SARS-CoV-2 test: negative (Negative) Negative. On an unknown date, Blood count: low (Low) Low. On an unknown date, Body temperature: 38 degree Celsius (High) 38. On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) was unknown. No concomitant medication reported. No treatment information was provided. 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: 1473485 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002621 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Suspected COVID-19 (Unsure when symptoms started Unsure when symptoms stopped.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Nose bleeds; This regulatory authority case was reported by a consumer and describes the occurrence of EPISTAXIS (Nose bleeds) in an 18-year-old male patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002621) for COVID-19 vaccination. The patient''s past medical history included Suspected COVID-19 (Unsure when symptoms started Unsure when symptoms stopped.). On 29-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 30-Jun-2021, the patient experienced EPISTAXIS (Nose bleeds) (seriousness criterion medically significant). At the time of the report, EPISTAXIS (Nose bleeds) was resolving. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported. No treatment medications were provided. Company Comment Very limited information regarding this event has been provided at this time. No further information is expected.; Sender''s Comments: Very limited information regarding this event has been provided at this time. No further information is expected.


VAERS ID: 1473541 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-30
Onset:2021-06-30
   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: Angina pectoris, Blood glucose, Dyspnoea, Electroencephalogram, Heart rate, Urine analysis
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Clinical trial participant; Lactation decreased
Allergies:
Diagnostic Lab Data: Test Date: 20210630; Test Name: blood sugar; Test Result: Inconclusive ; Result Unstructured Data: Low; Test Date: 20210701; Test Name: EEG; Test Result: Inconclusive ; Result Unstructured Data: no result reported.; Test Date: 20210630; Test Name: heart rate; Test Result: Inconclusive ; Result Unstructured Data: irregular heartbeats; Test Date: 20210701; Test Name: heart rate; Test Result: Inconclusive ; Result Unstructured Data: fast heart rate of 120beats per minute; Test Date: 20210701; Test Name: Urine Test; Result Unstructured Data: found in urine all tests returned clear.
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Chest pain - cardiac; Labored breathing; This regulatory authority case was reported by an other health care professional and describes the occurrence of ANGINA PECTORIS (Chest pain - cardiac) and DYSPNOEA (Labored breathing) in a 15-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) for COVID-19 vaccination. The patient''s past medical history included Lactation decreased and Clinical trial participant. On 30-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jun-2021, the patient experienced ANGINA PECTORIS (Chest pain - cardiac) (seriousness criterion hospitalization) and DYSPNOEA (Labored breathing) (seriousness criterion hospitalization). At the time of the report, ANGINA PECTORIS (Chest pain - cardiac) and DYSPNOEA (Labored breathing) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 30-Jun-2021, Blood glucose: low (Inconclusive) Low. On 30-Jun-2021, Heart rate: irregular (Inconclusive) irregular heartbeats. On 01-Jul-2021, Electroencephalogram: inconclusive (Inconclusive) no result reported.. On 01-Jul-2021, Heart rate: increased (Inconclusive) fast heart rate of 120beats per minute. On 01-Jul-2021, Urine analysis: normal (normal) found in urine all tests returned clear.. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Treatment information was not provided by the reporter. Very limited information regarding these events have been provided at this time. No further information is expected.; Sender''s Comments: Very limited information regarding these events have been provided at this time. No further information is expected.


VAERS ID: 1490261 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-29
Onset:2021-06-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Headache, Dizziness, Fatigue, muscle pain in legs and back, abdominal pain and nausea lasted 32 hours


VAERS ID: 1492056 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-30
Onset:2021-06-30
   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 FD5613 / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Influenza, Muscle spasms, SARS-CoV-2 test, Vomiting
SMQs:, Acute pancreatitis (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Test Date: 20210401; Test Name: COVID-19 virus test; Test Result: Positive ; Comments: Yes - Positive COVID-19 test
CDC Split Type: GBPFIZER INC2021859508

Write-up: Spasm muscle; Vomiting; Flu symptoms; This is a spontaneous report from a contactable other HCP. This is a report received from the regulatory authority. Regulatory authority report number (GB-MHRA-WEBCOVID-202107051700414240-VNIWW), Safety Report Unique Identifier (GB-MHRA-ADR 25596981). A 18-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot Number: FD5613), via an unspecified route of administration on 30Jun2021 (at the age of 18-year-old), as a dose 2, single for COVID-19 immunization. The patients medical history included suppressed lactation (from an unknown date and unknown if ongoing). The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW4109), via an unspecified route of administration on 07Jun2021, as a dose 1 for COVID-19 immunization. The patient has not had symptoms associated with COVID-19; the patient is not enrolled in clinical trial. The patient is not pregnant and not currently breastfeeding. The patient had not tested positive for COVID-19 since having the vaccine. The patient''s concomitant medications were not reported. On 30Jun2021, the patient experienced spasm muscle, vomiting and flu symptoms. Patient last menstrual period date: 10Jun2021. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 01Apr2021 Yes-Positive COVID-19 test. The outcome of the events spasm muscle and vomiting was recovered on 01Jul2021. The outcome of the event flu symptoms was recovered on 04Jul2021. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1493296 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:2021-06-30
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: Chills, Headache, Malaise, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Allergic to Penicillin and Voltaren
Allergies:
Diagnostic Lab Data:
CDC Split Type: BEJNJFOC20210740740

Write-up: COLD CHILLS; FEELING UNWELL; HEADACHE; FEVER; NAUSEA; This spontaneous report received from a consumer via a Regulatory Authority [BE-FAMHP-DHH-N2021-99854] concerned an 18 year old male of unspecified race and ethnic origin. The patient''s weight was 83 kilograms, and height was 186 centimeters. The patient''s pre-existing medical conditions included allergic to penicillin and voltaren. The patient received Covid-19 vaccine ad26.cov2. s (suspension for injection, route of admin not reported, batch number: 21C11-05 expiry: Unknown) dose was not reported, 1 total administered on 30-JUN-2021 at night for covid-19 immunisation. No concomitant medications were reported. On 30-JUN-2021, the patient experienced cold chills, had feeling unwell, headache, fever and had nausea. The action taken with Covid-19 vaccine ad26.cov2. s was not applicable. The patient was recovering from headache, feeling unwell, cold chills, fever, and nausea. This report was serious (Disability Or Permanent Damage).; Reporter''s Comments: Treatment - Yes, took Dafalgan. Evolution of the ADR - Recovering. Situations - Other: No idea; Sender''s Comments: V0: 20210740740-covid-19 vaccine ad26.cov2.s-cold chills, feeling unwell, headache, fever, nausea. This event(s) is labeled and is therefore considered potentially related.


VAERS ID: 1431218 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-24
Onset:2021-06-29
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Axillary pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Pain in the armpit and it?sswollen


VAERS ID: 1432948 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-06-28
Onset:2021-06-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angina pectoris
SMQs:, Other ischaemic heart disease (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: Heart pain


VAERS ID: 1433159 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-06-29
Onset:2021-06-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 2 LA / IM

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

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

Write-up: Pt received Moderna vaccine for dose #2, but pt should have received the Pfizer vaccine to complete his COVID vaccine series.


VAERS ID: 1433172 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-06-28
Onset:2021-06-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Headache, Hot flush, Loss of consciousness, Pain in extremity, Syncope, Tinnitus
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), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Tendinopathies and ligament 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: Unknown
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: I recived the first does of Covid 19 vaccine Pfizer-BioNtech on June 28, 2021 around 2:30 in the afternoon. I felt fine for the most part the rest of the day, just a little pain in my arm and a slight headache. I went to bed and woke up at 5:50 am on June 29, 2021. I went to the bathroom and started to overheat and my ears started ringing, then I blacked out and fainted. I woke up on laying on the bathroom floor.


VAERS ID: 1433208 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2021-06-29
Onset:2021-06-29
   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 EW0150 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Incorrect product formulation 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: Female to male transgender 2018 Deaf History of meningitis (2001?)
Allergies: allergies to Bactrim, methylprednisolone, Norco, sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vial was diluted with 0.18ml instead of 1.8ml. 0.3ml of the reconstituted dose was administered to patient.


VAERS ID: 1433232 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-06-28
Onset:2021-06-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Dysstasia, Headache, Hyperhidrosis, Loss of consciousness, Nausea, Pain
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sweating, headache, nausea, light headedness, blacked out, dizzy, body aches - after second dose. Tried Ibuprofen so far. Waiting to see if there is relief. Can barely stand on his own.


VAERS ID: 1433267 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-09
Onset:2021-06-29
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 1 LA / IM

Administered by: Public       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: Unknown
Current Illness: None
Preexisting Conditions: Unknown
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: None


VAERS ID: 1433271 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-29
Onset:2021-06-29
   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 - / UNK - / -

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

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

Write-up: NONE, THE WRONG VACCINE WAS GIVEN


VAERS ID: 1433277 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-27
Onset:2021-06-29
   Days after vaccination:94
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028A21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Metamorphopsia, Ophthalmological examination, Retinal migraine
SMQs:, Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metoprolol succ er 25 mg, latanoprost 0.005%, vit B, fish oil, red yeast rice, vit C, multi vitamin, theralith xr
Current Illness: None
Preexisting Conditions: Raynauds
Allergies: Penicillin, sulfa, codeine, iodine contrast
Diagnostic Lab Data: My primary care physician instructed me to consult my ophthalmologist for a complete eye exam before further investigation. Eye doctor found these symptoms are typical of ocular migraine and suggested an MRI to rule out possible other cause sending letter to my PCP. I have taken no further action. Episodes related to vaccine may be coincidental.
CDC Split Type:

Write-up: On April 4, 8 days following receiving second dose I experienced an ocular migraine lasting approximately 30 minutes. 10 weeks later on June 13 I experienced another ocular migraine lasting approximately 30 minutes. Prior to Apr 4 I had experienced ocular migraines only 3 times in my lifetime in 1997, 2016 and 2018. My symptoms included seeing a jagged wavy line of prism-like color in my peripheral vision that progressed to the loss of the right half of objects in my vision.


VAERS ID: 1433289 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-06-29
Onset:2021-06-29
   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 EW0196 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood glucose normal, Electrocardiogram normal, Nausea, Pallor, Presyncope
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: None
Preexisting Conditions: None
Allergies: None known
Diagnostic Lab Data: glucose 106 ECG wnl
CDC Split Type:

Write-up: Pallor- vagal event with subsequent possible loss of consciousness and brief generalized seizure possibly per family versus vagal event only. Return to normal function by the time of arrival from PCP office to the emergency department. Transported by No report of anaphylactic reaction clearly, though did have nausea and possible emesis once with event.


VAERS ID: 1433355 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-06-29
Onset:2021-06-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012M209 / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Nausea, Pallor, Presyncope
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Near syncope event after vaccine. Was sitting and turned pale and felt nauseated. Was able to lie down and was then feeling better. Was able to eat and drink and was discharged from the vaccination area in stable condition.


VAERS ID: 1433359 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-04-14
Onset:2021-06-29
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 2 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (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: Statin, multi-vitamin, Calcium + Vitamin D.
Current Illness: none
Preexisting Conditions: celiac
Allergies: Autoimmune - confirmed Celiac sprue.
Diagnostic Lab Data: None. Notified by primary care PA. Noted in file & advised tomonitor.
CDC Split Type:

Write-up: Blood pressure spike above normal. Took multiple reads via an automated BP cuff/machine: 137/73 and 133/75 and 2 or 3 similar readings over ~ 2 hours. Friday, 6/26 I checked BP and readings returned to normal range : 114/67, 117/75, 107/61. Heart rate normal ~ 57 bpm.


VAERS ID: 1433386 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-29
Onset:2021-06-29
   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 ER8732 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Interchange of vaccine products, Wrong product administered
SMQs:, Medication errors (narrow)

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

Write-up: Pfizer vaccine was administered in error. Pts first dose was Moderna vaccine


VAERS ID: 1433400 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-29
Onset:2021-06-29
   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 EW0179 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Motrin but discontinued 2 months ago, vitamin D over the counter
Current Illness: no illnesses
Preexisting Conditions: none
Allergies: None
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Upon data entry into system, it was noted that patient received the Janssen shot in March of 2021. The Pfizer dose was already given and patient noted they had not received a vaccine during screening. Upon requesting they stated they spoke with their primary care provider who advised him to get a Pfizer vaccine for maximum coverage. He intended to receive two different types of vaccines, and the health department advised patient not to come back for second dose.


VAERS ID: 1433454 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-15
Onset:2021-06-29
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Crying, Dizziness, Dysmenorrhoea, Pain, Photophobia, Temperature intolerance, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Takes a greens additive to her water. Uses Ibuprofen for severe cramps or headaches
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: I contacted her pediatrician and was told they had no information on any such side effects or adverse reactions and hadn''t ever heard of any. The triage nurse told me to call the report in to the manufacturer and I was led here via that portal. We are not concerned at this point for her health and recovery, just want other parents of teenaged girls to be aware of this possible reaction and not get caught off guard and have to make an emergency room visit thinking something more severe is going on. PLEASE TAKE THESE REPORTS SERIOUSLY so others will understand what women might experience different from male patients.
CDC Split Type:

Write-up: Severe menstrual cramping -doubled over, crying, in pain, vomiting, heat sensitive and light sensitive, dizziness.


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